1.1    .................... moves to amend H. F. No. 595 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2006, section 145A.17, is amended to read:
1.5    Subdivision 1. Establishment; goals. The commissioner shall establish a program
1.6to fund family home visiting programs designed to foster a healthy beginning for children
1.7in families at or below 200 percent of the federal poverty guidelines beginnings, promote
1.8improved pregnancy outcomes, promote school readiness, prevent child abuse and neglect,
1.9reduce juvenile delinquency, promote positive parenting and resiliency in children, and
1.10promote family health and economic self-sufficiency for children and families. The
1.11commissioner shall promote partnerships, collaboration , and multidisciplinary visiting
1.12done by teams of professional and paraprofessionals from the fields of public health
1.13nursing, social work, and early childhood education. A program funded under this section
1.14must serve families at or below 200 percent of the federal poverty guidelines, and other
1.15families determined to be at risk, including but not limited to being at risk for child abuse,
1.16child neglect, or juvenile delinquency. Programs should begin prenatally whenever
1.17possible and must give priority for services to the lowest-income families, considered
1.18to be in need of services, including but not limited to including those families at risk
1.19of long-term welfare dependency or family instability due to employment barriers and
1.20those families with:
1.21    (1) adolescent parents;
1.22    (2) a history of alcohol or other drug abuse;
1.23    (3) a history of child abuse, domestic abuse, or other types of violence;
1.24    (4) a history of domestic abuse, rape, or other forms of victimization;
1.25    (5) reduced cognitive functioning;
1.26    (6) a lack of knowledge of child growth and development stages;
1.27    (7) low resiliency to adversities and environmental stresses; or
2.1    (8) insufficient financial resources to meet family needs;
2.2    (9) experiencing homelessness; or
2.3    (10) other risk factors as determined by the commissioner.
2.4    Subd. 3. Requirements for programs; process. (a) Before a community health
2.5board or tribal government may receive an allocation under subdivision 2, a community
2.6health board or tribal government must submit a proposal to the commissioner that
2.7includes identification, based on a community assessment, of the populations at or below
2.8200 percent of the federal poverty guidelines that will be served and the other populations
2.9that will be served. Each program that receives funds must Community health boards
2.10and tribal governments that receive an allocation must write a plan to the commissioner
2.11describing a multidisciplinary approach to home visiting for families. At a minimum,
2.12programs receiving allocations must demonstrate the following:
2.13    (1) systematic outreach to families prenatally or at birth;
2.14    (2) seamless delivery of health, safety, and early learning services; and
2.15    (3) continuity of services when families move within the state.
2.16    (b) The multidisciplinary partners may include public health, ECFE, Head Start,
2.17community health workers, social workers, community home visiting programs and other
2.18relevant partners. Each program that receives funds must accomplish the following
2.19program requirements:
2.20    (1) use either a broad community-based or selective community-based strategy to
2.21provide preventive and early intervention home visiting services;
2.22    (2) offer a home visit by a trained home visitor. If a home visit is accepted, the first
2.23home visit must occur prenatally or as soon after birth as possible and must include a
2.24public health nursing comprehensive assessment of the family by a public health nurse;
2.25    (3) offer, at a minimum, information on infant care, child growth and development,
2.26positive parenting, preventing diseases, preventing exposure to environmental hazards,
2.27and support services available in the community;
2.28    (4) provide information on and referrals to health care services, if needed, including
2.29information on health care coverage for which the child or family may be eligible;
2.30and provide information on preventive services, developmental assessments, and the
2.31availability of public assistance programs as appropriate;
2.32    (5) provide youth development programs when appropriate;
2.33    (6) recruit home visitors who will represent, to the extent possible, the races,
2.34cultures, and languages spoken by families that may be served;
2.35    (7) train and supervise home visitors in accordance with the requirements established
2.36under subdivision 4;
3.1    (8) maximize resources and minimize duplication by coordinating activities with
3.2or contracting local social and human services organizations, education organizations,
3.3and other appropriate governmental entities and community-based organizations and
3.4agencies; and
3.5    (9) utilize appropriate racial and ethnic approaches to providing home visiting
3.6services; and
3.7    (10) connect eligible families, as needed, to additional resources available in the
3.8community including, but not limited to, high quality early care and education programs,
3.9health or mental health services, family literacy programs, employment agencies, social
3.10services, and child care resources and referral agencies..
3.11    When possible, programs that receive funds must offer center-based or group
3.12meetings at least once per month with greater frequency of services for those eligible
3.13families identified with additional needs to further enhance the information, activities,
3.14and skill-building addressed during home visitation, offer opportunities for parents to
3.15meet with and support each other, and to offer infants and toddlers a safe, nurturing, and
3.16stimulating environment for socialization and supervised play with qualified teachers.
3.17    (b) (c) Funds available under this section shall not be used for medical services. The
3.18commissioner shall establish an administrative cost limit for recipients of funds. The
3.19outcome measures established under subdivision 6 must be specified to recipients of
3.20funds at the time the funds are distributed.
3.21    (c) (d) Data collected on individuals served by the home visiting programs must
3.22remain confidential and must not be disclosed by providers of home visiting services
3.23without a specific informed written consent that identifies disclosures to be made.
3.24Upon request, agencies providing home visiting services must provide recipients with
3.25information on disclosures, including the names of entities and individuals receiving the
3.26information and the general purpose of the disclosure. Prospective and current recipients
3.27of home visiting services must be told and informed in writing that written consent for
3.28disclosure of data is not required for access to home visiting services.
3.29    Subd. 4. Training. The commissioner shall establish training requirements for
3.30home visitors and minimum requirements for supervision by a public health nurse. The
3.31requirements for nurses must be consistent with chapter 148. The commissioner must
3.32providing training for home visitors. Training must shall include child development,
3.33positive parenting techniques, screening and referrals for child abuse and neglect, and
3.34diverse cultural practices in child rearing and family systems the following:
3.35    (1) effective relationships for engaging and retaining families and ensuring family
3.36health, safety, and early learning;
4.1    (2) effective methods of implementing parent education, conducting home visiting,
4.2and promoting quality early childhood development;
4.3    (3) early childhood development from birth to age five;
4.4    (4) diverse cultural practices in child rearing and family systems;
4.5    (5) recruiting, supervising, and retaining qualified staff;
4.6    (6) increasing services for underserved populations; and
4.7    (7) relevant issues related to child welfare and protective services, with information
4.8provided being consistent with state child welfare agency training.
4.9    Subd. 5. Technical assistance. The commissioner shall provide administrative
4.10and technical assistance to each program, including assistance in data collection and
4.11other activities related to conducting short- and long-term evaluations of the programs
4.12as required under subdivision 7. The commissioner may request research and evaluation
4.13support from the University of Minnesota.
4.14    Subd. 6. Outcome and performance measures. The commissioner shall establish
4.15outcomes measures to determine the impact of family home visiting programs funded
4.16under this section on the following areas:
4.17    (1) appropriate utilization of preventive health care;
4.18    (2) rates of substantiated child abuse and neglect;
4.19    (3) rates of unintentional child injuries;
4.20    (4) rates of children who are screened and who pass early childhood screening; and
4.21    (5) rates of children accessing high quality early care and educational services;
4.22    (6) program retention rates;
4.23    (7) number of home visits provided compared to the number of home visits planned;
4.24    (8) participant satisfaction; and
4.25    (9) any additional qualitative goals and quantitative measures established by the
4.27    Subd. 7. Evaluation. Using the qualitative goals and quantitative outcome and
4.28performance measures established under subdivisions 1 and 6, the commissioner shall
4.29conduct ongoing evaluations of the programs funded under this section. Community
4.30health boards and tribal governments shall cooperate with the commissioner in the
4.31evaluations and shall provide the commissioner with the information necessary to conduct
4.32the evaluations. As part of the ongoing evaluations, the commissioner shall rate the impact
4.33of the programs on the outcome measures listed in subdivision 6, and shall periodically
4.34determine whether home visiting programs are the best way to achieve the qualitative
4.35goals established under subdivisions 1 and 6. If the commissioner determines that home
5.1visiting programs are not the best way to achieve these goals, the commissioner shall
5.2provide the legislature with alternative methods for achieving them. Children participating
5.3in the home visiting programs must be assigned a MARSS number.
5.4    Subd. 8. Report. By January 15, 2002, and January 15 of each even-numbered
5.5year thereafter, the commissioner shall submit a report to the legislature on the family
5.6home visiting programs funded under this section and on the results of the evaluations
5.7conducted under subdivision 7.
5.8    Subd. 9. No supplanting of existing funds. Funding available under this section
5.9may be used only to supplement, not to replace, nonstate funds being used for home
5.10visiting services as of July 1, 2001.
5.11    Subd. 10. Submitted plans. Plans must be submitted on forms provided by the
5.12commissioner and must include the following information:
5.13    (1) a description of the community demographics;
5.14    (2) a plan for meeting outcome measures; and
5.15    (3) a proposed work plan that includes:
5.16    (i) a coordination plan to ensure nonduplication of services for children and families;
5.17    (ii) a description of the strategies to ensure that children and families at greatest risk
5.18receive appropriate services; and
5.19    (iii) a plan for collaboration with partnering multidisciplinary agencies,
5.20organizations, and school districts.
5.21Letters of intent from partnering multidisciplinary agencies, organizations and school
5.22districts must be submitted with the plan.

5.23    Sec. 3. APPROPRIATIONS.
5.24    $....... is appropriated for the biennium beginning July 1, 2007, from the general
5.25fund to the commissioner of health for the family home visiting grant program. The
5.26commissioner shall distribute funds to community health boards and tribal governments
5.27using a formula developed in conjunction with the State Community Health Services
5.28Advisory Committee and Tribal governments. The commissioner may use five percent
5.29of the funds appropriated in each fiscal year to conduct the ongoing evaluations required
5.30under Minnesota Statutes, section 145A.17, subdivision 7, and may use ten percent of the
5.31funds appropriated each fiscal year to provide training and technical assistance as required
5.32under Minnesota Statutes, section 145A.17, subdivisions 4 and 5."
5.33Amend the title accordingly