STATE OF
MINNESOTA
Journal of the House
NINETY-THIRD
SESSION - 2024
_____________________
ONE
HUNDRED SIXTEENTH DAY
Saint Paul, Minnesota, Wednesday, May 15, 2024
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 Jodi Houge,
Gloria Dei Lutheran Church, St. Paul, 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.
Backer
Bahner
Bakeberg
Baker
Becker-Finn
Bennett
Berg
Bierman
Bliss
Brand
Burkel
Carroll
Cha
Clardy
Coulter
Curran
Davids
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
Hudson
Huot
Hussein
Igo
Jacob
Johnson
Jordan
Joy
Keeler
Klevorn
Knudsen
Koegel
Kotyza-Witthuhn
Kozlowski
Koznick
Kraft
Lawrence
Lee, F.
Lee, K.
Liebling
Lillie
Lislegard
Long
McDonald
Mekeland
Moller
Mueller
Murphy
Myers
Nadeau
Nash
Nelson, M.
Nelson, N.
Neu Brindley
Newton
Niska
Noor
Norris
Novotny
O'Driscoll
Olson, B.
Olson, L.
Pelowski
Pérez-Vega
Perryman
Petersburg
Pfarr
Pinto
Pryor
Pursell
Quam
Rarick
Rehm
Reyer
Robbins
Schomacker
Schultz
Scott
Sencer-Mura
Skraba
Smith
Stephenson
Swedzinski
Tabke
Torkelson
Urdahl
Vang
Virnig
West
Wiener
Wiens
Witte
Wolgamott
Xiong
Youakim
Zeleznikar
Spk. Hortman
A quorum was present.
Daniels, Hudella and Kresha were excused.
Kiel was excused until 4:40 p.m. Anderson, P. H., was excused until 7:50
p.m.
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.
INTRODUCTION AND FIRST READING
OF HOUSE BILLS
The
following House Files were introduced:
Kotyza-Witthuhn and Pryor introduced:
H. F. No. 5471, A bill for an act relating to capital investment; appropriating money for an aviation museum.
The bill was read for the first time and referred to the Committee on Capital Investment.
Huot introduced:
H. F. No. 5472, A bill for an act relating to public safety; modifying intensive comprehensive law enforcement education and training program; appropriating money; amending Minnesota Statutes 2023 Supplement, section 626.8516, subdivisions 4, 5, 6.
The bill was read for the first time and referred to the Committee on Public Safety Finance and Policy.
Bliss introduced:
H. F. No. 5473, A bill for an act relating to veterans; removing state veterans cemetery burial fee for spouses and dependents of eligible veterans; amending Minnesota Statutes 2022, section 197.236, subdivision 9; Minnesota Statutes 2023 Supplement, section 190.19, subdivision 2a.
The
bill was read for the first time and referred to the Committee on Veterans and
Military Affairs Finance and Policy.
Howard introduced:
H. F. No. 5474, A bill for an act relating to health insurance; requiring health plans to cover the management and treatment of obesity; requiring a report; amending Minnesota Statutes 2022, section 256B.0625, by adding a subdivision; proposing coding for new law in Minnesota Statutes, chapter 62Q.
The bill was read for the first time and referred to the Committee on Commerce Finance and Policy.
REPORT FROM THE COMMITTEE ON
RULES
AND LEGISLATIVE ADMINISTRATION
Long from the Committee on Rules and
Legislative Administration, pursuant to rules 1.21 and 3.33, designated the
following bill to be placed on the Calendar for the Day for Friday, May 17,
2024 and established a prefiling requirement for amendments offered to the
following bill:
H. F. No. 4746.
Keeler was excused for the remainder of
today's session.
MESSAGES FROM THE SENATE
The
following messages were received from the Senate:
Madam Speaker:
I hereby announce that the Senate has concurred in and adopted the report of the Conference Committee on:
S. F. No. 4399.
The Senate has repassed said bill in accordance with the recommendation and report of the Conference Committee. Said Senate File is herewith transmitted to the House.
Thomas S. Bottern,
Secretary of the Senate
CONFERENCE COMMITTEE REPORT ON S. F. No. 4399
A bill for an act relating to human services; modifying and establishing laws regarding disability services, aging services, and substance use disorder treatment services; modifying assisted living facility licensing standards; modernizing language in Deaf and Hard-of-Hearing Services Act; expanding application of bloodborne pathogen testing to nonsecure direct care and treatment programming; making technical corrections and repealing obsolete language; limiting rent increases in certain low-income rental projects receiving low-income housing tax credits; amending Minnesota Statutes 2022, sections 144A.20, subdivision 4; 144G.30, subdivision 5; 144G.45, subdivision 3; 148F.025, subdivision 2; 245A.11, subdivision 2; 245D.071, subdivisions 3, 4; 245D.081, subdivisions 2, 3; 245D.09, subdivision 3; 245D.091, subdivisions 3, 4; 245D.10, subdivision 1; 245F.02, subdivisions 17, 21; 245F.08, subdivision 3; 245F.15, subdivision 7; 245G.031, subdivision 2; 245G.04, by adding a subdivision; 245G.22, subdivision 6; 246.71, subdivisions 3, 4, 5; 246.711; 246.712, subdivisions 1, 2; 246.713; 246.714; 246.715, subdivisions 1, 2, 3; 246.716, subdivisions 1, 2, as amended; 246.717; 246.721, as amended; 246.722; 254A.03, subdivision 1; 256.975, subdivision 7e; 256B.0659, subdivision 17a; 256B.0759, subdivision 4; 256B.0911, subdivision 24; 256B.092, by adding a subdivision; 256B.49, by adding a subdivision; 256B.4905, subdivision 12; 256B.69, subdivision 5k, by adding a subdivision; 256B.85, subdivisions 2, 6, 6a, 7a, 11, 17, 20, by adding a subdivision; 256C.21; 256C.23, subdivisions 1a, 2, 2a, 2b, 2c, 6, 7, by adding a subdivision; 256C.233, subdivisions 1, 2; 256C.24, subdivisions 1, 2, 3; 256C.26; 256C.261; 256C.28, subdivision 1; 256R.08, subdivision 1, by adding a subdivision; 256S.205, subdivision 5, by adding a subdivision; 402A.16, subdivision 2; Minnesota Statutes 2023 Supplement, sections 245G.05, subdivision 3; 245G.09, subdivision 3; 245G.11, subdivision 10; 245G.22, subdivisions 2, 17; 254A.19, subdivision 3; 254B.04, subdivision 6, by adding a subdivision; 254B.05, subdivisions 1, 5; 254B.181, subdivision 1; 254B.19, subdivision 1; 256B.057, subdivision 9; 256B.0659, subdivision 24; 256B.0759, subdivision 2; 256B.4914, subdivisions 4, 10, 10a; 256B.85, subdivision 13a; Laws 2021, First Special Session chapter 7, article 11, section 38, as amended; article 13, section 75; Laws 2023, chapter 61, article 8, section 13, subdivision 2; repealing Minnesota Statutes 2022, sections 245G.011, subdivision 5; 245G.22, subdivisions 4, 7; 252.34; 256.01, subdivision 39; 256.975, subdivisions 7f, 7g; 256R.18.
May 3, 2024
The Honorable Bobby Joe Champion
President of the Senate
The Honorable Melissa Hortman
Speaker of the House of Representatives
We, the undersigned conferees for S. F. No. 4399 report that we have agreed upon the items in dispute and recommend as follows:
That the House recede from its amendments and that S. F. No. 4399 be further amended as follows:
Delete everything after the enacting clause and insert:
"ARTICLE 1
DISABILITY SERVICES
Section 1. Minnesota Statutes 2022, section 144G.45, subdivision 3, is amended to read:
Subd. 3. Local laws apply. Assisted living facilities shall comply with all applicable state and local governing laws, regulations, standards, ordinances, and codes for fire safety, building, and zoning requirements, except a facility with a licensed resident capacity of six or fewer is exempt from rental licensing regulations imposed by any town, municipality, or county.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 2. Minnesota Statutes 2022, section 245A.11, subdivision 2, as amended by Laws 2024, chapter 85, section 55, is amended to read:
Subd. 2. Permitted single-family residential use. (a) Residential programs with a licensed capacity of six or fewer persons shall be considered a permitted single-family residential use of property for the purposes of zoning and other land use regulations, except that a residential program whose primary purpose is to treat juveniles who have violated criminal statutes relating to sex offenses or have been adjudicated delinquent on the basis of conduct in violation of criminal statutes relating to sex offenses shall not be considered a permitted use. This exception shall not apply to residential programs licensed before July 1, 1995. Programs otherwise allowed under this subdivision shall not be prohibited by operation of restrictive covenants or similar restrictions, regardless of when entered into, which cannot be met because of the nature of the licensed program, including provisions which require the home's occupants be related, and that the home must be occupied by the owner, or similar provisions.
(b) A community residential setting as
defined in section 245D.02, subdivision 4a, with a licensed capacity of six or
fewer persons that is actively serving residents for which it is licensed is
exempt from rental licensing regulations imposed by any town, municipality, or
county.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 3. Minnesota Statutes 2022, section 245D.071, subdivision 3, is amended to read:
Subd. 3. Assessment and initial service planning. (a) Within 15 days of service initiation the license holder must complete a preliminary support plan addendum based on the support plan.
(b) Within the scope of services, the
license holder must, at a minimum, complete assessments in the following areas
before the 45-day planning meeting providing 45 days of service or
within 60 calendar days of service initiation, whichever is shorter:
(1) the person's ability to self-manage health and medical needs to maintain or improve physical, mental, and emotional well-being, including, when applicable, allergies, seizures, choking, special dietary needs, chronic medical conditions, self-administration of medication or treatment orders, preventative screening, and medical and dental appointments;
(2) the person's ability to self-manage personal safety to avoid injury or accident in the service setting, including, when applicable, risk of falling, mobility, regulating water temperature, community survival skills, water safety skills, and sensory disabilities; and
(3) the person's ability to self-manage symptoms or behavior that may otherwise result in an incident as defined in section 245D.02, subdivision 11, clauses (4) to (7), suspension or termination of services by the license holder, or other symptoms or behaviors that may jeopardize the health and welfare of the person or others.
Assessments must produce information about the person that describes the person's overall strengths, functional skills and abilities, and behaviors or symptoms. Assessments must be based on the person's status within the last 12 months at the time of service initiation. Assessments based on older information must be documented and justified. Assessments must be conducted annually at a minimum or within 30 days of a written request from the person or the person's legal representative or case manager. The results must be reviewed by the support team or expanded support team as part of a service plan review.
(c) Before providing 45 days of service or
within 60 calendar days of service initiation, whichever is shorter, the
license holder must meet hold an initial planning meeting with
the person, the person's legal representative, the case manager, other members
of the support team or expanded support team, and other people as identified by
the person or the person's legal representative to determine the following
based on information obtained from the assessments identified in paragraph (b),
the person's identified needs in the support plan, and the requirements in
subdivision 4 and section 245D.07, subdivision 1a:
(1) the scope of the services to be provided to support the person's daily needs and activities;
(2) the person's desired outcomes and the supports necessary to accomplish the person's desired outcomes;
(3) the person's preferences for how services and supports are provided, including how the provider will support the person to have control of the person's schedule;
(4) whether the current service setting is the most integrated setting available and appropriate for the person;
(5) opportunities to develop and maintain essential and life-enriching skills, abilities, strengths, interests, and preferences;
(6) opportunities for community access, participation, and inclusion in preferred community activities;
(7) opportunities to develop and strengthen personal relationships with other persons of the person's choice in the community;
(8) opportunities to seek competitive employment and work at competitively paying jobs in the community; and
(9) how services must be coordinated across other providers licensed under this chapter serving the person and members of the support team or expanded support team to ensure continuity of care and coordination of services for the person.
(d) A discussion of how technology might
be used to meet the person's desired outcomes must be included in the 45-day
initial planning meeting. The
support plan or support plan addendum must include a summary of this discussion. The summary must include a statement
regarding any decision that is made regarding the use of technology and a
description of any further research that needs to be completed before a
decision regarding the use of technology can be made. Nothing in this paragraph requires that the
support plan include the use of technology for the provision of services.
Sec. 4. Minnesota Statutes 2022, section 245D.071, subdivision 4, is amended to read:
Subd. 4. Service
outcomes and supports. (a) Within
ten working days of the 45-day initial planning meeting, the
license holder must develop a service plan that documents the service outcomes
and supports based on the assessments completed under subdivision 3 and the
requirements in section 245D.07, subdivision 1a. The outcomes and supports must be included in
the support plan addendum.
(b) The license holder must document the supports and methods to be implemented to support the person and accomplish outcomes related to acquiring, retaining, or improving skills and physical, mental, and emotional health and well-being. The documentation must include:
(1) the methods or actions that will be used to support the person and to accomplish the service outcomes, including information about:
(i) any changes or modifications to the physical and social environments necessary when the service supports are provided;
(ii) any equipment and materials required; and
(iii) techniques that are consistent with the person's communication mode and learning style;
(2) the measurable and observable criteria for identifying when the desired outcome has been achieved and how data will be collected;
(3) the projected starting date for implementing the supports and methods and the date by which progress towards accomplishing the outcomes will be reviewed and evaluated; and
(4) the names of the staff or position responsible for implementing the supports and methods.
(c) Within 20 working days of the 45-day
initial planning meeting, the license holder must submit to and obtain
dated signatures from the person or the person's legal representative and case
manager to document completion and approval of the assessment and support plan
addendum. If, within ten working days of
the submission of the assessment or support plan addendum, the person or the
person's legal representative or case manager has not signed and returned to
the license holder the assessment and support plan addendum or has not proposed
written modifications to the license holder's submission, the submission is
deemed approved and the assessment and support plan addendum become effective
and remain in effect until the legal representative or case manager submits a
written request to revise the assessment or support plan addendum.
Sec. 5. Minnesota Statutes 2022, section 245D.081, subdivision 2, is amended to read:
Subd. 2. Coordination and evaluation of individual service delivery. (a) Delivery and evaluation of services provided by the license holder must be coordinated by a designated staff person. Except as provided in clause (3), the designated coordinator must provide supervision, support, and evaluation of activities that include:
(1) oversight of the license holder's responsibilities assigned in the person's support plan and the support plan addendum;
(2) taking the action necessary to facilitate the accomplishment of the outcomes according to the requirements in section 245D.07;
(3) instruction and assistance to direct support staff implementing the support plan and the service outcomes, including direct observation of service delivery sufficient to assess staff competency. The designated coordinator may delegate the direct observation and competency assessment of the service delivery activities of direct support staff to an individual whom the designated coordinator has previously deemed competent in those activities; and
(4) evaluation of the effectiveness of service delivery, methodologies, and progress on the person's outcomes based on the measurable and observable criteria for identifying when the desired outcome has been achieved according to the requirements in section 245D.07.
(b) The license holder must ensure that the designated coordinator is competent to perform the required duties identified in paragraph (a) through education, training, and work experience relevant to the primary disability of persons served by the license holder and the individual persons for whom the designated coordinator is responsible. The designated coordinator must have the skills and ability necessary to develop effective plans and to design and use data systems to measure effectiveness of services and supports. The license holder must verify and document competence according to the requirements in section 245D.09, subdivision 3. The designated coordinator must minimally have:
(1) a baccalaureate degree in a field related to human services, education, or health and one year of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older, or equivalent work experience providing care or education to vulnerable adults or children;
(2) an associate degree in a field related to human services, education, or health and two years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older, or equivalent work experience providing care or education to vulnerable adults or children;
(3) a diploma in a field related to human services, education, or health from an accredited postsecondary institution and three years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older or equivalent work experience providing care or education to vulnerable adults or children; or
(4) a minimum of 50 hours of education and training related to human services and disabilities; and
(5) four years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older under the supervision of a staff person who meets the qualifications identified in clauses (1) to (3).
Sec. 6. Minnesota Statutes 2022, section 245D.081, subdivision 3, is amended to read:
Subd. 3. Program management and oversight. (a) The license holder must designate a managerial staff person or persons to provide program management and oversight of the services provided by the license holder. The designated manager is responsible for the following:
(1) maintaining a current understanding of the licensing requirements sufficient to ensure compliance throughout the program as identified in section 245A.04, subdivision 1, paragraph (e), and when applicable, as identified in section 256B.04, subdivision 21, paragraph (g);
(2) ensuring the duties of the designated coordinator are fulfilled according to the requirements in subdivision 2;
(3) ensuring the program implements corrective action identified as necessary by the program following review of incident and emergency reports according to the requirements in section 245D.11, subdivision 2, clause (7). An internal review of incident reports of alleged or suspected maltreatment must be conducted according to the requirements in section 245A.65, subdivision 1, paragraph (b);
(4) evaluation of satisfaction of persons served by the program, the person's legal representative, if any, and the case manager, with the service delivery and progress toward accomplishing outcomes identified in sections 245D.07 and 245D.071, and ensuring and protecting each person's rights as identified in section 245D.04;
(5) ensuring staff competency requirements are met according to the requirements in section 245D.09, subdivision 3, and ensuring staff orientation and training is provided according to the requirements in section 245D.09, subdivisions 4, 4a, and 5;
(6) ensuring corrective action is taken when ordered by the commissioner and that the terms and conditions of the license and any variances are met; and
(7) evaluating the information identified in clauses (1) to (6) to develop, document, and implement ongoing program improvements.
(b) The designated manager must be
competent to perform the duties as required and must minimally meet the
education and training requirements identified in subdivision 2, paragraph (b),
and have a minimum of three years of supervisory level experience in a program providing
direct support services to persons with disabilities or persons age 65 and
older that provides care or education to vulnerable adults or children.
Sec. 7. Minnesota Statutes 2022, section 245D.09, subdivision 3, is amended to read:
Subd. 3. Staff qualifications. (a) The license holder must ensure that staff providing direct support, or staff who have responsibilities related to supervising or managing the provision of direct support service, are competent as demonstrated through skills and knowledge training, experience, and education relevant to the primary disability of the person and to meet the person's needs and additional requirements as written in the support plan or support plan addendum, or when otherwise required by the case manager or the federal waiver plan. The license holder must verify and maintain evidence of staff competency, including documentation of:
(1) education and experience qualifications relevant to the job responsibilities assigned to the staff and to the primary disability of persons served by the program, including a valid degree and transcript, or a current license, registration, or certification, when a degree or licensure, registration, or certification is required by this chapter or in the support plan or support plan addendum;
(2) demonstrated competency in the orientation and training areas required under this chapter, and when applicable, completion of continuing education required to maintain professional licensure, registration, or certification requirements. Competency in these areas is determined by the license holder through knowledge testing or observed skill assessment conducted by the trainer or instructor or by an individual who has been previously deemed competent by the trainer or instructor in the area being assessed; and
(3) except for a license holder who is the sole direct support staff, periodic performance evaluations completed by the license holder of the direct support staff person's ability to perform the job functions based on direct observation.
(b) Staff under 18 years of age may not
perform overnight duties or administer medication.
Sec. 8. Minnesota Statutes 2022, section 245D.091, subdivision 3, is amended to read:
Subd. 3. Positive support analyst qualifications. (a) A positive support analyst providing positive support services as identified in section 245D.03, subdivision 1, paragraph (c), clause (1), item (i), must have competencies in one of the following areas as required under the brain injury, community access for disability inclusion, community alternative care, and developmental disabilities waiver plans or successor plans:
(1) have obtained a baccalaureate degree, master's degree, or PhD in either a social services discipline or nursing;
(2) meet the qualifications of a mental health practitioner as defined in section 245.462, subdivision 17; or
(3) be a board-certified behavior analyst or board-certified assistant behavior analyst by the Behavior Analyst Certification Board, Incorporated.
(b) In addition, a positive support analyst must:
(1) have four two years of
supervised experience conducting functional behavior assessments and designing,
implementing, and evaluating effectiveness of positive practices behavior
support strategies for people who exhibit challenging behaviors as well as
co-occurring mental disorders and neurocognitive disorder;
(2) have received training prior to hire or within 90 calendar days of hire that includes:
(i) ten hours of instruction in functional assessment and functional analysis;
(ii) 20 hours of instruction in the understanding of the function of behavior;
(iii) ten hours of instruction on design of positive practices behavior support strategies;
(iv) 20 hours of instruction preparing written intervention strategies, designing data collection protocols, training other staff to implement positive practice strategies, summarizing and reporting program evaluation data, analyzing program evaluation data to identify design flaws in behavioral interventions or failures in implementation fidelity, and recommending enhancements based on evaluation data; and
(v) eight hours of instruction on principles of person-centered thinking;
(3) be determined by a positive support professional to have the training and prerequisite skills required to provide positive practice strategies as well as behavior reduction approved and permitted intervention to the person who receives positive support; and
(4) be under the direct supervision of a positive support professional.
(c) Meeting the qualifications for a positive support professional under subdivision 2 shall substitute for meeting the qualifications listed in paragraph (b).
EFFECTIVE
DATE. This section is
effective July 1, 2024, or upon federal approval, whichever occurs later. The commissioner of human services shall
inform the revisor of statutes when federal approval is obtained.
Sec. 9. Minnesota Statutes 2022, section 245D.091, subdivision 4, is amended to read:
Subd. 4. Positive support specialist qualifications. (a) A positive support specialist providing positive support services as identified in section 245D.03, subdivision 1, paragraph (c), clause (1), item (i), must have competencies in one of the following areas as required under the brain injury, community access for disability inclusion, community alternative care, and developmental disabilities waiver plans or successor plans:
(1) have an associate's degree in either a social services discipline or nursing; or
(2) have two years of supervised experience working with individuals who exhibit challenging behaviors as well as co-occurring mental disorders or neurocognitive disorder.
(b) In addition, a behavior specialist must:
(1) have received training prior to hire or within 90 calendar days of hire that includes:
(i) a minimum of four hours of training in functional assessment;
(ii) 20 hours of instruction in the understanding of the function of behavior;
(iii) ten hours of instruction on design of positive practices behavioral support strategies; and
(iv) eight hours of instruction on principles of person-centered thinking;
(2) be determined by a positive support professional to have the training and prerequisite skills required to provide positive practices strategies as well as behavior reduction approved intervention to the person who receives positive support; and
(3) be under the direct supervision of a positive support professional.
(c) Meeting the qualifications for a positive support professional under subdivision 2 shall substitute for meeting the qualifications listed in paragraphs (a) and (b).
EFFECTIVE
DATE. This section is
effective July 1, 2024, or upon federal approval, whichever occurs later. The commissioner of human services shall
inform the revisor of statutes when federal approval is obtained.
Sec. 10. Minnesota Statutes 2022, section 245D.10, subdivision 1, is amended to read:
Subdivision 1. Policy
and procedure requirements. A
license holder providing either basic or intensive supports and services must
establish, enforce, and maintain policies and procedures as required in this
chapter, chapter 245A, and other applicable state and federal laws and
regulations governing the provision of home and community-based services
licensed according to this chapter. A
license holder must use forms provided by the commissioner to report service
suspensions and service terminations under subdivisions 3 and 3a.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 11. Minnesota Statutes 2023 Supplement, section 256B.057, subdivision 9, is amended to read:
Subd. 9. Employed persons with disabilities. (a) Medical assistance may be paid for a person who is employed and who:
(1) but for excess earnings or assets meets the definition of disabled under the Supplemental Security Income program; and
(2) pays a premium and other obligations
under paragraph (e) (d).
(b) For purposes of eligibility, there is a
$65 earned income disregard. To be
eligible for medical assistance under this subdivision, a person must have more
than $65 of earned income, be receiving an unemployment insurance benefit under
chapter 268 that the person began receiving while eligible under this
subdivision, or be receiving family and medical leave benefits under chapter
268B that the person began receiving while eligible under this subdivision. Earned income must have Medicare, Social
Security, and applicable state and federal taxes withheld. The person must document earned income tax
withholding. A person who is self-employed must file and pay all
applicable taxes. Any spousal income
shall be disregarded for purposes of eligibility and premium determinations.
(c) After the month of enrollment, a person enrolled in medical assistance under this subdivision who would otherwise be ineligible and be disenrolled due to one of the following circumstances may retain eligibility for up to four consecutive months after a month of job loss if the person:
(1) is temporarily unable to work and without receipt of earned income due to a medical condition, as verified by a physician, advanced practice registered nurse, or physician assistant; or
(2) loses employment for reasons not attributable to the enrollee, and is without receipt of earned income.
To receive a four-month extension of continued eligibility under this paragraph, enrollees must verify the medical condition or provide notification of job loss, continue to meet all other eligibility requirements, and continue to pay all calculated premium costs.
(d) All enrollees must pay a premium to be eligible for medical assistance under this subdivision, except as provided under clause (5).
(1) An enrollee must pay the greater of a $35 premium or the premium calculated based on the person's gross earned and unearned income and the applicable family size using a sliding fee scale established by the commissioner, which begins at one percent of income at 100 percent of the federal poverty guidelines and increases to 7.5 percent of income for those with incomes at or above 300 percent of the federal poverty guidelines.
(2) Annual adjustments in the premium schedule based upon changes in the federal poverty guidelines shall be effective for premiums due in July of each year.
(3) All enrollees who receive unearned income must pay one-half of one percent of unearned income in addition to the premium amount, except as provided under clause (5).
(4) Increases in benefits under title II of the Social Security Act shall not be counted as income for purposes of this subdivision until July 1 of each year.
(5) Effective July 1, 2009, American
Indians are exempt from paying premiums as required by section 5006 of the
American Recovery and Reinvestment Act of 2009, Public Law 111-5. For purposes of this clause, an American Indian is any person who meets the definition of
Indian according to Code of Federal Regulations, title 42, section 447.50.
(e) A person's eligibility and premium shall be determined by the local county agency. Premiums must be paid to the commissioner. All premiums are dedicated to the commissioner.
(f)
Any required premium shall be determined at application and redetermined at the
enrollee's six-month 12-month income review or when a
change in income or household size is reported.
Enrollees must report any change in income or household size within ten
30 days of when the change occurs.
A decreased premium resulting from a reported change in income or
household size shall be effective the first day of the next available billing
month after the change is reported. Except
for changes occurring from annual cost-of-living increases, a change resulting
in an increased premium shall not affect the premium amount until the next six-month
12-month review.
(g) Premium payment is due upon notification from the commissioner of the premium amount required. Premiums may be paid in installments at the discretion of the commissioner.
(h) Nonpayment of the premium shall result in denial or termination of medical assistance unless the person demonstrates good cause for nonpayment. "Good cause" means an excuse for the enrollee's failure to pay the required premium when due because the circumstances were beyond the enrollee's control or not reasonably foreseeable. The commissioner shall determine whether good cause exists based on the weight of the supporting evidence submitted by the enrollee to demonstrate good cause. Except when an installment agreement is accepted by the commissioner, all persons disenrolled for nonpayment of a premium must pay any past due premiums as well as current premiums due prior to being reenrolled. Nonpayment shall include payment with a returned, refused, or dishonored instrument. The commissioner may require a guaranteed form of payment as the only means to replace a returned, refused, or dishonored instrument.
(i) For enrollees whose income does not exceed 200 percent of the federal poverty guidelines and who are also enrolled in Medicare, the commissioner shall reimburse the enrollee for Medicare part B premiums under section 256B.0625, subdivision 15, paragraph (a).
(j) The commissioner is authorized to determine that a premium amount was calculated or billed in error, make corrections to financial records and billing systems, and refund premiums collected in error.
Sec. 12. Minnesota Statutes 2022, section 256B.0659, subdivision 17a, is amended to read:
Subd. 17a. Enhanced rate. (a) An enhanced rate of 107.5 percent of the rate paid for personal care assistance services shall be paid for services provided to persons who qualify for ten or more hours of personal care assistance services per day when provided by a personal care assistant who meets the requirements of subdivision 11, paragraph (d).
(b) A personal care assistance provider
must use all additional revenue attributable to the rate enhancements under
this subdivision for the wages and wage-related costs of the personal care
assistants, including any corresponding increase in the employer's share of
FICA taxes, Medicare taxes, state and federal unemployment taxes, and workers'
compensation premiums. The agency must
not use the additional revenue attributable to any enhanced rate under this
subdivision to pay for mileage reimbursement, health and dental insurance, life
insurance, disability insurance, long-term care insurance, uniform allowance,
contributions to employee retirement accounts, or any other employee benefits.
(c) Any change in the eligibility criteria for the enhanced rate for personal care assistance services as described in this subdivision and referenced in subdivision 11, paragraph (d), does not constitute a change in a term or condition for individual providers as defined in section 256B.0711, and is not subject to the state's obligation to meet and negotiate under chapter 179A.
EFFECTIVE
DATE. This section is
effective July 1, 2024.
Sec. 13. Minnesota Statutes 2023 Supplement, section 256B.0659, subdivision 24, is amended to read:
Subd. 24. Personal care assistance provider agency; general duties. A personal care assistance provider agency shall:
(1) enroll as a Medicaid provider meeting all provider standards, including completion of the required provider training;
(2) comply with general medical assistance coverage requirements;
(3) demonstrate compliance with law and policies of the personal care assistance program to be determined by the commissioner;
(4) comply with background study requirements;
(5) verify and keep records of hours worked by the personal care assistant and qualified professional;
(6) not engage in any agency-initiated direct contact or marketing in person, by phone, or other electronic means to potential recipients, guardians, or family members;
(7) pay the personal care assistant and qualified professional based on actual hours of services provided;
(8) withhold and pay all applicable federal and state taxes;
(9) document that the agency uses a minimum of 72.5 percent of the revenue generated by the medical assistance rate for personal care assistance services for employee personal care assistant wages and benefits. The revenue generated by the qualified professional and the reasonable costs associated with the qualified professional shall not be used in making this calculation;
(10) make the arrangements and pay unemployment insurance, taxes, workers' compensation, liability insurance, and other benefits, if any;
(11) enter into a written agreement under subdivision 20 before services are provided;
(12) report suspected neglect and abuse to the common entry point according to section 256B.0651;
(13) provide the recipient with a copy of the home care bill of rights at start of service;
(14) request reassessments at least 60 days prior to the end of the current authorization for personal care assistance services, on forms provided by the commissioner;
(15) comply with the labor market reporting requirements described in section 256B.4912, subdivision 1a;
(16) document that the agency uses the
additional revenue due to the enhanced rate under subdivision 17a for the wages
and benefits and any corresponding increase in the employer's share
of FICA taxes, Medicare taxes, state and federal unemployment taxes, and
workers' compensation premiums of the PCAs whose services meet the
requirements under subdivision 11, paragraph (d); and
(17) ensure that a personal care assistant driving a recipient under subdivision 1, paragraph (i), has a valid driver's license and the vehicle used is registered and insured according to Minnesota law.
EFFECTIVE
DATE. This section is
effective July 1, 2024.
Sec. 14. Minnesota Statutes 2022, section 256B.0911, subdivision 24, is amended to read:
Subd. 24. Remote reassessments. (a) Assessments performed according to subdivisions 17 to 20 and 23 must be in person unless the assessment is a reassessment meeting the requirements of this subdivision. Remote reassessments conducted by interactive video or telephone may substitute for in-person reassessments.
(b) For services provided by the developmental disabilities waiver under section 256B.092, and the community access for disability inclusion, community alternative care, and brain injury waiver programs under section 256B.49, remote reassessments may be substituted for two consecutive reassessments if followed by an in-person reassessment.
(c) For services provided by alternative care under section 256B.0913, essential community supports under section 256B.0922, and the elderly waiver under chapter 256S, remote reassessments may be substituted for one reassessment if followed by an in-person reassessment.
(d) For personal care assistance
provided under section 256B.0659 and community first services and supports
provided under section 256B.85, remote reassessments may be substituted for two
consecutive reassessments if followed by an in-person reassessment.
(d) (e) A remote reassessment
is permitted only if the lead agency provides informed choice and the person
being reassessed or the person's legal representative provides informed consent
for a remote assessment. Lead agencies
must document that informed choice was offered.
(e) (f) The person being
reassessed, or the person's legal representative, may refuse a remote
reassessment at any time.
(f) (g) During a remote
reassessment, if the certified assessor determines an in-person reassessment is
necessary in order to complete the assessment, the lead agency shall schedule
an in-person reassessment.
(g) (h) All other
requirements of an in-person reassessment apply to a remote reassessment,
including updates to a person's support plan.
EFFECTIVE
DATE. This section is
effective upon federal approval. The
commissioner of human services shall notify the revisor of statutes when
federal approval is obtained.
Sec. 15. Minnesota Statutes 2022, section 256B.092, is amended by adding a subdivision to read:
Subd. 3a. Authorization
of technology services. (a)
Lead agencies must not implement additional requirements, in addition to those
required by the commissioner, that could result in the delay of approval or
implementation of technology.
(b) For individuals receiving waiver
services under this section, approval or denial of technology must occur within
30 business days of the receipt of the initial request. If denied, the lead agency must submit a
notice of action form clearly stating the reason for the denial, including
information describing why the technology is not appropriate to meet the
individual's assessed need.
Sec. 16. Minnesota Statutes 2022, section 256B.49, is amended by adding a subdivision to read:
Subd. 16b. Authorization
of technology services. (a)
Lead agencies must not implement additional requirements, in addition to those
required by the commissioner, that could result in the delay of approval or
implementation of technology.
(b) For individuals receiving waiver
services under this section, approval or denial of technology must occur within
30 business days of the receipt of the initial request. If denied, the lead agency must submit a
notice of action form clearly stating the reason for the denial, including
information describing why the technology is not appropriate to meet the
individual's assessed need.
Sec. 17. Minnesota Statutes 2022, section 256B.4905, subdivision 12, is amended to read:
Subd. 12. Informed
choice in and technology prioritization in implementation
for disability waiver services. The
commissioner of human services shall ensure that:
(1) disability waivers under sections 256B.092 and 256B.49 support the presumption that all adults who have disabilities and children who have disabilities may use assistive technology, remote supports, or both to enhance the adult's or child's independence and quality of life; and
(2) each individual accessing waiver services is offered, after an informed decision-making process and during a person-centered planning process, the opportunity to choose assistive technology, remote support, or both prior to the commissioner offering or reauthorizing services that utilize direct support staff to ensure equitable access.
Sec. 18. Minnesota Statutes 2023 Supplement, section 256B.4914, subdivision 4, is amended to read:
Subd. 4. Data collection for rate determination. (a) Rates for applicable home and community-based waivered services, including customized rates under subdivision 12, are set by the rates management system.
(b) Data and information in the rates management system must be used to calculate an individual's rate.
(c) Service providers, with information from the support plan and oversight by lead agencies, shall provide values and information needed to calculate an individual's rate in the rates management system. Lead agencies must use forms provided by the commissioner to collect this information. The determination of service levels must be part of a discussion with members of the support team as defined in section 245D.02, subdivision 34. This discussion must occur prior to the final establishment of each individual's rate. The values and information include:
(1) shared staffing hours;
(2) individual staffing hours;
(3) direct registered nurse hours;
(4) direct licensed practical nurse hours;
(5) staffing ratios;
(6) information to document variable levels of service qualification for variable levels of reimbursement in each framework;
(7) shared or individualized arrangements for unit-based services, including the staffing ratio;
(8) number of trips and miles for transportation services; and
(9) service hours provided through monitoring technology.
(d) Updates to individual data must include:
(1) data for each individual that is updated annually when renewing service plans; and
(2) requests by individuals or lead agencies to update a rate whenever there is a change in an individual's service needs, with accompanying documentation.
(e) Lead agencies shall review and approve all services reflecting each individual's needs, and the values to calculate the final payment rate for services with variables under subdivisions 6 to 9 for each individual. Lead agencies must notify the individual and the service provider of the final agreed-upon values and rate, and provide information that is identical to what was entered into the rates management system. If a value used was mistakenly or erroneously entered and used to calculate a rate, a provider may petition lead agencies to correct it. Lead agencies must respond to these requests. When responding to the request, the lead agency must consider:
(1) meeting the health and welfare needs of the individual or individuals receiving services by service site, identified in their support plan under section 245D.02, subdivision 4b, and any addendum under section 245D.02, subdivision 4c;
(2) meeting the requirements for staffing under subdivision 2, paragraphs (h), (n), and (o); and meeting or exceeding the licensing standards for staffing required under section 245D.09, subdivision 1; and
(3) meeting the staffing ratio requirements under subdivision 2, paragraph (o), and meeting or exceeding the licensing standards for staffing required under section 245D.31.
EFFECTIVE
DATE. This section is
effective January 1, 2025.
Sec. 19. Minnesota Statutes 2022, section 256B.85, subdivision 2, is amended to read:
Subd. 2. Definitions. (a) For the purposes of this section and section 256B.851, the terms defined in this subdivision have the meanings given.
(b) "Activities of daily living" or "ADLs" means:
(1) dressing, including assistance with choosing, applying, and changing clothing and applying special appliances, wraps, or clothing;
(2) grooming, including assistance with basic hair care, oral care, shaving, applying cosmetics and deodorant, and care of eyeglasses and hearing aids. Grooming includes nail care, except for recipients who are diabetic or have poor circulation;
(3) bathing, including assistance with basic personal hygiene and skin care;
(4) eating, including assistance with hand
washing and applying orthotics required for eating, transfers, or
feeding;
(5) transfers, including assistance with transferring the participant from one seating or reclining area to another;
(6) mobility, including assistance with ambulation and use of a wheelchair. Mobility does not include providing transportation for a participant;
(7) positioning, including assistance with positioning or turning a participant for necessary care and comfort; and
(8) toileting, including assistance with bowel or bladder elimination and care, transfers, mobility, positioning, feminine hygiene, use of toileting equipment or supplies, cleansing the perineal area, inspection of the skin, and adjusting clothing.
(c) "Agency-provider model" means a method of CFSS under which a qualified agency provides services and supports through the agency's own employees and policies. The agency must allow the participant to have a significant role in the selection and dismissal of support workers of their choice for the delivery of their specific services and supports.
(d) "Behavior" means a description of a need for services and supports used to determine the home care rating and additional service units. The presence of Level I behavior is used to determine the home care rating.
(e) "Budget model" means a service delivery method of CFSS that allows the use of a service budget and assistance from a financial management services (FMS) provider for a participant to directly employ support workers and purchase supports and goods.
(f) "Complex health-related needs" means an intervention listed in clauses (1) to (8) that has been ordered by a physician, advanced practice registered nurse, or physician's assistant and is specified in an assessment summary, including:
(1) tube feedings requiring:
(i) a gastrojejunostomy tube; or
(ii) continuous tube feeding lasting longer than 12 hours per day;
(2) wounds described as:
(i) stage III or stage IV;
(ii) multiple wounds;
(iii) requiring sterile or clean dressing changes or a wound vac; or
(iv) open lesions such as burns, fistulas, tube sites, or ostomy sites that require specialized care;
(3) parenteral therapy described as:
(i) IV therapy more than two times per week lasting longer than four hours for each treatment; or
(ii) total parenteral nutrition (TPN) daily;
(4) respiratory interventions, including:
(i) oxygen required more than eight hours per day;
(ii) respiratory vest more than one time per day;
(iii) bronchial drainage treatments more than two times per day;
(iv) sterile or clean suctioning more than six times per day;
(v) dependence on another to apply respiratory ventilation augmentation devices such as BiPAP and CPAP; and
(vi) ventilator dependence under section 256B.0651;
(5) insertion and maintenance of catheter, including:
(i) sterile catheter changes more than one time per month;
(ii) clean intermittent catheterization, and including self-catheterization more than six times per day; or
(iii) bladder irrigations;
(6) bowel program more than two times per week requiring more than 30 minutes to perform each time;
(7) neurological intervention, including:
(i) seizures more than two times per week and requiring significant physical assistance to maintain safety; or
(ii) swallowing disorders diagnosed by a physician, advanced practice registered nurse, or physician's assistant and requiring specialized assistance from another on a daily basis; and
(8) other congenital or acquired diseases creating a need for significantly increased direct hands-on assistance and interventions in six to eight activities of daily living.
(g) "Community first services and supports" or "CFSS" means the assistance and supports program under this section needed for accomplishing activities of daily living, instrumental activities of daily living, and health-related tasks through hands-on assistance to accomplish the task or constant supervision and cueing to accomplish the task, or the purchase of goods as defined in subdivision 7, clause (3), that replace the need for human assistance.
(h) "Community first services and supports service delivery plan" or "CFSS service delivery plan" means a written document detailing the services and supports chosen by the participant to meet assessed needs that are within the approved CFSS service authorization, as determined in subdivision 8. Services and supports are based on the support plan identified in sections 256B.092, subdivision 1b, and 256S.10.
(i) "Consultation services" means a Minnesota health care program enrolled provider organization that provides assistance to the participant in making informed choices about CFSS services in general and self-directed tasks in particular, and in developing a person-centered CFSS service delivery plan to achieve quality service outcomes.
(j) "Critical activities of daily living" means transferring, mobility, eating, and toileting.
(k) "Dependency" in activities of daily living means a person requires hands-on assistance or constant supervision and cueing to accomplish one or more of the activities of daily living every day or on the days during the week that the activity is performed; however, a child must not be found to be dependent in an activity of daily living if, because of the child's age, an adult would either perform the activity for the child or assist the child with the activity and the assistance needed is the assistance appropriate for a typical child of the same age.
(l) "Extended CFSS" means CFSS services and supports provided under CFSS that are included in the CFSS service delivery plan through one of the home and community-based services waivers and as approved and authorized under chapter 256S and sections 256B.092, subdivision 5, and 256B.49, which exceed the amount, duration, and frequency of the state plan CFSS services for participants. Extended CFSS excludes the purchase of goods.
(m) "Financial management services provider" or "FMS provider" means a qualified organization required for participants using the budget model under subdivision 13 that is an enrolled provider with the department to provide vendor fiscal/employer agent financial management services (FMS).
(n) "Health-related procedures and tasks" means procedures and tasks related to the specific assessed health needs of a participant that can be taught or assigned by a state-licensed health care or mental health professional and performed by a support worker.
(o) "Instrumental activities of daily living" means activities related to living independently in the community, including but not limited to: meal planning, preparation, and cooking; shopping for food, clothing, or other essential items; laundry; housecleaning; assistance with medications; managing finances; communicating needs and preferences during activities; arranging supports; and assistance with traveling around and participating in the community, including traveling to medical appointments. For purposes of this paragraph, traveling includes driving and accompanying the recipient in the recipient's chosen mode of transportation and according to the individual CFSS service delivery plan.
(p) "Lead agency" has the meaning given in section 256B.0911, subdivision 10.
(q) "Legal representative" means parent of a minor, a court-appointed guardian, or another representative with legal authority to make decisions about services and supports for the participant. Other representatives with legal authority to make decisions include but are not limited to a health care agent or an attorney-in-fact authorized through a health care directive or power of attorney.
(r) "Level I behavior" means physical aggression toward self or others or destruction of property that requires the immediate response of another person.
(s) "Medication assistance" means providing verbal or visual reminders to take regularly scheduled medication, and includes any of the following supports listed in clauses (1) to (3) and other types of assistance, except that a support worker must not determine medication dose or time for medication or inject medications into veins, muscles, or skin:
(1) under the direction of the participant or the participant's representative, bringing medications to the participant including medications given through a nebulizer, opening a container of previously set-up medications, emptying the container into the participant's hand, opening and giving the medication in the original container to the participant, or bringing to the participant liquids or food to accompany the medication;
(2) organizing medications as directed by the participant or the participant's representative; and
(3) providing verbal or visual reminders to perform regularly scheduled medications.
(t) "Participant" means a person who is eligible for CFSS.
(u) "Participant's representative" means a parent, family member, advocate, or other adult authorized by the participant or participant's legal representative, if any, to serve as a representative in connection with the provision of CFSS. If the participant is unable to assist in the selection of a participant's representative, the legal representative shall appoint one.
(v) "Person-centered planning process" means a process that is directed by the participant to plan for CFSS services and supports.
(w) "Service budget" means the authorized dollar amount used for the budget model or for the purchase of goods.
(x) "Shared services" means the provision of CFSS services by the same CFSS support worker to two or three participants who voluntarily enter into a written agreement to receive services at the same time, in the same setting, and through the same agency-provider or FMS provider.
(y) "Support worker" means a qualified and trained employee of the agency-provider as required by subdivision 11b or of the participant employer under the budget model as required by subdivision 14 who has direct contact with the participant and provides services as specified within the participant's CFSS service delivery plan.
(z) "Unit" means the increment of service based on hours or minutes identified in the service agreement.
(aa) "Vendor fiscal employer agent" means an agency that provides financial management services.
(bb) "Wages and benefits" means the hourly wages and salaries, the employer's share of FICA taxes, Medicare taxes, state and federal unemployment taxes, workers' compensation, mileage reimbursement, health and dental insurance, life insurance, disability insurance, long-term care insurance, uniform allowance, contributions to employee retirement accounts, or other forms of employee compensation and benefits.
(cc) "Worker training and development" means services provided according to subdivision 18a for developing workers' skills as required by the participant's individual CFSS service delivery plan that are arranged for or provided by the agency-provider or purchased by the participant employer. These services include training, education, direct observation and supervision, and evaluation and coaching of job skills and tasks, including supervision of health-related tasks or behavioral supports.
Sec. 20. Minnesota Statutes 2022, section 256B.85, subdivision 6, is amended to read:
Subd. 6. Community first services and supports service delivery plan. (a) The CFSS service delivery plan must be developed and evaluated through a person-centered planning process by the participant, or the participant's representative or legal representative who may be assisted by a consultation services provider. The CFSS service delivery plan must reflect the services and supports that are important to the participant and for the participant to meet the needs assessed by the certified assessor and identified in the support plan identified in sections 256B.092, subdivision 1b, and 256S.10. The CFSS service delivery plan must be reviewed by the participant, the consultation services provider, and the agency-provider or FMS provider prior to starting services and at least annually upon reassessment, or when there is a significant change in the participant's condition, or a change in the need for services and supports.
(b) The commissioner shall establish the format and criteria for the CFSS service delivery plan.
(c) The CFSS service delivery plan must be person-centered and:
(1) specify the consultation services provider, agency-provider, or FMS provider selected by the participant;
(2) reflect the setting in which the participant resides that is chosen by the participant;
(3) reflect the participant's strengths and preferences;
(4) include the methods and supports used to address the needs as identified through an assessment of functional needs;
(5) include the participant's identified goals and desired outcomes;
(6) reflect the services and supports, paid and unpaid, that will assist the participant to achieve identified goals, including the costs of the services and supports, and the providers of those services and supports, including natural supports;
(7) identify the amount and frequency of face-to-face supports and amount and frequency of remote supports and technology that will be used;
(8) identify risk factors and measures in place to minimize them, including individualized backup plans;
(9) be understandable to the participant and the individuals providing support;
(10) identify the individual or entity responsible for monitoring the plan;
(11) be finalized and agreed to in writing by the participant and signed by individuals and providers responsible for its implementation;
(12) be distributed to the participant and other people involved in the plan;
(13) prevent the provision of unnecessary or inappropriate care;
(14) include a detailed budget for expenditures for budget model participants or participants under the agency-provider model if purchasing goods; and
(15) include a plan for worker training and development provided according to subdivision 18a detailing what service components will be used, when the service components will be used, how they will be provided, and how these service components relate to the participant's individual needs and CFSS support worker services.
(d) The CFSS service delivery plan must describe the units or dollar amount available to the participant. The total units of agency-provider services or the service budget amount for the budget model include both annual totals and a monthly average amount that cover the number of months of the service agreement. The amount used each month may vary, but additional funds must not be provided above the annual service authorization amount, determined according to subdivision 8, unless a change in condition is assessed and authorized by the certified assessor and documented in the support plan and CFSS service delivery plan.
(e) In assisting with the development or modification of the CFSS service delivery plan during the authorization time period, the consultation services provider shall:
(1) consult with the FMS provider on the spending budget when applicable; and
(2) consult with the participant or participant's representative, agency-provider, and case manager or care coordinator.
(f) The CFSS service delivery plan must be
approved by the consultation services provider lead agency for
participants without a case manager or care coordinator who is responsible for
authorizing services. A case manager or
care coordinator must approve the plan for a waiver or alternative care program
participant.
Sec. 21. Minnesota Statutes 2022, section 256B.85, subdivision 6a, is amended to read:
Subd. 6a. Person-centered planning process. The person-centered planning process must:
(1) include people chosen by the participant;
(2) provide necessary information and support to ensure that the participant directs the process to the maximum extent possible, and is enabled to make informed choices and decisions;
(3) be timely and occur at times and locations convenient to the participant;
(4) reflect cultural considerations of the participant;
(5) include within the process strategies
for solving conflict or disagreement, including clear conflict-of-interest
guidelines as identified in Code of Federal Regulations, title 42, section 441.500
441.540, for all planning;
(6) provide the participant choices of the services and supports the participant receives and the staff providing those services and supports;
(7) include a method for the participant to request updates to the plan; and
(8) record the alternative home and community-based settings that were considered by the participant.
Sec. 22. Minnesota Statutes 2022, section 256B.85, subdivision 7a, is amended to read:
Subd. 7a. Enhanced rate. (a) An enhanced rate of 107.5 percent of the rate paid for CFSS must be paid for services provided to persons who qualify for ten or more hours of CFSS per day when provided by a support worker who meets the requirements of subdivision 16, paragraph (e).
(b) An agency provider must use all
additional revenue attributable to the rate enhancements under this subdivision
for the wages and wage-related costs of the support workers, including any
corresponding increase in the employer's share of FICA taxes, Medicare taxes,
state and federal unemployment taxes, and workers' compensation premiums. The agency provider must not use the
additional revenue attributable to any enhanced rate under this subdivision to
pay for mileage reimbursement, health and dental insurance, life insurance,
disability insurance, long-term care insurance, uniform allowance,
contributions to employee retirement accounts, or any other employee benefits.
(c) Any change in the eligibility criteria for the enhanced rate for CFSS as described in this subdivision and referenced in subdivision 16, paragraph (e), does not constitute a change in a term or condition for individual providers as defined in section 256B.0711, and is not subject to the state's obligation to meet and negotiate under chapter 179A.
EFFECTIVE
DATE. This section is
effective July 1, 2024.
Sec. 23. Minnesota Statutes 2022, section 256B.85, subdivision 11, is amended to read:
Subd. 11. Agency-provider model. (a) The agency-provider model includes services provided by support workers and staff providing worker training and development services who are employed by an agency-provider that meets the criteria established by the commissioner, including required training.
(b) The agency-provider shall allow the participant to have a significant role in the selection and dismissal of the support workers for the delivery of the services and supports specified in the participant's CFSS service delivery plan. The agency must make a reasonable effort to fulfill the participant's request for the participant's preferred support worker.
(c) A participant may use authorized units of CFSS services as needed within a service agreement that is not greater than 12 months. Using authorized units in a flexible manner in either the agency-provider model or the budget model does not increase the total amount of services and supports authorized for a participant or included in the participant's CFSS service delivery plan.
(d) A participant may share CFSS services. Two or three CFSS participants may share services at the same time provided by the same support worker.
(e) The agency-provider must use a minimum of 72.5 percent of the revenue generated by the medical assistance payment for CFSS for support worker wages and benefits, except all of the revenue generated by a medical assistance rate increase due to a collective bargaining agreement under section 179A.54 must be used for support worker wages and benefits. The agency-provider must document how this requirement is being met. The revenue generated by the worker training and development services and the reasonable costs associated with the worker training and development services must not be used in making this calculation.
(f) The agency-provider model must be used by participants who are restricted by the Minnesota restricted recipient program under Minnesota Rules, parts 9505.2160 to 9505.2245.
(g) Participants purchasing goods under this model, along with support worker services, must:
(1) specify the goods in the CFSS service
delivery plan and detailed budget for expenditures that must be approved by the
consultation services provider lead agency, case manager, or care
coordinator; and
(2) use the FMS provider for the billing and payment of such goods.
(h) The agency provider is responsible for ensuring that any worker driving a participant under subdivision 2, paragraph (o), has a valid driver's license and the vehicle used is registered and insured according to Minnesota law.
Sec. 24. Minnesota Statutes 2023 Supplement, section 256B.85, subdivision 13a, is amended to read:
Subd. 13a. Financial management services. (a) Services provided by an FMS provider include but are not limited to: filing and payment of federal and state payroll taxes and premiums on behalf of the participant; initiating and complying with background study requirements under chapter 245C and maintaining documentation of background study requests and results; billing for approved CFSS services with authorized funds; monitoring expenditures; accounting for and disbursing CFSS funds; providing assistance in obtaining and filing for liability, workers' compensation, family and medical benefit insurance, and unemployment coverage; and providing participant instruction and technical assistance to the participant in fulfilling employer-related requirements in accordance with section 3504 of the Internal Revenue Code and related regulations and interpretations, including Code of Federal Regulations, title 26, section 31.3504-1.
(b) Agency-provider services shall not be provided by the FMS provider.
(c) The FMS provider shall provide service functions as determined by the commissioner for budget model participants that include but are not limited to:
(1) assistance with the development of the detailed budget for expenditures portion of the CFSS service delivery plan as requested by the consultation services provider or participant;
(2) data recording and reporting of participant spending;
(3) other duties established by the department, including with respect to providing assistance to the participant, participant's representative, or legal representative in performing employer responsibilities regarding support workers. The support worker shall not be considered the employee of the FMS provider; and
(4) billing, payment, and accounting of approved expenditures for goods.
(d) The FMS provider shall obtain an assurance statement from the participant employer agreeing to follow state and federal regulations and CFSS policies regarding employment of support workers.
(e) The FMS provider shall:
(1) not limit or restrict the participant's choice of service or support providers or service delivery models consistent with any applicable state and federal requirements;
(2) provide the participant, consultation services provider, and case manager or care coordinator, if applicable, with a monthly written summary of the spending for services and supports that were billed against the spending budget;
(3) be knowledgeable of state and federal employment regulations, including those under the Fair Labor Standards Act of 1938, and comply with the requirements under chapter 268B and section 3504 of the Internal Revenue Code and related regulations and interpretations, including Code of Federal Regulations, title 26, section 31.3504-1, regarding agency employer tax liability for vendor fiscal/employer agent, and any requirements necessary to process employer and employee deductions, provide appropriate and timely submission of employer tax liabilities, and maintain documentation to support medical assistance claims;
(4) have current and adequate liability insurance and bonding and sufficient cash flow as determined by the commissioner and have on staff or under contract a certified public accountant or an individual with a baccalaureate degree in accounting;
(5) assume fiscal accountability for state funds designated for the program and be held liable for any overpayments or violations of applicable statutes or rules, including but not limited to the Minnesota False Claims Act, chapter 15C;
(6) maintain documentation of receipts, invoices, and bills to track all services and supports expenditures for any goods purchased and maintain time records of support workers. The documentation and time records must be maintained for a minimum of five years from the claim date and be available for audit or review upon request by the commissioner. Claims submitted by the FMS provider to the commissioner for payment must correspond with services, amounts, and time periods as authorized in the participant's service budget and service plan and must contain specific identifying information as determined by the commissioner; and
(7) provide written notice to
the participant or the participant's representative at least 30 calendar days
before a proposed service termination becomes effective, except in cases
where:
(i) the participant engages in conduct
that significantly alters the terms of the CFSS service delivery plan with the
FMS;
(ii) the participant or other persons
at the setting where services are being provided engage in conduct that creates
an imminent risk of harm to the support worker or other staff; or
(iii) an emergency or a significant change in the participant's condition occurs within a 24-hour period that results in the participant's service needs exceeding the participant's identified needs in the current CFSS service delivery plan so that the plan cannot safely meet the participant's needs.
(f) The commissioner shall:
(1) establish rates and payment methodology for the FMS provider;
(2) identify a process to ensure quality and performance standards for the FMS provider and ensure statewide access to FMS providers; and
(3) establish a uniform protocol for delivering and administering CFSS services to be used by eligible FMS providers.
Sec. 25. Minnesota Statutes 2022, section 256B.85, subdivision 17, is amended to read:
Subd. 17. Consultation services duties. Consultation services is a required service that includes:
(1) entering into a written agreement with the participant, participant's representative, or legal representative that includes but is not limited to the details of services, service delivery methods, dates of services, and contact information;
(2) providing an initial and annual orientation to CFSS information and policies, including selecting a service model;
(3) assisting with accessing FMS providers or agency-providers;
(4) providing assistance with the development, implementation, management, documentation, and evaluation of the person-centered CFSS service delivery plan;
(5) approving the CFSS service delivery
plan for a participant without a case manager or care coordinator who is
responsible for authorizing services;
(6) (5) maintaining
documentation of the approved CFSS service delivery plan;
(7) (6) distributing copies
of the final CFSS service delivery plan to the participant and to the
agency-provider or FMS provider, case manager or care coordinator, and other
designated parties;
(8) (7) assisting to fulfill
responsibilities and requirements of CFSS, including modifying CFSS service
delivery plans and changing service models;
(9) (8) if requested, providing consultation on recruiting, selecting, training, managing, directing, supervising, and evaluating support workers;
(10) (9) evaluating services
upon receiving information from an FMS provider indicating spending or
participant employer concerns;
(11) (10) reviewing the use
of and access to informal and community supports, goods, or resources;
(12) (11) a semiannual
review of services if the participant does not have a case manager or care
coordinator and when the support worker is a paid parent of a minor participant
or the participant's spouse;
(13) (12) collecting and
reporting of data as required by the department;
(14) (13) providing the
participant with a copy of the participant protections under subdivision 20 at
the start of consultation services;
(15) (14) providing
assistance to resolve issues of noncompliance with the requirements of CFSS;
(16) (15) providing
recommendations to the commissioner for changes to services when support to
participants to resolve issues of noncompliance have been unsuccessful; and
(17) (16) other duties as
assigned by the commissioner.
Sec. 26. Minnesota Statutes 2022, section 256B.85, is amended by adding a subdivision to read:
Subd. 18b. Worker
training and development services; remote visits. (a) Except as provided in paragraph
(b), the worker training and development services specified in subdivision 18a,
paragraph (c), clauses (3) and (4), may be provided to recipients with chronic
health conditions or severely compromised immune systems via two-way
interactive audio and visual telecommunications if, at the recipient's request,
the recipient's primary health care provider:
(1) determines that remote worker
training and development services are appropriate; and
(2) documents the determination under
clause (1) in a statement of need or other document that is subsequently
included in the recipient's CFSS service delivery plan.
(b) The worker training and development
services specified in subdivision 18a, paragraph (c), clause (3), provided at the start of services or the start of
employment of a new support worker must not be conducted via two-way
interactive audio and visual telecommunications.
(c) Notwithstanding any other provision
of law, a CFSS service delivery plan developed or amended via remote worker
training and development services may be executed by electronic signature.
(d) A recipient may request to return
to in-person worker training and development services at any time.
EFFECTIVE
DATE. This section is
effective upon community first services and supports implementation. The commissioner of human services shall
notify the revisor of statutes upon CFSS implementation.
Sec. 27. Minnesota Statutes 2022, section 256B.85, subdivision 20, is amended to read:
Subd. 20. Participant protections. (a) All CFSS participants have the protections identified in this subdivision.
(b) Participants or participant's representatives must be provided with adequate information, counseling, training, and assistance, as needed, to ensure that the participant is able to choose and manage services, models, and budgets. This information must be provided by the consultation services provider at the time of the initial or annual orientation to CFSS, at the time of reassessment, or when requested by the participant or participant's representative. This information must explain:
(1) person-centered planning;
(2) the range and scope of participant choices, including the differences between the agency-provider model and the budget model, available CFSS providers, and other services available in the community to meet the participant's needs;
(3) the process for changing plans, services, and budgets;
(4) identifying and assessing appropriate services; and
(5) risks to and responsibilities of the participant under the budget model.
(c) The consultation services provider must ensure that the participant chooses freely between the agency-provider model and the budget model and among available agency-providers and that the participant may change agency-providers after services have begun.
(d) A participant who appeals a reduction in previously authorized CFSS services may continue previously authorized services pending an appeal in accordance with section 256.045.
(e) If the units of service or budget allocation for CFSS are reduced, denied, or terminated, the commissioner must provide notice of the reasons for the reduction in the participant's notice of denial, termination, or reduction.
(f) If all or part of a CFSS service
delivery plan is denied approval by the consultation services provider lead
agency, the consultation services provider lead agency must
provide a notice that describes the basis of the denial.
Sec. 28. Laws 2021, First Special Session chapter 7, article 13, section 75, is amended to read:
Sec. 75. DIRECTION
TO COMMISSIONER OF HUMAN SERVICES; WAIVER REIMAGINE AND INFORMED CHOICE
STAKEHOLDER CONSULTATION.
Subdivision 1. Stakeholder consultation; generally. (a) The commissioner of human services must consult with and seek input and assistance from stakeholders concerning potential adjustments to the streamlined service menu from waiver reimagine phase I and to the existing rate exemption criteria and process.
(b) The commissioner of human services must
consult with and, seek input and assistance from, and
collaborate with stakeholders concerning the development and implementation
of waiver reimagine phase II, including criteria and a process for
individualized budget exemptions, and how waiver reimagine phase II can support
and expand informed choice and informed decision making, including integrated
employment, independent living, and self‑direction, consistent with
Minnesota Statutes, section 256B.4905.
(c) The commissioner of human services
must consult with, seek input and assistance from, and collaborate with
stakeholders concerning the implementation and revisions of the MnCHOICES 2.0
assessment tool.
Subd. 2. Public
stakeholder engagement. The
commissioner must offer a public method to regularly receive input and concerns
from people with disabilities and their families about waiver reimagine phase
II. The commissioner shall provide regular
quarterly public updates on policy development and on how recent
stakeholder input was used throughout the is being incorporated into
the current development and implementation of waiver reimagine phase II.
Subd. 3. Waiver Reimagine Advisory Committee. (a) The commissioner must convene, at regular intervals throughout the development and implementation of waiver reimagine phase II, a Waiver Reimagine Advisory Committee that consists of a group of diverse, representative stakeholders. The commissioner must solicit and endeavor to include racially, ethnically, and geographically diverse membership from each of the following groups:
(1) people with disabilities who use waiver services;
(2) family members of people who use waiver services;
(3) disability and behavioral health advocates;
(4) lead agency representatives; and
(5) waiver service providers.
(b) The assistant commissioner of aging
and disability services must attend and participate in meetings of the Waiver
Reimagine Advisory Committee.
(c) The Waiver Reimagine Advisory
Committee must have the opportunity to assist collaborate in a
meaningful way in developing and providing feedback on proposed plans for
waiver reimagine components, including an individual budget methodology,
criteria and a process for individualized budget exemptions, the consolidation
of the four current home and community-based waiver service programs into
two-waiver programs, the role of assessments and the MnCHOICES 2.0
assessment tool in determining service needs and individual budgets, and
other aspects of waiver reimagine phase II.
(c) (d) The Waiver Reimagine
Advisory Committee must have an opportunity to assist in the development of and
provide feedback on proposed adjustments and modifications to the streamlined
menu of services and the existing rate exception criteria and process.
Subd. 4. Required
report. Prior to seeking federal
approval for any aspect of waiver reimagine phase II and in consultation
collaboration with the Waiver Reimagine Advisory Committee, the
commissioner must submit to the chairs and ranking minority members of the
legislative committees and divisions with jurisdiction over health and human
services a report on plans for waiver reimagine phase II. The report must also include any plans to
adjust or modify the streamlined menu of services or, the
existing rate exemption criteria or process, the proposed individual budget
ranges, and the role of MnCHOICES 2.0 assessment tool in determining service
needs and individual budget ranges.
Subd. 5. Transition process. (a) Prior to implementation of wavier reimagine phase II, the commissioner must establish a process to assist people who use waiver services and lead agencies transition to a two-waiver system with an individual budget methodology.
(b) The commissioner must ensure that the
new waiver service menu and individual budgets allow people to live in their
own home, family home, or any home and community-based setting of their choice. The commissioner must ensure, within
available resources and subject to state and federal regulations and law,
that waiver reimagine does not result in unintended service disruptions.
Subd. 6. Online support planning tool. The commissioner must develop an online support planning and tracking tool for people using disability waiver services that allows access to the total budget available to the person, the services for which they are eligible, and the services they have chosen and used. The commissioner must explore operability options that would facilitate real-time tracking of a person's remaining available budget throughout the service year. The online support planning tool must provide information in an accessible format to support the person's informed choice. The commissioner must seek input from people with disabilities about the online support planning tool prior to its implementation.
Subd. 7. Curriculum and training. The commissioner must develop and implement a curriculum and training plan to ensure all lead agency assessors and case managers have the knowledge and skills necessary to comply with informed decision making for people who used home and community-based disability waivers. Training and competency evaluations must be completed annually by all staff responsible for case management as described in Minnesota Statutes, sections 256B.092, subdivision 1a, paragraph (f), and 256B.49, subdivision 13, paragraph (e).
Sec. 29. COMMUNITY
ACCESS FOR DISABILITY INCLUSION WAIVER CUSTOMIZED LIVING SERVICES PROVIDERS
LOCATED IN HENNEPIN COUNTY.
The community access for disability
inclusion (CADI) waiver customized living and 24-hour customized living size
and age limitation does not apply to two housing settings located in the city
of Minneapolis that are financed by low-income housing tax credits created in
calendar years 2005 and 2011 and in which 24-hour customized living services
are provided to residents enrolled in the CADI waiver by Clare Housing.
ARTICLE 2
DEAF, DEAFBLIND, AND HARD-OF-HEARING SERVICES
Section 1. Minnesota Statutes 2022, section 256C.21, is amended to read:
256C.21
DEAF, DEAFBLIND, AND HARD-OF-HEARING SERVICES ACT; CITATION.
Sections
256C.21 to 256C.26 256C.261 may be cited as the "Deaf,
DeafBlind, and Hard-of-Hearing Services Act."
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 2. Minnesota Statutes 2022, section 256C.23, subdivision 1a, is amended to read:
Subd. 1a. Culturally
affirmative. "Culturally
affirmative" describes services that are designed and delivered within the
context of the culture, identity, language, communication, and
life experiences of a person persons who is are
deaf, a person persons who is are deafblind, and a
person persons who is are hard-of-hearing.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 3. Minnesota Statutes 2022, section 256C.23, is amended by adding a subdivision to read:
Subd. 1b. Linguistically
affirmative. "Linguistically
affirmative" describes services that are designed and delivered within the
context of the language and communication experiences of persons who are deaf,
persons who are deafblind, and persons who are hard-of-hearing.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 4. Minnesota Statutes 2022, section 256C.23, subdivision 2, is amended to read:
Subd. 2. Deaf. "Deaf" means a hearing loss of
such severity that the individual must depend where the person
communicates primarily on visual communication such as through
American Sign Language or other another signed language, visual
and manual means of communication such as signing systems in English or,
Cued Speech, reading and writing, speech reading, and gestures or
other visual communication.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 5. Minnesota Statutes 2022, section 256C.23, subdivision 2a, is amended to read:
Subd. 2a. Hard-of-hearing. "Hard-of-hearing" means a
hearing loss resulting in a functional loss of hearing, but not to the
extent that the individual must depend where the person does not
communicate primarily upon through visual communication.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 6. Minnesota Statutes 2022, section 256C.23, subdivision 2b, is amended to read:
Subd. 2b. Deafblind. "Deafblind" means any
combination of vision and hearing loss which interferes with acquiring
information from the environment to the extent that compensatory where
the person uses visual, auditory, or tactile strategies and skills are
necessary such as the use of a tactile form of a visual or spoken
language to access that communication, information from the
environment, or other information.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 7. Minnesota Statutes 2022, section 256C.23, subdivision 2c, is amended to read:
Subd. 2c. Interpreting services. "Interpreting services" means services that include:
(1) interpreting between a spoken language, such as English, and a visual language, such as American Sign Language or another signed language;
(2) interpreting between a spoken language
and a visual representation of a spoken language, such as Cued Speech and
or signing systems in English;
(3) interpreting within one language where
the interpreter uses natural gestures and silently repeats the spoken
message, replacing some words or phrases to give higher visibility on the
lips make the message more readable;
(4) interpreting using low vision or tactile
methods, signing systems, or signed languages for persons who have a
combined hearing and vision loss or are deafblind; and
(5) interpreting from one communication mode or language into another communication mode or language that is linguistically and culturally appropriate for the participants in the communication exchange.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 8. Minnesota Statutes 2022, section 256C.23, subdivision 6, is amended to read:
Subd. 6. Real-time
captioning. "Real-time
captioning" means a method of captioning in which a caption is captions
are simultaneously prepared and displayed or transmitted at the time of
origination by specially trained real-time captioners.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 9. Minnesota Statutes 2022, section 256C.23, subdivision 7, is amended to read:
Subd. 7. Family
and community intervener. "Family
and community intervener" means a paraprofessional, person who
is specifically trained in deafblindness, who and works
one-on-one with a child who is deafblind to provide critical connections
access to language, communication, people, and the
environment.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 10. Minnesota Statutes 2022, section 256C.233, subdivision 1, is amended to read:
Subdivision 1. Deaf,
DeafBlind, and Hard-of-Hearing Hard of Hearing State Services
Division. The commissioners of commerce,
education, employment and economic development, and health shall advise partner
with the commissioner of human services on the interagency
activities of the Deaf, DeafBlind, and Hard-of-Hearing Hard of
Hearing State Services Division. This
division addresses the developmental and social-emotional needs of provides
services for persons who are deaf, persons who are deafblind, and persons
who are hard-of-hearing through a statewide network of programs, services,
and supports. This division also
advocates on behalf of and provides information and training about how to best
serve persons who are deaf, persons who are deafblind, and persons who are
hard-of-hearing. The commissioner of
human services shall coordinate the work of the interagency advisers and
partners, receive legislative appropriations for the division, and
provide grants through the division for programs, services, and supports for
persons who are deaf, persons who are deafblind, and persons who are
hard-of-hearing in identified areas of need such as deafblind services, family
services, interpreting services, and mental health services.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 11. Minnesota Statutes 2022, section 256C.233, subdivision 2, is amended to read:
Subd. 2. Responsibilities. The Deaf, DeafBlind, and Hard-of-Hearing
Hard of Hearing State Services Division shall:
(1) establish and maintain a statewide network of regional culturally and linguistically affirmative services for Minnesotans who are deaf, Minnesotans who are deafblind, and Minnesotans who are hard-of-hearing;
(2) work across divisions within the Department of Human Services, as well as with other agencies and counties, to ensure that there is an understanding of:
(i) the communication access challenges faced by persons who are deaf, persons who are deafblind, and persons who are hard-of-hearing;
(ii) the best practices for accommodating
and mitigating addressing communication access challenges;
and
(iii) the legal requirements for providing access to and effective communication with persons who are deaf, persons who are deafblind, and persons who are hard-of-hearing;
(3) assess the supply and
demand statewide for interpreter interpreting services and
real-time captioning services, implement strategies to provide greater access
to these services in areas without sufficient supply, and build the base of
partner with interpreting service providers and real-time captioning
service providers across the state;
(4) maintain a statewide information
resource that includes contact information and professional certification
credentials certifications of interpreting service providers and
real-time captioning service providers;
(5) provide culturally and linguistically affirmative mental health services to persons who are deaf, persons who are deafblind, and persons who are hard-of-hearing who:
(i) use a visual language such as American Sign Language, another sign language, or a tactile form of a visual language; or
(ii) otherwise need culturally and
linguistically affirmative therapeutic mental health
services;
(6) research and develop best practices and
recommendations for emerging issues; and
(7) provide as much information as
practicable on the division's stand-alone website in American Sign Language;
and.
(8) report to the chairs and ranking
minority members of the legislative committees with jurisdiction over human
services biennially, beginning on January 1, 2019, on the following:
(i) the number of regional service center
staff, the location of the office of each staff person, other service providers
with which they are colocated, the number of people served by each staff person
and a breakdown of whether each person was served on-site or off-site, and for
those served off-site, a list of locations where services were delivered and
the number who were served in-person and the number who were served via
technology;
(ii) the amount and percentage of the
division budget spent on reasonable accommodations for staff;
(iii) the number of people who use
demonstration equipment and consumer evaluations of the experience;
(iv) the number of training sessions
provided by division staff, the topics covered, the number of participants, and
consumer evaluations, including a breakdown by delivery method such as
in-person or via technology;
(v) the number of training sessions
hosted at a division location provided by another service provider, the topics
covered, the number of participants, and consumer evaluations, including a
breakdown by delivery method such as in-person or via technology;
(vi) for each grant awarded, the amount
awarded to the grantee and a summary of the grantee's results, including
consumer evaluations of the services or products provided;
(vii) the number of people on waiting
lists for any services provided by division staff or for services or equipment
funded through grants awarded by the division;
(viii) the amount of time staff spent
driving to appointments to deliver direct one-to-one client services in
locations outside of the regional service centers; and
(ix) the regional needs and feedback on
addressing service gaps identified by the advisory committees.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 12. Minnesota Statutes 2022, section 256C.24, subdivision 1, is amended to read:
Subdivision 1. Location. The Deaf, DeafBlind, and Hard-of-Hearing
Hard of Hearing State Services Division shall establish at least six
regional service centers for persons who are deaf, persons who are
deafblind, and persons who are hard-of-hearing. The centers shall be distributed regionally
to provide access for persons who are deaf, persons who are deafblind, and
persons who are hard-of-hearing in all parts of the state.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 13. Minnesota Statutes 2022, section 256C.24, subdivision 2, is amended to read:
Subd. 2. Responsibilities. Each regional service center shall:
(1) employ qualified staff to work with
persons who are deaf, persons who are deafblind, and persons who are
hard-of-hearing;
(1) (2) establish connections
and collaborations and explore colocating with other public and private
entities providing services to persons who are deaf, persons who are deafblind,
and persons who are hard-of-hearing in the region;
(2) (3) for those in need of
services, assist in coordinating services between service providers and persons
who are deaf, persons who are deafblind, and persons who are hard-of-hearing,
and the persons' families, and make referrals to the services needed;
(3) employ staff trained to work with
persons who are deaf, persons who are deafblind, and persons who are
hard-of-hearing;
(4) if adequate or accessible
services are not available from another public or private service provider in
the region, provide individual culturally and linguistically affirmative
assistance with service supports and solutions to persons who are deaf,
persons who are deafblind, and persons who are hard-of-hearing, and the
persons' families. Individual
culturally affirmative assistance may be provided using technology only in
areas of the state where a person has access to sufficient quality
telecommunications or broadband services to allow effective communication. When a person who is deaf, a person who is
deafblind, or a person who is hard-of-hearing does not have access to
sufficient telecommunications or broadband service, individual assistance shall
be available in person;
(5) identify regional training and
resource needs, work with deaf and hard-of-hearing services training
staff, and collaborate with others to and deliver training and
resources for persons who are deaf, persons who are deafblind, and persons
who are hard-of-hearing, and the persons' families, and other service providers
about subjects including the persons' rights under the law, American Sign
Language, and the impact of hearing loss and options for accommodating it;
(6) have a mobile or permanent lab where
persons who are deaf, persons who are deafblind, and persons who are
hard-of-hearing can try a selection of modern assistive technology,
telecommunications equipment, and other technology and equipment to
determine what would best meet the persons' needs;
(7) collaborate with the Resource Center
for the Deaf and Hard-of-Hearing Persons, other divisions of the Department
of Education and local school districts to develop and deliver programs and
services for provide information and resources to families with
children who are deaf, children who are deafblind, or children who are
hard-of-hearing and to support school personnel serving these children;
(8) provide training,
resources, and consultation to the social service or income maintenance
staff employed by counties or by organizations with whom counties contract for
services to ensure that human services providers about communication
barriers which prevent access and other needs of persons who are
deaf, persons who are deafblind, and persons who are hard-of-hearing from
using services are removed;
(9) provide training to human service
agencies in the region regarding program access for persons who are deaf,
persons who are deafblind, and persons who are hard-of-hearing;
(10) (9) assess the ongoing
need and supply of services for persons who are deaf, persons who are
deafblind, and persons who are hard-of-hearing in all parts of the state,;
annually consult with the division's advisory committees to identify regional
needs and solicit feedback on addressing service gaps,; and cooperate
collaborate with public and private service providers to develop
these services on service solutions;
(11) (10) provide culturally and
linguistically affirmative mental health services to persons who are deaf,
persons who are deafblind, and persons who are hard-of-hearing who:
(i) use a visual language such as American Sign Language, another sign language, or a tactile form of a visual language; or
(ii) otherwise need culturally and
linguistically affirmative therapeutic mental health
services; and
(12) (11) establish
partnerships with state and regional entities statewide that have the
technological capacity to provide Minnesotans with virtual access to the
division's services and division-sponsored training via through
technology.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 14. Minnesota Statutes 2022, section 256C.24, subdivision 3, is amended to read:
Subd. 3. Advisory
committee. The director of the Deaf,
DeafBlind, and Hard-of-Hearing Hard of Hearing State Services
Division shall appoint eight advisory committees of up to nine persons per
advisory committee. Each committee shall
represent a specific region of the state.
The director shall determine the boundaries of each advisory committee
region. The committees shall advise the
director on the needs of persons who are deaf, persons who are deafblind, and
persons who are hard-of-hearing and service gaps in the region of the state the
committee represents. Members shall
include persons who are deaf, persons who are deafblind, and persons who are
hard-of-hearing, persons who have communication disabilities, parents of
children who are deaf, parents of children who are deafblind, and
parents of children who are hard-of-hearing, parents of children who have
communication disabilities, and representatives of county and regional human
services, including representatives of private service providers. At least 50 percent of the members must be
deaf or deafblind or hard-of-hearing or have a communication disability. Committee members shall serve for a
three-year term, and may be appointed to. Committee members shall serve no more than
three consecutive terms and no more than nine years in total. Each advisory committee shall elect a chair. The director of the Deaf, DeafBlind, and
Hard-of-Hearing Hard of Hearing State Services Division shall
may assign staff to serve as nonvoting members of the committee. Members shall not receive a per diem. Otherwise, the compensation, removal of
members, and filling of vacancies on the committee shall be as provided in
section 15.0575.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 15. Minnesota Statutes 2022, section 256C.26, is amended to read:
256C.26
EMPLOYMENT SERVICES.
The commissioner of employment and
economic development shall work with the Deaf, DeafBlind, and Hard‑of-Hearing
Hard of Hearing State Services Division to develop and implement a plan
to deal with the underemployment of persons who are deaf, persons who
are deafblind, and persons who are hard-of-hearing persons.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 16. Minnesota Statutes 2022, section 256C.261, is amended to read:
256C.261
SERVICES FOR PERSONS WHO ARE DEAFBLIND.
(a) The commissioner of human services shall
use at least 35 60 percent of the deafblind services biennial
base level grant funding for programs, services, and other
supports for a child adults who are deafblind and for children
who is are deafblind and the child's family children's
families. The commissioner shall
use at least 25 percent of the deafblind services biennial base level grant
funding for services and other supports for an adult who is deafblind.
(b) The commissioner shall award
grants for the purposes of:
(1) providing programs,
services, and supports to persons who are deafblind; and.
(2) developing and providing training to
counties and the network of senior citizen service providers. The purpose of the training grants is to
teach counties how to use existing programs that capture federal financial
participation to meet the needs of eligible persons who are deafblind and to
build capacity of senior service programs to meet the needs of seniors with a
dual sensory hearing and vision loss.
(b) (c) The commissioner may
make grants:
(1) for services and training provided by
organizations to persons who are deafblind; and
(2) to develop and administer
consumer-directed services. for
persons who are deafblind; and
(3) to develop and provide training to
counties and service providers on how to meet the needs of persons who are
deafblind.
(c) (d) Consumer-directed
services shall must be provided in whole by grant-funded
providers. The Deaf and
Hard-of-Hearing Services Division's regional service centers shall not provide
any aspect of a grant-funded consumer-directed services program.
(d) Any entity that is able to satisfy
the grant criteria is eligible to receive a grant under paragraph (a).
(e) Deafblind service providers may, but are
not required to, provide intervenor intervener services as part
of the service package provided with grant funds under this section. Intervener services include services provided
by a family and community intervener as described in paragraph (f).
(f) The family and community intervener, as defined in section 256C.23, subdivision 7, provides services to open channels of communication between the child and others; facilitates the development or use of receptive and expressive communication skills by the child; and develops and maintains a trusting, interactive relationship that
promotes social and emotional
well-being. The family and community
intervener also provides access to information and the environment, and
facilitates opportunities for learning and development. A family and community intervener must have
specific training in deafblindness, building language and communication skills,
and intervention strategies.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 17. Minnesota Statutes 2022, section 256C.28, subdivision 1, is amended to read:
Subdivision 1. Membership. (a) The Commission of the Deaf,
DeafBlind and Hard of Hearing consists of seven ten members
appointed at large and one member each from each up to five
advisory committee committees established under section 256C.24,
subdivision 3. At least 50 percent of
the voting members must be deaf or deafblind or hard-of-hearing. Members shall include persons who are
deaf, deafblind, and hard-of-hearing, parents at least one parent or
guardian of children a person who are is deaf,
deafblind, and or hard-of-hearing, and representatives of
county and regional human services, including representatives of private
service providers. The
commissioners of education, health, and employment and economic development and
the director of the Deaf, DeafBlind, and Hard of Hearing State Services
Division in the Department of Human Services, or their designees, shall serve
as ex officio, nonvoting members of the commission. The commission may appoint additional ex
officio members from other bureaus, divisions, or sections of state departments
directly concerned with the provision of services to persons who are deaf,
deafblind, or hard-of-hearing.
Commission (b) Voting members of
the commission are appointed by the governor for a four-year term and until
successors are appointed and qualify. Commission
Voting members of the commission shall serve no more than three
consecutive full terms, and no more than 12 years in total.
(c) Annually, by January 31, the commission shall select one member as chair and one member as vice-chair to serve until January 31 of the following year or until the commission selects a new chair or vice-chair, whichever occurs later.
ARTICLE 3
AGING SERVICES
Section 1. Minnesota Statutes 2022, section 144A.20, subdivision 4, is amended to read:
Subd. 4. Assisted living director qualifications; ongoing training. (a) The Board of Executives for Long Term Services and Supports may issue licenses to qualified persons as an assisted living director and shall approve training and examinations. No license shall be issued to a person as an assisted living director unless that person:
(1) is eligible for licensure;
(2) has applied for licensure under this
subdivision within six months 30 days of hire as an assisted
living director; and
(3) has satisfactorily met standards set
by the board or is scheduled to complete the training in paragraph (b)
within one year of hire. The
standards shall be designed to assure that assisted living directors are
individuals who, by training or experience, are qualified to serve as assisted
living directors.
(b) In order to be qualified to serve as an assisted living director, an individual must:
(1) have completed an approved training
course and passed an examination approved by the board that is designed to test
for competence and that includes assisted living facility laws in Minnesota; or
(2)(i) currently be licensed in the state of Minnesota as a nursing home administrator or have been validated as a qualified health services executive by the National Association of Long Term Care Administrator Boards; and
(ii) have core knowledge of assisted
living facility laws; or.
(3) apply for licensure by July 1,
2021, and satisfy one of the following:
(i) have a higher education degree in
nursing, social services, or mental health, or another professional degree with
training specific to management and regulatory compliance;
(ii) have at least three years of
supervisory, management, or operational experience and higher education
training applicable to an assisted living facility;
(iii) have completed at least 1,000
hours of an executive in training program provided by an assisted living
director licensed under this subdivision; or
(iv) have managed a housing with
services establishment operating under assisted living title protection for at
least three years.
(c) An assisted living director must
receive at least 30 hours of training continuing education every
two years on topics relevant to the operation of an assisted living facility
and the needs of its residents. An
assisted living director must maintain records of the training continuing
education required by this paragraph for at least the most recent
three-year period and must provide these records to Department of Health
surveyors upon request. Continuing
education earned to maintain another professional license, such as a nursing
home administrator license, nursing license, social worker license, mental
health professional license, or real estate license, may be used to satisfy
this requirement when the continuing education is relevant to the assisted
living services offered and residents served at the assisted living facility.
Sec. 2. Minnesota Statutes 2022, section 144G.30, subdivision 5, is amended to read:
Subd. 5. Correction orders. (a) A correction order may be issued whenever the commissioner finds upon survey or during a complaint investigation that a facility, a managerial official, an agent of the facility, or an employee of the facility is not in compliance with this chapter. The correction order shall cite the specific statute and document areas of noncompliance and the time allowed for correction.
(b) The commissioner shall mail or email copies of any correction order to the facility within 30 calendar days after the survey exit date. A copy of each correction order and copies of any documentation supplied to the commissioner shall be kept on file by the facility and public documents shall be made available for viewing by any person upon request. Copies may be kept electronically.
(c) By the correction order date, the
facility must:
(1) document in the facility's
records any action taken to comply with the correction order. The commissioner may request a copy of this
documentation and the facility's action to respond to the correction order in
future surveys, upon a complaint investigation, and as otherwise needed.;
and
(2) make available, in a manner readily
accessible to residents and others, including provision of a paper copy upon
request, the most recent plan of correction documenting the actions taken by
the facility to comply with the correction order.
(d) After the plan of
correction is made available under paragraph (c), clause (2), the facility must
provide a copy of the facility's most recent plan of correction to any
individual who requests it. A copy of
the most recent plan of correction must be provided within 30 days after the
request and in a format determined by the facility, except the facility must
make reasonable accommodations in providing the plan of correction in another
format, including a paper copy, upon request.
EFFECTIVE
DATE. This section is
effective August 1, 2024, and applies to correction orders issued on or after
that date.
Sec. 3. Minnesota Statutes 2022, section 256.975, subdivision 7e, is amended to read:
Subd. 7e. Long-term
care options counseling for assisted living at critical care
transitions. (a) The purpose of
long-term care options counseling for assisted living is to support
persons with current or anticipated long-term care needs in making informed
choices among options that include the most cost-effective and least
restrictive settings. Prospective
residents maintain the right to choose assisted living if that option is their
preference. Reaching people
before a crisis and during care transitions is important to ensure quality of
care and life, prevent unnecessary hospitalizations and readmissions, reduce
the burden on the health care system, reduce costs, and support personal
preferences.
(b) Licensed assisted living facilities
shall inform each prospective resident or the prospective resident's designated
or legal representative of the availability of long-term care options
counseling for assisted living and the need to receive and verify the
counseling prior to signing a contract. Long-term
care options counseling for assisted living is provided as determined by the
commissioner of human services. The
service is delivered under a partnership between lead agencies as defined in
subdivision 10, paragraph (g), and the Area Agencies on Aging, and is a point
of entry to a combination of telephone-based long-term care options counseling
provided by Senior LinkAge Line and in-person long-term care consultation
provided by lead agencies. The point of
entry service must be provided within five working days of the request of the
prospective resident as follows Counseling must be delivered by Senior
LinkAge Line either by telephone or in-person.
Counseling must:
(1) the counseling shall be conducted
with the prospective resident, or in the alternative, the resident's designated
or legal representative, if:
(i) the resident verbally requests; or
(ii) the assisted living facility has
documentation of the designated or legal representative's authority to enter
into a lease or contract on behalf of the prospective resident and accepts the
documentation in good faith;
(2) the counseling shall (1)
be performed in a manner that provides objective and complete information;
(3) the counseling must (2) include
a review of the prospective resident's reasons for considering assisted
living services, the prospective resident's person's personal goals,
a discussion of the prospective resident's person's
immediate and projected long-term care needs, and alternative community
services or settings that may meet the prospective resident's person's
needs; and
(4) the prospective resident must be
informed of the availability of an in-person visit from a long-term care
consultation team member at no charge to the prospective resident to assist the
prospective resident in assessment and planning to meet the prospective
resident's long-term care needs; and
(5) verification of counseling shall be
generated and provided to the prospective resident by Senior LinkAge Line upon
completion of the telephone-based counseling (3) include the counseling
and referral protocols in subdivision 7, paragraph (b), clauses (11) to (13).
(c) An assisted living
facility licensed under chapter 144G shall:
(1) must inform each
prospective resident or the prospective resident's designated or legal
representative of the availability of and contact information for long-term
care options counseling services under this subdivision; by
providing Senior LinkAge Line information at the facility tour.
(2)
receive a copy of the verification of counseling prior to executing a contract
with the prospective resident; and
(3) retain a copy of the verification
of counseling as part of the resident's file.
(d) Emergency admissions to licensed
assisted living facilities prior to consultation under paragraph (b) are
permitted according to policies established by the commissioner. Prior
to discharge, hospitals must refer older adults who are at risk of nursing home
placement to the Senior LinkAge Line for long-term care options counseling. Hospitals must make these referrals using
referral protocols and processes developed under subdivision 7.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 4. Minnesota Statutes 2022, section 256B.69, is amended by adding a subdivision to read:
Subd. 6h. Continuity
of care for seniors receiving personal assistance. (a) If an individual 65 years of age
or older is receiving personal assistance from the same agency continuously
during the six months prior to being newly enrolled with any managed care or
county-based purchasing plan, the managed care or county-based purchasing plan
with which the individual is newly enrolled must offer the agency a contract
for the purposes of allowing the enrollee to receive any personal assistance
covered under the terms of the plan from the enrollee's current agency,
provided the enrollee continues to live in the service area of the enrollee's
current agency.
(b) For the purposes of this
subdivision, the following terms have the meanings given:
(1) "agency" means any of the
following:
(i) a personal care assistance provider
agency as defined under section 256B.0659, subdivision 1, paragraph (l);
(ii) an agency provider as described in
section 256B.85, subdivision 2, paragraph (c); or
(iii) a financial management services
provider for an enrollee who directly employs direct care staff through the
community first services and supports budget model or through the
consumer-directed community supports option available under the elderly waiver;
and
(2) "personal assistance"
means any of the following:
(i) personal care assistance services,
extended personal care assistance services, or enhanced rate personal care
assistance services under section 256B.0659;
(ii) community first services and
supports, extended community first services and supports, or enhanced rate
community first services and supports under section 256B.85; or
(iii) personal assistance provided
through the consumer-directed community supports option available under the
elderly waiver.
(c) This subdivision applies
only if the enrollee's current agency agrees to accept as payment in full the
managed care plan's or county-based purchasing plan's in-network reimbursement
rate for the same covered service at the time the service is provided, and
agrees to enter into a managed care plan's or county-based purchasing plan's
contract for services of like kind.
EFFECTIVE
DATE. This section is
effective January 1, 2025.
Sec. 5. Minnesota Statutes 2022, section 256R.08, subdivision 1, is amended to read:
Subdivision
1. Reporting
of financial statements. (a) No
later than February 1 of each year, a nursing facility must:
(1) provide the state agency with a copy
of its audited financial statements or its working trial balance;
(2) provide the state agency with a
copy of its audited financial statements for each year an audit is conducted;
(2) (3) provide the state
agency with a statement of ownership for the facility;
(3) (4) provide the state
agency with separate, audited financial statements or and working
trial balances for every other facility owned in whole or in part by an
individual or entity that has an ownership interest in the facility;
(5) provide the state agency with
information regarding whether the licensee or a general partner, director, or
officer of the licensee controls or has an ownership interest of five percent
or more in a related organization that provides any services, facilities, or
supplies to the nursing facility;
(4) (6) upon request,
provide the state agency with separate, audited financial statements or and
working trial balances for every organization with which the facility conducts
business and which is owned in whole or in part by an individual or entity
which has an ownership interest in the facility;
(5) (7) provide the state
agency with copies of leases, purchase agreements, and other documents related
to the lease or purchase of the nursing facility; and
(6) (8) upon request,
provide the state agency with copies of leases, purchase agreements, and other
documents related to the acquisition of equipment, goods, and services which
are claimed as allowable costs.
(b) If the licensee or the general
partner, director, or officer of the licensee controls or has an interest as
described in paragraph (a), clause (5), the licensee must disclose all
services, facilities, or supplies provided to the nursing facility; the number
of individuals who provide services, facilities, or supplies at the nursing
facility; and any other information requested by the state agency.
(b) (c) Audited financial
statements submitted under paragraph paragraphs (a) and (b)
must include a balance sheet, income statement, statement of the rate or rates
charged to private paying residents, statement of retained earnings, statement
of cash flows, notes to the financial statements, audited applicable
supplemental information, and the public accountant's report. Public accountants must conduct audits in
accordance with chapter 326A. The cost
of an audit must not be an allowable cost unless the nursing facility submits
its audited financial statements in the manner otherwise specified in this
subdivision. A nursing facility must
permit access by the state agency to the public accountant's audit work papers
that support the audited financial statements submitted under paragraph paragraphs
(a) and (b).
(c) (d) Documents or
information provided to the state agency pursuant to this subdivision must be
public unless prohibited by the Health Insurance Portability and Accountability
Act or any other federal or state regulation.
Data, notes, and preliminary drafts of reports created, collected, and
maintained by the audit offices of government
entities, or persons performing audits for government entities, and relating to an audit or investigation are confidential data on individuals or protected nonpublic data until the final report has been published or the audit or investigation is no longer being pursued actively, except that the data must be disclosed as required to comply with section 6.67 or 609.456.
(d) (e) If the requirements
of paragraphs (a) and, (b), and (c) are not met, the
reimbursement rate may be reduced to 80 percent of the rate in effect on the
first day of the fourth calendar month after the close of the reporting period
and the reduction must continue until the requirements are met.
(f) Licensees must provide the
information required in this section to the commissioner in a manner prescribed
by the commissioner.
(g) For purposes of this section,
"related organization" and "control" have the meanings
given in section 256R.02, subdivision 43.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 6. Minnesota Statutes 2022, section 256R.08, is amended by adding a subdivision to read:
Subd. 5. Notice of costs associated with leases, rent, and use of land or other real property by nursing homes. (a) Nursing homes must annually report to the commissioner, in a manner determined by the commissioner, their cost associated with leases, rent, and use of land or other real property and any other related information requested by the state agency.
(b) A nursing facility that violates
this subdivision is subject to the penalties and procedures under section
256R.04, subdivision 7.
EFFECTIVE
DATE. This section is
effective August 1, 2024.
Sec. 7. REPEALER.
(a) Minnesota Statutes 2022, section
256.975, subdivisions 7f and 7g, are repealed.
(b) Minnesota Statutes 2022, section
256R.18, is repealed.
EFFECTIVE
DATE. Paragraph (a) is
effective August 1, 2024. Paragraph (b)
is effective July 1, 2024.
ARTICLE 4
SUBSTANCE USE DISORDER SERVICES
Section 1. Minnesota Statutes 2022, section 148F.025, subdivision 2, is amended to read:
Subd. 2. Education requirements for licensure. An applicant for licensure must submit evidence satisfactory to the board that the applicant has:
(1) received a bachelor's or master's degree from an accredited school or educational program; and
(2) received 18 semester credits or 270 clock hours of academic course work and 880 clock hours of supervised alcohol and drug counseling practicum from an accredited school or education program. The course work and practicum do not have to be part of the bachelor's degree earned under clause (1). The academic course work must be in the following areas:
(i) an overview of the transdisciplinary foundations of alcohol and drug counseling, including theories of chemical dependency, the continuum of care, and the process of change;
(ii) pharmacology of substance abuse disorders and the dynamics of addiction, including substance use disorder treatment with medications for opioid use disorder;
(iii) professional and ethical responsibilities;
(iv) multicultural aspects of chemical dependency;
(v) co-occurring disorders; and
(vi) the core functions defined in section 148F.01, subdivision 10.
Sec. 2. Minnesota Statutes 2022, section 245F.02, subdivision 17, is amended to read:
Subd. 17. Peer
recovery support services. "Peer
recovery support services" means mentoring and education, advocacy, and
nonclinical recovery support provided by a recovery peer services
provided according to section 245F.08, subdivision 3.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 3. Minnesota Statutes 2022, section 245F.02, subdivision 21, is amended to read:
Subd. 21. Recovery peer. "Recovery peer" means a person who has progressed in the person's own recovery from substance use disorder and is willing to serve as a peer to assist others in their recovery and is qualified according to section 245F.15, subdivision 7.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 4. Minnesota Statutes 2022, section 245F.08, subdivision 3, is amended to read:
Subd. 3. Peer
recovery support services. (a)
Peers in recovery serve as mentors or recovery-support partners for individuals
in recovery, and may provide encouragement, self-disclosure of recovery
experiences, transportation to appointments, assistance with finding resources
that will help locate housing, job search resources, and assistance finding and
participating in support groups.
(b) Peer recovery support services are
provided by a recovery peer and must be supervised by the responsible staff
person.
Peer recovery support services must
meet the requirements in section 245G.07, subdivision 2, clause (8), and must
be provided by a person who is qualified according to the requirements in
section 245F.15, subdivision 7.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 5. Minnesota Statutes 2022, section 245F.15, subdivision 7, is amended to read:
Subd. 7. Recovery peer qualifications. Recovery peers must:
(1) be at least 21 years of age and
have a high school diploma or its equivalent;
(2) have a minimum of one year in
recovery from substance use disorder;
(3) have completed a
curriculum designated by the commissioner that teaches specific skills and
training in the domains of ethics and boundaries, advocacy, mentoring and
education, and recovery and wellness support; and
(4) receive supervision in areas
specific to the domains of their role by qualified supervisory staff.
(1) meet the qualifications in section
245I.04, subdivision 18; and
(2) provide services according to the
scope of practice established in section 245I.04, subdivision 19, under the
supervision of an alcohol and drug counselor.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 6. Minnesota Statutes 2022, section 245G.031, subdivision 2, is amended to read:
Subd. 2. Qualifying
accreditation; determination of same and similar standards. (a) The commissioner must accept a
qualifying accreditation from an accrediting body listed in paragraph (c) after
determining, in consultation with the accrediting body and license holders, which
of the accrediting body's standards that are the same as or similar
to the licensing requirements in this chapter.
In determining whether standards of an accrediting body are the same as
or similar to licensing requirements under this chapter, the commissioner shall
give due consideration to the existence of a standard that aligns in whole or
in part to a licensing standard.
(b) Upon request by a license holder, the commissioner may allow the accrediting body to monitor for compliance with licensing requirements under this chapter that are determined to be neither the same as nor similar to those of the accrediting body.
(c) For purposes of this section, "accrediting body" means The Joint Commission.
(d) Qualifying accreditation only applies to the license holder's licensed programs that are included in the accrediting body's survey during each survey period.
Sec. 7. Minnesota Statutes 2022, section 245G.04, is amended by adding a subdivision to read:
Subd. 3. Opioid
educational material. The
license holder must provide opioid educational material to the client on the
day of service initiation. The license
holder must use the opioid educational material approved by the commissioner
that contains information on:
(1) risks for opioid use disorder and
dependence;
(2) treatment options, including the use
of a medication for opioid use disorder;
(3) the risk and recognition of opioid
overdose; and
(4) the use, availability, and
administration of an opiate antagonist to respond to opioid overdose.
EFFECTIVE
DATE. This section is
effective January 1, 2025.
Sec. 8. Minnesota Statutes 2023 Supplement, section 245G.05, subdivision 3, is amended to read:
Subd. 3. Comprehensive
assessment requirements. (a) A
comprehensive assessment must meet the requirements under section 245I.10,
subdivision 6, paragraphs (b) and (c). It
must also include:
(1) a diagnosis of a substance use disorder or a finding that the client does not meet the criteria for a substance use disorder;
(2) a determination of whether the individual screens positive for co-occurring mental health disorders using a screening tool approved by the commissioner pursuant to section 245.4863;
(3) a risk rating and summary to support the risk ratings within each of the dimensions listed in section 254B.04, subdivision 4; and
(4) a recommendation for the ASAM level of care identified in section 254B.19, subdivision 1.
(b) If the individual is assessed for
opioid use disorder, the program must provide educational material to the
client within 24 hours of service initiation on:
(1) risks for opioid use disorder and
dependence;
(2) treatment options, including the
use of a medication for opioid use disorder;
(3) the risk and recognition of opioid
overdose; and
(4) the use, availability, and
administration of an opiate antagonist to respond to opioid overdose.
If the client is identified as having opioid use disorder
at a later point, the required educational material must be provided at that
point. The license holder must use the
educational materials that are approved by the commissioner to comply with this
requirement.
EFFECTIVE
DATE. This section is
effective January 1, 2025.
Sec. 9. Minnesota Statutes 2023 Supplement, section 245G.09, subdivision 3, is amended to read:
Subd. 3. Contents. Client records must contain the following:
(1) documentation that the client was
given information on client rights and responsibilities, grievance procedures,
tuberculosis, and HIV, and that the client was provided an orientation to the
program abuse prevention plan required under section 245A.65, subdivision 2,
paragraph (a), clause (4). If the client
has an opioid use disorder, the record must contain documentation that the
client was provided educational information according to section 245G.05
245G.04, subdivision 3, paragraph (b);
(2) an initial services plan completed according to section 245G.04;
(3) a comprehensive assessment completed according to section 245G.05;
(4) an individual abuse prevention plan according to sections 245A.65, subdivision 2, and 626.557, subdivision 14, when applicable;
(5) an individual treatment plan according to section 245G.06, subdivisions 1 and 1a;
(6) documentation of treatment services, significant events, appointments, concerns, and treatment plan reviews according to section 245G.06, subdivisions 2a, 2b, 3, and 3a; and
(7) a summary at the time of service termination according to section 245G.06, subdivision 4.
EFFECTIVE
DATE. This section is
effective January 1, 2025.
Sec. 10. Minnesota Statutes 2023 Supplement, section 245G.11, subdivision 10, is amended to read:
Subd. 10. Student interns and former students. (a) A qualified staff member must supervise and be responsible for a treatment service performed by a student intern and must review and sign each assessment, individual treatment plan, and treatment plan review prepared by a student intern.
(b) An alcohol and drug counselor must supervise and be responsible for a treatment service performed by a former student and must review and sign each assessment, individual treatment plan, and treatment plan review prepared by the former student.
(c) A student intern or former student
must receive the orientation and training required in section 245G.13,
subdivisions 1, clause (7), and 2. No
more than 50 percent of the treatment staff may be students, student
interns or former students, or licensing candidates with time
documented to be directly related to the provision of treatment services for
which the staff are authorized.
Sec. 11. Minnesota Statutes 2023 Supplement, section 245G.22, subdivision 2, is amended to read:
Subd. 2. Definitions. (a) For purposes of this section, the terms defined in this subdivision have the meanings given them.
(b) "Diversion" means the use of a medication for the treatment of opioid addiction being diverted from intended use of the medication.
(c) "Guest dose" means administration of a medication used for the treatment of opioid addiction to a person who is not a client of the program that is administering or dispensing the medication.
(d) "Medical director" means a practitioner licensed to practice medicine in the jurisdiction that the opioid treatment program is located who assumes responsibility for administering all medical services performed by the program, either by performing the services directly or by delegating specific responsibility to a practitioner of the opioid treatment program.
(e) "Medication used for the treatment of opioid use disorder" means a medication approved by the Food and Drug Administration for the treatment of opioid use disorder.
(f) "Minnesota health care programs" has the meaning given in section 256B.0636.
(g) "Opioid treatment program" has the meaning given in Code of Federal Regulations, title 42, section 8.12, and includes programs licensed under this chapter.
(h) "Practitioner" means a staff
member holding a current, unrestricted license to practice medicine issued by
the Board of Medical Practice or nursing issued by the Board of Nursing and is
currently registered with the Drug Enforcement Administration to order or
dispense controlled substances in Schedules II to V under the Controlled
Substances Act, United States Code, title 21, part B, section 821. Practitioner includes an advanced practice
registered nurse and physician assistant if the staff member receives a
variance by the state opioid treatment authority under section 254A.03 and the
federal Substance Abuse and Mental Health Services Administration.
(i) "Unsupervised use" or "take-home dose" means the use of a medication for the treatment of opioid use disorder dispensed for use by a client outside of the program setting.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 12. Minnesota Statutes 2022, section 245G.22, subdivision 6, is amended to read:
Subd. 6. Criteria
for unsupervised use. (a) To limit
the potential for diversion of medication used for the treatment of opioid use
disorder to the illicit market, medication dispensed to a client for
unsupervised use shall be subject to the requirements of this subdivision. Any client in an opioid treatment program may
receive a single unsupervised use dose for a day that the clinic is closed
for business, including Sundays and state and federal holidays individualized
take-home doses as ordered for days that the clinic is closed for business on
one weekend day and state and federal holidays, no matter the client's length
of time in treatment, as allowed under Code of Federal Regulations, title 42,
section 8.12(i)(1).
(b) For take-home doses beyond those
allowed in paragraph (a), a practitioner with authority to prescribe must
review and document the criteria in this paragraph and paragraph (c) Code
of Federal Regulations, title 42, section 8.12(i)(2), when determining
whether dispensing medication for a client's unsupervised use is safe and
when it is appropriate to implement, increase, or extend the amount of time
between visits to the program. The
criteria are:
(1) absence of recent abuse of drugs
including but not limited to opioids, non-narcotics, and alcohol;
(2) regularity of program attendance;
(3) absence of serious behavioral
problems at the program;
(4) absence of known recent criminal
activity such as drug dealing;
(5) stability of the client's home
environment and social relationships;
(6) length of time in comprehensive
maintenance treatment;
(7) reasonable assurance that
unsupervised use medication will be safely stored within the client's home; and
(8) whether the rehabilitative benefit
the client derived from decreasing the frequency of program attendance
outweighs the potential risks of diversion or unsupervised use.
(c) The determination, including the basis of the determination must be documented by a practitioner in the client's medical record.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 13. Minnesota Statutes 2022, section 245G.22, subdivision 7, is amended to read:
Subd. 7. Restrictions
for unsupervised use of methadone hydrochloride. (a) If a medical director or
prescribing practitioner assesses and, determines, and
documents that a client meets the criteria in subdivision 6 and may be
dispensed a medication used for the treatment of opioid addiction, the
restrictions in this subdivision must be followed when the medication to be
dispensed is methadone hydrochloride. The
results of the assessment must be contained in the client file. The number of unsupervised use medication
doses per week in paragraphs (b) to (d) is in addition to the number of
unsupervised use medication doses a client may receive for days the clinic is
closed for business as allowed by subdivision 6, paragraph (a) and that
a patient is safely able to manage unsupervised doses of methadone, the number
of take-home doses the client receives must be limited by the number allowed by
Code of Federal Regulations, title 42, section 8.12(i)(3).
(b) During the first 90 days of
treatment, the unsupervised use medication supply must be limited to a maximum
of a single dose each week and the client shall ingest all other doses under
direct supervision.
(c) In the second 90 days of
treatment, the unsupervised use medication supply must be limited to two doses
per week.
(d)
In the third 90 days of treatment, the unsupervised use medication supply must
not exceed three doses per week.
(e) In the remaining months of the
first year, a client may be given a maximum six-day unsupervised use medication
supply.
(f) After one year of continuous
treatment, a client may be given a maximum two-week unsupervised use medication
supply.
(g) After two years of continuous
treatment, a client may be given a maximum one-month unsupervised use
medication supply, but must make monthly visits to the program.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 14. Minnesota Statutes 2023 Supplement, section 245G.22, subdivision 17, is amended to read:
Subd. 17. Policies and procedures. (a) A license holder must develop and maintain the policies and procedures required in this subdivision.
(b) For a program that is not open every
day of the year, the license holder must maintain a policy and procedure that
covers requirements under section 245G.22, subdivisions 6 and 7. Unsupervised use of medication used for the
treatment of opioid use disorder for days that the program is closed for
business, including but not limited to Sundays on one weekend day
and state and federal holidays, must meet the requirements under section
245G.22, subdivisions 6 and 7.
(c) The license holder must maintain a policy and procedure that includes specific measures to reduce the possibility of diversion. The policy and procedure must:
(1) specifically identify and define the responsibilities of the medical and administrative staff for performing diversion control measures; and
(2) include a process for contacting no less than five percent of clients who have unsupervised use of medication, excluding clients approved solely under subdivision 6, paragraph (a), to require clients to physically return to the program each month. The system must require clients to return to the program within a stipulated time frame and turn in all unused medication containers related to opioid use disorder treatment. The license holder must document all related contacts on a central log and the outcome of the contact for each client in the client's record. The medical director must be informed of each outcome that results in a situation in which a possible diversion issue was identified.
(d) Medication used for the treatment of opioid use disorder must be ordered, administered, and dispensed according to applicable state and federal regulations and the standards set by applicable accreditation entities. If a medication order requires assessment by the person administering or dispensing the medication to determine the amount to be administered or dispensed, the assessment must be completed by an individual whose professional scope of practice permits an assessment. For the purposes of enforcement of this paragraph, the commissioner has the authority to monitor the person administering or dispensing the medication for compliance with state and federal regulations and the relevant standards of the license holder's accreditation agency and may issue licensing actions according to sections 245A.05, 245A.06, and 245A.07, based on the commissioner's determination of noncompliance.
(e) A counselor in an
opioid treatment program must not supervise more than 50 clients. The
license holder must maintain a ratio of one full-time equivalent alcohol and
drug counselor for every 60 clients enrolled in the program. The license holder must determine the
appropriate number of clients for which each counselor is responsible based on
the needs of each client. The license
holder must maintain documentation of the clients assigned to each counselor to
demonstrate compliance with this paragraph.
For the purpose of this paragraph, "full-time equivalent"
means working at least 32 hours each week.
(f) Notwithstanding paragraph (e), From
July 1, 2023, to June 30, 2024, a counselor in an opioid treatment program may
supervise up to 60 clients. The license
holder may continue to serve a client who was receiving services at the program
on June 30, 2024, at a counselor to client ratio of up to one to 60 and is not
required to discharge any clients in order to return to the counselor to client
ratio of one to 50. The license holder
may not, however, serve a new client after June 30, 2024, unless the counselor
who would supervise the new client is supervising fewer than 50 existing
clients.
EFFECTIVE
DATE. This section is
effective July 1, 2024, except the amendments to paragraph (b) are effective
the day following final enactment.
Sec. 15. Minnesota Statutes 2023 Supplement, section 245I.04, subdivision 18, is amended to read:
Subd. 18. Recovery peer qualifications. (a) A recovery peer must:
(1) have a minimum of one year in recovery from substance use disorder; and
(2) hold a current credential from the Minnesota Certification Board, the Upper Midwest Indian Council on Addictive Disorders, or the National Association for Alcoholism and Drug Abuse Counselors that demonstrates skills and training in the domains of ethics and boundaries, advocacy, mentoring and education, and recovery and wellness support.
(b) A recovery peer who receives a credential from a Tribal Nation when providing peer recovery support services in a tribally licensed program satisfies the requirement in paragraph (a), clause (2).
(c) A recovery peer hired on or after
July 1, 2024, must not be classified or treated as an independent contractor. Beginning January 1, 2025, a recovery peer
must not be classified or treated as an independent contractor.
EFFECTIVE
DATE. This section is
effective July 1, 2024.
Sec. 16. Minnesota Statutes 2023 Supplement, section 254A.19, subdivision 3, is amended to read:
Subd. 3. Comprehensive
assessments. (a) An eligible
vendor under section 254B.05 conducting a comprehensive assessment for an
individual seeking treatment shall approve recommend the nature,
intensity level, and duration of treatment service if a need for services is
indicated, but the individual assessed can access any enrolled provider that is
licensed to provide the level of service authorized, including the provider or
program that completed the assessment. If
an individual is enrolled in a prepaid health plan, the individual must comply
with any provider network requirements or limitations.
(b) When a comprehensive assessment is
completed while the individual is in a substance use disorder treatment
program, the comprehensive assessment must meet the requirements of section
245G.05.
(c) When a comprehensive assessment is
completed while the individual is in a withdrawal management program, the
comprehensive assessment must meet the requirements of section 245F.06.
(d) When a comprehensive
assessment is completed for purposes of payment under section 254B.05,
subdivision 1, paragraph (b), (c), or (i), or if the assessment is completed
prior to service initiation by a licensed substance use disorder treatment
program licensed under chapter 245G or applicable Tribal license, the assessor
must:
(1) include all components under section
245G.05, subdivision 3;
(2) provide the assessment within five
days or at a later date upon the client's request, or refer the individual to
other locations where they may access this service sooner;
(3) provide information on payment
options for substance use disorder services when the individual is uninsured or
underinsured;
(4) provide the individual with a notice of privacy practices;
(5) provide a copy of the completed
comprehensive assessment, upon request;
(6) provide resources and contact
information for the level of care being recommended; and
(7) provide an individual diagnosed with
an opioid use disorder with educational material approved by the commissioner
that contains information on:
(i) risks for opioid use disorder and
opioid dependence;
(ii) treatment options, including the use
of a medication for opioid use disorder;
(iii) the risk and recognition of opioid
overdose; and
(iv) the use, availability, and
administration of an opiate antagonist to respond to opioid overdose.
Sec. 17. Minnesota Statutes 2022, section 254B.03, subdivision 4, is amended to read:
Subd. 4. Division
of costs. (a) Except for services
provided by a county under section 254B.09, subdivision 1, or services provided
under section 256B.69, the county shall, out of local money, pay the state for
22.95 percent of the cost of substance use disorder services, except for those
services provided to persons enrolled in medical assistance under chapter 256B
and room and board services under section 254B.05, subdivision 5, paragraph (b),
clause (12). Counties may use the
indigent hospitalization levy for treatment and hospital payments made under
this section.
(b) 22.95 percent of any state collections from private or third-party pay, less 15 percent for the cost of payment and collections, must be distributed to the county that paid for a portion of the treatment under this section.
Sec. 18. Minnesota Statutes 2023 Supplement, section 254B.04, subdivision 1a, is amended to read:
Subd. 1a. Client eligibility. (a) Persons eligible for benefits under Code of Federal Regulations, title 25, part 20, who meet the income standards of section 256B.056, subdivision 4, and are not enrolled in medical assistance, are entitled to behavioral health fund services. State money appropriated for this paragraph must be placed in a separate account established for this purpose.
(b) Persons with dependent children who are determined to be in need of substance use disorder treatment pursuant to an assessment under section 260E.20, subdivision 1, or in need of chemical dependency treatment pursuant to a case plan under section 260C.201, subdivision 6, or 260C.212, shall be assisted by the local agency to
access needed treatment services. Treatment services must be appropriate for the individual or family, which may include long-term care treatment or treatment in a facility that allows the dependent children to stay in the treatment facility. The county shall pay for out-of-home placement costs, if applicable.
(c) Notwithstanding paragraph (a), persons
enrolled in medical assistance are eligible for room and board services under
section 254B.05, subdivision 5, paragraph (b), clause (12).
(d) A client is eligible to have substance use disorder treatment paid for with funds from the behavioral health fund when the client:
(1) is eligible for MFIP as determined under chapter 256J;
(2) is eligible for medical assistance as determined under Minnesota Rules, parts 9505.0010 to 9505.0150;
(3) is eligible for general assistance, general assistance medical care, or work readiness as determined under Minnesota Rules, parts 9500.1200 to 9500.1318; or
(4) has income that is within current household size and income guidelines for entitled persons, as defined in this subdivision and subdivision 7.
(e) Clients who meet the financial eligibility requirement in paragraph (a) and who have a third-party payment source are eligible for the behavioral health fund if the third-party payment source pays less than 100 percent of the cost of treatment services for eligible clients.
(f) A client is ineligible to have substance use disorder treatment services paid for with behavioral health fund money if the client:
(1) has an income that exceeds current household size and income guidelines for entitled persons as defined in this subdivision and subdivision 7; or
(2) has an available third-party payment source that will pay the total cost of the client's treatment.
(g) A client who is disenrolled from a state prepaid health plan during a treatment episode is eligible for continued treatment service that is paid for by the behavioral health fund until the treatment episode is completed or the client is re-enrolled in a state prepaid health plan if the client:
(1) continues to be enrolled in MinnesotaCare, medical assistance, or general assistance medical care; or
(2) is
eligible according to paragraphs (a) and (b) and is determined eligible by a
local agency under section 254B.04.
(h) When a county commits a client under chapter 253B to a regional treatment center for substance use disorder services and the client is ineligible for the behavioral health fund, the county is responsible for the payment to the regional treatment center according to section 254B.05, subdivision 4.
Sec. 19. Minnesota Statutes 2023 Supplement, section 254B.04, subdivision 2a, is amended to read:
Subd. 2a. Eligibility
for room and board services for persons in outpatient substance use disorder
treatment. A person eligible for
room and board services under section 254B.05, subdivision 5, paragraph (b),
clause (12), must score at level 4 on assessment dimensions related to
readiness to change, relapse, continued use, or recovery environment in order
to be assigned to services with a room and board component reimbursed under
this section. Whether a treatment
facility has been designated an institution for mental diseases under United
States Code, title 42, section 1396d, shall not be a factor in making
placements.
Sec. 20. Minnesota Statutes 2023 Supplement, section 254B.04, subdivision 6, is amended to read:
Subd. 6. Local
agency to determine client financial eligibility. (a) The local agency shall determine a
client's financial eligibility for the behavioral health fund according to
section 254B.04, subdivision 1a, with the income calculated prospectively for
one year from the date of comprehensive assessment request. The local agency shall pay for eligible
clients according to chapter 256G. The
local agency shall enter the financial eligibility span within ten calendar
days of request. Client eligibility must be determined using only
forms prescribed by the department commissioner unless the local
agency has a reasonable basis for believing that the information submitted on a
form is false. To determine a
client's eligibility, the local agency must determine the client's income, the
size of the client's household, the availability of a third-party payment
source, and a responsible relative's ability to pay for the client's substance
use disorder treatment.
(b) A client who is a minor child must not be deemed to have income available to pay for substance use disorder treatment, unless the minor child is responsible for payment under section 144.347 for substance use disorder treatment services sought under section 144.343, subdivision 1.
(c) The local agency must determine the client's household size as follows:
(1) if
the client is a minor child, the household size includes the following persons
living in the same dwelling unit:
(i) the client;
(ii) the client's birth or adoptive parents; and
(iii) the client's siblings who are minors; and
(2) if the client is an adult, the household size includes the following persons living in the same dwelling unit:
(i) the client;
(ii) the client's spouse;
(iii) the client's minor children; and
(iv) the client's spouse's minor children.
For purposes of this paragraph, household size includes a person listed in clauses (1) and (2) who is in an out-of-home placement if a person listed in clause (1) or (2) is contributing to the cost of care of the person in out-of-home placement.
(d) The local agency must determine the client's current prepaid health plan enrollment, the availability of a third-party payment source, including the availability of total payment, partial payment, and amount of co-payment.
(e) The local agency must provide the required eligibility information to the department in the manner specified by the department.
(f) The local agency shall require the client and policyholder to conditionally assign to the department the client and policyholder's rights and the rights of minor children to benefits or services provided to the client if the department is required to collect from a third-party pay source.
(g) The local agency must redetermine a client's eligibility for the behavioral health fund every 12 months.
(h) A client, responsible relative, and policyholder must provide income or wage verification, household size verification, and must make an assignment of third-party payment rights under paragraph (f). If a client, responsible relative, or policyholder does not comply with the provisions of this subdivision, the client is ineligible for behavioral health fund payment for substance use disorder treatment, and the client and responsible relative must be obligated to pay for the full cost of substance use disorder treatment services provided to the client.
Sec. 21. Minnesota Statutes 2023 Supplement, section 254B.04, is amended by adding a subdivision to read:
Subd. 6a. Span
of eligibility. The local
agency must enter the financial eligibility span within five business days of a
request. If the comprehensive assessment
is completed within the timelines required under chapter 245G, then the span of
eligibility must begin on the date services were initiated. If the comprehensive assessment is not
completed within the timelines required under chapter 245G, then the span of
eligibility must begin on the date the comprehensive assessment was completed.
Sec. 22. Minnesota Statutes 2023 Supplement, section 254B.05, subdivision 1, is amended to read:
Subdivision 1. Licensure or certification required. (a) Programs licensed by the commissioner are eligible vendors. Hospitals may apply for and receive licenses to be eligible vendors, notwithstanding the provisions of section 245A.03. American Indian programs that provide substance use disorder treatment, extended care, transitional residence, or outpatient treatment services, and are licensed by Tribal government are eligible vendors.
(b) A licensed professional in private
practice as defined in section 245G.01, subdivision 17, who meets the
requirements of section 245G.11, subdivisions 1 and 4, is an eligible vendor of
a comprehensive assessment and assessment summary provided according to
section 245G.05 254A.19, subdivision 3, and treatment services
provided according to sections 245G.06 and 245G.07, subdivision 1, paragraphs
(a), clauses (1) to (5), and (b); and subdivision 2, clauses (1) to (6).
(c) A county is an eligible vendor for a
comprehensive assessment and assessment summary when provided by
an individual who meets the staffing credentials of section 245G.11,
subdivisions 1 and 5, and completed according to the requirements of section 245G.05
254A.19, subdivision 3. A county
is an eligible vendor of care coordination services when provided by an
individual who meets the staffing credentials of section 245G.11, subdivisions
1 and 7, and provided according to the requirements of section 245G.07,
subdivision 1, paragraph (a), clause (5).
A county is an eligible vendor of peer recovery services when the
services are provided by an individual who meets the requirements of section
245G.11, subdivision 8.
(d) A recovery community organization that
meets the requirements of clauses (1) to (10) and meets membership certification
or accreditation requirements of the Association of Recovery Community
Organizations, Alliance for Recovery Centered Organizations, the
Council on Accreditation of Peer Recovery Support Services, or a Minnesota
statewide recovery community organization identified by the commissioner is an
eligible vendor of peer support services.
Eligible vendors under this paragraph must:
(1) be nonprofit organizations;
(2) be led and governed by individuals in the recovery community, with more than 50 percent of the board of directors or advisory board members self-identifying as people in personal recovery from substance use disorders;
(3) primarily focus on recovery from substance use disorders, with missions and visions that support this primary focus;
(4) be grassroots and reflective of and engaged with the community served;
(5) be accountable to the recovery community through processes that promote the involvement and engagement of, and consultation with, people in recovery and their families, friends, and recovery allies;
(6) provide nonclinical peer recovery support services, including but not limited to recovery support groups, recovery coaching, telephone recovery support, skill-building groups, and harm-reduction activities;
(7) allow for and support opportunities for all paths toward recovery and refrain from excluding anyone based on their chosen recovery path, which may include but is not limited to harm reduction paths, faith-based paths, and nonfaith-based paths;
(8) be purposeful in meeting the diverse needs of Black, Indigenous, and people of color communities, including board and staff development activities, organizational practices, service offerings, advocacy efforts, and culturally informed outreach and service plans;
(9) be stewards of recovery-friendly
language that is supportive of and promotes recovery across diverse
geographical and cultural contexts and reduces stigma; and
(10) maintain an employee and volunteer
code of ethics and easily accessible grievance procedures posted in physical
spaces, on websites, or on program policies or forms.;
(11) not classify or treat any recovery
peer hired on or after July 1, 2024, as an independent contractor; and
(12) not classify or treat any recovery
peer as an independent contractor on or after January 1, 2025.
(e) Recovery community organizations approved by the commissioner before June 30, 2023, shall retain their designation as recovery community organizations.
(f) A recovery community organization that is aggrieved by an accreditation or membership determination and believes it meets the requirements under paragraph (d) may appeal the determination under section 256.045, subdivision 3, paragraph (a), clause (15), for reconsideration as an eligible vendor.
(g) All recovery community
organizations must be certified or accredited by an entity listed in paragraph
(d) by June 30, 2025.
(g) (h) Detoxification
programs licensed under Minnesota Rules, parts 9530.6510 to 9530.6590, are not
eligible vendors. Programs that are not
licensed as a residential or nonresidential substance use disorder treatment or
withdrawal management program by the commissioner or by Tribal government or do
not meet the requirements of subdivisions 1a and 1b are not eligible vendors.
(h) (i) Hospitals, federally
qualified health centers, and rural health clinics are eligible vendors of a
comprehensive assessment when the comprehensive assessment is completed
according to section 245G.05 254A.19, subdivision 3 and by an
individual who meets the criteria of an alcohol and drug counselor according to
section 245G.11, subdivision 5. The
alcohol and drug counselor must be individually enrolled with the commissioner
and reported on the claim as the individual who provided the service.
EFFECTIVE
DATE. This section is
effective August 1, 2024, except that paragraph (d), clauses (11) and (12), are
effective July 1, 2024.
Sec. 23. Minnesota Statutes 2023 Supplement, section 254B.05, subdivision 5, is amended to read:
Subd. 5. Rate requirements. (a) The commissioner shall establish rates for substance use disorder services and service enhancements funded under this chapter.
(b) Eligible substance use disorder treatment services include:
(1) those licensed, as applicable, according to chapter 245G or applicable Tribal license and provided according to the following ASAM levels of care:
(i) ASAM level 0.5 early intervention services provided according to section 254B.19, subdivision 1, clause (1);
(ii) ASAM level 1.0 outpatient services provided according to section 254B.19, subdivision 1, clause (2);
(iii)
ASAM level 2.1 intensive outpatient services provided according to section
254B.19, subdivision 1, clause (3);
(iv) ASAM level 2.5 partial hospitalization services provided according to section 254B.19, subdivision 1, clause (4);
(v) ASAM level 3.1 clinically managed low-intensity residential services provided according to section 254B.19, subdivision 1, clause (5). The commissioner shall use the base payment rate of $79.84 per day for services provided under this item;
(vi) ASAM level 3.1 clinically managed
low-intensity residential services according to section 254B.19, subdivision 1,
clause (5), provided at 15 or more hours of skilled treatment services each
week. The commissioner shall use the
base payment rate of $166.13 per day for services provided under this item;
(vii) ASAM level 3.3 clinically managed population-specific high-intensity residential services provided according to section 254B.19, subdivision 1, clause (6). The commissioner shall use the specified base payment rate of $224.06 per day for services provided under this item; and
(vii) (viii) ASAM level 3.5
clinically managed high-intensity residential services provided according to
section 254B.19, subdivision 1, clause (7).
The commissioner shall use the specified base payment rate of $224.06
per day for services provided under this item;
(2) comprehensive assessments provided
according to sections 245.4863, paragraph (a), and 245G.05 section
254A.19, subdivision 3;
(3)
treatment coordination services provided according to section 245G.07,
subdivision 1, paragraph (a), clause (5);
(4) peer recovery support services provided according to section 245G.07, subdivision 2, clause (8);
(5) withdrawal management services provided according to chapter 245F;
(6) hospital-based treatment services that are licensed according to sections 245G.01 to 245G.17 or applicable Tribal license and licensed as a hospital under sections 144.50 to 144.56;
(7) substance use disorder treatment
services with medications for opioid use disorder provided in an opioid
treatment program licensed according to sections 245G.01 to 245G.17 and
245G.22, or under an applicable Tribal license;
(8) medium-intensity
residential treatment services that provide 15 hours of skilled treatment
services each week and are licensed according to sections 245G.01 to 245G.17
and 245G.21 or applicable Tribal license;
(7) (9) adolescent treatment
programs that are licensed as outpatient treatment programs according to
sections 245G.01 to 245G.18 or as residential treatment programs according to
Minnesota Rules, parts 2960.0010 to 2960.0220, and 2960.0430 to 2960.0490, or
applicable Tribal license;
(8) (10) ASAM 3.5 clinically
managed high-intensity residential services that are licensed according to
sections 245G.01 to 245G.17 and 245G.21 or applicable Tribal license, which
provide ASAM level of care 3.5 according to section 254B.19, subdivision 1,
clause (7), and are provided by a state-operated vendor or to clients who have
been civilly committed to the commissioner, present the most complex and
difficult care needs, and are a potential threat to the community; and
(9) (11) room and board
facilities that meet the requirements of subdivision 1a.
(c) The commissioner shall establish higher rates for programs that meet the requirements of paragraph (b) and one of the following additional requirements:
(1) programs that serve parents with their children if the program:
(i) provides on-site child care during the hours of treatment activity that:
(A) is licensed under chapter 245A as a child care center under Minnesota Rules, chapter 9503; or
(B) is licensed under chapter 245A and sections 245G.01 to 245G.19; or
(ii)
arranges for off-site child care during hours of treatment activity at a
facility that is licensed under chapter 245A as:
(A) a child care center under Minnesota Rules, chapter 9503; or
(B) a family child care home under Minnesota Rules, chapter 9502;
(2) culturally specific or culturally responsive programs as defined in section 254B.01, subdivision 4a;
(3) disability responsive programs as defined in section 254B.01, subdivision 4b;
(4) programs that offer medical services
delivered by appropriately credentialed health care staff in an amount equal to
two hours one hour per client per week if the medical needs of
the client and the nature and provision of any medical services provided are
documented in the client file; or
(5) programs that offer services to individuals with co-occurring mental health and substance use disorder problems if:
(i) the program meets the co-occurring requirements in section 245G.20;
(ii) 25 percent of the counseling staff
are licensed mental health professionals under section 245I.04, subdivision 2,
or are students or licensing candidates under the supervision of a licensed
alcohol and drug counselor supervisor and mental health professional under
section 245I.04, subdivision 2, except that no more than 50 percent of the
mental health staff may be students or licensing candidates with time
documented to be directly related to provisions of co-occurring services; (ii)
the program employs a mental health professional as defined in section 245I.04,
subdivision 2;
(iii) clients scoring positive on a standardized mental health screen receive a mental health diagnostic assessment within ten days of admission;
(iv) the program has standards for multidisciplinary case review that include a monthly review for each client that, at a minimum, includes a licensed mental health professional and licensed alcohol and drug counselor, and their involvement in the review is documented;
(v) family education is offered that addresses mental health and substance use disorder and the interaction between the two; and
(vi) co-occurring counseling staff shall receive eight hours of co-occurring disorder training annually.
(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program that provides arrangements for off-site child care must maintain current documentation at the substance use disorder facility of the child care provider's current licensure to provide child care services.
(e) Adolescent residential programs that meet the requirements of Minnesota Rules, parts 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are exempt from the requirements in paragraph (c), clause (4), items (i) to (iv).
(f) Subject to federal approval, substance use disorder services that are otherwise covered as direct face-to-face services may be provided via telehealth as defined in section 256B.0625, subdivision 3b. The use of telehealth to deliver services must be medically appropriate to the condition and needs of the person being served. Reimbursement shall be at the same rates and under the same conditions that would otherwise apply to direct face‑to-face services.
(g) For the purpose of reimbursement under this section, substance use disorder treatment services provided in a group setting without a group participant maximum or maximum client to staff ratio under chapter 245G shall not exceed a client to staff ratio of 48 to one. At least one of the attending staff must meet the qualifications as established under this chapter for the type of treatment service provided. A recovery peer may not be included as part of the staff ratio.
(h) Payment for outpatient substance use disorder services that are licensed according to sections 245G.01 to 245G.17 is limited to six hours per day or 30 hours per week unless prior authorization of a greater number of hours is obtained from the commissioner.
(i) Payment for substance use disorder services under this section must start from the day of service initiation, when the comprehensive assessment is completed within the required timelines.
(j) A license holder that is unable to
provide all residential treatment services because a client missed services
remains eligible to bill for the client's intensity level of services under
this paragraph if the license holder can document the reason the client missed
services and the interventions done to address the client's absence.
(k) Hours in a treatment week may be
reduced in observance of federally recognized holidays.
EFFECTIVE
DATE. This section is
effective August 1, 2024, except the amendments to paragraph (b), clauses (1)
and (8), which are effective retroactively from January 1, 2024, with federal
approval or retroactively from a later federally approved date. The commissioner of human services shall
inform the revisor of statutes of the effective date upon federal approval.
Sec. 24. Minnesota Statutes 2023 Supplement, section 254B.181, subdivision 1, is amended to read:
Subdivision 1. Requirements. All sober homes must comply with applicable state laws and regulations and local ordinances related to maximum occupancy, fire safety, and sanitation. In addition, all sober homes must:
(1) maintain a supply of an opiate antagonist in the home in a conspicuous location and post information on proper use;
(2) have written policies regarding access to all prescribed medications;
(3) have written policies regarding evictions;
(4) return all property and medications to a person discharged from the home and retain the items for a minimum of 60 days if the person did not collect them upon discharge. The owner must make an effort to contact persons listed as emergency contacts for the discharged person so that the items are returned;
(5) document the names and contact information for persons to contact in case of an emergency or upon discharge and notification of a family member, or other emergency contact designated by the resident under certain circumstances, including but not limited to death due to an overdose;
(6) maintain contact information for emergency resources in the community to address mental health and health emergencies;
(7) have policies on staff qualifications and prohibition against fraternization;
(8) have a policy on whether the use of
medications for opioid use disorder is permissible permit residents to
use, as directed by a licensed prescriber, legally prescribed and dispensed or
administered pharmacotherapies approved by the United States Food and Drug
Administration for the treatment of opioid use disorder;
(9) permit residents to use, as directed
by a licensed prescriber, legally prescribed and dispensed or administered
pharmacotherapies approved by the United States Food and Drug Administration to
treat co-occurring substance use disorders and mental health conditions;
(9) (10) have a fee schedule
and refund policy;
(10) (11) have rules for
residents;
(11) (12) have policies that
promote resident participation in treatment, self-help groups, or other
recovery supports;
(12) (13) have policies
requiring abstinence from alcohol and illicit drugs; and
(13) (14) distribute the
sober home bill of rights.
EFFECTIVE
DATE. This section is
effective January 1, 2025, except clause (9) is effective June 1, 2026.
Sec. 25. Minnesota Statutes 2023 Supplement, section 256B.0759, subdivision 2, is amended to read:
Subd. 2. Provider participation. (a) Programs licensed by the Department of Human Services as nonresidential substance use disorder treatment programs that receive payment under this chapter must enroll as demonstration project providers and meet the requirements of subdivision 3 by January 1, 2025. Programs that do not meet the requirements of this paragraph are ineligible for payment for services provided under section 256B.0625.
(b) Programs licensed by the Department of Human Services as residential treatment programs according to section 245G.21 that receive payment under this chapter must enroll as demonstration project providers and meet the requirements of subdivision 3 by January 1, 2024. Programs that do not meet the requirements of this paragraph are ineligible for payment for services provided under section 256B.0625.
(c) Programs licensed by the Department of
Human Services as residential treatment programs according to section 245G.21
that receive payment under this chapter and, are licensed as a
hospital under sections 144.50 to 144.581 must, and provide only ASAM
3.7 medically monitored inpatient level of care are not required to enroll
as demonstration project providers and meet the requirements of subdivision
3 by January 1, 2025. Programs
meeting these criteria must submit evidence of providing the required level of
care to the commissioner to be exempt from enrolling in the demonstration.
(d) Programs licensed by the Department of Human Services as withdrawal management programs according to chapter 245F that receive payment under this chapter must enroll as demonstration project providers and meet the requirements of subdivision 3 by January 1, 2024. Programs that do not meet the requirements of this paragraph are ineligible for payment for services provided under section 256B.0625.
(e) Out-of-state residential substance use disorder treatment programs that receive payment under this chapter must enroll as demonstration project providers and meet the requirements of subdivision 3 by January 1, 2024. Programs that do not meet the requirements of this paragraph are ineligible for payment for services provided under section 256B.0625.
(f) Tribally licensed programs may elect to participate in the demonstration project and meet the requirements of subdivision 3. The Department of Human Services must consult with Tribal Nations to discuss participation in the substance use disorder demonstration project.
(g) The commissioner shall allow providers enrolled in the demonstration project before July 1, 2021, to receive applicable rate enhancements authorized under subdivision 4 for all services provided on or after the date of enrollment, except that the commissioner shall allow a provider to receive applicable rate enhancements authorized under subdivision 4 for services provided on or after July 22, 2020, to fee-for-service enrollees, and on or after January 1, 2021, to managed care enrollees, if the provider meets all of the following requirements:
(1) the provider attests that during the time period for which the provider is seeking the rate enhancement, the provider took meaningful steps in their plan approved by the commissioner to meet the demonstration project requirements in subdivision 3; and
(2) the provider submits attestation and evidence, including all information requested by the commissioner, of meeting the requirements of subdivision 3 to the commissioner in a format required by the commissioner.
(h) The commissioner may recoup any rate enhancements paid under paragraph (g) to a provider that does not meet the requirements of subdivision 3 by July 1, 2021.
Sec. 26. Minnesota Statutes 2022, section 256B.0759, subdivision 4, is amended to read:
Subd. 4. Provider payment rates. (a) Payment rates for participating providers must be increased for services provided to medical assistance enrollees. To receive a rate increase, participating providers must meet demonstration project requirements and provide evidence of formal referral arrangements with providers delivering step-up or step-down levels of care. Providers that have enrolled in the demonstration project but have not met the provider standards under subdivision 3 as of July 1, 2022, are not eligible for a rate increase under this subdivision until the date that the provider meets the provider standards in subdivision 3. Services provided from July 1, 2022, to the date that the provider meets the provider standards under subdivision 3 shall be reimbursed at rates according
to section 254B.05, subdivision 5, paragraph (b). Rate increases paid under this subdivision to a provider for services provided between July 1, 2021, and July 1, 2022, are not subject to recoupment when the provider is taking meaningful steps to meet demonstration project requirements that are not otherwise required by law, and the provider provides documentation to the commissioner, upon request, of the steps being taken.
(b) The commissioner may temporarily suspend payments to the provider according to section 256B.04, subdivision 21, paragraph (d), if the provider does not meet the requirements in paragraph (a). Payments withheld from the provider must be made once the commissioner determines that the requirements in paragraph (a) are met.
(c) For substance use disorder services
under section 254B.05, subdivision 5, paragraph (b), clause (8), provided on or after July 1, 2020, payment rates must be
increased by 25 percent over the rates in effect on December 31, 2019.
(d) (c) For outpatient
individual and group substance use disorder services under section 254B.05,
subdivision 5, paragraph (b), clauses clause (1), (6), and
(7), and adolescent treatment programs that are licensed as outpatient
treatment programs according to sections 245G.01 to 245G.18, provided on or
after January 1, 2021, payment rates must be increased by 20 percent over the
rates in effect on December 31, 2020.
(e) (d) Effective January 1, 2021, and
contingent on annual federal approval, managed care plans and county-based
purchasing plans must reimburse providers of the substance use disorder
services meeting the criteria described in paragraph
(a) who are employed by or under contract with the plan an amount that is at
least equal to the fee-for-service base rate payment for the substance
use disorder services described in paragraphs paragraph (c) and
(d). The commissioner must monitor
the effect of this requirement on the rate of access to substance use disorder
services and residential substance use disorder rates. Capitation rates paid to managed care
organizations and county-based purchasing plans must reflect the impact of this
requirement. This paragraph expires if
federal approval is not received at any time as required under this paragraph.
(f) (e) Effective July 1,
2021, contracts between managed care plans and county-based purchasing plans
and providers to whom paragraph (e) (d) applies must allow
recovery of payments from those providers if, for any contract year, federal
approval for the provisions of paragraph (e) (d) is not received,
and capitation rates are adjusted as a result.
Payment recoveries must not exceed the amount equal to any decrease in
rates that results from this provision.
(f) For substance use disorder services
with medications for opioid use disorder under section 254B.05, subdivision 5,
clause (7), provided on or after January 1, 2021, payment rates must be
increased by 20 percent over the rates in effect on December 31, 2020. Upon implementation of new rates according to
section 254B.121, the 20 percent increase will no longer apply.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 27. Laws 2021, First Special Session chapter 7, article 11, section 38, as amended by Laws 2022, chapter 98, article 4, section 50, is amended to read:
Sec. 38. DIRECTION
TO THE COMMISSIONER; SUBSTANCE USE DISORDER TREATMENT PAPERWORK REDUCTION.
(a) The commissioner of human services, in consultation with counties, tribes, managed care organizations, substance use disorder treatment professional associations, and other relevant stakeholders, shall develop, assess, and recommend systems improvements to minimize regulatory paperwork and improve systems for substance use disorder programs licensed under Minnesota Statutes, chapter 245A, and regulated under Minnesota Statutes, chapters 245F and 245G, and Minnesota Rules, chapters 2960 and 9530. The commissioner of human services shall make available any resources needed from other divisions within the department to implement systems improvements.
(b) The commissioner of health shall make available needed information and resources from the Division of Health Policy.
(c) The Office of MN.IT Services shall provide advance consultation and implementation of the changes needed in data systems.
(d) The commissioner of human services shall contract with a vendor that has experience with developing statewide system changes for multiple states at the payer and provider levels. If the commissioner, after exercising reasonable diligence, is unable to secure a vendor with the requisite qualifications, the commissioner may select the best qualified vendor available. When developing recommendations, the commissioner shall consider input from all stakeholders. The commissioner's recommendations shall maximize benefits for clients and utility for providers, regulatory agencies, and payers.
(e) The commissioner of human services and the contracted vendor shall follow the recommendations from the report issued in response to Laws 2019, First Special Session chapter 9, article 6, section 76.
(f) Within two years of contracting
with a qualified vendor according to paragraph (d) By December 15, 2024,
the commissioner of human services shall take steps to implement paperwork
reductions and systems improvements within the commissioner's authority and
submit to the chairs and ranking minority members of the legislative committees
with jurisdiction over health and human services a report that includes
recommendations for changes in statutes that would further enhance systems
improvements to reduce paperwork. The
report shall include a summary of the approaches developed and assessed by the
commissioner of human services and stakeholders and the results of any
assessments conducted.
Sec. 28. REPEALER.
Minnesota Statutes 2022, section
245G.22, subdivision 4, is repealed.
ARTICLE 5
DIRECT CARE AND TREATMENT
Section 1. Minnesota Statutes 2022, section 246.71, subdivision 3, is amended to read:
Subd. 3. Patient. "Patient" means any person who
is receiving treatment from or committed to a secure state‑operated
treatment facility program, including the Minnesota Sex Offender
Program.
Sec. 2. Minnesota Statutes 2022, section 246.71, subdivision 4, is amended to read:
Subd. 4. Employee
of a secure treatment facility state-operated treatment program
or employee. "Employee of a secure
treatment facility state-operated treatment program" or
"employee" means an employee of the Minnesota Security Hospital or
a secure treatment facility operated by the Minnesota Sex Offender Program any
state-operated treatment program.
Sec. 3. Minnesota Statutes 2022, section 246.71, subdivision 5, is amended to read:
Subd. 5. Secure
treatment facility State-operated treatment program. "Secure treatment facility State-operated
treatment program" means the Minnesota Security Hospital and the
Minnesota Sex Offender Program facility in Moose Lake and any portion of the
Minnesota Sex Offender Program operated by the Minnesota Sex Offender Program
at the Minnesota Security Hospital any state-operated treatment program
under the jurisdiction of the executive board, including the Minnesota Sex
Offender Program, community behavioral health hospitals, crisis centers, residential facilities, outpatient
services, and other community-based services under the executive board's
control.
Sec. 4. Minnesota Statutes 2022, section 246.711, is amended to read:
246.711
CONDITIONS FOR APPLICABILITY OF PROCEDURES.
Subdivision 1. Request
for procedures. An employee of a secure
treatment facility state-operated treatment program may request that
the procedures of sections 246.71 to 246.722 be followed when the employee may
have experienced a significant exposure to a patient.
Subd. 2. Conditions. The secure treatment facility state-operated
treatment program shall follow the procedures in sections 246.71 to 246.722
when all of the following conditions are met:
(1) a licensed physician, advanced practice registered nurse, or physician assistant determines that a significant exposure has occurred following the protocol under section 246.721;
(2) the licensed physician, advanced practice registered nurse, or physician assistant for the employee needs the patient's blood-borne pathogens test results to begin, continue, modify, or discontinue treatment in accordance with the most current guidelines of the United States Public Health Service, because of possible exposure to a blood-borne pathogen; and
(3) the employee consents to providing a blood sample for testing for a blood-borne pathogen.
Sec. 5. Minnesota Statutes 2022, section 246.712, subdivision 1, is amended to read:
Subdivision 1. Information
to patient. (a) Before seeking any
consent required by the procedures under sections 246.71 to 246.722, a secure
treatment facility state-operated treatment program shall inform the
patient that the patient's blood-borne pathogen test results, without the
patient's name or other uniquely identifying information, shall be reported to
the employee if requested and that test results collected under sections 246.71
to 246.722 are for medical purposes as set forth in section 246.718 and may not
be used as evidence in any criminal proceedings or civil proceedings, except
for procedures under sections 144.4171 to 144.4186.
(b) The secure treatment facility state-operated
treatment program shall inform the patient of the insurance protections in
section 72A.20, subdivision 29.
(c) The secure treatment facility state-operated
treatment program shall inform the patient that the patient may refuse to
provide a blood sample and that the patient's refusal may result in a request
for a court order to require the patient to provide a blood sample.
(d) The secure treatment facility state-operated
treatment program shall inform the patient that the secure treatment
facility state-operated treatment program will advise the employee
of a secure treatment facility state‑operated treatment program
of the confidentiality requirements and penalties before the employee's health
care provider discloses any test results.
Sec. 6. Minnesota Statutes 2022, section 246.712, subdivision 2, is amended to read:
Subd. 2. Information
to secure treatment facility state-operated treatment program
employee. (a) Before disclosing any
information about the patient, the secure treatment facility state-operated
treatment program shall inform the employee of a secure treatment
facility state-operated treatment program of the confidentiality
requirements of section 246.719 and that the person may be subject to penalties
for unauthorized release of test results about the patient under section
246.72.
(b) The secure treatment facility state-operated
treatment program shall inform the employee of the insurance protections in
section 72A.20, subdivision 29.
Sec. 7. Minnesota Statutes 2022, section 246.713, is amended to read:
246.713
DISCLOSURE OF POSITIVE BLOOD-BORNE PATHOGEN TEST RESULTS.
If the conditions of sections 246.711 and
246.712 are met, the secure treatment facility state-operated
treatment program shall ask the patient if the patient has ever had a
positive test for a blood-borne pathogen.
The secure treatment facility state-operated treatment program
must attempt to get existing test results under this section before taking any
steps to obtain a blood sample or to test for blood-borne pathogens. The secure treatment facility state‑operated
treatment program shall disclose the patient's blood-borne pathogen test
results to the employee without the patient's name or other uniquely
identifying information.
Sec. 8. Minnesota Statutes 2022, section 246.714, is amended to read:
246.714
CONSENT PROCEDURES GENERALLY.
(a) For purposes of sections 246.71 to
246.722, whenever the secure treatment facility state-operated
treatment program is required to seek consent, the secure treatment
facility state-operated treatment program shall obtain consent from
a patient or a patient's representative consistent with other law applicable to
consent.
(b) Consent is not required if the secure
treatment facility state-operated treatment program has made
reasonable efforts to obtain the representative's consent and consent cannot be
obtained within 24 hours of a significant exposure.
(c) If testing of available blood occurs
without consent because the patient is unconscious or unable to provide
consent, and a representative cannot be located, the secure treatment
facility state-operated treatment program shall provide the
information required in section 246.712 to the patient or representative
whenever it is possible to do so.
(d) If a patient dies before an
opportunity to consent to blood collection or testing under sections 246.71 to
246.722, the secure treatment facility state-operated treatment
program does not need consent of the patient's representative for purposes
of sections 246.71 to 246.722.
Sec. 9. Minnesota Statutes 2022, section 246.715, subdivision 1, is amended to read:
Subdivision 1. Procedures
with consent. If a sample of the
patient's blood is available, the secure treatment facility state-operated
treatment program shall ensure that blood is tested for blood-borne
pathogens with the consent of the patient, provided the conditions in sections
246.711 and 246.712 are met.
Sec. 10. Minnesota Statutes 2022, section 246.715, subdivision 2, is amended to read:
Subd. 2. Procedures
without consent. If the patient has
provided a blood sample, but does not consent to blood-borne pathogens testing,
the secure treatment facility state-operated treatment program
shall ensure that the blood is tested for blood-borne pathogens if the employee
requests the test, provided all of the following criteria are met:
(1) the employee and secure treatment
facility state-operated treatment program have documented exposure
to blood or body fluids during performance of the employee's work duties;
(2) a licensed physician, advanced practice registered nurse, or physician assistant has determined that a significant exposure has occurred under section 246.711 and has documented that blood-borne pathogen test results are needed for beginning, modifying, continuing, or discontinuing medical treatment for the employee as recommended by the most current guidelines of the United States Public Health Service;
(3) the employee provides a blood sample for testing for blood-borne pathogens as soon as feasible;
(4)
the secure treatment facility state-operated treatment program
asks the patient to consent to a test for blood-borne pathogens and the
patient does not consent;
(5) the secure treatment facility state-operated
treatment program has provided the patient and the employee with all of the
information required by section 246.712; and
(6) the secure treatment facility state-operated
treatment program has informed the employee of the confidentiality
requirements of section 246.719 and the penalties for unauthorized release of
patient information under section 246.72.
Sec. 11. Minnesota Statutes 2022, section 246.715, subdivision 3, is amended to read:
Subd. 3. Follow-up. The secure treatment facility state-operated
treatment program shall inform the patient whose blood was tested of the
results. The secure treatment
facility state-operated treatment program shall inform the
employee's health care provider of the patient's test results without the
patient's name or other uniquely identifying information.
Sec. 12. Minnesota Statutes 2022, section 246.716, subdivision 1, is amended to read:
Subdivision 1. Procedures
with consent. (a) If a blood sample
is not otherwise available, the secure treatment facility state-operated
treatment program shall obtain consent from the patient before collecting a
blood sample for testing for blood-borne pathogens. The consent process shall include informing
the patient that the patient may refuse to provide a blood sample and that the
patient's refusal may result in a request for a court order under subdivision 2
to require the patient to provide a blood sample.
(b) If the patient consents to provide a
blood sample, the secure treatment facility state-operated treatment
program shall collect a blood sample and ensure that the sample is tested
for blood-borne pathogens.
(c) The secure treatment facility state-operated
treatment program shall inform the employee's health care provider about
the patient's test results without the patient's name or other uniquely
identifying information. The secure
treatment facility state-operated treatment program shall inform the
patient of the test results.
(d) If the patient refuses to provide a
blood sample for testing, the secure treatment facility state-operated
treatment program shall inform the employee of the patient's refusal.
Sec. 13. Minnesota Statutes 2022, section 246.716, subdivision 2, as amended by Laws 2024, chapter 79, article 2, section 58, is amended to read:
Subd. 2. Procedures
without consent. (a) A secure
treatment facility state-operated treatment program or an employee
of a secure treatment facility state-operated treatment program
may bring a petition for a court order to require a patient to provide a blood
sample for testing for blood-borne pathogens.
The petition shall be filed in the district court in the county where
the patient is receiving treatment from the secure treatment facility state-operated
treatment program. The secure
treatment facility state-operated treatment program shall serve the
petition on the patient three days before a hearing on the petition. The petition shall include one or more
affidavits attesting that:
(1) the secure treatment facility state-operated
treatment program followed the procedures in sections 246.71 to 246.722 and
attempted to obtain blood-borne pathogen test results according to those
sections;
(2) a licensed physician,
advanced practice registered nurse, or physician assistant knowledgeable about
the most current recommendations of the United States Public Health Service has
determined that a significant exposure has occurred to the employee of a secure
treatment facility state-operated treatment program under section
246.721; and
(3) a physician, advanced practice registered nurse, or physician assistant has documented that the employee has provided a blood sample and consented to testing for blood-borne pathogens and blood-borne pathogen test results are needed for beginning, continuing, modifying, or discontinuing medical treatment for the employee under section 246.721.
(b) Secure treatment facilities State-operated
treatment programs shall cooperate with petitioners in providing any
necessary affidavits to the extent that facility staff can attest under oath to
the facts in the affidavits.
(c) The court may order the patient to provide a blood sample for blood-borne pathogen testing if:
(1) there is probable cause to believe the
employee of a secure treatment facility state-operated treatment
program has experienced a significant exposure to the patient;
(2) the court imposes appropriate safeguards against unauthorized disclosure that must specify the persons who have access to the test results and the purposes for which the test results may be used;
(3) a licensed physician, advanced practice
registered nurse, or physician assistant for the employee of a secure
treatment facility state-operated treatment program needs the test
results for beginning, continuing, modifying, or discontinuing medical
treatment for the employee; and
(4) the court finds a compelling need for the test results. In assessing compelling need, the court shall weigh the need for the court-ordered blood collection and test results against the interests of the patient, including, but not limited to, privacy, health, safety, or economic interests. The court shall also consider whether involuntary blood collection and testing would serve the public interests.
(d) The court shall conduct the proceeding in camera unless the petitioner or the patient requests a hearing in open court and the court determines that a public hearing is necessary to the public interest and the proper administration of justice.
(e) The patient may arrange for counsel in any proceeding brought under this subdivision.
Sec. 14. Minnesota Statutes 2022, section 246.717, is amended to read:
246.717
NO DISCRIMINATION.
A secure treatment facility state-operated
treatment program shall not withhold care or treatment on the requirement
that the patient consent to blood-borne pathogen testing under sections 246.71
to 246.722.
Sec. 15. Minnesota Statutes 2022, section 246.721, as amended by Laws 2024, chapter 79, article 2, section 60, is amended to read:
246.721
PROTOCOL FOR EXPOSURE TO BLOOD-BORNE PATHOGENS.
(a) A secure treatment facility state-operated treatment
program shall follow applicable Occupational Safety and Health
Administration guidelines under Code of Federal Regulations, title 29, part
1910.1030, for blood-borne pathogens.
(b) Every secure treatment facility state-operated
treatment program shall adopt and follow a postexposure protocol for
employees at a secure treatment facility state-operated treatment
program who have experienced a significant exposure. The postexposure protocol must adhere to the
most current recommendations of the United States Public Health Service and
include, at a minimum, the following:
(1) a process for employees to report an exposure in a timely fashion;
(2) a process for an infectious disease specialist, or a licensed physician, advanced practice registered nurse, or physician assistant who is knowledgeable about the most current recommendations of the United States Public Health Service in consultation with an infectious disease specialist, (i) to determine whether a significant exposure to one or more blood-borne pathogens has occurred, and (ii) to provide, under the direction of a licensed physician, advanced practice registered nurse, or physician assistant, a recommendation or recommendations for follow-up treatment appropriate to the particular blood-borne pathogen or pathogens for which a significant exposure has been determined;
(3) if there has been a significant exposure, a process to determine whether the patient has a blood-borne pathogen through disclosure of test results, or through blood collection and testing as required by sections 246.71 to 246.722;
(4) a process for providing appropriate counseling prior to and following testing for a blood-borne pathogen regarding the likelihood of blood-borne pathogen transmission and follow-up recommendations according to the most current recommendations of the United States Public Health Service for testing and treatment;
(5) a process for providing appropriate
counseling under clause (4) to the employee of a secure treatment facility
state-operated treatment program and to the patient; and
(6) compliance with applicable state and federal laws relating to data practices, confidentiality, informed consent, and the patient bill of rights.
Sec. 16. Minnesota Statutes 2022, section 246.722, is amended to read:
246.722
IMMUNITY.
A secure treatment facility state-operated
treatment program, licensed physician, advanced practice registered nurse,
physician assistant, and designated health care personnel are immune from
liability in any civil, administrative, or criminal action relating to the
disclosure of test results of a patient to an employee of a secure treatment facility state-operated treatment program and the
testing of a blood sample from the patient for blood-borne pathogens if
a good faith effort has been made to comply with sections 246.71 to 246.722.
Sec. 17. Laws 2023, chapter 61, article 8, section 13, subdivision 2, is amended to read:
Subd. 2. Membership. (a) The task force shall consist of the following members, appointed as follows:
(1) a member appointed by the governor;
(2) the commissioner of human services, or a designee;
(3) a member representing Department of Human Services direct care and treatment services who has experience with civil commitments, appointed by the commissioner of human services;
(4) the ombudsman for mental health and developmental disabilities;
(5) a hospital representative, appointed by the Minnesota Hospital Association;
(6) a county representative, appointed by the Association of Minnesota Counties;
(7) a county social services representative, appointed by the Minnesota Association of County Social Service Administrators;
(8) a member appointed by the Minnesota
Civil Commitment Defense Panel Hennepin County Commitment Defense
Project;
(9) a county attorney, appointed by the Minnesota County Attorneys Association;
(10) a county sheriff, appointed by the Minnesota Sheriffs' Association;
(11) a member appointed by the Minnesota Psychiatric Society;
(12) a member appointed by the Minnesota Association of Community Mental Health Programs;
(13) a member appointed by the National Alliance on Mental Illness Minnesota;
(14) the Minnesota Attorney General;
(15) three individuals from organizations representing racial and ethnic groups that are overrepresented in the criminal justice system, appointed by the commissioner of corrections; and
(16) one member of the public with lived experience directly related to the task force's purposes, appointed by the governor.
(b) Appointments must be made no later than July 15, 2023.
(c) Member compensation and reimbursement for expenses are governed by Minnesota Statutes, section 15.059, subdivision 3.
(d) A member of the legislature may not serve as a member of the task force.
ARTICLE 6
MISCELLANEOUS
Section 1. Minnesota Statutes 2022, section 254A.03, subdivision 1, is amended to read:
Subdivision 1. Alcohol and Other Drug Abuse Section. There is hereby created an Alcohol and Other Drug Abuse Section in the Department of Human Services. This section shall be headed by a director. The commissioner may place the director's position in the unclassified service if the position meets the criteria established in section 43A.08, subdivision 1a. The section shall:
(1) conduct and foster basic research relating to the cause, prevention and methods of diagnosis, treatment and recovery of persons with substance misuse and substance use disorder;
(2) coordinate and review all activities and programs of all the various state departments as they relate to problems associated with substance misuse and substance use disorder;
(3) develop, demonstrate, and disseminate new methods and techniques for prevention, early intervention, treatment and recovery support for substance misuse and substance use disorder;
(4) gather facts and information about substance misuse and substance use disorder, and about the efficiency and effectiveness of prevention, treatment, and recovery support services from all comprehensive programs, including programs approved or licensed by the commissioner of human services or the commissioner of health or accredited by the Joint Commission on Accreditation of Hospitals. The state authority is authorized to require information from comprehensive programs which is reasonable and necessary to fulfill these duties. When required information has been previously furnished to a state or local governmental agency, the state authority shall collect the information from the governmental agency. The state authority shall disseminate facts and summary information about problems associated with substance misuse and substance use disorder to public and private agencies, local governments, local and regional planning agencies, and the courts for guidance to and assistance in prevention, treatment and recovery support;
(5) inform and educate the general public on substance misuse and substance use disorder;
(6) serve as the state authority
concerning substance misuse and substance use disorder by monitoring the
conduct of diagnosis and referral services, research and comprehensive programs. The state authority shall submit a biennial
report to the governor and the legislature containing a description of
public services delivery and recommendations concerning increase of
coordination and quality of services, and decrease of service duplication and
cost;
(7) establish a state plan which shall set forth goals and priorities for a comprehensive continuum of care for substance misuse and substance use disorder for Minnesota. All state agencies operating substance misuse or substance use disorder programs or administering state or federal funds for such programs shall annually set their program goals and priorities in accordance with the state plan. Each state agency shall annually submit its plans and budgets to the state authority for review. The state authority shall certify whether proposed services comply with the comprehensive state plan and advise each state agency of review findings;
(8) make contracts with and grants to public and private agencies and organizations, both profit and nonprofit, and individuals, using federal funds, and state funds as authorized to pay for costs of state administration, including evaluation, statewide programs and services, research and demonstration projects, and American Indian programs;
(9) receive and administer money available for substance misuse and substance use disorder programs under the alcohol, drug abuse, and mental health services block grant, United States Code, title 42, sections 300X to 300X-9;
(10) solicit and accept any gift of money or property for purposes of Laws 1973, chapter 572, and any grant of money, services, or property from the federal government, the state, any political subdivision thereof, or any private source;
(11) with respect to substance misuse and substance use disorder programs serving the American Indian community, establish guidelines for the employment of personnel with considerable practical experience in substance misuse and substance use disorder, and understanding of social and cultural problems related to substance misuse and substance use disorder, in the American Indian community.
Sec. 2. Minnesota Statutes 2023 Supplement, section 256B.4914, subdivision 10, is amended to read:
Subd. 10. Evaluation of information and data. (a) The commissioner shall, within available resources, conduct research and gather data and information from existing state systems or other outside sources on the following items:
(1) differences in the underlying cost to provide services and care across the state;
(2) mileage, vehicle type, lift requirements, incidents of individual and shared rides, and units of transportation for all day services, which must be collected from providers using the rate management worksheet and entered into the rates management system; and
(3) the distinct underlying costs for services provided by a license holder under sections 245D.05, 245D.06, 245D.07, 245D.071, 245D.081, and 245D.09, and for services provided by a license holder certified under section 245D.33.
(b) The commissioner, in consultation with stakeholders, shall review and evaluate the following values already in subdivisions 6 to 9, or issues that impact all services, including, but not limited to:
(1) values for transportation rates;
(2) values for services where monitoring technology replaces staff time;
(3) values for indirect services;
(4) values for nursing;
(5) values for the facility use rate in day services, and the weightings used in the day service ratios and adjustments to those weightings;
(6) values for workers' compensation as part of employee-related expenses;
(7) values for unemployment insurance as part of employee-related expenses;
(8) direct care workforce labor market measures;
(9) any changes in state or federal law with a direct impact on the underlying cost of providing home and community-based services;
(10) outcome measures, determined by the commissioner, for home and community-based services rates determined under this section; and
(11) different competitive workforce factors by service, as determined under subdivision 10b.
(c) The commissioner shall report to
the chairs and the ranking minority members of the legislative committees and
divisions with jurisdiction over health and human services policy and finance
with the information and data gathered under paragraphs (a) and (b) on January
15, 2021, with a full report, and a full report once every four years
thereafter.
(d) (c) Beginning July 1,
2022, the commissioner shall renew analysis and implement changes to the
regional adjustment factors once every six years. Prior to implementation, the commissioner
shall consult with stakeholders on the methodology to calculate the adjustment.
Sec. 3. Minnesota Statutes 2023 Supplement, section 256B.4914, subdivision 10a, is amended to read:
Subd. 10a. Reporting and analysis of cost data. (a) The commissioner must ensure that wage values and component values in subdivisions 5 to 9 reflect the cost to provide the service. As determined by the commissioner, in consultation with stakeholders identified in subdivision 17, a provider enrolled to provide services with rates
determined under this section must submit requested cost data to the commissioner to support research on the cost of providing services that have rates determined by the disability waiver rates system. Requested cost data may include, but is not limited to:
(1) worker wage costs;
(2) benefits paid;
(3) supervisor wage costs;
(4) executive wage costs;
(5) vacation, sick, and training time paid;
(6) taxes, workers' compensation, and unemployment insurance costs paid;
(7) administrative costs paid;
(8) program costs paid;
(9) transportation costs paid;
(10) vacancy rates; and
(11) other data relating to costs required to provide services requested by the commissioner.
(b) At least once in any five-year period, a provider must submit cost data for a fiscal year that ended not more than 18 months prior to the submission date. The commissioner shall provide each provider a 90-day notice prior to its submission due date. If a provider fails to submit required reporting data, the commissioner shall provide notice to providers that have not provided required data 30 days after the required submission date, and a second notice for providers who have not provided required data 60 days after the required submission date. The commissioner shall temporarily suspend payments to the provider if cost data is not received 90 days after the required submission date. Withheld payments shall be made once data is received by the commissioner.
(c) The commissioner shall conduct a random validation of data submitted under paragraph (a) to ensure data accuracy. The commissioner shall analyze cost documentation in paragraph (a) and provide recommendations for adjustments to cost components.
(d) The commissioner shall analyze cost
data submitted under paragraph (a) and, in consultation with stakeholders
identified in subdivision 17, may submit recommendations on component values
and inflationary factor adjustments to the chairs and ranking minority members
of the legislative committees with jurisdiction over human services once every
four years beginning January 1, 2021. The
commissioner shall make recommendations in conjunction with reports submitted
to the legislature according to subdivision 10, paragraph (c). The commissioner shall release cost data in
an aggregate form. Cost data from
individual providers must not be released except as provided for in current
law.
(e) The commissioner shall use data collected in paragraph (a) to determine the compliance with requirements identified under subdivision 10d. The commissioner shall identify providers who have not met the thresholds identified under subdivision 10d on the Department of Human Services website for the year for which the providers reported their costs.
Sec. 4. Minnesota Statutes 2022, section 256B.69, subdivision 5k, is amended to read:
Subd. 5k. Actuarial
soundness. (a) Rates paid to
managed care plans and county-based purchasing plans shall satisfy requirements
for actuarial soundness. In order to
comply with this subdivision, the rates must:
(1) be neither inadequate nor excessive;
(2) satisfy federal requirements;
(3) in the case of contracts with incentive arrangements, not exceed 105 percent of the approved capitation payments attributable to the enrollees or services covered by the incentive arrangement;
(4) be developed in accordance with generally accepted actuarial principles and practices;
(5) be appropriate for the populations to be covered and the services to be furnished under the contract; and
(6) be certified as meeting the requirements of federal regulations by actuaries who meet the qualification standards established by the American Academy of Actuaries and follow the practice standards established by the Actuarial Standards Board.
(b) Each year within 30 days of the
establishment of plan rates the commissioner shall report to the chairs and
ranking minority members of the senate Health and Human Services Budget
Division and the house of representatives Health Care and Human Services
Finance Division to certify how each of these conditions have been met by the
new payment rates.
Sec. 5. Minnesota Statutes 2022, section 402A.16, subdivision 2, is amended to read:
Subd. 2. Duties. The Human Services Performance Council shall:
(1)
hold meetings at least quarterly that are in compliance with Minnesota's Open
Meeting Law under chapter 13D;
(2) annually review the annual performance data submitted by counties or service delivery authorities;
(3) review and advise the commissioner on department procedures related to the implementation of the performance management system and system process requirements and on barriers to process improvement in human services delivery;
(4) advise the commissioner on the training and technical assistance needs of county or service delivery authority and department personnel;
(5) review instances in which a county or service delivery authority has not made adequate progress on a performance improvement plan and make recommendations to the commissioner under section 402A.18;
(6) consider appeals from counties or service delivery authorities that are in the remedies process and make recommendations to the commissioner on resolving the issue;
(7) convene working groups to update and develop outcomes, measures, and performance thresholds for the performance management system and, on an annual basis, present these recommendations to the commissioner, including recommendations on when a particular essential human services program has a balanced set of program measures in place;
(8) make recommendations on
human services administrative rules or statutes that could be repealed in order
to improve service delivery; and
(9) provide information to stakeholders on
the council's role and regularly collect stakeholder input on performance
management system performance; and.
(10) submit an annual report to the
legislature and the commissioner, which includes a comprehensive report on the
performance of individual counties or service delivery authorities as it
relates to system measures; a list of counties or service delivery authorities
that have been required to create performance improvement plans and the areas
identified for improvement as part of the remedies process; a summary of
performance improvement training and technical assistance activities offered to
the county personnel by the department; recommendations on administrative rules
or state statutes that could be repealed in order to improve service delivery;
recommendations for system improvements, including updates to system outcomes,
measures, and thresholds; and a response from the commissioner.
Sec. 6. REPEALER.
Minnesota Statutes 2022, sections
245G.011, subdivision 5; 252.34; and 256.01, subdivision 39, are repealed."
Delete the title and insert:
"A bill for an act relating to human services; modifying and establishing laws regarding disability services, aging services, and substance use disorder treatment services; modernizing language in the Deaf and Hard-of-Hearing Services Act; expanding application of bloodborne pathogen testing to nonsecure direct care and treatment programming; making technical corrections and repealing obsolete language; amending Minnesota Statutes 2022, sections 144A.20, subdivision 4; 144G.30, subdivision 5; 144G.45, subdivision 3; 148F.025, subdivision 2; 245A.11, subdivision 2, as amended; 245D.071, subdivisions 3, 4; 245D.081, subdivisions 2, 3; 245D.09, subdivision 3; 245D.091, subdivisions 3, 4; 245D.10, subdivision 1; 245F.02, subdivisions 17, 21; 245F.08, subdivision 3; 245F.15, subdivision 7; 245G.031, subdivision 2; 245G.04, by adding a subdivision; 245G.22, subdivisions 6, 7; 246.71, subdivisions 3, 4, 5; 246.711; 246.712, subdivisions 1, 2; 246.713; 246.714; 246.715, subdivisions 1, 2, 3; 246.716, subdivisions 1, 2, as amended; 246.717; 246.721, as amended; 246.722; 254A.03, subdivision 1; 254B.03, subdivision 4; 256.975, subdivision 7e; 256B.0659, subdivision 17a; 256B.0759, subdivision 4; 256B.0911, subdivision 24; 256B.092, by adding a subdivision; 256B.49, by adding a subdivision; 256B.4905, subdivision 12; 256B.69, subdivision 5k, by adding a subdivision; 256B.85, subdivisions 2, 6, 6a, 7a, 11, 17, 20, by adding a subdivision; 256C.21; 256C.23, subdivisions 1a, 2, 2a, 2b, 2c, 6, 7, by adding a subdivision; 256C.233, subdivisions 1, 2; 256C.24, subdivisions 1, 2, 3; 256C.26; 256C.261; 256C.28, subdivision 1; 256R.08, subdivision 1, by adding a subdivision; 402A.16, subdivision 2; Minnesota Statutes 2023 Supplement, sections 245G.05, subdivision 3; 245G.09, subdivision 3; 245G.11, subdivision 10; 245G.22, subdivisions 2, 17; 245I.04, subdivision 18; 254A.19, subdivision 3; 254B.04, subdivisions 1a, 2a, 6, by adding a subdivision; 254B.05, subdivisions 1, 5; 254B.181, subdivision 1; 256B.057, subdivision 9; 256B.0659, subdivision 24; 256B.0759, subdivision 2; 256B.4914, subdivisions 4, 10, 10a; 256B.85, subdivision 13a; Laws 2021, First Special Session chapter 7, article 11, section 38, as amended; article 13, section 75; Laws 2023, chapter 61, article 8, section 13, subdivision 2; repealing Minnesota Statutes 2022, sections 245G.011, subdivision 5; 245G.22, subdivision 4; 252.34; 256.01, subdivision 39; 256.975, subdivisions 7f, 7g; 256R.18."
We request the adoption of this report and repassage of the bill.
Senate Conferees: John Hoffman, Alice Mann and Paul Utke.
House Conferees: Peter Fischer, Luke Frederick and Dave Baker.
Fischer moved that the report of the Conference Committee on
S. F. No. 4399 be adopted and that the bill be repassed as
amended by the Conference Committee. The
motion prevailed.
S. F. No. 4399, A bill for an act relating to human services; modifying and establishing laws regarding disability services, aging services, and substance use disorder treatment services; modifying assisted living facility licensing standards; modernizing language in Deaf and Hard-of-Hearing Services Act; expanding application of bloodborne pathogen testing to nonsecure direct care and treatment programming; making technical corrections and repealing obsolete language; limiting rent increases in certain low-income rental projects receiving low-income housing tax credits; amending Minnesota Statutes 2022, sections 144A.20, subdivision 4; 144G.30, subdivision 5; 144G.45, subdivision 3; 148F.025, subdivision 2; 245A.11, subdivision 2; 245D.071, subdivisions 3, 4; 245D.081, subdivisions 2, 3; 245D.09, subdivision 3; 245D.091, subdivisions 3, 4; 245D.10, subdivision 1; 245F.02, subdivisions 17, 21; 245F.08, subdivision 3; 245F.15, subdivision 7; 245G.031, subdivision 2; 245G.04, by adding a subdivision; 245G.22, subdivision 6; 246.71, subdivisions 3, 4, 5; 246.711; 246.712, subdivisions 1, 2; 246.713; 246.714; 246.715, subdivisions 1, 2, 3; 246.716, subdivisions 1, 2, as amended; 246.717; 246.721, as amended; 246.722; 254A.03, subdivision 1; 256.975, subdivision 7e; 256B.0659, subdivision 17a; 256B.0759, subdivision 4; 256B.0911, subdivision 24; 256B.092, by adding a subdivision; 256B.49, by adding a subdivision; 256B.4905, subdivision 12; 256B.69, subdivision 5k, by adding a subdivision; 256B.85, subdivisions 2, 6, 6a, 7a, 11, 17, 20, by adding a subdivision; 256C.21; 256C.23, subdivisions 1a, 2, 2a, 2b, 2c, 6, 7, by adding a subdivision; 256C.233, subdivisions 1, 2; 256C.24, subdivisions 1, 2, 3; 256C.26; 256C.261; 256C.28, subdivision 1; 256R.08, subdivision 1, by adding a subdivision; 256S.205, subdivision 5, by adding a subdivision; 402A.16, subdivision 2; Minnesota Statutes 2023 Supplement, sections 245G.05, subdivision 3; 245G.09, subdivision 3; 245G.11, subdivision 10; 245G.22, subdivisions 2, 17; 254A.19, subdivision 3; 254B.04, subdivision 6, by adding a subdivision; 254B.05, subdivisions 1, 5; 254B.181, subdivision 1; 254B.19, subdivision 1; 256B.057, subdivision 9; 256B.0659, subdivision 24; 256B.0759, subdivision 2; 256B.4914, subdivisions 4, 10, 10a; 256B.85, subdivision 13a; Laws 2021, First Special Session chapter 7, article 11, section 38, as amended; article 13, section 75; Laws 2023, chapter 61, article 8, section 13, subdivision 2; repealing Minnesota Statutes 2022, sections 245G.011, subdivision 5; 245G.22, subdivisions 4, 7; 252.34; 256.01, subdivision 39; 256.975, subdivisions 7f, 7g; 256R.18.
The bill was read for the third time, as
amended by Conference, and placed upon its repassage.
The question was taken on the repassage of
the bill 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.
Backer
Bahner
Bakeberg
Baker
Becker-Finn
Bennett
Berg
Bierman
Bliss
Brand
Burkel
Carroll
Cha
Clardy
Coulter
Curran
Davids
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
Huot
Hussein
Igo
Jacob
Johnson
Jordan
Joy
Klevorn
Knudsen
Koegel
Kotyza-Witthuhn
Kozlowski
Koznick
Kraft
Lawrence
Lee, F.
Lee, K.
Liebling
Lillie
Lislegard
Long
McDonald
Mekeland
Moller
Mueller
Murphy
Myers
Nadeau
Nash
Nelson, M.
Nelson, N.
Neu Brindley
Newton
Niska
Noor
Norris
Novotny
O'Driscoll
Olson, B.
Olson, L.
Pelowski
Pérez-Vega
Perryman
Petersburg
Pfarr
Pinto
Pryor
Pursell
Quam
Rarick
Rehm
Reyer
Robbins
Schomacker
Scott
Sencer-Mura
Skraba
Smith
Stephenson
Swedzinski
Tabke
Torkelson
Urdahl
Vang
Virnig
West
Wiener
Wiens
Witte
Wolgamott
Xiong
Youakim
Zeleznikar
Spk. Hortman
The bill was repassed, as amended by
Conference, and its title agreed to.
Madam Speaker:
I hereby announce that the Senate has concurred in and adopted the report of the Conference Committee on:
S. F. No. 4579.
The Senate has repassed said bill in accordance with the recommendation and report of the Conference Committee. Said Senate File is herewith transmitted to the House.
Thomas S. Bottern, Secretary of the Senate
CONFERENCE COMMITTEE REPORT ON S. F. No. 4579
A bill for an act relating to energy; providing for and regulating shared-metered utility service in residential buildings; amending Minnesota Statutes 2022, sections 216B.022; 216B.098, subdivision 6; 504B.285, subdivision 4; Minnesota Statutes 2023 Supplement, section 216B.172, subdivisions 1, 2; proposing coding for new law in Minnesota Statutes, chapters 216B; 504B; repealing Minnesota Statutes 2022, section 504B.215.
May 10, 2024
The Honorable Bobby Joe Champion
President of the Senate
The Honorable Melissa Hortman
Speaker of the House of Representatives
We, the undersigned conferees for S. F. No. 4579 report that we have agreed upon the items in dispute and recommend as follows:
That the House recede from its amendment and that S. F. No. 4579 be further amended as follows:
Delete everything after the enacting clause and insert:
"Section 1. Minnesota Statutes 2022, section 216B.022, is amended to read:
216B.022
SUBMETERING IN SHARED-METERED RESIDENTIAL BUILDINGS.
Subdivision 1. Definitions. (a) For the purposes of this section
and sections 216B.023 and 216B.024, the following terms have the meanings
given.
(b) "Landlord" has
the meaning given in section 504B.001, subdivision 7. Landlord includes a third-party billing
agent.
(c) "Nonresidential building"
means a building that is not a residential building.
(d) "Nonusage charges" means
the total of the charges on the utility bill from a utility provider that
represent all nonconsumption-based charges and fees, including but not limited
to fixed-meter or service charges, taxes, surcharges, and other fees.
(e) "Shared-metered residential
building" means a residential building with multiple separate residential
dwelling units where the building's utility service is measured by fewer meters
than the number of separate dwelling units in the building. Shared-metered residential building does not
include a manufactured home park.
(f) "Submeter" means a meter
that (1) is owned or installed by the landlord or by a third-party billing
agent or other agent of the landlord, and (2) measures utility service consumed
solely within an individual dwelling unit in the shared-metered residential
building.
(g) "Tenant" means a person
who is occupying a dwelling unit in a shared-metered residential building under
a lease or contract, whether oral or written, that requires the payment of
money or exchange of services. Tenant
includes all other regular occupants of the subject dwelling unit.
(h) "Third-party billing
agent" means a person or entity, other than the property owner, that
performs one or more utility management services at a shared-metered
residential building on behalf of a landlord, including but not limited to
installing submeters, reading submeters, or handling utility billing or
collections, or both.
(i) "Utility provider" means
a public utility, a municipal utility, or a cooperative electric association
providing utility service.
(j) "Utility service" means
natural gas and electricity.
Subd. 2. Submetering
in shared-metered residential buildings.
(a) A landlord of a shared-metered residential building with
installed submeters is subject to the commission's authority under this
chapter.
(b) On or after January 1, 2025, all
submeters installed by a landlord to measure utility service must meet
standards established by the American National Standards Institute.
(c) All submeters, regardless of when
the submeter was installed, must accurately measure utility service.
Subd. 3. Submetering in nonresidential buildings. Nothing in this chapter grants the commission or a public utility the authority to limit the availability of submetering to a nonresidential building occupant when the building is served by a public utility's master meter which measures the total electric energy delivered to the building.
Subd. 4. Inaccurate
submeters. (a) If a tenant
notifies the landlord in writing that the tenant suspects the submeter is
incorrectly registering the tenant's utility service and includes an
explanation for the suspicion, the landlord must promptly investigate to
determine whether the submeter is inaccurate.
If the submeter is inaccurate, the landlord must either repair or
replace the submeter or inform the tenant in writing why no corrective action
is believed necessary.
(b) If the inaccurate submeter has
resulted in an overcharge, the landlord must promptly refund the difference
between what the tenant paid and what the tenant would have paid if the
submeter had correctly registered the tenant's utility service.
(c) If the inaccurate submeter
has resulted in an undercharge, the landlord may bill the tenant the difference
between what the tenant paid and what the tenant would have paid if the
submeter had correctly registered the tenant's utility service for a period not
exceeding the previous six months. Any
undercharge the landlord seeks to collect must be recovered in accordance with
section 216B.023, subdivision 8.
(d) If a tenant has notified the
landlord that the tenant suspects the tenant's submeter is incorrectly
registering the tenant's utility service as provided in paragraph (a) and the
landlord has failed within a reasonable time to check the submeter and provide
the tenant with the results of a meter test demonstrating the submeter is
accurate, the landlord is prohibited from recovering from the tenant any
undercharge for the period between the date of the tenant's notification and
the date the submeter was checked.
Subd. 5. Submeter
fees. A landlord is
prohibited from charging to or collecting from tenants any administrative,
capital, or any other expenses associated with the installation, maintenance,
repair, replacement, or reading of submeters, unless the expense is due to the
tenant's willful, malicious, or negligent conduct. Nothing in this subdivision prevents the
landlord from imposing a late payment charge, as provided under section
216B.023, subdivision 6, or an administrative billing charge, as provided under
section 216B.023, subdivision 4.
Sec. 2. [216B.023]
SHARED-METERED RESIDENTIAL BUILDINGS; BILLING; CONSUMER PROTECTIONS.
Subdivision 1. Billing
requirements for submetered service.
(a) If utility service is submetered, utility bills provided by
landlords to tenants must be based on actual submeter readings. If natural gas service is apportioned,
landlords must comply with section 504B.216, subdivisions 5 and 6.
(b) Landlords are prohibited from
billing submetered tenants or tenants whose natural gas service is apportioned
less frequently than the landlord is billed by the utility. Landlords must include in the lease, or
provide a written statement at the outset of the lease term, notice of when
utility bills will be issued.
(c) Landlords must include the
following information on each submetered utility service bill:
(1) the present and last preceding
submeter readings;
(2) the date of the present reading;
(3) the rate at which the utility
service is being billed, the amount of the service billed at the rate, and the
rate at which the landlord is being billed by the utility provider for the
utility service;
(4) the tenant's portion of taxes and
surcharges;
(5)
if any, the portion of any bill credit the landlord received from the utility
provider that is credited to the tenant;
(6) any administrative billing charge,
as provided in subdivision 4;
(7) the total amount of the bill; and
(8) the date by which payment is due;
the date after which, if the bill is not paid, a late payment charge may be
imposed; and the amount of the charge, if any, as provided in subdivision 6.
Subd. 2. Separate
billing for electricity. (a)
A landlord who bills a tenant separately from rent for electricity service (1)
must not apportion the service; (2) must comply with this section, section
216B.022, and applicable provisions of section 504B.216; and (3) is subject to
section 216B.024.
(b) A landlord who submeters
electricity must:
(1) charge only for the electricity used in the tenant's unit, calculated by multiplying the kilowatt-hours used during the billing period, as measured by the submeter, by the rate charged to the landlord by the utility provider. A landlord must not charge a tenant for electricity consumed in common areas or in spaces used exclusively or primarily by the landlord;
(2) charge a tenant only for the tenant's pro rata share of nonusage charges, calculated by dividing the charges the landlord is billed by the utility provider equally among the number of units in the building; and
(3) deduct from a tenant's total bill
the tenant's pro rata share of any bill credits or adjustments received by the
landlord on the bill from the utility provider by dividing the credit or
adjustment equally among the number of units in the building.
Subd. 3. Separate
billing for natural gas. (a)
A landlord who submeters natural gas service must bill tenants according to the
methodology described in subdivision 2, paragraph (b), and comply with:
(1) subdivision 1, paragraph (c);
(2) section 216B.022; and
(3) applicable provisions of section
504.216.
(b) A landlord who submeters or
apportions natural gas service (1) must comply with subdivisions 4 to 8, and (2)
is subject to section 216B.024.
Subd. 4. Administrative
billing charge. A landlord
who bills separately from rent for utility service may impose an administrative
billing charge, as provided in section 504B.216, subdivision 8. No other fees or charges may be imposed on or
collected from tenants for utility service, except as otherwise provided in
subdivision 6 and section 216B.022, subdivision 5.
Subd. 5. Billing
errors. (a) If a billing
error occurs that has resulted in an overcharge, the landlord must promptly
refund the difference between what the tenant paid and what the tenant would
have paid but for the error.
(b) If a billing error has occurred that
has resulted in an undercharge, the landlord may bill the tenant for the
difference between what the tenant paid and what the tenant would have paid but
for the billing error, for a period not exceeding six months. Any undercharge must be recovered in
accordance with subdivision 8.
Subd. 6. Late
payment charge. A late
payment charge may be imposed as provided under section 504B.216, subdivision 9. No other fees or charges may be imposed on or
collected from tenants for utility service, except as otherwise provided in
subdivision 4 and section 216B.022, subdivision 5.
Subd. 7. Payment
plans. A landlord must offer
a payment plan for overdue utility service bills. The plan must be reasonable and take into
account the tenant's financial circumstances and any extenuating circumstances
that are voluntarily disclosed by the tenant.
If the landlord and tenant cannot agree on a mutually acceptable payment
plan, the landlord must inform the tenant of the right to seek assistance from
the commission's consumer affairs office in resolving the dispute and provide
the tenant the office's current telephone number and email address.
Subd. 8. Undercharges. A landlord must offer a payment plan
to tenants who have been undercharged if no culpable conduct by the tenant or
member of the tenant's household caused the undercharge. The agreement must cover a period equal to
the time over which the undercharge occurred or a different time period that is
mutually agreeable to the tenant and the landlord. No interest or delinquency fee may be charged
as part of a payment plan under this subdivision.
Sec. 3. [216B.024]
SHARED-METERED RESIDENTIAL BUILDINGS; DISPUTE RESOLUTION.
A tenant disputing a bill or claiming a
violation of section 216B.022 or 216B.023 must first attempt to resolve the
dispute or claim with the landlord. If
the tenant disagrees with the landlord's proposed resolution, the landlord must
notify the tenant of the tenant's right to file a complaint with the
commission's consumer affairs office and provide the tenant the office's
current telephone number and email address.
The consumer affairs office must follow the procedures set forth in
section 216B.172, subdivision 2, and Minnesota Rules, part 7829.1600, and the
procedures under section 216B.172, subdivisions 3 and 4, apply.
Sec. 4. Minnesota Statutes 2022, section 216B.098, subdivision 6, is amended to read:
Subd. 6. Commission
authority. (a) In addition to
any other authority, the commission has the authority to resolve customer
complaints against a public utility, as defined in section 216B.02,
subdivision 4 or a landlord of a shared-metered residential building,
whether or not the complaint involves a violation of this chapter. The commission may delegate this authority to
commission staff as it deems appropriate.
(b) The commission has the authority to
levy a penalty of not less than $100 and not more than $1,000 for each
violation of section 216B.022, 216B.023, or 216B.024 with respect to complaints
filed by tenants. Nothing in this
chapter limits the right of a tenant to seek or obtain judicial remedies.
(c) For the purposes of this
subdivision:
(1) "landlord" has the
meaning given in section 216B.022, subdivision 1, paragraph (b);
(2) "public utility" has the
meaning given in section 216B.02, subdivision 4; and
(3)
"shared-metered residential building" has the meaning given in
section 216B.022, subdivision 1, paragraph (e).
Sec. 5. Minnesota Statutes 2023 Supplement, section 216B.172, subdivision 1, is amended to read:
Subdivision 1. Definitions. (a) For the purposes of this section, the following terms have the meanings given.
(b) "Appeal" means a request a complainant files with the commission to review and make a final decision regarding the resolution of the complainant's complaint by the consumer affairs office.
(c) "Complainant" means an individual residential customer or a tenant who files with the consumer affairs office a complaint against a public utility or a landlord of a shared-metered residential building.
(d) "Complaint" means an allegation submitted to the consumer affairs office by a complainant that a public utility's or a landlord's action or practice regarding billing or terms and conditions of service:
(1) violates a statute, rule, tariff, service contract, or other provision of law;
(2) is unreasonable; or
(3) has harmed or, if not addressed, harms a complainant.
Complaint does not include an objection to or a request to modify any natural gas or electricity rate contained in a tariff that has been approved by the commission. A complaint under this section is an informal complaint under Minnesota Rules, chapter 7829.
(e) "Consumer affairs office" means the staff unit of the commission that is organized to receive and respond to complaints.
(f) "Informal proceeding" has the meaning given in Minnesota Rules, part 7829.0100, subpart 8.
(g) "Landlord" means an owner
of a shared-metered residential building, a contract for deed vendee, receiver,
executor, trustee, lessee, agent, or other person directly or indirectly in
control of the shared-metered residential building that bills separately for
natural gas or electricity, or both.
(h) "Public assistance" has the meaning given in section 550.37, subdivision 14.
(h) (i) "Public
utility" has the meaning given in section 216B.02, subdivision 4.
(j)
"Shared-metered residential building" has the meaning given in
section 216B.022, subdivision 1, paragraph (e).
(k) "Tenant" has the meaning
given in section 216B.022, subdivision 1, paragraph (g).
(l) "Third-party billing
agent" has the meaning given in section 216B.022, subdivision 1, paragraph
(h).
Sec. 6. Minnesota Statutes 2023 Supplement, section 216B.172, subdivision 2, is amended to read:
Subd. 2. Complaint resolution procedure. A complainant must first attempt to resolve a dispute with a public utility or a landlord. If a complainant is dissatisfied with the proposed resolution by the public utility or the landlord, the complainant may seek assistance of the commission to resolve the dispute by filing a complaint with the consumer affairs office. The consumer affairs office must: (1) notify the complainant of the resolution of the complaint; and (2) provide written notice of (i) the complainant's right to appeal the resolution to the commission, and (ii) the steps the complainant may take to appeal the resolution. Upon request, the consumer affairs office must provide to the complainant a written notice containing the substance of and basis for the resolution. Nothing in this section affects any other rights existing under this chapter or other law.
Sec. 7. [504B.216]
UTILITY SERVICE IN SHARED-METERED RESIDENTIAL BUILDINGS.
Subdivision 1. Definitions. (a) For the purposes of this section,
the following terms have the meanings given.
(b) "Directly metered tenant"
means a tenant who receives utility service directly from, is billed directly
by, and is a customer of the utility provider.
(c) "Landlord" has the
meaning given in section 504B.001, subdivision 7. For the purposes of this section, landlord
includes a third-party billing agent.
(d) "Nonusage charges" means
the total of the charges on a utility bill from a utility provider that
represent all nonconsumption-based charges and fees, including but not limited
to fixed-meter or service charges, taxes, surcharges, and other fees.
(e) "Shared-metered residential
building" means a building with multiple separate residential dwelling
units where the building's utility service is measured by fewer meters than the
number of separate dwelling units in the building. Shared-metered residential building does not
include a manufactured home park.
(f) "Submeter" means a meter
that (1) is owned by a landlord and installed by the landlord or by a
third-party billing agent or other agent, and (2) measures utility service
consumed solely within an individual dwelling unit in the shared-metered
residential building.
(g) "Third-party billing
agent" means a person or entity, other than the property owner, that
performs one or more utility management services at a shared-metered
residential building on behalf of a landlord, including but not limited to
installing submeters, reading submeters, or handling utility billing or
collections, or both.
(h) "Utility provider" means a
public utility, a municipal utility, a cooperative electric association, or a
local municipal water company providing utility service.
(i) "Utility service" means
natural gas, electricity, or water and sewer.
Subd. 2. Landlord
is bill payer and customer of record.
(a) The landlord of a shared-metered residential building must be
the bill payer responsible and must be the customer of record contracting with
a utility provider for utility service. The
landlord must advise the utility provider that the utility services apply to a
shared-metered residential building.
(b) A landlord is prohibited from
removing a directly metered tenant from the tenant's existing utility account
or requesting that a utility remove the tenant from the tenant's existing
utility account.
(c) This subdivision may not be waived
by contract or otherwise.
Subd. 3. Submetering of electricity and natural
gas. A landlord who submeters
natural gas or electricity (1) must comply with this section and
sections 216B.022 and 216B.023, and (2) is subject to section 216B.024.
Subd. 4. Submetering
of water. (a) On or after
January 1, 2025, any submeters installed by a landlord to measure water and
sewer usage must comply with standards established by the local municipal water
company for meters the company uses to measure water and sewer service provided
to the company's customers.
(b) All submeters, regardless of when
the submeter was installed, must accurately measure utility service. Landlords are prohibited from billing
submetered tenants less frequently than the landlord is billed by the utility.
(c) A landlord who submeters water must:
(1) bill tenants according to section
216B.023, subdivision 1;
(2) charge tenants according to section 216B.023, subdivision 2, paragraph (b); and
(3) comply with sections 216B.022,
subdivision 4, and 216B.023, subdivisions 5, 7, and 8.
(d) A landlord must not charge to or
collect from tenants any administrative, capital, or any other expenses
associated with the installation, maintenance, repair, replacement, or reading
of submeters, unless the expense is due to the tenant's willful, malicious, or
negligent conduct. Nothing in this
subdivision prevents the landlord from imposing a late payment charge, as
provided under subdivision 9, or an administrative billing charge, as provided
under subdivision 8.
Subd. 5. Apportionment
generally. (a) Apportionment
of electricity is prohibited.
(b) Landlords must not bill tenants for
apportioned utility service under this section less frequently than the
landlord is billed by the utility.
(c) A landlord who apportions utility service must, upon a tenant's request, provide:
(1) a copy of the current actual natural
gas or water and sewer utility bill from the utility provider that is being
apportioned; and
(2) a copy of past natural gas
or water and sewer utility bills for which the tenant received an apportioned
utility bill for the preceding two years or from the time the current landlord
acquired the building, whichever is the most recent.
(d)
A landlord must include in the lease or in a separate written notice a list of
the tenant's rights under paragraph (c).
(e) A landlord who apportions utility
service must comply with section 216B.023, subdivisions 5, 7, and 8. A landlord who apportions natural gas is also
subject to section 216B.024.
Subd. 6. Apportionment
of natural gas. (a) A
landlord may apportion and bill for natural gas usage and nonusage charges only
as provided in this subdivision.
(b) A tenant's apportioned natural gas
bill must be based on the previous billing period's actual natural gas bills
from the utility provider, allocated to each unit based on the square footage
in the tenant's unit as a proportion of square footage of all the units in the
building.
(c) A landlord must not charge any
tenant for natural gas consumed in common areas, spaces used exclusively or
primarily by the landlord, or any vacant unit.
(d) A landlord must deduct from a
tenant's total bill the tenant's pro rata share of any bill credits or
adjustments received by the landlord on the bill from the utility.
Subd. 7. Apportionment
of water and sewer. (a) A
landlord may apportion water and sewer utility service and nonusage charges
only as provided in this subdivision.
(b) A tenant's apportioned water and
sewer bill must be based on the previous period's water and sewer bills from
the utility provider, allocated to each unit based on the number of tenants
listed on the lease as a proportion of the occupancy of all the units as listed
on the leases in the building.
(c) A landlord must not charge any
tenant for water and sewer usage in common areas; in spaces used exclusively or
primarily by the landlord; in vacant units; for maintenance of the property; or
for shared amenities, including but not limited to laundry facilities and
pools.
(d) A landlord must deduct from a
tenant's total bill the tenant's pro rata share of any bill credits or
adjustments received by the landlord on the bill from the utility.
Subd. 8. Administrative
billing charge. A landlord
who bills separately from rent for any utility service may charge a tenant a
single administrative billing charge per billing period for all the utilities
that are separately billed. The
administrative billing charge must not exceed $8. Except as provided in subdivision 9, no other
fees or charges may be imposed on or collected from tenants for utility
service, including but not limited to any administrative, capital, or any other
expenses associated with the installation, maintenance, repair, replacement, or
reading of submeters, unless the expense involving a submeter is due to the
tenant's willful, malicious, or negligent conduct.
Subd. 9. Late
payment charge; compounding late fees prohibited. A landlord may impose one late payment
charge per billing period if a tenant's utility bill payment is not received by
the landlord by the next scheduled billing date. The late payment charge for all utilities
billed must not exceed $5 per month. Late
fees must not be compounded.
Subd. 10. Disclosure
in lease of apportionment billing formula.
If natural gas or water and sewer is apportioned, leases entered
into or renewed on or after January 1, 2025, must include an attachment with
the following notice:
"UTILITY BILLS
How
Will My Bill be Calculated?
1.
Your utility bill is for your portion of the building's natural gas or
water and sewer usage, plus your portion of nonusage fees we get charged by the
utility (for example, taxes and surcharges).
For natural gas, your portion is based
on the square footage of your unit as a percentage of the square footage of all
the units.
For water and sewer, your portion is
based on the number of people in your unit (as listed on your lease) as a
percentage of all the occupants of all units.
2.
You are not charged for utilities used in the common areas or used in
our spaces. In the case of water, your
bill does not include usage for shared amenities such as laundry rooms or
pools.
3.
Your bill may include a late payment charge, which is capped at $5, and
an administrative billing charge, which is capped at $8.
What
If I Fall Behind on Utility Payments or Have a Question About My Bill?
1.
If you fall behind on your payments, you have the right to a reasonable
payment plan that you and we mutually agree on to pay off the amount you owe. The plan must take into account any financial
and extenuating circumstances of your household that you tell us about.
2.
You may request, and we will timely provide, the utility bill we
received from the utility company and your percentage of the amount of the bill
apportioned to tenants.
3.
We must first try to resolve any disputes about your natural gas or
electricity utility charges, including those about payment agreements. If we cannot agree on a payment plan or
resolve any other dispute, you have the right to seek assistance from the
Public Utilities Commission's Consumer Affairs Office at 651-296-0406 or
consumer.puc@state.mn.us."
Subd. 11. Verification
of apportioned bills. No
later than July 1, 2025, an organization representing landlords shall work with
organizations representing tenants and other relevant groups and agencies to
determine the steps necessary to, on each apportioned utility bill rendered
under leases entered into or renewed on or after July 1, 2026, enable a tenant
to understand how the tenant's utility bill was calculated and to verify that
the calculation is accurate.
Subd. 12. Disconnection
of utility service prohibited. (a)
Disconnection of a tenant's utility service by a landlord for the failure to
pay utility service charges is prohibited.
Nothing in this subdivision prohibits a public utility, a municipal
utility, or a cooperative electric association from disconnecting service to a
landlord's building as otherwise provided by law.
(b) If a landlord asserts a tenant owes
rent and utilities, sums paid by the tenant to the landlord must first be
applied to unpaid rent.
(c) Except as provided in
paragraph (d), a landlord may bring a claim for breach of lease under section
504B.285, subdivision 4, for the failure of a tenant to pay for utilities
billed separately from rent as provided under this section.
(d) Notwithstanding paragraph (c):
(1) a landlord may not bring a claim
for breach unless the landlord has offered the tenant a payment plan under
section 216B.023, subdivision 7, and the tenant has failed to make two
consecutive payments on the plan; and
(2) an eviction action may not be filed
and any eviction already filed must be stayed:
(i) for the failure to pay natural gas
or electric utility service charges during the cold weather period;
(ii) for the failure to pay electric
utility charges during a heat emergency; and
(iii) if the tenant notifies the
landlord or the court that the tenant or a member of the tenant's household is
experiencing a medical emergency, or where medical equipment requiring
electricity necessary to sustain life is in use and certification of the
emergency is provided to the landlord or the court by a licensed medical health
care professional within five days of notification to the landlord or the
court.
(e) If the failure to pay natural gas
or electric utility charges occurs during the cold weather period, or in the
event of a medical emergency or where medical equipment requiring electricity
necessary to sustain life is in use, a landlord must follow the procedures set
forth in section 216B.023, subdivision 7.
(f) A violation of this subdivision is
a violation of section 504B.221.
(g) For the purposes of this
subdivision:
(1) "cold weather period" has the meaning given in section 216B.096, subdivision 2;
(2) "disconnection" includes
installation of a service or load limiter or any device that limits or
interrupts utility service in any way; and
(3) "heat emergency" means
any period when an excessive heat watch, heat advisory, or excessive heat
warning issued by the National Weather Service is in effect.
Subd. 13. Procedure
where landlord defaults on payments to the utility. (a) A utility provider supplying
natural gas, electricity, or water and sewer, or another company supplying home
heating oil or propane, to a building who issues a final notice proposing to
disconnect or discontinue the service to the building because a landlord who
has contracted for the service has failed to pay for the service, or because a
landlord is required by law or contract to pay for the service and fails to do
so, must provide notice to the residents of the impending disconnection by
posting in the building. The posting
must be placed in at least one conspicuous location in or on the building and
provide tenants with, at a minimum, the following information:
(1) the date the service will be
discontinued;
(2) the telephone number to call the
utility to obtain further information;
(3) a brief description of the rights of tenants under this section to continue or restore service; and
(4) advice to consider seeking
assistance from legal aid, a private attorney, or a housing organization in
exercising the tenant rights under Minnesota law to maintain utility service.
A tenant or group of tenants may pay to have the service
continued or reconnected as provided under this section. Before paying for the service, the tenant or
group of tenants shall give oral or written notice to the landlord of the
tenant's intention to pay after 48 hours, or a shorter period that is
reasonable under the circumstances, if the landlord has not already paid for
the service. In the case of oral
notification, written notice shall be mailed or delivered to the landlord
within 24 hours after the time oral notice is given.
(b) In the case of natural gas or
electricity, if the landlord has not paid the bill by the time of the tenant's
intended payment or if the service remains discontinued, the tenant or tenants
may pay the current charges for the most recent billing period and the utility
company or municipality must restore the service for at least one billing
period. In a residential building with
less than five units, one of the tenants may notify the utility company or
municipality that the tenant agrees to become the bill payer responsible and
customer of record and the utility company or municipality must place the
account disconnected or subject to disconnection in the tenant's name and
provide service prospectively, provided the tenant satisfies all requirements
for establishing service. A tenant that
becomes the customer of record of a cooperative electric association does not
acquire membership rights. Exercise of
the right to pay the current charges for the most recent billing period does
not preclude exercising the right to become the bill payer responsible and
customer of record, provided that if there are multiple tenants in an affected
multifamily building, the utility company or municipality is not required to
offer the right to become the bill payer responsible and the customer of record
to more than one tenant in a 12-month period.
(c) In the case of water and sewer, if the landlord has not paid the bill by the time of the tenant's intended payment or if the service remains discontinued, upon request from a tenant a municipality must provide a copy of each bill the landlord fails to pay. The tenant:
(1) has a continuing right to pay the
current charges for the most recent billing period and retain service;
(2) has the period of time provided by
the governing ordinance, policy, or practice within which to pay the charges;
(3) is not subject to any deposit
requirements; and
(4) is entitled to reasonable notice of
any disconnection.
This paragraph does not require a municipality to alter
the municipality's accounting system or billing records if the tenant exercises
the right to pay current charges and retain water service. If there are multiple tenants in an affected
property, the municipality is not required to offer the right to pay current
charges and retain service to more than one tenant in a 12-month period.
(d) For purposes of this subdivision, "current charges" does not include arrears or late payment fees incurred by the landlord.
(e) In a shared-metered residential
building, other residential tenants in the building may contribute payments to
the utility company or municipality on the account of the tenant who is the
customer of record under paragraph (b), or on the landlord's account under
paragraph (c).
(f) A landlord who satisfies all
requirements for reestablishing service, including paying or entering into an
agreement acceptable to the utility company or municipality to pay all arrears
and other lawful charges incurred by the landlord on the account that was
placed in the tenant's name, may reestablish service in the landlord's name.
(g) This section does not
restrict or prohibit a municipal utility provider from exercising the municipal
utility provider's authority pursuant to section 444.075, subdivisions 3 and
3e, to make contracts with and impose utility charges against property owners
and to certify unpaid charges to the county auditor with taxes against the
property served for collection as a tax.
(h) In the case of home heating oil or
propane, if the landlord has not paid the bill by the time of the tenant's
intended payment, or if the service remains discontinued, the tenant or tenants
may order and pay for one month's supply of the proper grade and quality of oil
or propane.
(i) After submitting documentation to the landlord of the tenant's payment to the utility company or municipality, a tenant may deduct the amount of the tenant's payment to the utility company or municipality from the rental payment next paid to the landlord. Any amount paid to the municipality, utility company, or other company by a tenant under this subdivision is considered payment of rent to the landlord for purposes of section 504B.291.
Subd. 14. Limitations;
waiver prohibited; rights as additional.
The tenant rights under this section:
(1) do not extend to conditions caused
by the willful, malicious, or negligent conduct of the tenant or of a person
under the tenant's direction or control;
(2) may not be waived or modified; and
(3) are in addition to and do not limit
other rights that may be available to the tenant in law or equity, including
the right to damages and the right to restoration of possession of the premises
under section 504B.291.
Subd. 15. Additional
requirement. By September 30
of each year, a landlord of a shared-metered residential building who bills for
gas, electric utility charges, or both separate from rent must inform tenants
in writing of the possible availability of energy assistance from the
low-income home energy assistance program.
The information must contain the toll-free telephone number of the
administering agency.
Subd. 16. Violations. A violation of subdivisions 2 to 12 is
a violation of section 504B.161 and a violation of subdivisions 2, 3, 4, 5, 6,
7, 10, and 12 is a violation of section 504B.221.
Subd. 17. Attorney
general authority. The
attorney general has authority under section 8.31 to investigate and prosecute
violations of this section.
Sec. 8. Minnesota Statutes 2022, section 504B.285, subdivision 4, is amended to read:
Subd. 4. Nonlimitation of landlord's rights. (a) Nothing contained in subdivisions 2 and 3 limits the right of the landlord pursuant to the provisions of subdivision 1 to terminate a tenancy for a violation by the tenant of a lawful, material provision of a lease or contract, whether written or oral, or to hold the tenant liable for damage to the premises caused by the tenant or a person acting under the tenant's direction or control.
(b)
If a landlord files an eviction action for failure to pay for utility service
in a shared-metered building, the court:
(1) if the tenant has filed a complaint
involving natural gas or electricity utility service with the Public Utilities
Commission under section 216B.024, must stay the action until the commission
has made a final determination and must not require the defendant to pay any
amount of money into court, post a bond, make a payment directly to a landlord,
or by any other means post security for any purpose prior to final disposition
of the complaint pursuant to
section 216B.172, subdivisions
3 and 4. If the action proceeds
following the final disposition of complaint, the court must not require the
tenant to post any amount of money into court, post a bond, make a payment
directly to a landlord, or by any other means post security for utility charges;
(2) if the tenant has not filed a
complaint involving natural gas or electric utility service with the Public
Utilities Commission under section 216B.024 or the eviction action is for
nonpayment of water and sewer utility charges, and the tenant meets the
requirements for a court fee waiver under section 563.01, must not require the
tenant to post any amount of money into court, post a bond, make a payment
directly to a landlord, or by any other means post security for utility
charges; and
(3) if the tenant has not filed a
complaint involving natural gas or electric utility service with the Public
Utilities Commission under section 216B.024, and the tenant does not meet the
requirements for a court fee waiver under section 563.01, may, in the court's
discretion, require the tenant to pay an amount of money or post security as
the court deems appropriate for prospective utility charges only.
(c) A court must not require a tenant
to post rent as a condition of a tenant asserting an affirmative claim or
defense, or a counterclaim related to landlord utility billings or practices.
(d) For the purposes of this section:
(1)
"shared-metered residential building" has the meaning given in
section 504B.216, subdivision 1, paragraph (e); and
(2) "utility service" has the
meaning given in section 504B.216, subdivision 1, paragraph (i).
Sec. 9. REPEALER.
Minnesota Statutes 2022, section
504B.215, is repealed.
Sec. 10. EFFECTIVE
DATE.
(a) Sections 1 to 6, 8, and 9 are
effective January 1, 2025.
(b) Section 7 is effective January 1, 2025, for leases entered into or renewed on or after that date."
Correct the title numbers accordingly
We request the adoption of this report and repassage of the bill.
Senate Conferees: D. Scott Dibble, Lindsey Port and Bill Weber.
House Conferees: Athena Hollins, Sandra Feist and Harry Niska.
Hollins moved that the report of the
Conference Committee on S. F. No. 4579 be adopted and that the
bill be repassed as amended by the Conference Committee. The motion prevailed.
S. F. No. 4579, A bill for an act relating to energy; providing for and regulating shared-metered utility service in residential buildings; amending Minnesota Statutes 2022, sections 216B.022; 216B.098, subdivision 6; 504B.285, subdivision 4; Minnesota Statutes 2023 Supplement, section 216B.172, subdivisions 1, 2; proposing coding for new law in Minnesota Statutes, chapters 216B; 504B; repealing Minnesota Statutes 2022, section 504B.215.
The bill was read for the third time, as
amended by Conference, and placed upon its repassage.
The question was taken on the repassage of
the bill and the roll was called. There
were 125 yeas and 0 nays as follows:
Those who voted in the affirmative were:
Acomb
Agbaje
Altendorf
Anderson, P. E.
Backer
Bahner
Bakeberg
Baker
Becker-Finn
Bennett
Berg
Bierman
Bliss
Brand
Burkel
Carroll
Cha
Clardy
Coulter
Curran
Davids
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
Huot
Hussein
Igo
Jacob
Johnson
Jordan
Joy
Klevorn
Knudsen
Koegel
Kotyza-Witthuhn
Kozlowski
Koznick
Kraft
Lawrence
Lee, F.
Lee, K.
Liebling
Lillie
Lislegard
Long
McDonald
Mekeland
Moller
Mueller
Murphy
Myers
Nadeau
Nelson, M.
Nelson, N.
Neu Brindley
Newton
Niska
Noor
Norris
Novotny
O'Driscoll
Olson, B.
Olson, L.
Pelowski
Pérez-Vega
Perryman
Petersburg
Pfarr
Pinto
Pryor
Pursell
Quam
Rehm
Reyer
Robbins
Schomacker
Schultz
Scott
Sencer-Mura
Skraba
Smith
Stephenson
Swedzinski
Tabke
Torkelson
Urdahl
Vang
Virnig
West
Wiener
Wiens
Witte
Wolgamott
Xiong
Youakim
Zeleznikar
Spk. Hortman
The bill was repassed, as amended by
Conference, and its title agreed to.
Madam Speaker:
I hereby announce that the Senate has concurred in and adopted the report of the Conference Committee on:
S. F. No. 3567.
The Senate has repassed said bill in accordance with the recommendation and report of the Conference Committee. Said Senate File is herewith transmitted to the House.
Thomas S. Bottern, Secretary of the Senate
CONFERENCE COMMITTEE REPORT ON S. F. No. 3567
A bill for an act relating to education; modifying provisions for prekindergarten through grade 12 education including general education, education excellence, teachers, Read Act, special education, charter schools, nutrition and libraries, health and safety, early learning, and education partnerships and compacts; requiring reports; amending Minnesota Statutes 2022, sections 120A.05, subdivision 10a, by adding a subdivision; 120A.22, subdivision 12; 120A.35; 120B.022, subdivisions 1a, 1b; 120B.11, as amended; 120B.13, subdivision 4; 120B.234, subdivisions 1, 2; 121A.22, subdivisions 2, 4; 121A.2207, subdivision 1; 121A.41, subdivision 8; 122A.091, subdivision 5; 122A.181, by adding a subdivision; 122A.182, by adding a subdivision; 122A.185, subdivision 3; 122A.20, by adding a subdivision; 123B.09, subdivision 10; 123B.37, subdivision 2; 124D.151, as amended; 124D.60, subdivision 1; 124D.61; 124E.01, subdivision 1; 124E.05, subdivisions 2, 3, 5; 124E.07; 124E.10, subdivisions 2, 4, 5; 124E.12, subdivision 2; 124E.14; 124E.17; 124E.26; 125A.02, subdivision 1a; 125A.27, subdivision 8; 125A.56, subdivision 1; 127A.70, subdivision 1; 128C.02, by adding a subdivision; 260E.14, subdivision 1; Minnesota Statutes 2023 Supplement, sections 13.32, subdivision 5; 120B.021, subdivision 1; 120B.024, subdivision 1; 120B.1117; 120B.1118, subdivisions 7, 10, by adding a subdivision; 120B.117, subdivision 4; 120B.12, subdivisions 1, 2, 2a, 4, 4a; 120B.123, subdivisions 1, 2, 5; 120B.30, subdivisions 7, 12, by adding a subdivision; 120B.302; 120B.305; 120B.31, subdivision 4; 120B.36, subdivision 1; 121A.041, subdivisions 2, 3; 121A.20, subdivision 2; 121A.642, by adding a subdivision; 122A.18, subdivision 1; 122A.181, subdivision 2; 122A.183, subdivision 2; 122A.184, subdivision 1; 122A.185, subdivision 1; 122A.40, subdivision 8; 122A.41, subdivision 5; 122A.631, subdivisions 2, 4; 122A.70, subdivision 2; 124D.09, subdivision 5; 124D.094, subdivisions 2, 3; 124D.111, subdivision 2a; 124D.165, subdivisions 2, 2a; 124D.42, subdivision 8; 124D.901, subdivision 4; 124E.02; 124E.03, subdivision 2; 124E.06, subdivisions 1, 4, 5; 124E.11; 124E.12, subdivision 1; 124E.16, subdivision 1; 125A.08; 126C.40, subdivision 6; proposing coding for new law in Minnesota Statutes, chapters 120B; 121A; 127A; 134; repealing Minnesota Statutes 2022, sections 120B.31, subdivisions 2, 6; 122A.2451, subdivision 9; Minnesota Statutes 2023 Supplement, section 122A.185, subdivision 4; Laws 2017, First Special Session chapter 5, article 8, section 9.
May 9, 2024
The Honorable Bobby Joe Champion
President of the Senate
The Honorable Melissa Hortman
Speaker of the House of Representatives
We, the undersigned conferees for S. F. No. 3567 report that we have agreed upon the items in dispute and recommend as follows:
That the House recede from its amendments and that S. F. No. 3567 be further amended as follows:
Delete everything after the enacting clause and insert:
"ARTICLE 1
GENERAL EDUCATION
Section 1.
[121A.73] SCHOOL CELL PHONE
POLICY.
A school district or charter school must
adopt a policy on students' possession and use of cell phones in school by
March 15, 2025. The Minnesota Elementary
School Principals Association and the Minnesota Association of Secondary School
Principals must collaborate to make best practices available to schools on a
range of different strategies in order to minimize the impact of cell phones on
student behavior, mental health, and academic attainment.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 2. Minnesota Statutes 2023 Supplement, section 124D.09, subdivision 5, is amended to read:
Subd. 5. Authorization; notification. (a) Notwithstanding any other law to the contrary, an 11th or 12th grade pupil enrolled in a school or an American Indian-controlled Tribal contract or grant school eligible for aid under section 124D.83, except a foreign exchange pupil enrolled in a district under a cultural exchange program, may apply to an eligible institution, as defined in subdivision 3, to enroll in nonsectarian courses offered by that postsecondary institution.
(b) If an institution accepts a secondary pupil for enrollment under this section, the institution shall send written notice to the pupil, the pupil's school or school district, and the commissioner. The notice must indicate the course and hours of enrollment of that pupil. The institution must notify the pupil's school as soon as practicable if the pupil withdraws from the enrolled course. The institution must also notify the pupil's school as soon as practicable if the pupil has been absent from a course for ten consecutive days on which classes are held, based upon the postsecondary institution's academic calendar, and the pupil is not receiving instruction in their home or hospital or other facility.
(c) If the pupil enrolls in a course
for postsecondary credit, the institution must notify:
(1) the pupil about payment in the
customary manner used by the institution; and.
(2) the pupil's school as soon as
practicable if the pupil withdraws from the course or stops attending the
course.
Sec. 3. Minnesota Statutes 2023 Supplement, section 124D.094, subdivision 2, is amended to read:
Subd. 2. Digital instruction. (a) An enrolling district may provide digital instruction, including blended instruction and online instruction, to the district's own enrolled students. Enrolling districts may establish agreements to provide digital instruction, including blended instruction and online instruction, to students enrolled in the cooperating schools.
(b) When online instruction is provided, an online teacher as defined under subdivision 1, paragraph (h), shall perform all duties of teacher of record under Minnesota Rules, part 8710.0310. Unless the commissioner grants a waiver, a teacher providing online instruction shall not instruct more than 40 students in any one online learning course or section.
(c) Students receiving online instruction full time shall be reported as enrolled in an online instructional site under subdivision 1, paragraph (g).
(d) Curriculum used for digital instruction shall be aligned with Minnesota's current academic standards and benchmarks.
(e) Digital instruction shall be accessible
to students under section sections 504 and 508 of the
federal Rehabilitation Act and Title II of the federal Americans with
Disabilities Act.
(f) An enrolling district providing digital instruction and a supplemental online course provider shall assist an enrolled student whose family qualifies for the education tax credit under section 290.0674 to acquire computer hardware and educational software so they may participate in digital instruction. Funds provided to a family to support digital instruction or supplemental online courses may only be used for qualifying expenses as determined by the provider. Nonconsumable materials purchased with public education funds remain the property of the provider. Records for any funds provided must be available for review by the public or the department.
(g) An enrolling district providing digital instruction shall establish and document procedures for determining attendance for membership and keep accurate records of daily attendance under section 120A.21.
Sec. 4. Minnesota Statutes 2023 Supplement, section 124D.094, subdivision 3, is amended to read:
Subd. 3. Supplemental online courses. (a) Notwithstanding sections 124D.03 and 124D.08 and chapter 124E, procedures for applying to take supplemental online courses other than those offered by the student's enrolling district are as provided in this subdivision.
(b) Any kindergarten through grade 12 student may apply to take a supplemental online course under subdivision 1, paragraph (j). The student, or the student's parent or guardian for a student under age 17, must submit an application for the proposed supplemental online course or courses. A student may:
(1) apply to take an online course from a supplemental online course provider that meets or exceeds the academic standards of the course in the enrolling district they are replacing;
(2) apply to take supplemental online
courses for up to 50 percent of the student's scheduled course load; and
(3) apply to take supplemental online
courses no later than 15 school days after the student's enrolling district's term has begun.
An enrolling district may waive the 50 percent course enrollment limit
or the 15-day time limit.; and
(4) enroll in additional courses with
the online learning provider under a separate agreement that includes terms for
paying any tuition or course fees.
(c) A student taking a supplemental online course must have the same access to the computer hardware and education software available in a school as all other students in the enrolling district.
(d) A supplemental online course provider must have a current, approved application to be listed by the Department of Education as an approved provider. The supplemental online course provider must:
(1) use an application form specified by the Department of Education;
(2) notify the student, the student's guardian if they are age 17 or younger, and enrolling district of the accepted application to take a supplemental online course within ten days of receiving a completed application;
(3) notify the enrolling district of the course title, credits to be awarded, and the start date of the online course. A supplemental online course provider must make the online course syllabus available to the enrolling district;
(4) request applicable academic support information for the student, including a copy of the IEP, EL support plan, or 504 plan; and
(5) track student attendance and monitor academic progress and communicate with the student, the student's guardian if they are age 17 or younger, and the enrolling district's designated online learning liaison.
(e) A supplemental online course provider may limit enrollment if the provider's school board or board of directors adopts by resolution specific standards for accepting and rejecting students' applications. The provisions may not discriminate against any protected class or students with disabilities.
(f) A supplemental online course provider may request that the Department of Education review an enrolling district's written decision to not accept a student's supplemental online course application. The student may participate in the supplemental online course while the application is under review. Decisions shall be final and binding for both the enrolling district and the supplemental online course provider.
(g) A supplemental online course provider must participate in continuous improvement cycles with the Department of Education.
Sec. 5. Minnesota Statutes 2022, section 124D.12, is amended to read:
124D.12
PURPOSE OF FLEXIBLE LEARNING YEAR PROGRAMS.
Sections 124D.12 to 124D.127 authorize
districts to evaluate, plan and employ the use of flexible learning year
programs. It is anticipated that the
open selection of the type of flexible learning year operation from a variety
of alternatives will allow each district seeking to utilize this concept to
suitably fulfill the educational needs of its pupils. These alternatives must include, but not be
limited to, various 45-15 plans, four-quarter plans, quinmester plans, extended
learning year plans, and flexible all-year plans. A school district with an approved
four-day week plan in the 2014-2015 school year may continue under a four-day
week plan through the end of the 2019-2020 school year. Future approvals are contingent upon meeting
the school district's performance goals established in the district's plan
under section 120B.11 The commissioner must establish clear criteria for
evaluating a district's application to use a four-day school week plan, at
least annually accept district applications to use a four-day school week plan,
and determine whether each application meets the criteria. The commissioner must give a school district
one school year's notice before revoking approval of its flexible learning year
program. Approval of a four-day
school week plan may not be revoked for six years from the date it is granted.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 6. Minnesota Statutes 2023 Supplement, section 126C.40, subdivision 6, is amended to read:
Subd. 6. Lease purchase; installment buys. (a) Upon application to, and approval by, the commissioner in accordance with the procedures and limits in subdivision 1, paragraphs (a) and (b), a district, as defined in this subdivision, may:
(1) purchase real or personal property under an installment contract or may lease real or personal property with an option to purchase under a lease purchase agreement, by which installment contract or lease purchase agreement title is kept by the seller or vendor or assigned to a third party as security for the purchase price, including interest, if any; and
(2) annually levy the amounts necessary to pay the district's obligations under the installment contract or lease purchase agreement.
(b) The obligation created by the installment contract or the lease purchase agreement must not be included in the calculation of net debt for purposes of section 475.53, and does not constitute debt under other law. An election is not required in connection with the execution of the installment contract or the lease purchase agreement.
(c) The proceeds of the levy authorized by this subdivision must not be used to acquire a facility to be primarily used for athletic or school administration purposes.
(d) For the purposes of this subdivision, "district" means:
(1) Special School District No. 1,
Minneapolis, Independent School District No. 625, St. Paul,
Independent School District No. 709, Duluth, or Independent School
District No. 535, Rochester, if the district's desegregation achievement
and integration plan has been determined by the commissioner to be in
compliance with Department of Education rules relating to equality of
educational opportunity and where the acquisition, as defined in section
475.51, subdivision 7, of property under this subdivision is determined
approved in the form and manner prescribed by the commissioner to
contribute to the implementation of the desegregation approved
achievement and integration plan; or
(2) other districts eligible for revenue
under section 124D.862 if the facility acquired under this subdivision is to be
primarily used for a joint program for interdistrict desegregation
and the commissioner determines that the joint programs are is
being undertaken to implement the districts' desegregation approved
achievement and integration plan.
(e) Notwithstanding subdivision 1, the prohibition against a levy by a district to lease or rent a district-owned building to itself does not apply to levies otherwise authorized by this subdivision.
(f) For the purposes of this subdivision, any references in subdivision 1 to building or land shall include personal property.
(g) Projects funded under this subdivision
are subject to review and comment under section 123B.71, subdivision 8, in the same
manner as other school construction projects form and manner prescribed
by the commissioner.
Sec. 7. REVISOR
INSTRUCTION.
The revisor of statutes shall remove
the term "state-approved" wherever it appears in Minnesota Statutes,
sections 125A.15, 125A.51, and 125A.515, for education in care and treatment facilities.
ARTICLE 2
EDUCATION EXCELLENCE
Section 1. Minnesota Statutes 2023 Supplement, section 13.32, subdivision 5, is amended to read:
Subd. 5. Directory information. (a) Educational data designated as directory information is public data on individuals to the extent required under federal law. Directory information must be designated pursuant to the provisions of:
(1) this subdivision; and
(2) United States Code, title 20, section 1232g, and Code of Federal Regulations, title 34, section 99.37, which were in effect on January 3, 2012.
(b) When conducting the directory information designation and notice process required by federal law, an educational agency or institution shall give parents and students notice of the right to refuse to let the agency or institution designate specified data about the student as directory information. This notice may be given by any means reasonably likely to inform the parents and students of the right.
(c) An educational agency or institution may not designate a student's home address, telephone number, email address, or other personal contact information as directory information under this subdivision. This paragraph does not apply to a postsecondary institution.
(d) When requested, educational agencies or institutions must share personal student contact information and directory information, whether public or private, with the Minnesota Department of Education, as required for federal reporting purposes.
(e) When requested, educational agencies or institutions may share personal student contact information and directory information for students served in special education with postsecondary transition planning and services under section 125A.08, paragraph (b), clause (1), whether public or private, with the Department of Employment and Economic Development, as required for coordination of services to students with disabilities under sections 125A.08, paragraph (b), clause (1); 125A.023; and 125A.027.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 2. Minnesota Statutes 2022, section 120A.35, is amended to read:
120A.35
ABSENCE FROM SCHOOL FOR RELIGIOUS OBSERVANCE AND CULTURAL OBSERVANCES.
Reasonable efforts must be made by a school
district to accommodate any pupil who wishes to be excused from a curricular
activity for a religious observance or American Indian cultural practice,
observance, or ceremony. A school
board must provide annual notice to parents of the school district's policy
relating to a pupil's absence from school for religious observance under
this section.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 3. Minnesota Statutes 2023 Supplement, section 120B.021, subdivision 1, is amended to read:
Subdivision 1. Required academic standards. (a) The following subject areas are required for statewide accountability:
(1) language arts;
(2) mathematics, encompassing algebra II, integrated mathematics III, or an equivalent in high school, and to be prepared for the three credits of mathematics in grades 9 through 12, the grade 8 standards include completion of algebra;
(3)
science, including earth and space science, life science, and the physical
sciences, including chemistry and physics;
(4) social studies, including history, geography, economics, and government and citizenship that includes civics;
(5) physical education;
(6) health, for which locally developed academic standards apply; and
(7) the arts. Public elementary and middle schools must offer at least three and require at least two of the following five arts areas: dance; media arts; music; theater; and visual arts. Public high schools must offer at least three and require at least one of the following five arts areas: media arts; dance; music; theater; and visual arts.
(b) For purposes of applicable federal law, the academic standards for language arts, mathematics, and science apply to all public school students, except the very few students with extreme cognitive or physical impairments for whom an individualized education program team has determined that the required academic standards are inappropriate. An individualized education program team that makes this determination must establish alternative standards.
(c) The department may modify SHAPE
America (Society of Health and Physical Educators) standards and adapt the
national standards to accommodate state interest. The modification and adaptations must
maintain the purpose and integrity of the national standards. The department must make available sample
assessments, which school districts may use as an alternative to local
assessments, to assess students' mastery of the physical education standards
beginning in the 2018-2019 school year.
(d) (c) A school district may
include child sexual abuse prevention instruction in a health curriculum,
consistent with paragraph (a), clause (6).
Child sexual abuse prevention instruction may include age-appropriate
instruction on recognizing sexual abuse and assault, boundary violations, and
ways offenders groom or desensitize victims, as well as strategies to promote
disclosure, reduce self-blame, and mobilize bystanders. A school district may provide instruction
under this paragraph in a variety of ways, including at an annual assembly or
classroom presentation. A school
district may also provide parents information on the warning signs of child
sexual abuse and available resources.
(e) (d) District efforts to
develop, implement, or improve instruction or curriculum as a result of the
provisions of this section must be consistent with sections 120B.10, 120B.11,
and 120B.20.
Sec. 4. Minnesota Statutes 2022, section 120B.022, subdivision 1a, is amended to read:
Subd. 1a. Foreign
World language and culture; proficiency certificates. (a) World languages teachers and other
school staff should develop and implement world languages programs that
acknowledge and reinforce the language proficiency and cultural awareness that
non-English language speakers already possess, and encourage students'
proficiency in multiple world languages.
Programs under this section must encompass Indigenous American Indian
languages and cultures, among other world languages and cultures. The department shall consult with
postsecondary institutions in developing related professional development
opportunities for purposes of this section.
(b) Any Minnesota public, charter, or nonpublic school may award Minnesota World Language Proficiency Certificates consistent with this subdivision.
(c) The Minnesota World Language
Proficiency Certificate recognizes students who demonstrate listening,
speaking, reading, and writing language skills at an overall
intermediate-low or intermediate-mid level of proficiency on the American
Council on the Teaching of Foreign Languages' Intermediate-Low level ACTFL's
scale of levels of proficiency. A
student's level of proficiency is derived from assessment in the domains of
listening, reading, speaking, and writing on a valid and reliable
assessment tool.
Sec. 5. Minnesota Statutes 2022, section 120B.022, subdivision 1b, is amended to read:
Subd. 1b. State
bilingual and multilingual seals. (a)
Consistent with efforts to strive for the world's best workforce under sections
120B.11 and 124E.03, subdivision 2, paragraph (i), and close the academic
achievement and opportunity gap under sections 124D.861 and 124D.862, voluntary
state bilingual and multilingual seals are established to recognize graduating
high school students in any school district, charter school, or nonpublic
school who demonstrate an Advanced-Low level or an intermediate high level
of functional particular levels of proficiency in one or more languages
other than English. The levels of
proficiency established under this subdivision are based on the ACTFL's
proficiency guidelines. A student is
eligible for a seal in a language other than English if the student
demonstrates proficiency in listening, speaking, reading, and writing on
either assessments derived from assessment in the domains of listening,
reading, speaking, and writing on an assessment aligned with American
Council on the Teaching of Foreign Languages' (ACTFL) ACTFL
proficiency guidelines or on an equivalent valid and reliable assessments
in one or more languages in addition to English assessment at a level
required under paragraph (c). Indigenous
American Indian languages and American Sign Language is a language are
languages other than English for purposes of this subdivision and a
world language languages for purposes of subdivision 1a.
(b) In addition to paragraph (a), to be
eligible to receive a seal:
(1) students must satisfactorily
complete all required English language arts credits; and.
(2) students must demonstrate mastery
of Minnesota's English language proficiency standards.
(c) Consistent with this subdivision, a
high school student who demonstrates an overall intermediate high ACTFL
level of functional proficiency derived from assessment in the
domains of listening, reading, speaking, and writing in one language in
addition to English is eligible to receive the state bilingual gold seal. A high school student who demonstrates an overall
intermediate high ACTFL level of functional native proficiency derived
from assessment in the domains of listening, reading, speaking, and writing
in more than one language in addition to English is eligible to receive the
state multilingual gold seal. A high
school student who demonstrates an overall advanced-low or above
ACTFL level of functional proficiency derived from assessment in the
domains of listening, reading, speaking, and writing in one language in
addition to English is eligible to receive the state bilingual
platinum seal. A high school student who demonstrates an overall
advanced-low or above ACTFL level of functional proficiency derived
from assessment in the domains of listening, reading, speaking, and writing
in more than one language in addition to English is eligible to receive the
state multilingual platinum seal.
(d) School districts and charter schools
may give students periodic opportunities to demonstrate their level of
proficiency in listening, speaking, reading, and writing in a language in
addition to English. Where valid and
reliable assessments are unavailable, a school district or charter school may
rely on evaluators trained in assessing under ACTFL proficiency guidelines to
assess a student's level of foreign, heritage, or Indigenous non-English
language proficiency under this section.
School districts and charter schools must maintain appropriate records
to identify high school students eligible to receive the state bilingual or
multilingual gold and platinum seals upon graduation. The school district or charter school must affix
notate the appropriate seal to the transcript of each high school
student who meets the requirements of this subdivision and may affix the seal
to the student's diploma. A school
district or charter school must not charge the high school student a fee for
this seal.
(e) A school district or charter school may award elective course credits in world languages to a student who demonstrates the requisite proficiency in a language other than English under this section.
(f) A school district or charter school may
award community service credit to a student who demonstrates an overall
intermediate high or advanced-low or above ACTFL level of functional
proficiency in listening, speaking, reading, and writing derived from
assessment in the domains of listening, reading, speaking, and writing in a
language other than English and who participates in community service
activities that are integrated into the curriculum, involve the participation
of teachers, and support biliteracy in the school or local community.
(g) The commissioner must list on the web
page those the assessments that are aligned to ACTFL proficiency
guidelines, and establish guidelines on interpreting the scores or ratings
from approved assessments.
(h) By August 1, 2015, the colleges and
universities of the Minnesota State Colleges and Universities system must
establish criteria to translate the seals into college credits based on the
world language course equivalencies identified by the Minnesota State Colleges
and Universities faculty and staff and, upon request from an enrolled student,
the Minnesota State Colleges and Universities may award foreign language
credits to a student who receives received a Minnesota World
Language Proficiency Certificate or Minnesota Bilingual or Multilingual
Seals under subdivision 1a. A
student who demonstrated the requisite level of language proficiency in grade
10, 11, or 12 to receive a seal or certificate and is enrolled in a Minnesota
State Colleges and Universities institution must request college credits for
the student's seal or proficiency certificate within three academic years after
graduating from high school. The
University of Minnesota is encouraged to award students foreign language
academic credits consistent with this paragraph.
Sec. 6. Minnesota Statutes 2023 Supplement, section 120B.024, subdivision 1, is amended to read:
Subdivision 1. Graduation requirements. (a) Students must successfully complete the following high school level credits for graduation:
(1) four credits of language arts sufficient to satisfy all of the academic standards in English language arts;
(2) three credits of mathematics sufficient to satisfy all of the academic standards in mathematics;
(3) three credits of science, including one credit to satisfy all the earth and space science standards for grades 9 through 12, one credit to satisfy all the life science standards for grades 9 through 12, and one credit to satisfy all the chemistry or physics standards for grades 9 through 12;
(4) three and one-half credits of social
studies, including credit for a course in government and citizenship in either
grade 11 or 12 for students beginning grade 9 in the 2024-2025 2025-2026
school year and later or an advanced placement, international baccalaureate, or
other rigorous course on government and citizenship under section 120B.021,
subdivision 1a, and a combination of other credits encompassing at least United
States history, geography, government and citizenship, world history, and
economics sufficient to satisfy all of the academic standards in social
studies;
(5) one credit of the arts
sufficient to satisfy all of the academic standards in the arts;
(6) credits credit sufficient
to satisfy the state standards in physical education; and
(7) a minimum of seven elective credits.
(b) Students who begin grade 9 in the 2024-2025 school year and later must successfully complete a course for credit in personal finance in grade 10, 11, or 12. A teacher of a personal finance course that satisfies the graduation requirement must have a field license or out-of-field permission in agricultural education, business, family and consumer science, social studies, or math.
EFFECTIVE
DATE. This section is
effective July 1, 2024.
Sec. 7. Minnesota Statutes 2022, section 120B.11, as amended by Laws 2023, chapter 55, article 2, sections 9 to 11, is amended to read:
120B.11
SCHOOL DISTRICT PROCESS FOR REVIEWING CURRICULUM, INSTRUCTION, AND STUDENT
ACHIEVEMENT GOALS; STRIVING FOR THE WORLD'S BEST WORKFORCE COMPREHENSIVE
ACHIEVEMENT AND CIVIC READINESS.
Subdivision 1. Definitions. For the purposes of this section and section 120B.10, the following terms have the meanings given them.
(a) "Instruction" means methods of providing learning experiences that enable a student to meet state and district academic standards and graduation requirements including applied and experiential learning.
(b) "Curriculum" means district or school adopted programs and written plans for providing students with learning experiences that lead to expected knowledge and skills and career and college readiness.
(c) "World's best workforce"
"Comprehensive achievement and civic readiness" means striving
to: meet school readiness goals; close
the academic achievement gap among all racial and ethnic groups of students and
between students living in poverty and students not living in poverty; have all
students attain career and college readiness before graduating from high
school; and have all students graduate from high school; and prepare
students to be lifelong learners.
(d) "Experiential learning" means learning for students that includes career exploration through a specific class or course or through work-based experiences such as job shadowing, mentoring, entrepreneurship, service learning, volunteering, internships, other cooperative work experience, youth apprenticeship, or employment.
(e) "Ethnic studies" as defined in section 120B.25 has the same meaning for purposes of this section. Ethnic studies curriculum may be integrated in existing curricular opportunities or provided through additional curricular offerings.
(f) "Antiracist" means actively working to identify and eliminate racism in all forms in order to change policies, behaviors, and beliefs that perpetuate racist ideas and actions.
(g) "Culturally sustaining" means integrating content and practices that infuse the culture and language of Black, Indigenous, and People of Color communities who have been and continue to be harmed and erased through the education system.
(h) "Institutional racism" means structures, policies, and practices within and across institutions that produce outcomes that disadvantage those who are Black, Indigenous, and People of Color.
Subd. 1a. Performance
measures. Measures to determine
school district and school site progress in striving to create the world's
best workforce for comprehensive achievement and civic readiness
must include at least:
(1) the size of the academic achievement gap, rigorous course taking under section 120B.35, subdivision 3, paragraph (c), clause (2), and enrichment experiences by student subgroup;
(2) student performance on the Minnesota Comprehensive Assessments;
(3) high school graduation rates; and
(4) career and college readiness under section 120B.307.
Subd. 2. Adopting
plans and budgets. (a) A school
board, at a public meeting, must adopt a comprehensive, long-term strategic
plan to support and improve teaching and learning that is aligned with creating
the world's best workforce comprehensive achievement and civic
readiness and includes:
(1) clearly defined district and school site goals and benchmarks for instruction and student achievement for all student subgroups identified in section 120B.35, subdivision 3, paragraph (b), clause (2);
(2) a process to assess and evaluate each
student's progress toward meeting state and local academic standards, assess
and identify students to participate in gifted and talented programs and
accelerate their instruction, and adopt early-admission procedures consistent
with section 120B.15, and identifying the strengths and weaknesses of
instruction in pursuit of student and school success and curriculum affecting
students' progress and growth toward career and college readiness and leading
to the world's best workforce comprehensive achievement and civic
readiness;
(3) a system to periodically review and evaluate the effectiveness of all instruction and curriculum, taking into account strategies and best practices, student outcomes, school principal evaluations under section 123B.147, subdivision 3, students' access to effective teachers who are members of populations underrepresented among the licensed teachers in the district or school and who reflect the diversity of enrolled students under section 120B.35, subdivision 3, paragraph (b), clause (2), and teacher evaluations under section 122A.40, subdivision 8, or 122A.41, subdivision 5;
(4) strategies for improving instruction, curriculum, and student achievement, including the English and, where practicable, the native language development and the academic achievement of English learners;
(5) a process to examine the equitable distribution of teachers and strategies to ensure children in low-income families, children in families of People of Color, and children in American Indian families are not taught at higher rates than other children by inexperienced, ineffective, or out-of-field teachers;
(6) education effectiveness practices that:
(i) integrate high-quality instruction, technology, and curriculum that is rigorous, accurate, antiracist, and culturally sustaining;
(ii) ensure learning and work environments validate, affirm, embrace, and integrate cultural and community strengths for all students, families, and employees; and
(iii) provide a collaborative professional culture that seeks to retain qualified, racially and ethnically diverse staff effective at working with diverse students while developing and supporting teacher quality, performance, and effectiveness;
(7) an annual budget for continuing to implement the district plan; and
(8) identifying a list of suggested and required materials, resources, sample curricula, and pedagogical skills for use in kindergarten through grade 12 that accurately reflect the diversity of the state of Minnesota.
(b) A school district is not required to include information regarding literacy in a plan or report required under this section, except with regard to the academic achievement of English learners.
Subd. 3. District advisory committee. Each school board must establish an advisory committee to ensure active community participation in all phases of planning and improving the instruction and curriculum affecting state and district academic standards, consistent with subdivision 2. A district advisory committee, to the extent possible, must reflect the diversity of the district and its school sites, include teachers, parents, support staff, students, and other community residents, and provide translation to the extent appropriate and practicable. The district advisory committee must pursue community support to accelerate the academic and native literacy and achievement of English learners with varied needs, from young children to adults, consistent with section 124D.59, subdivisions 2 and 2a. The district may establish site teams as subcommittees of the district advisory committee under subdivision 4. The district advisory committee must recommend to the school board: rigorous academic standards; student achievement goals and measures consistent with subdivision 1a and sections 120B.022, subdivisions 1a and 1b, and 120B.35; district assessments; means to improve students' equitable access to effective and more diverse teachers; strategies to ensure the curriculum is rigorous, accurate, antiracist, culturally sustaining, and reflects the diversity of the student population; strategies to ensure that curriculum and learning and work environments validate, affirm, embrace, and integrate the cultural and community strengths of all racial and ethnic groups; and program evaluations. School sites may expand upon district evaluations of instruction, curriculum, assessments, or programs. Whenever possible, parents and other community residents must comprise at least two-thirds of advisory committee members.
Subd. 4. Site team. A school must establish a site team to develop and implement strategies and education effectiveness practices to improve instruction, curriculum, cultural competencies, including cultural awareness and cross-cultural communication, and student achievement at the school site, consistent with subdivision 2. The site team must include an equal number of teachers and administrators and at least one parent. The site team advises the board and the advisory committee about developing the annual budget and creates an instruction and curriculum improvement plan to align curriculum, assessment of student progress, and growth in meeting state and district academic standards and instruction.
Subd. 5. Report. Consistent with requirements for school
performance reports under section 120B.36, subdivision 1, the school board
shall publish a report in the local newspaper with the largest circulation in
the district, by mail, or by electronic means on the district website. The school board shall hold an annual public
meeting to review, and revise where appropriate, student achievement goals,
local assessment outcomes, plans, strategies, and practices for improving
curriculum and instruction and cultural competency, and efforts to equitably
distribute diverse, effective, experienced, and in-field teachers, and to
review district success in realizing the previously adopted student achievement
goals and related benchmarks and the improvement plans leading to the
world's best workforce comprehensive achievement and civic readiness. The school board must transmit an electronic
summary of its report to the commissioner in the form and manner the
commissioner determines.
Subd. 7. Periodic report. Each school district shall periodically survey affected constituencies, in their native languages where appropriate and practicable, about their connection to and level of satisfaction with school. The district shall include the results of this evaluation in the summary report required under subdivision 5.
Subd. 9. Annual
evaluation. (a) The commissioner
must identify effective strategies, practices, and use of resources by
districts and school sites in striving for the world's best workforce comprehensive
achievement and civic readiness. The
commissioner must assist districts and sites throughout the state in
implementing these effective strategies, practices, and use of resources.
(b) The commissioner must identify those
districts in any consecutive three-year period not making sufficient progress
toward improving teaching and learning for all students, including English
learners with varied needs, consistent with section 124D.59, subdivisions 2 and
2a, and striving for the world's best workforce comprehensive
achievement and civic readiness. The commissioner, in collaboration with the identified district, may require the district to use up to two percent of its basic general education revenue per fiscal year during the proximate three school years to implement commissioner-specified strategies and practices, consistent with paragraph (a), to improve and accelerate its progress in realizing its goals under this section. In implementing this section, the commissioner must consider districts' budget constraints and legal obligations.
(c) The commissioner shall report by January 25 of each year to the committees of the legislature having jurisdiction over kindergarten through grade 12 education the list of school districts that have not submitted their report to the commissioner under subdivision 5 and the list of school districts not achieving their performance goals established in their plan under subdivision 2.
Sec. 8. Minnesota Statutes 2023 Supplement, section 120B.125, is amended to read:
120B.125
PLANNING FOR STUDENTS' SUCCESSFUL TRANSITION TO POSTSECONDARY EDUCATION AND
EMPLOYMENT; PERSONAL LEARNING PLANS.
(a) Consistent with sections 120B.13, 120B.131, 120B.132, 120B.14, 120B.15, 120B.303, subdivision 1, 125A.08, and other related sections, school districts, beginning in the 2013-2014 school year, must assist all students by no later than grade 9 to explore their educational, college, and career interests, aptitudes, and aspirations and develop a plan for a smooth and successful transition to postsecondary education or employment. All students' plans must:
(1) provide a comprehensive plan to prepare for and complete a career and college ready curriculum by meeting state and local academic standards and developing career and employment-related skills such as team work, collaboration, creativity, communication, critical thinking, and good work habits;
(2) emphasize academic rigor and high expectations and inform the student, and the student's parent or guardian if the student is a minor, of the student's achievement level score on the Minnesota Comprehensive Assessments that are administered during high school;
(3) help students identify interests, aptitudes, aspirations, and personal learning styles that may affect their career and college ready goals and postsecondary education and employment choices;
(4) set appropriate career and college ready goals with timelines that identify effective means for achieving those goals;
(5) help students access education and career options;
(6) integrate strong academic content into career-focused courses and applied and experiential learning opportunities and integrate relevant career-focused courses and applied and experiential learning opportunities into strong academic content;
(7) help identify and access appropriate counseling and other supports and assistance that enable students to complete required coursework, prepare for postsecondary education and careers, and obtain information about postsecondary education costs and eligibility for financial aid and scholarship;
(8) help identify collaborative partnerships among prekindergarten through grade 12 schools, postsecondary institutions, economic development agencies, and local and regional employers that support students' transition to postsecondary education and employment and provide students with applied and experiential learning opportunities; and
(9) be reviewed and revised at least annually by the student, the student's parent or guardian, and the school or district to ensure that the student's course-taking schedule keeps the student on track for graduation, making adequate progress to meet state and local academic standards and high school graduation requirements and with a reasonable chance to succeed with employment or postsecondary education without the need to first complete remedial course work.
(b) A school district may develop grade-level curricula or provide instruction that introduces students to various careers, but must not require any curriculum, instruction, or employment-related activity that obligates an elementary or secondary student to involuntarily select or pursue a career, career interest, employment goals, or related job training.
(c) Educators must possess the knowledge and skills to effectively teach all English learners in their classrooms. School districts must provide appropriate curriculum, targeted materials, professional development opportunities for educators, and sufficient resources to enable English learners to become career and college ready.
(d) When assisting students in developing a plan for a smooth and successful transition to postsecondary education and employment, districts must recognize the unique possibilities of each student and ensure that the contents of each student's plan reflect the student's unique talents, skills, and abilities as the student grows, develops, and learns.
(e) If a student with a disability has an individualized education program (IEP) or standardized written plan that meets the plan components of this section, the IEP satisfies the requirement and no additional transition plan is needed.
(f) Students who do not meet or exceed Minnesota academic standards, as measured by the Minnesota Comprehensive Assessments that are administered during high school, shall be informed that admission to a public school is free and available to any resident under 21 years of age or who meets the requirements of section 120A.20, subdivision 1, paragraph (c). A student's plan under this section shall continue while the student is enrolled.
Sec. 9. Minnesota Statutes 2022, section 120B.13, subdivision 4, is amended to read:
Subd. 4. Rigorous
course taking information; AP, IB, and PSEO.
(a) The commissioner shall submit the following information
on rigorous course taking, disaggregated by student subgroup, school district,
and postsecondary institution, to the education committees of the legislature by
July 1, 2025, and each subsequent year by February July
1:
(1) the number of pupils enrolled in postsecondary enrollment options under section 124D.09, including concurrent enrollment, career and technical education courses offered as a concurrent enrollment course, advanced placement, and international baccalaureate courses in each school district;
(2) the number of teachers in each district attending training programs offered by the college board, International Baccalaureate North America, Inc., or Minnesota concurrent enrollment programs;
(3) the number of teachers in each district participating in support programs;
(4) recent trends in the field of postsecondary enrollment options under section 124D.09, including concurrent enrollment, advanced placement, and international baccalaureate programs;
(5) expenditures for each category in this section and under sections 124D.09 and 124D.091, including career and technical education courses offered as a concurrent enrollment course; and
(6) other recommendations for the state program or the postsecondary enrollment options under section 124D.09, including concurrent enrollment.
(b) The commissioner must include data
from the 2022-2023 and 2023-2024 school years in the report due on July 1,
2025.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 10. Minnesota Statutes 2023 Supplement, section 120B.30, subdivision 7, is amended to read:
Subd. 7. Assessments. A student who demonstrates attainment of
required state academic standards, which include career and college readiness
benchmarks, on high school assessments under subdivision 1a section
120B.302 is academically ready for a career or college and is encouraged to
participate in courses awarding college credit to high school students. Such courses and programs may include
sequential courses of study within broad career areas and technical skill
assessments that extend beyond course grades.
Sec. 11. Minnesota Statutes 2023 Supplement, section 120B.30, subdivision 12, is amended to read:
Subd. 12. Test
administration. (a) Consistent
with applicable federal law, the commissioner must include appropriate,
technically sound accommodations or alternative assessments for the very few
students with disabilities for whom statewide assessments are inappropriate and
for English learners.
(b) (a) The Department of
Education shall contract for professional and technical services according to
competitive solicitation procedures under chapter 16C for purposes of this
section.
(c) (b) A proposal submitted
under this section must include disclosures containing:
(1) comprehensive information regarding test administration monitoring practices; and
(2) data privacy safeguards for student information to be transmitted to or used by the proposing entity.
(d) (c) Information provided
in the proposal is not security information or trade secret information for
purposes of section 13.37.
Sec. 12. Minnesota Statutes 2023 Supplement, section 120B.30, is amended by adding a subdivision to read:
Subd. 17. Retaliation
prohibited. An employee who
discloses information to the commissioner or a parent or guardian about service
disruptions or technical interruptions related to administering assessments
under this section is protected under section 181.932, governing disclosure of
information by employees.
Sec. 13. Minnesota Statutes 2023 Supplement, section 120B.302, is amended to read:
120B.302
GENERAL REQUIREMENTS; TEST DESIGN.
Subdivision 1. Definitions
Developing assessments. For
purposes of conforming with existing federal educational accountability
requirements, the commissioner must develop and implement computer-adaptive
reading and mathematics assessments for grades 3 through 8, state-developed
high school reading and mathematics tests aligned with state academic
standards, a high school writing test aligned with state standards when it
becomes available, and science assessments under clause (2) that
districts and sites must use to monitor student growth toward achieving those
standards. The commissioner must:
(1) not develop statewide
assessments for academic standards in social studies, health and physical
education, and the arts. The
commissioner must require:; and
(1) annual computer-adaptive reading and
mathematics assessments in grades 3 through 8, and high school reading,
writing, and mathematics tests; and
(2) require annual science assessments in one grade in the grades 3 through 5 span, the grades 6 through 8 span, and a life sciences assessment in the grades 9 through 12 span, and the commissioner must not require students to achieve a passing score on high school science assessments as a condition of receiving a high school diploma.
Subd. 2. Comprehensive
assessment system. The commissioner,
with advice from experts with appropriate technical
qualifications and experience and stakeholders, consistent with subdivision
1a, must include state-developed tests in the
comprehensive assessment system, for each grade level to be tested,
state-constructed tests developed as computer-adaptive reading and mathematics
assessments for students that are aligned with the state's required academic
standards under section 120B.021, include multiple choice questions, and are
administered annually to all students in grades 3 through 8. State-developed high school tests aligned
with the state's required academic standards under section 120B.021 and
administered to all high school students in a subject other than writing
must include multiple choice questions. The
commissioner must establish a testing period as late as possible each school
year during which schools must administer the Minnesota Comprehensive
Assessments to students. The
commissioner must publish the testing schedule at least two years before the
beginning of the testing period.
Subd. 3. Aligned
to academic standards. (a) The state
assessment system must be aligned to the most recent revision of academic
standards as described in section 120B.023 in the following
manner:.
(1) mathematics;
(i) grades 3 through 8 beginning in the
2010-2011 school year; and
(ii) high school level beginning in the
2013-2014 school year;
(2) science; grades 5 and 8 and at the
high school level beginning in the 2011-2012 school year; and
(3) language arts and reading; grades 3
through 8 and high school level beginning in the 2012-2013 school year.
(b) The grades 3 through 8
computer-adaptive assessments and high school tests must be aligned with state
academic standards. The commissioner
must determine the testing process and the order of administration. The statewide results must be aggregated at
the site and district level, consistent with subdivision 1a.
(c) The commissioner must ensure that
for annual computer-adaptive assessments:
(1) individual student performance data
and achievement reports are available within three school days of when students
take an assessment except in a year when an assessment reflects new performance
standards;
(2) growth information is available for
each student from the student's first assessment to each proximate assessment
using a constant measurement scale;
(3) parents, teachers, and school
administrators are able to use elementary and middle school student performance
data to project students' secondary and postsecondary achievement; and
(4) useful diagnostic information about
areas of students' academic strengths and weaknesses is available to teachers
and school administrators for improving student instruction and indicating the
specific skills and concepts that should be introduced and developed for
students at given performance levels, organized by strands within subject
areas, and aligned to state academic standards.
(d) (b) The commissioner must
ensure that all state tests administered to elementary and secondary students
measure students' academic knowledge and skills and not students' values,
attitudes, and beliefs.
Subd. 4. Use
of assessments. A school,
school district, and charter school must administer statewide assessments under
this section as the assessments become available to evaluate student progress
toward career and college readiness in the context of the state's academic
standards. A school, school district, or
charter school may use a student's performance on a statewide assessment as one
of multiple criteria to determine grade promotion or retention. A school, school district, or charter school
may use a high school student's performance on a statewide assessment as a
percentage of the student's final grade in a course or place a student's
assessment score on the student's transcript.
Sec. 14. Minnesota Statutes 2023 Supplement, section 120B.305, is amended to read:
120B.305
ASSESSMENT REPORTING REQUIREMENTS.
Subdivision 1. Reporting
requirements. A school,
school district, and charter school must administer statewide assessments under
this section, as the assessments become available, to evaluate student progress
toward career and college readiness in the context of the state's academic
standards. A school, school district, or
charter school may use a student's performance on a statewide assessment as one
of multiple criteria to determine grade promotion or retention. A school, school district, or charter school
may use a high school student's performance on a statewide assessment as a
percentage of the student's final grade in a course, or place a student's
assessment score on the student's transcript.
Subd. 2. Computer
adaptive assessments Reporting requirements. (a) Reporting of state assessment results
must:
(1) provide timely, useful, and understandable information on the performance of individual students, schools, school districts, and the state;
(2) include a growth indicator of student achievement; and
(3) determine whether students have met the state's academic standards.
(b) The 3rd through 8th grade
computer-adaptive assessment results and high school test results must be
available to districts for diagnostic purposes affecting student learning and
district instruction and curriculum, and for establishing educational accountability.
The commissioner must ensure that for annual computer-adaptive assessments:
(1) individual student performance data
and achievement reports are available within three school days of when students
take an assessment except in a year when an assessment reflects new performance
standards;
(2) growth information is available for
each student from the student's first assessment to each proximate assessment
using a constant measurement scale;
(3) parents, teachers, and school
administrators are able to use elementary and middle school student performance
data to project students' secondary and postsecondary achievement; and
(4) useful diagnostic information about
areas of students' academic strengths and weaknesses is available to teachers
and school administrators for improving student instruction and indicating the
specific skills and concepts that should be introduced and developed for
students at given performance levels, organized by strands within subject
areas, and aligned to state academic standards.
(c) The commissioner, in consultation with the chancellor of the Minnesota State Colleges and Universities, must establish empirically derived benchmarks on the high school tests that reveal a trajectory toward career and college readiness consistent with section 136F.302, subdivision 1a. The commissioner must disseminate to the public the computer-adaptive assessments and high school test results upon receiving those results.
(d) A school, school district, or
charter school may provide a student's parent access to the student's
individual student performance data and achievement report that is made
available under paragraph (b), clause (1), when the performance data and report
is available to the school, school district, or charter school.
Subd. 3. Public reporting. (a) The commissioner must include the following components in the statewide public reporting system:
(1) uniform statewide computer-adaptive assessments of all students in grades 3 through 8 and testing at the high school levels that provides appropriate, technically sound accommodations or alternate assessments;
(2) educational indicators that can be aggregated and compared across school districts and across time on a statewide basis, including consistent attendance, high school graduation rates, and high school drop-out rates by age and grade level;
(3) state results on the ACT test; and
(4) state results from participation in the
National Assessment of Educational Progress so that the state can benchmark its
performance against the nation and other states, and, where possible, against
other countries, and contribute to the national effort to monitor achievement.;
and
(5) comparison of statewide assessment
results among school sites and school districts.
(b) The commissioner shall report test
results publicly and to stakeholders, including the performance achievement
levels developed from students' unweighted test scores in each tested subject
and a listing of demographic factors that strongly correlate with student
performance, including student homelessness, as data are available, among other
factors. The test results must not
include personally identifiable information as defined in Code of Federal
Regulations, title 34, section 99.3. The
commissioner shall also report data that compares performance results among
school sites, school districts, Minnesota and other states, and Minnesota and
other nations. The commissioner shall disseminate to schools and school
districts a more comprehensive report containing testing information that meets
local needs for evaluating instruction and curriculum. The commissioner shall disseminate to charter
school authorizers a more comprehensive report containing testing information
that contains anonymized data where cell count data are sufficient to protect
student identity and that meets the authorizer's needs in fulfilling its
obligations under chapter 124E.
(c) The grades 3 through 8
computer-adaptive assessments and high school tests must be aligned with state
academic standards. The commissioner
must determine the testing process and the order of administration. The statewide results must be aggregated at
the site and district level, consistent with subdivision 1a.
Sec. 15. Minnesota Statutes 2023 Supplement, section 120B.31, subdivision 4, is amended to read:
Subd. 4. Student
performance data. In developing
policies and assessment processes to hold schools and districts accountable for
high levels of academic standards under section 120B.021, the commissioner
shall aggregate and disaggregate student data over time to report summary
student performance and growth levels and,
under section 120B.11, subdivision 2, clause (2), student learning and outcome data measured at the school, school district, and statewide level. The commissioner shall use the student categories identified under the federal Elementary and Secondary Education Act, as most recently reauthorized, and student categories of:
(1) homelessness;
(2) ethnicity under section 120B.35, subdivision 3, paragraph (a), clause (2);
(3) race under section 120B.35, subdivision 3, paragraph (a), clause (2);
(4) home language;
(5) English learners under section 124D.59;
(6) free or reduced-price meals; and
(7) other categories designated by federal law to organize and report the data so that state and local policy makers can understand the educational implications of changes in districts' demographic profiles over time as data are available.
Any report the commissioner disseminates containing summary data on student performance must integrate student performance and the demographic factors that strongly correlate with that performance.
Sec. 16. Minnesota Statutes 2023 Supplement, section 120B.36, subdivision 1, is amended to read:
Subdivision 1. School performance reports and public reporting. (a) The commissioner shall report:
(1) student academic performance data under section 120B.35, subdivisions 2 and 3;
(2) academic progress consistent with federal expectations;
(3) school safety and student engagement and connection under section 120B.35, subdivision 3, paragraph (d);
(4) rigorous coursework under section 120B.35, subdivision 3, paragraph (c);
(5) the percentage of students under section 120B.35, subdivision 3, paragraph (b), clause (2), whose progress and performance levels are meeting career and college readiness benchmarks under sections 120B.307 and 120B.35, subdivision 3, paragraph (e);
(6) longitudinal data on the progress of eligible districts in reducing disparities in students' academic achievement and realizing racial and economic integration under section 124D.861;
(7) the acquisition of English, and where practicable, native language academic literacy, including oral academic language, and the academic progress of all English learners enrolled in a Minnesota public school course or program who are currently or were previously counted as English learners under section 124D.59;
(8) two separate student-to-teacher ratios that clearly indicate the definition of teacher consistent with sections 122A.06 and 122A.15 for purposes of determining these ratios;
(9) staff characteristics excluding salaries;
(10) student enrollment demographics;
(11) foster care status, including all students enrolled in a Minnesota public school course or program who are currently or were previously in foster care, student homelessness, and district mobility; and
(12) extracurricular activities.
(b) The school performance report for a school site and a school district must include school performance reporting information and calculate proficiency rates as required by the most recently reauthorized Elementary and Secondary Education Act.
(c) The commissioner shall develop, annually update, and post on the department website school performance reports consistent with paragraph (a) and section 120B.11.
(d) The commissioner must make available performance reports by the beginning of each school year.
(e) A school or district may appeal its results in a form and manner determined by the commissioner and consistent with federal law. The commissioner's decision to uphold or deny an appeal is final.
(f) School performance data are nonpublic
data under section 13.02, subdivision 9, until the commissioner publicly
releases the data. The commissioner
shall annually post school performance reports to the department's public
website no later than September 1, except that in years when the reports
reflect new performance standards,. The commissioner shall post the school
performance reports no later than October 1 in years with new performance
standards for academic standards-based assessments, and no later than November
1 in years with new performance standards adopted under Minnesota Rules, part
3501.1200, for English language proficiency assessments.
Sec. 17. Minnesota Statutes 2023 Supplement, section 121A.041, subdivision 2, is amended to read:
Subd. 2. Prohibition
on American Indian mascots. (a)
Starting September 1, 2025 2026, a public school may not have or
adopt a name, symbol, or image that depicts or refers to an American Indian
Tribe, individual, custom, or tradition to be used as a mascot, nickname, logo,
letterhead, or team name of the school, district, or school within the
district, unless the school has obtained an exemption under subdivision 3.
(b) The prohibition in paragraph (a) does not apply to a public school located within the reservation of a federally recognized Tribal Nation in Minnesota, where at least 95 percent of students meet the state definition of American Indian student.
(c) A school district with a prohibited
American Indian mascot according to paragraph (a), that has not received an
exemption according to subdivision 3, must report to the chairs and ranking
minority members of the legislative committees having jurisdiction over
kindergarten through grade 12 education policy by February 14, 2025, and again
by February 1, 2026, on the district's progress to comply with this section;
and the district must submit copies of the reports to the Legislative Reference
Library. The reports must include the
following:
(1) confirmation that the district has
removed the American Indian mascot, nickname, logo, letterhead, or team name
from the district website;
(2)
confirmation that the board of the district has approved a new mascot,
nickname, logo, letterhead, or team name;
(3) a summary of the
district's progress on removing the American Indian mascot, nickname, logo,
letterhead, or team name from uniforms, equipment, signs, elements of
facilities, and other district items; and
(4) a summary of resources necessary to
comply with the prohibition in paragraph (a) and the district's plan to raise
and allocate any necessary funds.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 18. Minnesota Statutes 2023 Supplement, section 121A.041, subdivision 3, is amended to read:
Subd. 3. Exemption. A public school may seek an exemption to
subdivision 2 by submitting a request in writing to all 11 federally recognized
Tribal Nations in Minnesota and to the Tribal Nations Education Committee by
September 1, 2023. The exemption is
denied if any of the 11 Tribal Nations or the Tribal Nations Education
Committee oppose the exemption by December 15, 2023. A public school whose request for an
exemption is denied must comply with subdivision 2 by September 1, 2025 2026.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 19. [121A.08]
SMUDGING PERMITTED.
An American Indian student or staff
member may use tobacco, sage, sweetgrass, and cedar to conduct individual or
group smudging in a public school. The
process for conducting smudging is determined by the building or site
administrator. Smudging must be
conducted under the direct supervision of an appropriate staff member, as
determined by the building or site administrator.
Sec. 20. Minnesota Statutes 2023 Supplement, section 121A.642, is amended by adding a subdivision to read:
Subd. 3. Consultation. A school district or charter school
must consult the exclusive representative for employees receiving this training
before creating or planning the training required under this section.
EFFECTIVE
DATE. This section is
effective the day following final enactment.
Sec. 21. [121A.80]
STUDENT JOURNALISM; STUDENT EXPRESSION.
Subdivision 1. Definitions. (a) For purposes of this section, the
terms defined in this subdivision have the meanings given.
(b) "School-sponsored media"
means material that is:
(1) prepared, wholly or substantially
written, published, broadcast, or otherwise disseminated by a student
journalist enrolled in a school district or charter school;
(2) distributed or generally made
available to students in the school; and
(3) prepared by a student journalist
under the supervision of a student media adviser.
School-sponsored media does not include material prepared
solely for distribution or transmission in the classroom in which the material
is produced, or a yearbook.
(c) "School official" means a
school principal under section 123B.147 or other person having administrative
control or supervision of a school.
(d) "Student
journalist" means a school district or charter school student in grades 6
through 12 who gathers, compiles, writes, edits, photographs, records, or
otherwise prepares information for dissemination in school‑sponsored
media.
(e) "Student media adviser"
means a qualified teacher, as defined in section 122A.16, that a school
district or charter school employs, appoints, or designates to supervise
student journalists or provide instruction relating to school-sponsored media.
Subd. 2. Student
journalists; protected conduct. (a)
Except as provided in subdivision 3, a student journalist has the right to
exercise freedom of speech and freedom of the press in school-sponsored media
regardless of whether the school-sponsored media receives financial support
from the school or district, uses school equipment or facilities in its
production, or is produced as part of a class or course in which the student
journalist is enrolled. Freedom of
speech includes freedom to express political viewpoints. Consistent with subdivision 3, a student
journalist has the right to determine the news, opinion, feature, and
advertising content of school-sponsored media.
A school district or charter school must not discipline a student
journalist for exercising rights or freedoms under this paragraph or the First
Amendment of the United States Constitution.
(b) A school district or charter school
must not retaliate or take adverse employment action against a student media
adviser for supporting a student journalist exercising rights or freedoms under
paragraph (a) or the First Amendment of the United States Constitution.
(c) Notwithstanding the rights or
freedoms of this subdivision or the First Amendment of the United States
Constitution, nothing in this section inhibits a student media adviser from
teaching professional standards of English and journalism to student journalists.
Subd. 3. Unprotected
expression. (a) This section
does not authorize or protect student expression that:
(1) is defamatory;
(2) is profane, harassing, threatening,
or intimidating;
(3) constitutes an unwarranted invasion
of privacy;
(4) violates federal or state law;
(5) causes a material and substantial
disruption of school activities; or
(6) is directed to inciting or
producing imminent lawless action on school premises or the violation of lawful
school policies or rules, including a policy adopted in accordance with section
121A.03 or 121A.031.
(b) Nothing in this section authorizes
the publication of an advertisement by school-sponsored media that promotes the
purchase of a product or service that is unlawful for purchase or use by
minors.
(c) A school or district must not
authorize any prior restraint of school-sponsored media except under this
subdivision.
Subd. 4. Student
journalist policy. School
districts and charter schools must adopt and post on the district or charter
school website a student journalist policy consistent with this section.
EFFECTIVE
DATE. This section is
effective for the 2024-2025 school year and later.
Sec. 22. [123B.32]
LANGUAGE ACCESS PLAN.
Subdivision 1. Language
access plan required. Starting
in the 2025-2026 school year, during a regularly scheduled public board
hearing, a school board must adopt a language access plan that specifies the
district's process and procedures to render effective language assistance to
students and adults who communicate in a language other than English. The language access plan must be available to
the public and included in the school's handbook.
Subd. 2. Plan
requirements. The language
access plan must include how the district and its schools will use trained or
certified spoken language interpreters for communication related to academic
outcomes, progress, determinations, and placement of students in specialized
programs and services; and how families and communities will be notified of
their rights under this plan.