Bill Text: MN SF1744 | 2013-2014 | 88th Legislature | Introduced


Bill Title: Health and human services prior appropriations and policy provisions technical corrections

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-03-06 - Withdrawn and re-referred to Finance [SF1744 Detail]

Download: Minnesota-2013-SF1744-Introduced.html

1.1A bill for an act
1.2relating to human services; making technical corrections to health and human
1.3services appropriations and policy provisions; amending Minnesota Statutes
1.42013 Supplement, section 626.557, subdivision 9; Laws 2013, chapter 1, section
1.56, as amended; Laws 2013, chapter 108, article 14, sections 2, subdivision 6; 3,
1.6subdivisions 1, 2, 4; 4, subdivision 8; 12.
1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.8    Section 1. Minnesota Statutes 2013 Supplement, section 626.557, subdivision 9,
1.9is amended to read:
1.10    Subd. 9. Common entry point designation. (a) The commissioner of human
1.11services shall establish a common entry point effective July 1, 2014 2015. The common
1.12entry point is the unit responsible for receiving the report of suspected maltreatment
1.13under this section.
1.14(b) The common entry point must be available 24 hours per day to take calls from
1.15reporters of suspected maltreatment. The common entry point shall use a standard intake
1.16form that includes:
1.17(1) the time and date of the report;
1.18(2) the name, address, and telephone number of the person reporting;
1.19(3) the time, date, and location of the incident;
1.20(4) the names of the persons involved, including but not limited to, perpetrators,
1.21alleged victims, and witnesses;
1.22(5) whether there was a risk of imminent danger to the alleged victim;
1.23(6) a description of the suspected maltreatment;
1.24(7) the disability, if any, of the alleged victim;
1.25(8) the relationship of the alleged perpetrator to the alleged victim;
2.1(9) whether a facility was involved and, if so, which agency licenses the facility;
2.2(10) any action taken by the common entry point;
2.3(11) whether law enforcement has been notified;
2.4(12) whether the reporter wishes to receive notification of the initial and final
2.5reports; and
2.6(13) if the report is from a facility with an internal reporting procedure, the name,
2.7mailing address, and telephone number of the person who initiated the report internally.
2.8(c) The common entry point is not required to complete each item on the form prior
2.9to dispatching the report to the appropriate lead investigative agency.
2.10(d) The common entry point shall immediately report to a law enforcement agency
2.11any incident in which there is reason to believe a crime has been committed.
2.12(e) If a report is initially made to a law enforcement agency or a lead investigative
2.13agency, those agencies shall take the report on the appropriate common entry point intake
2.14forms and immediately forward a copy to the common entry point.
2.15(f) The common entry point staff must receive training on how to screen and
2.16dispatch reports efficiently and in accordance with this section.
2.17(g) The commissioner of human services shall maintain a centralized database
2.18for the collection of common entry point data, lead investigative agency data including
2.19maltreatment report disposition, and appeals data. The common entry point shall
2.20have access to the centralized database and must log the reports into the database and
2.21immediately identify and locate prior reports of abuse, neglect, or exploitation.
2.22(h) When appropriate, the common entry point staff must refer calls that do not
2.23allege the abuse, neglect, or exploitation of a vulnerable adult to other organizations
2.24that might resolve the reporter's concerns.
2.25(i) A common entry point must be operated in a manner that enables the
2.26commissioner of human services to:
2.27(1) track critical steps in the reporting, evaluation, referral, response, disposition,
2.28and investigative process to ensure compliance with all requirements for all reports;
2.29(2) maintain data to facilitate the production of aggregate statistical reports for
2.30monitoring patterns of abuse, neglect, or exploitation;
2.31(3) serve as a resource for the evaluation, management, and planning of preventative
2.32and remedial services for vulnerable adults who have been subject to abuse, neglect,
2.33or exploitation;
2.34(4) set standards, priorities, and policies to maximize the efficiency and effectiveness
2.35of the common entry point; and
2.36(5) track and manage consumer complaints related to the common entry point.
3.1(j) The commissioners of human services and health shall collaborate on the
3.2creation of a system for referring reports to the lead investigative agencies. This system
3.3shall enable the commissioner of human services to track critical steps in the reporting,
3.4evaluation, referral, response, disposition, investigation, notification, determination, and
3.5appeal processes.
3.6EFFECTIVE DATE.This section is effective July 1, 2014.

3.7    Sec. 2. Laws 2013, chapter 1, section 6, as amended by Laws 2013, chapter 108,
3.8article 6, section 32, is amended to read:
3.9    Sec. 6. TRANSFER.
3.10(a) The commissioner of management and budget shall transfer from the health care
3.11access fund to the general fund up to $21,319,000 in fiscal year 2014; up to $42,314,000
3.12in fiscal year 2015; up to $56,147,000 in fiscal year 2016; and up to $64,683,000 in fiscal
3.13year 2017.
3.14(b) The commissioner of human services shall determine the difference between the
3.15actual or forecasted cost to the medical assistance program of adding 19- and 20-year-olds
3.16and parents and relative caretaker populations with income between 100 and 138 percent of
3.17the federal poverty guidelines and the cost of adding those populations that was estimated
3.18during the 2013 legislative session based on the data from the February 2013 forecast.
3.19(c) For each fiscal year from 2014 to 2017, the commissioner of human services shall
3.20certify and report to the commissioner of management and budget the actual or forecasted
3.21 estimated cost difference of adding 19- and 20-year-olds and parents and relative caretaker
3.22populations with income between 100 and 138 percent of the federal poverty guidelines,
3.23as determined under paragraph (b), to the commissioner of management and budget at
3.24least four weeks prior to the release of a forecast under Minnesota Statutes, section
3.2516A.103 , of each fiscal year.
3.26(d) No later than three weeks before the release of the forecast For fiscal years 2014 to
3.272017, forecasts under Minnesota Statutes, section 16A.103, prepared by the commissioner
3.28of management and budget shall reduce the include actual or estimated adjustments to
3.29health care access fund transfer transfers in paragraph (a), by the cumulative differences in
3.30costs reported by the commissioner of human services under according to paragraph (c)
3.31 (e). If, for any fiscal year, the amount of the cumulative cost differences determined under
3.32paragraph (b) is positive, no change is made to the appropriation. If, for any fiscal year,
3.33the amount of the cumulative cost differences determined under paragraph (b) is less than
3.34the amount of the original appropriation, the appropriation for that year must be zero.
4.1(e) For each fiscal year from 2014 to 2017, the commissioner of management and
4.2budget must adjust the transfer amounts in paragraph (a) by the cumulative difference in
4.3costs reported by the commissioner of human services under paragraph (c). If, for any
4.4fiscal year, the amount of the cumulative difference in costs reported under paragraph (c)
4.5is positive, no adjustment shall be made.
4.6EFFECTIVE DATE.This section is effective retroactively from July 1, 2013.

4.7    Sec. 3. Laws 2013, chapter 108, article 14, section 2, subdivision 6, is amended to read:
4.8
Subd. 6.Grant Programs
4.9The amounts that may be spent from this
4.10appropriation for each purpose are as follows:
4.11
(a) Support Services Grants
4.12
Appropriations by Fund
4.13
General
8,915,000
13,333,000
4.14
Federal TANF
94,611,000
94,611,000
4.15Paid Work Experience. $2,168,000
4.16each year in fiscal years 2015 and 2016
4.17is from the general fund for paid work
4.18experience for long-term MFIP recipients.
4.19Paid work includes full and partial wage
4.20subsidies and other related services such as
4.21job development, marketing, preworksite
4.22training, job coaching, and postplacement
4.23services. These are onetime appropriations.
4.24Unexpended funds for fiscal year 2015 do not
4.25cancel, but are available to the commissioner
4.26for this purpose in fiscal year 2016.
4.27Work Study Funding for MFIP
4.28Participants. $250,000 each year in fiscal
4.29years 2015 and 2016 is from the general fund
4.30to pilot work study jobs for MFIP recipients
4.31in approved postsecondary education
4.32programs. This is a onetime appropriation.
4.33Unexpended funds for fiscal year 2015 do
5.1not cancel, but are available for this purpose
5.2in fiscal year 2016.
5.3Local Strategies to Reduce Disparities.
5.4$2,000,000 each year in fiscal years 2015
5.5and 2016 is from the general fund for
5.6local projects that focus on services for
5.7subgroups within the MFIP caseload
5.8who are experiencing poor employment
5.9outcomes. These are onetime appropriations.
5.10Unexpended funds for fiscal year 2015 do not
5.11cancel, but are available to the commissioner
5.12for this purpose in fiscal year 2016.
5.13Home Visiting Collaborations for MFIP
5.14Teen Parents. $200,000 per year in fiscal
5.15years 2014 and 2015 is from the general fund
5.16and $200,000 in fiscal year 2016 is from the
5.17federal TANF fund for technical assistance
5.18and training to support local collaborations
5.19that provide home visiting services for
5.20MFIP teen parents. The general fund
5.21appropriation is onetime. The federal TANF
5.22fund appropriation is added to the base.
5.23Performance Bonus Funds for Counties.
5.24The TANF fund base is increased by
5.25$1,500,000 each year in fiscal years 2016
5.26and 2017. The commissioner must allocate
5.27this amount each year to counties that exceed
5.28their expected range of performance on the
5.29annualized three-year self-support index
5.30as defined in Minnesota Statutes, section
5.31256J.751, subdivision 2 , clause (6). This is a
5.32permanent base adjustment. Notwithstanding
5.33any contrary provisions in this article, this
5.34provision expires June 30, 2016.
6.1Base Adjustment. The general fund base is
6.2decreased by $200,000 in fiscal year 2016
6.3and $4,618,000 in fiscal year 2017. The
6.4TANF fund base is increased by $1,700,000
6.5in fiscal years 2016 and 2017.
6.6
6.7
(b) Basic Sliding Fee Child Care Assistance
Grants
36,836,000
42,318,000
6.8Base Adjustment. The general fund base is
6.9increased by $3,778,000 in fiscal year 2016
6.10and by $3,849,000 in fiscal year 2017.
6.11
(c) Child Care Development Grants
1,612,000
1,737,000
6.12
(d) Child Support Enforcement Grants
50,000
50,000
6.13Federal Child Support Demonstration
6.14Grants. Federal administrative
6.15reimbursement resulting from the federal
6.16child support grant expenditures authorized
6.17under United States Code, title 42, section
6.181315, is appropriated to the commissioner
6.19for this activity.
6.20
(e) Children's Services Grants
6.21
Appropriations by Fund
6.22
General
49,760,000
52,961,000
6.23
Federal TANF
140,000
140,000
6.24Adoption Assistance and Relative Custody
6.25Assistance. $37,453,000 $36,456,000
6.26 in fiscal year 2014 and $37,453,000
6.27 $36,855,000 in fiscal year 2015 is for the
6.28adoption assistance and relative custody
6.29assistance programs. The commissioner
6.30shall determine with the commissioner of
6.31Minnesota Management and Budget the
6.32appropriation for Northstar Care for Children
6.33effective January 1, 2015. The commissioner
6.34may transfer appropriations for adoption
6.35assistance, relative custody assistance, and
7.1Northstar Care for Children between fiscal
7.2years and among programs to adjust for
7.3transfers across the programs.
7.4Title IV-E Adoption Assistance. Additional
7.5federal reimbursements to the state as a result
7.6of the Fostering Connections to Success
7.7and Increasing Adoptions Act's expanded
7.8eligibility for Title IV-E adoption assistance
7.9are appropriated for postadoption services,
7.10including a parent-to-parent support network.
7.11Privatized Adoption Grants. Federal
7.12reimbursement for privatized adoption grant
7.13and foster care recruitment grant expenditures
7.14is appropriated to the commissioner for
7.15adoption grants and foster care and adoption
7.16administrative purposes.
7.17Adoption Assistance Incentive Grants.
7.18Federal funds available during fiscal years
7.192014 and 2015 for adoption incentive grants
7.20are appropriated for postadoption services,
7.21including a parent-to-parent support network.
7.22Base Adjustment. The general fund base is
7.23increased by $5,913,000 in fiscal year 2016
7.24and by $10,297,000 in fiscal year 2017.
7.25
(f) Child and Community Service Grants
53,301,000
53,301,000
7.26
(g) Child and Economic Support Grants
21,047,000
20,848,000
7.27Minnesota Food Assistance Program.
7.28Unexpended funds for the Minnesota food
7.29assistance program for fiscal year 2014 do
7.30not cancel but are available for this purpose
7.31in fiscal year 2015.
7.32Transitional Housing. $250,000 each year
7.33is for the transitional housing programs under
7.34Minnesota Statutes, section 256E.33.
8.1Emergency Services. $250,000 each year
8.2is for emergency services grants under
8.3Minnesota Statutes, section 256E.36.
8.4Family Assets for Independence. $250,000
8.5each year is for the Family Assets for
8.6Independence Minnesota program. This
8.7appropriation is available in either year of the
8.8biennium and may be transferred between
8.9fiscal years.
8.10Food Shelf Programs. $375,000 in fiscal
8.11year 2014 and $375,000 in fiscal year
8.122015 are for food shelf programs under
8.13Minnesota Statutes, section 256E.34. If the
8.14appropriation for either year is insufficient,
8.15the appropriation for the other year is
8.16available for it. Notwithstanding Minnesota
8.17Statutes, section 256E.34, subdivision 4, no
8.18portion of this appropriation may be used
8.19by Hunger Solutions for its administrative
8.20expenses, including but not limited to rent
8.21and salaries.
8.22Homeless Youth Act. $2,000,000 in fiscal
8.23year 2014 and $2,000,000 in fiscal year 2015
8.24is for purposes of Minnesota Statutes, section
8.25256K.45 .
8.26Safe Harbor Shelter and Housing.
8.27$500,000 in fiscal year 2014 and $500,000 in
8.28fiscal year 2015 is for a safe harbor shelter
8.29and housing fund for housing and supportive
8.30services for youth who are sexually exploited.
8.31High-risk adults. $200,000 in fiscal
8.32year 2014 is for a grant to the nonprofit
8.33organization selected to administer the
8.34demonstration project for high-risk adults
8.35under Laws 2007, chapter 54, article 1,
9.1section 19, in order to complete the project.
9.2This is a onetime appropriation.
9.3
(h) Health Care Grants
9.4
Appropriations by Fund
9.5
General
190,000
190,000
9.6
Health Care Access
190,000
190,000
9.7Emergency Medical Assistance Referral
9.8and Assistance Grants. (a) The
9.9commissioner of human services shall
9.10award grants to nonprofit programs that
9.11provide immigration legal services based
9.12on indigency to provide legal services for
9.13immigration assistance to individuals with
9.14emergency medical conditions or complex
9.15and chronic health conditions who are not
9.16currently eligible for medical assistance
9.17or other public health care programs, but
9.18who may meet eligibility requirements with
9.19immigration assistance.
9.20(b) The grantees, in collaboration with
9.21hospitals and safety net providers, shall
9.22provide referral assistance to connect
9.23individuals identified in paragraph (a) with
9.24alternative resources and services to assist in
9.25meeting their health care needs. $100,000
9.26is appropriated in fiscal year 2014 and
9.27$100,000 in fiscal year 2015. This is a
9.28onetime appropriation.
9.29Base Adjustment. The general fund is
9.30decreased by $100,000 in fiscal year 2016
9.31and $100,000 in fiscal year 2017.
9.32
(i) Aging and Adult Services Grants
14,827,000
15,010,000
9.33Base Adjustment. The general fund is
9.34increased by $1,150,000 in fiscal year 2016
9.35and $1,151,000 in fiscal year 2017.
10.1Community Service Development
10.2Grants and Community Services Grants.
10.3Community service development grants and
10.4community services grants are reduced by
10.5$1,150,000 each year. This is a onetime
10.6reduction.
10.7
(j) Deaf and Hard-of-Hearing Grants
1,771,000
1,785,000
10.8
(k) Disabilities Grants
18,605,000
18,823,000
10.9Advocating Change Together. $310,000 in
10.10fiscal year 2014 is for a grant to Advocating
10.11Change Together (ACT) to maintain and
10.12promote services for persons with intellectual
10.13and developmental disabilities throughout
10.14the state. This appropriation is onetime. Of
10.15this appropriation:
10.16(1) $120,000 is for direct costs associated
10.17with the delivery and evaluation of
10.18peer-to-peer training programs administered
10.19throughout the state, focusing on education,
10.20employment, housing, transportation, and
10.21voting;
10.22(2) $100,000 is for delivery of statewide
10.23conferences focusing on leadership and
10.24skill development within the disability
10.25community; and
10.26(3) $90,000 is for administrative and general
10.27operating costs associated with managing
10.28or maintaining facilities, program delivery,
10.29staff, and technology.
10.30Base Adjustment. The general fund base
10.31is increased by $535,000 in fiscal year 2016
10.32and by $709,000 in fiscal year 2017.
10.33
(l) Adult Mental Health Grants
11.1
Appropriations by Fund
11.2
General
71,199,000
69,530,000
11.3
Health Care Access
750,000
750,000
11.4
Lottery Prize
1,733,000
1,733,000
11.5Problem Gambling. $225,000 in fiscal year
11.62014 and $225,000 in fiscal year 2015 is
11.7appropriated from the lottery prize fund for a
11.8grant to the state affiliate recognized by the
11.9National Council on Problem Gambling. The
11.10affiliate must provide services to increase
11.11public awareness of problem gambling,
11.12education and training for individuals and
11.13organizations providing effective treatment
11.14services to problem gamblers and their
11.15families, and research relating to problem
11.16gambling.
11.17Funding Usage. Up to 75 percent of a fiscal
11.18year's appropriations for adult mental health
11.19grants may be used to fund allocations in that
11.20portion of the fiscal year ending December
11.2131.
11.22Base Adjustment. The general fund base is
11.23decreased by $4,427,000 in fiscal years 2016
11.24and 2017.
11.25Mental Health Pilot Project. $230,000
11.26each year is for a grant to the Zumbro
11.27Valley Mental Health Center. The grant
11.28shall be used to implement a pilot project
11.29to test an integrated behavioral health care
11.30coordination model. The grant recipient must
11.31report measurable outcomes and savings
11.32to the commissioner of human services
11.33by January 15, 2016. This is a onetime
11.34appropriation.
12.1High-risk adults. $200,000 in fiscal
12.2year 2014 is for a grant to the nonprofit
12.3organization selected to administer the
12.4demonstration project for high-risk adults
12.5under Laws 2007, chapter 54, article 1,
12.6section 19, in order to complete the project.
12.7This is a onetime appropriation.
12.8
(m) Child Mental Health Grants
18,246,000
20,636,000
12.9Text Message Suicide Prevention
12.10Program. $625,000 in fiscal year 2014 and
12.11$625,000 in fiscal year 2015 is for a grant
12.12to a nonprofit organization to establish and
12.13implement a statewide text message suicide
12.14prevention program. The program shall
12.15implement a suicide prevention counseling
12.16text line designed to use text messaging to
12.17connect with crisis counselors and to obtain
12.18emergency information and referrals to
12.19local resources in the local community. The
12.20program shall include training within schools
12.21and communities to encourage the use of the
12.22program.
12.23Mental Health First Aid Training. $22,000
12.24in fiscal year 2014 and $23,000 in fiscal
12.25year 2015 is to train teachers, social service
12.26personnel, law enforcement, and others who
12.27come into contact with children with mental
12.28illnesses, in children and adolescents mental
12.29health first aid training.
12.30Funding Usage. Up to 75 percent of a fiscal
12.31year's appropriation for child mental health
12.32grants may be used to fund allocations in that
12.33portion of the fiscal year ending December
12.3431.
12.35
(n) CD Treatment Support Grants
1,816,000
1,816,000
13.1SBIRT Training. (1) $300,000 each year is
13.2for grants to train primary care clinicians to
13.3provide substance abuse brief intervention
13.4and referral to treatment (SBIRT). This is a
13.5onetime appropriation. The commissioner of
13.6human services shall apply to SAMHSA for
13.7an SBIRT professional training grant.
13.8(2) If the commissioner of human services
13.9receives a grant under clause (1) funds
13.10appropriated under this clause, equal to
13.11the grant amount, up to the available
13.12appropriation, shall be transferred to the
13.13Minnesota Organization on Fetal Alcohol
13.14Syndrome (MOFAS). MOFAS must use
13.15the funds for grants. Grant recipients must
13.16be selected from communities that are
13.17not currently served by federal Substance
13.18Abuse Prevention and Treatment Block
13.19Grant funds. Grant money must be used to
13.20reduce the rates of fetal alcohol syndrome
13.21and fetal alcohol effects, and the number of
13.22drug-exposed infants. Grant money may be
13.23used for prevention and intervention services
13.24and programs, including, but not limited to,
13.25community grants, professional eduction,
13.26public awareness, and diagnosis.
13.27Fetal Alcohol Syndrome Grant. $180,000
13.28each year from the general fund is for a
13.29grant to the Minnesota Organization on Fetal
13.30Alcohol Syndrome (MOFAS) to support
13.31nonprofit Fetal Alcohol Spectrum Disorders
13.32(FASD) outreach prevention programs
13.33in Olmsted County. This is a onetime
13.34appropriation.
14.1Base Adjustment. The general fund base is
14.2decreased by $480,000 in fiscal year 2016
14.3and $480,000 in fiscal year 2017.
14.4EFFECTIVE DATE.This section is effective retroactively from July 1, 2013.

14.5    Sec. 4. Laws 2013, chapter 108, article 14, section 3, subdivision 1, is amended to read:
14.6
14.7
Subdivision 1.Total Appropriation
$
169,326,000
169,148,000
$
165,531,000
165,256,000
14.8
Appropriations by Fund
14.9
2014
2015
14.10
14.11
General
79,476,000
79,451,000
74,256,000
74,281,000
14.12
14.13
State Government
Special Revenue
48,094,000
48,241,000
50,119,000
14.14
Health Care Access
29,743,000
29,143,000
14.15
Federal TANF
11,713,000
11,713,000
14.16
Special Revenue
300,000
300,000
14.17The amounts that may be spent for each
14.18purpose are specified in the following
14.19subdivisions.
14.20EFFECTIVE DATE.This section is effective retroactively from July 1, 2013.

14.21    Sec. 5. Laws 2013, chapter 108, article 14, section 3, subdivision 2, is amended to read:
14.22
Subd. 2.Health Improvement
14.23
Appropriations by Fund
14.24
14.25
General
52,864,000
52,839,000
47,644,000
47,669,000
14.26
14.27
State Government
Special Revenue
1,033,000
1,033,000
14.28
Health Care Access
17,500,000
17,500,000
14.29
Federal TANF
11,713,000
11,713,000
14.30Notwithstanding the cancellation requirement
14.31in Minnesota Statutes, section 256J.02,
14.32subdivision 6
, TANF funds awarded under
14.33Minnesota Statutes, section 145.928, during
14.34fiscal year 2013 to grantees determined
14.35during the application process to have limited
15.1financial capacity, are available until June
15.230, 2014.
15.3Statewide Health Improvement Program.
15.4$17,500,000 in fiscal year 2014 and
15.5$17,500,000 in fiscal year 2015 is from the
15.6health care access fund for the statewide
15.7health improvement program under
15.8Minnesota Statutes, section 145.986. Funds
15.9appropriated under this paragraph are
15.10available until expended. No more than 16
15.11percent of the SHIP budget may be used
15.12for administration, technical assistance,
15.13and state-level evaluation costs. The
15.14commissioner shall incorporate strategies
15.15for improving health outcomes and reducing
15.16health care costs in populations over age 60
15.17to the menu of statewide health improvement
15.18program strategies.
15.19Statewide Cancer Surveillance System. Of
15.20the general fund appropriation, $350,000 in
15.21fiscal year 2014 and $350,000 in fiscal year
15.222015 is to develop and implement a new
15.23cancer reporting system under Minnesota
15.24Statutes, sections 144.671 to 144.69. Any
15.25information technology development or
15.26support costs necessary for the cancer
15.27surveillance system must be incorporated
15.28into the agency's service level agreement and
15.29paid to the Office of Enterprise Technology.
15.30Minnesota Poison Information Center.
15.31$500,000 in fiscal year 2014 and $500,000
15.32in fiscal year 2015 from the general fund
15.33is for regional poison information centers
15.34according to Minnesota Statutes, section
15.35145.93 .
16.1Support Services for Deaf and
16.2Hard-of-Hearing. (a) $365,000 in fiscal
16.3year 2014 and $349,000 in fiscal year 2015
16.4are for providing support services to families
16.5as required under Minnesota Statutes, section
16.6144.966, subdivision 3a .
16.7(b) $164,000 in fiscal year 2014 and $156,000
16.8in fiscal year 2015 are for home-based
16.9education in American Sign Language for
16.10families with children who are deaf or have
16.11hearing loss, as required under Minnesota
16.12Statutes, section 144.966, subdivision 3a.
16.13Reproductive Health Strategic Plan to
16.14Reduce Health Disparities for Somali
16.15Women. To the extent funds are available
16.16for fiscal years 2014 and 2015 for grants
16.17provided pursuant to Minnesota Statutes,
16.18section 145.928, the commissioner
16.19shall provide a grant to a Somali-based
16.20organization located in the metropolitan area
16.21to develop a reproductive health strategic
16.22plan to eliminate reproductive health
16.23disparities for Somali women. The plan shall
16.24develop initiatives to provide educational
16.25and information resources to health care
16.26providers, community organizations, and
16.27Somali women to ensure effective interaction
16.28with Somali culture and western medicine
16.29and the delivery of appropriate health care
16.30services, and the achievement of better health
16.31outcomes for Somali women. The plan must
16.32engage health care providers, the Somali
16.33community, and Somali health-centered
16.34organizations. The commissioner shall
16.35submit a report to the chairs and ranking
16.36minority members of the senate and house
17.1committees with jurisdiction over health
17.2policy on the strategic plan developed under
17.3this grant for eliminating reproductive health
17.4disparities for Somali women. The report
17.5must be submitted by February 15, 2014.
17.6Sexual Violence Prevention. Within
17.7available appropriations, by January 15,
17.82015, the commissioner must report to the
17.9legislature on its activities to prevent sexual
17.10violence, including activities to promote
17.11coordination of existing state programs and
17.12services to achieve maximum impact on
17.13addressing the root causes of sexual violence.
17.14Safe Harbor for Sexually Exploited
17.15Youth. (a) $375,000 in fiscal year 2014 and
17.16$375,000 in fiscal year 2015 are for grants
17.17to six regional navigators under Minnesota
17.18Statutes, section 145.4717.
17.19(b) $100,000 in fiscal year 2014 and $100,000
17.20in fiscal year 2015 are for the director of
17.21child sex trafficking prevention position.
17.22(c) $50,000 in fiscal year 2015 is for program
17.23evaluation required under Minnesota
17.24Statutes, section 145.4718.
17.25TANF Appropriations. (1) $1,156,000 of
17.26the TANF funds is appropriated each year of
17.27the biennium to the commissioner for family
17.28planning grants under Minnesota Statutes,
17.29section 145.925.
17.30(2) $3,579,000 of the TANF funds is
17.31appropriated each year of the biennium to
17.32the commissioner for home visiting and
17.33nutritional services listed under Minnesota
17.34Statutes, section 145.882, subdivision 7,
17.35clauses (6) and (7). Funds must be distributed
18.1to community health boards according to
18.2Minnesota Statutes, section 145A.131,
18.3subdivision 1
.
18.4(3) $2,000,000 of the TANF funds is
18.5appropriated each year of the biennium to
18.6the commissioner for decreasing racial and
18.7ethnic disparities in infant mortality rates
18.8under Minnesota Statutes, section 145.928,
18.9subdivision 7
.
18.10(4) $4,978,000 of the TANF funds is
18.11appropriated each year of the biennium to the
18.12commissioner for the family home visiting
18.13grant program according to Minnesota
18.14Statutes, section 145A.17. $4,000,000 of the
18.15funding must be distributed to community
18.16health boards according to Minnesota
18.17Statutes, section 145A.131, subdivision 1.
18.18$978,000 of the funding must be distributed
18.19to tribal governments based on Minnesota
18.20Statutes, section 145A.14, subdivision 2a.
18.21(5) The commissioner may use up to 6.23
18.22percent of the funds appropriated each fiscal
18.23year to conduct the ongoing evaluations
18.24required under Minnesota Statutes, section
18.25145A.17, subdivision 7 , and training and
18.26technical assistance as required under
18.27Minnesota Statutes, section 145A.17,
18.28subdivisions 4
and 5.
18.29TANF Carryforward. Any unexpended
18.30balance of the TANF appropriation in the
18.31first year of the biennium does not cancel but
18.32is available for the second year.
18.33EFFECTIVE DATE.This section is effective retroactively from July 1, 2013.

18.34    Sec. 6. Laws 2013, chapter 108, article 14, section 3, subdivision 4, is amended to read:
19.1
Subd. 4.Health Protection
19.2
Appropriations by Fund
19.3
General
9,201,000
9,201,000
19.4
19.5
State Government
Special Revenue
32,633,000
32,780,000
32,636,000
19.6
Special Revenue
300,000
300,000
19.7Infectious Disease Laboratory. Of the
19.8general fund appropriation, $200,000 in
19.9fiscal year 2014 and $200,000 in fiscal year
19.102015 are to monitor infectious disease trends
19.11and investigate infectious disease outbreaks.
19.12Surveillance for Elevated Blood Lead
19.13Levels. Of the general fund appropriation,
19.14$100,000 in fiscal year 2014 and $100,000
19.15in fiscal year 2015 are for the blood lead
19.16surveillance system under Minnesota
19.17Statutes, section 144.9502.
19.18Base Level Adjustment. The state
19.19government special revenue base is increased
19.20by $6,000 in fiscal year 2016 and by $13,000
19.21in fiscal year 2017.
19.22EFFECTIVE DATE.This section is effective retroactively from July 1, 2013.

19.23    Sec. 7. Laws 2013, chapter 108, article 14, section 4, subdivision 8, is amended to read:
19.24
19.25
Subd. 8.Board of Nursing Home
Administrators
3,742,000
2,252,000
19.26Administrative Services Unit - Operating
19.27Costs. Of this appropriation, $676,000
19.28in fiscal year 2014 and $626,000 in
19.29fiscal year 2015 are for operating costs
19.30of the administrative services unit. The
19.31administrative services unit may receive
19.32and expend reimbursements for services
19.33performed by other agencies.
20.1Administrative Services Unit - Volunteer
20.2Health Care Provider Program. Of this
20.3appropriation, $150,000 in fiscal year 2014
20.4and $150,000 in fiscal year 2015 are to pay
20.5for medical professional liability coverage
20.6required under Minnesota Statutes, section
20.7214.40 .
20.8Administrative Services Unit - Contested
20.9Cases and Other Legal Proceedings. Of
20.10this appropriation, $200,000 in fiscal year
20.112014 and $200,000 in fiscal year 2015 are
20.12for costs of contested case hearings and other
20.13unanticipated costs of legal proceedings
20.14involving health-related boards funded
20.15under this section. Upon certification of a
20.16health-related board to the administrative
20.17services unit that the costs will be incurred
20.18and that there is insufficient money available
20.19to pay for the costs out of money currently
20.20available to that board, the administrative
20.21services unit is authorized to transfer money
20.22from this appropriation to the board for
20.23payment of those costs with the approval
20.24of the commissioner of management and
20.25budget. This appropriation does not cancel
20.26and is available until expended.
20.27This appropriation includes $44,000 in
20.28fiscal year 2014 for rulemaking. This is
20.29a onetime appropriation. $1,441,000 in
20.30fiscal year 2014 and $420,000 in fiscal year
20.312015 are for the development of a shared
20.32disciplinary, regulatory, licensing, and
20.33information management system. $391,000
20.34in fiscal year 2014 is a onetime appropriation
20.35for retirement costs in the health-related
20.36boards. This funding may be transferred to
21.1the health boards incurring retirement costs.
21.2These funds are available either year of the
21.3biennium.
21.4This appropriation includes $16,000 in fiscal
21.5years 2014 and 2015 for evening security,
21.6$2,000 in fiscal years 2014 and 2015 for a
21.7state vehicle lease, and $18,000 in fiscal
21.8years 2014 and 2015 for shared office space
21.9and administrative support. $205,000 in
21.10fiscal year 2014 and $221,000 in fiscal year
21.112015 are for shared information technology
21.12services, equipment, and maintenance.
21.13The remaining balance of the state
21.14government special revenue fund
21.15appropriation in Laws 2011, First Special
21.16Session chapter 9, article 10, section 8,
21.17subdivision 8, for Board of Nursing Home
21.18Administrators rulemaking, estimated to
21.19be $44,000, is canceled, and the remaining
21.20balance of the state government special
21.21revenue fund appropriation in Laws 2011,
21.22First Special Session chapter 9, article 10,
21.23section 8, subdivision 8, for electronic
21.24licensing system adaptors, estimated to be
21.25$761,000, and for the development and
21.26implementation of a disciplinary, regulatory,
21.27licensing, and information management
21.28system, estimated to be $1,100,000, are
21.29canceled. This paragraph is effective the day
21.30following final enactment.
21.31Base Adjustment. The base is decreased by
21.32$370,000 in fiscal years 2016 and 2017.
21.33EFFECTIVE DATE.This section is effective retroactively from July 1, 2013.

21.34    Sec. 8. Laws 2013, chapter 108, article 14, section 12, is amended to read:
22.1    Sec. 12. APPROPRIATION ADJUSTMENTS.
22.2(a) The general fund appropriation in section 2, subdivision 5, paragraph (g),
22.3includes up to $53,391,000 in fiscal year 2014; $216,637,000 in fiscal year 2015;
22.4$261,660,000 in fiscal year 2016; and $279,984,000 in fiscal year 2017, for medical
22.5assistance eligibility and administration changes related to:
22.6(1) eligibility for children age two to 18 with income up to 275 percent of the federal
22.7poverty guidelines;
22.8(2) eligibility for pregnant women with income up to 275 percent of the federal
22.9poverty guidelines;
22.10(3) Affordable Care Act enrollment and renewal processes, including elimination
22.11of six-month renewals, ex parte eligibility reviews, preprinted renewal forms, changes
22.12in verification requirements, and other changes in the eligibility determination and
22.13enrollment and renewal process;
22.14(4) automatic eligibility for children who turn 18 in foster care until they reach age 26;
22.15(5) eligibility related to spousal impoverishment provisions for waiver recipients; and
22.16(6) presumptive eligibility determinations by hospitals.
22.17(b) the commissioner of human services shall determine the difference between the
22.18actual or forecasted estimated costs to the medical assistance program attributable to
22.19the program changes in paragraph (a), clauses (1) to (6), and the costs of paragraph (a),
22.20clauses (1) to (6), that were estimated during the 2013 legislative session based on data
22.21from the 2013 February forecast. The costs in this paragraph must be calculated between
22.22January 1, 2014, and June 30, 2017.
22.23(c) For each fiscal year from 2014 to 2017, the commissioner of human services
22.24shall certify the actual or forecasted estimated cost differences to the medical assistance
22.25program determined under paragraph (b), and report the difference in costs to the
22.26commissioner of management and budget at least four weeks prior to a forecast under
22.27Minnesota Statutes, section 16A.103. No later than three weeks before the release of
22.28the forecast For fiscal years 2014 to 2017, forecasts under Minnesota Statutes, section
22.2916A.103 , prepared by the commissioner of management and budget shall reduce include
22.30actual or estimated adjustments to the health care access fund appropriation in section
22.312, subdivision 5, paragraph (g), by the cumulative difference in costs determined in
22.32 according to paragraph (b) (d). If for any fiscal year, the amount of the cumulative cost
22.33differences determined under paragraph (b) is positive, no adjustment shall be made to the
22.34health care access fund appropriation. If for any fiscal year, the amount of the cumulative
22.35cost differences determined under paragraph (b) is less than the original appropriation, the
22.36appropriation for that fiscal year is zero.
23.1(d) For each fiscal year from 2014 to 2017, the commissioner of management and
23.2budget must adjust the health care access fund appropriation by the cumulative difference
23.3in costs reported by the commissioner of human services under paragraph (b). If, for any
23.4fiscal year, the amount of the cumulative difference in costs determined under paragraph
23.5(b) is positive, no adjustment shall be made to the health care access fund appropriation.
23.6(e) This section expires on January 1, 2018.
23.7EFFECTIVE DATE.This section is effective retroactively from July 1, 2013.
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