1.1.................... moves to amend H.F. No. 1233, the delete everything amendment
1.2(A13-0408), as follows:
1.3Page 141, after line 6, insert:

1.6    Subdivision 1. Authorization for continuum of care pilot projects. The
1.7commissioner shall establish chemical dependency continuum of care pilot projects to
1.8begin implementing the measures developed with stakeholder input and identified in the
1.9report completed pursuant to Laws 2012, chapter 247, article 5, section 8. The pilot
1.10projects are intended to improve the effectiveness and efficiency of the service continuum
1.11for chemically dependent individuals in Minnesota while reducing duplication of efforts
1.12and promoting scientifically supported practices.
1.13    Subd. 2. Program implementation. (a) The commissioner, in coordination with
1.14representatives of the Minnesota Association of County Social Service Administrators
1.15and the Minnesota Inter-County Association, shall develop a process for identifying and
1.16selecting interested counties and providers for participation in the continuum of care pilot
1.17projects. There will be three pilot projects; one representing the northern region, one for
1.18the metro region, and one for the southern region. The selection process of counties and
1.19providers must include consideration of population size, geographic distribution, cultural
1.20and racial demographics, and provider accessibility. The commissioner shall identify
1.21counties and providers that are selected for participation in the continuum of care pilot
1.22projects no later than September 30, 2013.
1.23(b) The commissioner and entities participating in the continuum of care pilot
1.24projects shall enter into agreements governing the operation of the continuum of care pilot
1.25projects. The agreements shall identify pilot project outcomes and include timelines for
1.26implementation and beginning operation of the pilot projects.
2.1(c) Entities that are currently participating in the navigator pilot project are
2.2eligible to participate in the continuum of care pilot project subsequent to or instead of
2.3participating in the navigator pilot project.
2.4(d) The commissioner may waive administrative rule requirements that are
2.5incompatible with implementation of the continuum of care pilot projects.
2.6(e) Notwithstanding section 254A.19, the commissioner may designate noncounty
2.7entities to complete chemical use assessments and placement authorizations required
2.8under section 254A.19 and Minnesota Rules, parts 9530.6600 to 9530.6655. Section
2.9254A.19, subdivision 3, is applicable to the continuum of care pilot projects at the
2.10discretion of the commissioner.
2.11    Subd. 3. Program design. (a) The operation of the pilot projects shall include:
2.12(1) new services that are responsive to the chronic nature of substance use disorder;
2.13(2) telehealth services, when appropriate to address barriers to services;
2.14(3) services that assure integration with the mental health delivery system when
2.16(4) services that address the needs of diverse populations; and
2.17(5) an assessment and access process that permits clients to present directly to a
2.18service provider for a substance use disorder assessment and authorization of services.
2.19(b) Prior to implementation of the continuum of care pilot projects, a utilization
2.20review process must be developed and agreed to by the commissioner, participating
2.21counties, and providers. The utilization review process shall be described in the
2.22agreements governing operation of the continuum of care pilot projects.
2.23    Subd. 4. Notice of project discontinuation. Each entity's participation in the
2.24continuum of care pilot project may be discontinued for any reason by the county or the
2.25commissioner after 30 days' written notice to the entity.
2.26    Subd. 5. Duties of commissioner. (a) Notwithstanding any other provisions in this
2.27chapter, the commissioner may authorize chemical dependency treatment funds to pay for
2.28nontreatment services arranged by continuum of care pilot projects. Individuals who are
2.29currently accessing Rule 31 treatment services are eligible for concurrent participation in
2.30the continuum of care pilot projects.
2.31(b) County expenditures for continuum of care pilot project services shall not
2.32be greater than their expected share of forecasted expenditures in the absence of the
2.33continuum of care pilot projects.
2.34EFFECTIVE DATE.This section is effective August 1, 2013."
2.35Amend the title accordingly