.................... moves to amend H. F. No. 595 as follows:
Delete everything after the enacting clause and insert:
"Section 1. Minnesota Statutes 2006, section 145A.17, is amended to read:
1.4145A.17 FAMILY HOME VISITING PROGRAMS.
Subdivision 1. Establishment; goals.
The commissioner shall establish a program
to fund family home visiting programs designed to foster
beginning for children
1.7 in 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,
reduce juvenile delinquency, promote positive parenting and resiliency in children, and
promote 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
must serve families at or below 200 percent of the federal poverty guidelines, and other
families determined to be at risk, including but not limited to being at risk for child abuse,
child neglect, or juvenile delinquency. Programs should begin prenatally whenever
must give priority for services to the lowest-income
1.18 to 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) adolescent parents;
(2) a history of alcohol or other drug abuse;
(3) a history of child abuse, domestic abuse, or other types of violence;
(4) a history of domestic abuse, rape, or other forms of victimization;
(5) reduced cognitive functioning;
(6) a lack of knowledge of child growth and development stages;
(7) low resiliency to adversities and environmental stresses;
(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
Subd. 3. Requirements for programs; process.
Before a community health
2.5 board or tribal government may receive an allocation under subdivision 2, a community
2.6 health board or tribal government must submit a proposal to the commissioner that
2.7 includes identification, based on a community assessment, of the populations at or below
2.8 200 percent of the federal poverty guidelines that will be served and the other populations
2.9 that 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
or selective community-based
provide preventive and early intervention home visiting services;
(2) offer a home visit by a trained home visitor. If a home visit is accepted, the first
home visit must occur prenatally or as soon after birth as possible and must include a
public health nursing comprehensive
assessment of the family
by a public health nurse;
(3) offer, at a minimum, information on infant care, child growth and development,
positive parenting, preventing diseases, preventing exposure to environmental hazards,
and support services available in the community;
(4) provide information on and referrals to health care services, if needed, including
information on health care coverage for which the child or family may be eligible;
and provide information on preventive services, developmental assessments, and the
availability of public assistance programs as appropriate;
(5) provide youth development programs when appropriate
(6) recruit home visitors who will represent, to the extent possible, the races,
cultures, and languages spoken by families that may be served;
(7) train and supervise home visitors in accordance with the requirements established
under subdivision 4;
(8) maximize resources and minimize duplication by coordinating
local social and human services organizations, education organizations,
and other appropriate governmental entities and community-based organizations and
(9) utilize appropriate racial and ethnic approaches to providing home visiting
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.
Funds available under this section shall not be used for medical services. The
commissioner shall establish an administrative cost limit for recipients of funds. The
outcome measures established under subdivision 6 must be specified to recipients of
funds at the time the funds are distributed.
Data collected on individuals served by the home visiting programs must
remain confidential and must not be disclosed by providers of home visiting services
without a specific informed written consent that identifies disclosures to be made.
Upon request, agencies providing home visiting services must provide recipients with
information on disclosures, including the names of entities and individuals receiving the
information and the general purpose of the disclosure. Prospective and current recipients
of home visiting services must be told and informed in writing that written consent for
disclosure of data is not required for access to home visiting services.
Subd. 4. Training.
The commissioner shall establish training requirements for
home visitors and minimum requirements for supervision
by a public health nurse
requirements for nurses must be consistent with chapter 148. The commissioner must
3.32providing training for home visitors.
3.33 positive parenting techniques, screening and referrals for child abuse and neglect, and
3.34 diverse 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
Subd. 5. Technical assistance.
The commissioner shall provide administrative
and technical assistance to each program, including assistance in data collection and
other activities related to conducting short- and long-term evaluations of the programs
as required under subdivision 7. The commissioner may request research and evaluation
support from the University of Minnesota.
Subd. 6. Outcome and performance measures.
The commissioner shall establish
to determine the impact of family home visiting programs funded
under this section on the following areas:
(1) appropriate utilization of preventive health care;
(2) rates of substantiated child abuse and neglect;
(3) rates of unintentional child injuries;
(4) rates of children who are screened and who pass early childhood screening;
(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
any additional qualitative goals and quantitative measures established by the
Subd. 7. Evaluation.
Using the qualitative goals and quantitative outcome and
measures established under subdivisions 1 and 6, the commissioner shall
conduct ongoing evaluations of the programs funded under this section. Community
health boards and tribal governments shall cooperate with the commissioner in the
evaluations and shall provide the commissioner with the information necessary to conduct
the evaluations. As part of the ongoing evaluations, the commissioner shall rate the impact
of the programs on the outcome measures listed in subdivision 6, and shall periodically
determine whether home visiting programs are the best way to achieve the qualitative
goals established under subdivisions 1 and 6. If the commissioner determines that home
visiting programs are not the best way to achieve these goals, the commissioner shall
provide the legislature with alternative methods for achieving them. Children participating
5.3in the home visiting programs must be assigned a MARSS number.
Subd. 8. Report.
By January 15, 2002, and January 15 of each even-numbered
year thereafter, the commissioner shall submit a report to the legislature on the family
home visiting programs funded under this section and on the results of the evaluations
conducted under subdivision 7.
Subd. 9. No supplanting of existing funds.
Funding available under this section
may be used only to supplement, not to replace, nonstate funds being used for home
visiting 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.
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.
Amend the title accordingly