Bill Text: MN HF296 | 2013-2014 | 88th Legislature | Engrossed
Bill Title: Drug formulary exception provided, case management services extended for young adults with severe emotional disturbance, funding provided, and money appropriated for various mental health services and training.
Sponsorship: Partisan Bill (Democrat 10)
Status: (Introduced - Dead) 2013-03-04 - Committee report, to pass as amended and re-refer to Health and Human Services Finance [HF296 Detail]
Download: Minnesota-2013-HF296-Engrossed.html
1.2relating to human services; providing an exception to the drug formulary;
1.3extending case management services for young adults with severe emotional
1.4disturbance; appropriating money for various mental health services and training;
1.5amending Minnesota Statutes 2012, sections 62Q.527, subdivision 4; 245.4881,
1.6subdivision 1.
1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.8 Section 1. Minnesota Statutes 2012, section 62Q.527, subdivision 4, is amended to read:
1.9 Subd. 4. Exception to formulary. A health plan company must promptly grant an
1.10exception to the health plan's drug formulary for an enrollee when the health care provider
1.11prescribing the drug indicates to the health plan company that:
1.12(1) the formulary drug causes an adverse reaction in the patient;
1.13(2) the formulary drug is contraindicated for the patient;or
1.14(3) the health care provider demonstrates to the health plan that the prescription drug
1.15must be dispensed as written to provide maximum medical benefit to the patient; or
1.16(4) the patient is experiencing a first or second psychotic episode and the prescribed
1.17drug is included in research-based protocols on treating first episodes.
1.18 Sec. 2. Minnesota Statutes 2012, section 245.4881, subdivision 1, is amended to read:
1.19 Subdivision 1. Availability of case management services. (a) The county board
1.20shall provide case management services for each child with severe emotional disturbance
1.21who is a resident of the county and the child's family who request or consent to the
1.22services. Case management servicesmay be continued must continue to be provided
1.23for a child with a serious emotional disturbance who is over the age of 18 consistent
1.24with section245.4875, subdivision 8 , if requested by the child or child's family. Before
2.1discontinuing case management services under this subdivision, a transition plan must
2.2be developed prior to the child's 18th or the young adult's 26th birthday. The transition
2.3plan must be developed by the child or young adult, and with the child or young adult's
2.4consent, the parent, guardian, or legal representative of the child or young adult. Staffing
2.5ratios must be sufficient to serve the needs of the clients. The case manager must meet the
2.6requirements in section245.4871, subdivision 4 .
2.7(b) Except as permitted by law and the commissioner under demonstration projects,
2.8case management services provided to children with severe emotional disturbance eligible
2.9for medical assistance must be billed to the medical assistance program under sections
2.10256B.02, subdivision 8
, and
256B.0625 .
2.11(c) Case management services are eligible for reimbursement under the medical
2.12assistance program. Costs of mentoring, supervision, and continuing education may be
2.13included in the reimbursement rate methodology used for case management services under
2.14the medical assistance program.
2.15 Sec. 3. APPROPRIATIONS.
2.16 Subdivision 1. Parent support outreach program. $....... is appropriated from
2.17the general fund in fiscal year 2014 for the biennium ending June 30, 2015, to the
2.18commissioner of human services to expand statewide the parent support outreach pilot
2.19program which provides an early intervention response approach to serve families with
2.20significant child maltreatment risk factors.
2.21 Subd. 2. Treatment for adolescent and young adult first psychotic episode.
2.22$....... is appropriated from the general fund in fiscal year 2014, for the biennium ending
2.23June 30, 2015, to the commissioner of human services to fund special projects to provide
2.24intensive treatment and supports to adolescents and young adults experiencing their first
2.25psychotic symptoms or first psychotic episode. Intensive treatments and supports may
2.26include medication management, psychoeducation for the individual and family, care
2.27coordination, employment supports, higher education supports, cognitive behavioral
2.28approaches, peer support groups, social skills training, crisis planning, stress management,
2.29and supportive housing.
2.30 Subd. 3. Training for mental health professionals on early psychosis. $....... is
2.31appropriated from the general fund in fiscal year 2014, for the biennium ending June 30,
2.322015, to the commissioner of human services to provide training and guidance to mental
2.33health and health care professionals on early psychosis, screening tools, and best practices.
3.1 Subd. 4. School-linked mental health services. $10,000,000 for the biennium
3.2ending June 30, 2015, is appropriated from the general fund to the commissioner of
3.3human services.
3.4(a) $....... is for children's school-linked mental health services, two FTEs in the
3.5children's Mental Health Division, and consultation services to certain school districts. At
3.6least 25 percent of the new funding must be targeted to providers that can serve schools with
3.7the highest percentage of special education students in the EBD category, high poverty, or
3.8high use of prone restraints. The commissioner must distribute grants to rural and urban
3.9counties. The commissioner shall require grantees to utilize all available third-party
3.10reimbursement sources before using state grant funds. A third-party reimbursement source
3.11does not include a public school within the meaning under Minnesota Statutes, section
3.12120A.20, subdivision 1. The commissioner may not require a public school to incur any
3.13additional financial obligations as a result of a grant under this paragraph.
3.14(b) $....... is for two FTEs hired in the children's Mental Health Division to manage
3.15the grants.
3.16(c) $....... is for the commissioner to provide consultation to school districts that do
3.17not have school-linked mental health services grants and that want to collaborate with a
3.18community mental health provider.
1.3extending case management services for young adults with severe emotional
1.4disturbance; appropriating money for various mental health services and training;
1.5amending Minnesota Statutes 2012, sections 62Q.527, subdivision 4; 245.4881,
1.6subdivision 1.
1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.8 Section 1. Minnesota Statutes 2012, section 62Q.527, subdivision 4, is amended to read:
1.9 Subd. 4. Exception to formulary. A health plan company must promptly grant an
1.10exception to the health plan's drug formulary for an enrollee when the health care provider
1.11prescribing the drug indicates to the health plan company that:
1.12(1) the formulary drug causes an adverse reaction in the patient;
1.13(2) the formulary drug is contraindicated for the patient;
1.14(3) the health care provider demonstrates to the health plan that the prescription drug
1.15must be dispensed as written to provide maximum medical benefit to the patient; or
1.16(4) the patient is experiencing a first or second psychotic episode and the prescribed
1.17drug is included in research-based protocols on treating first episodes.
1.18 Sec. 2. Minnesota Statutes 2012, section 245.4881, subdivision 1, is amended to read:
1.19 Subdivision 1. Availability of case management services. (a) The county board
1.20shall provide case management services for each child with severe emotional disturbance
1.21who is a resident of the county and the child's family who request or consent to the
1.22services. Case management services
1.23for a child with a serious emotional disturbance who is over the age of 18 consistent
1.24with section
2.1discontinuing case management services under this subdivision, a transition plan must
2.2be developed prior to the child's 18th or the young adult's 26th birthday. The transition
2.3plan must be developed by the child or young adult, and with the child or young adult's
2.4consent, the parent, guardian, or legal representative of the child or young adult. Staffing
2.5ratios must be sufficient to serve the needs of the clients. The case manager must meet the
2.6requirements in section
2.7(b) Except as permitted by law and the commissioner under demonstration projects,
2.8case management services provided to children with severe emotional disturbance eligible
2.9for medical assistance must be billed to the medical assistance program under sections
2.11(c) Case management services are eligible for reimbursement under the medical
2.12assistance program. Costs of mentoring, supervision, and continuing education may be
2.13included in the reimbursement rate methodology used for case management services under
2.14the medical assistance program.
2.15 Sec. 3. APPROPRIATIONS.
2.16 Subdivision 1. Parent support outreach program. $....... is appropriated from
2.17the general fund in fiscal year 2014 for the biennium ending June 30, 2015, to the
2.18commissioner of human services to expand statewide the parent support outreach pilot
2.19program which provides an early intervention response approach to serve families with
2.20significant child maltreatment risk factors.
2.21 Subd. 2. Treatment for adolescent and young adult first psychotic episode.
2.22$....... is appropriated from the general fund in fiscal year 2014, for the biennium ending
2.23June 30, 2015, to the commissioner of human services to fund special projects to provide
2.24intensive treatment and supports to adolescents and young adults experiencing their first
2.25psychotic symptoms or first psychotic episode. Intensive treatments and supports may
2.26include medication management, psychoeducation for the individual and family, care
2.27coordination, employment supports, higher education supports, cognitive behavioral
2.28approaches, peer support groups, social skills training, crisis planning, stress management,
2.29and supportive housing.
2.30 Subd. 3. Training for mental health professionals on early psychosis. $....... is
2.31appropriated from the general fund in fiscal year 2014, for the biennium ending June 30,
2.322015, to the commissioner of human services to provide training and guidance to mental
2.33health and health care professionals on early psychosis, screening tools, and best practices.
3.1 Subd. 4. School-linked mental health services. $10,000,000 for the biennium
3.2ending June 30, 2015, is appropriated from the general fund to the commissioner of
3.3human services.
3.4(a) $....... is for children's school-linked mental health services, two FTEs in the
3.5children's Mental Health Division, and consultation services to certain school districts. At
3.6least 25 percent of the new funding must be targeted to providers that can serve schools with
3.7the highest percentage of special education students in the EBD category, high poverty, or
3.8high use of prone restraints. The commissioner must distribute grants to rural and urban
3.9counties. The commissioner shall require grantees to utilize all available third-party
3.10reimbursement sources before using state grant funds. A third-party reimbursement source
3.11does not include a public school within the meaning under Minnesota Statutes, section
3.12120A.20, subdivision 1. The commissioner may not require a public school to incur any
3.13additional financial obligations as a result of a grant under this paragraph.
3.14(b) $....... is for two FTEs hired in the children's Mental Health Division to manage
3.15the grants.
3.16(c) $....... is for the commissioner to provide consultation to school districts that do
3.17not have school-linked mental health services grants and that want to collaborate with a
3.18community mental health provider.
