Bill Text: MN SF582 | 2013-2014 | 88th Legislature | Engrossed
Bill Title: Maternal depression, parental depression, children's mental health care and children and families services; medical assistance (MA) expansion; mental health consultation, children's mental health grants and home visiting programs appropriations
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2013-02-28 - Comm report: To pass as amended and re-refer to Finance [SF582 Detail]
Download: Minnesota-2013-SF582-Engrossed.html
1.2relating to state government; requiring development of outreach, public
1.3education, and screening for maternal depression; expanding medical assistance
1.4eligibility for pregnant women and infants; requiring the commissioner of human
1.5services to provide technical assistance related to maternal depression screening
1.6and referrals; adding parenting skills to adult rehabilitative mental health
1.7services; expanding Minnesota health care program outreach; requiring reports;
1.8appropriating money;amending Minnesota Statutes 2012, sections 145.906;
1.9145A.17, subdivision 1; 214.12, by adding a subdivision; 256B.04, by adding a
1.10subdivision; 256B.055, subdivisions 5, 6; 256B.057, subdivision 1; 256B.0623,
1.11subdivision 2; proposing coding for new law in Minnesota Statutes, chapter 145.
1.12BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.15 Section 1. Minnesota Statutes 2012, section 145.906, is amended to read:
1.16145.906 POSTPARTUM DEPRESSION EDUCATION AND INFORMATION.
1.17(a) The commissioner of health shall work with health care facilities, licensed health
1.18and mental health care professionals, the women, infants, and children (WIC) program,
1.19mental health advocates, consumers, and families in the state to develop materials and
1.20information about postpartum depression, including treatment resources, and develop
1.21policies and procedures to comply with this section.
1.22(b) Physicians, traditional midwives, and other licensed health care professionals
1.23providing prenatal care to women must have available to women and their families
1.24information about postpartum depression.
1.25(c) Hospitals and other health care facilities in the state must provide departing new
1.26mothers and fathers and other family members, as appropriate, with written information
2.1about postpartum depression, including its symptoms, methods of coping with the illness,
2.2and treatment resources.
2.3(d) Information about postpartum depression, including its symptoms, potential
2.4impact on families, and treatment resources, must be available at WIC sites.
2.5(e) The commissioner of health, in collaboration with the commissioner of human
2.6services and to the extent authorized by the federal Centers for Disease Control and
2.7Prevention, shall review the materials and information related to postpartum depression to
2.8determine their effectiveness in transmitting the information in a way that reduces racial
2.9health disparities as reported in surveys of maternal attitudes and experiences before,
2.10during, and after pregnancy, including those conducted by the commissioner of health. The
2.11commissioner shall implement changes to reduce racial health disparities in the information
2.12reviewed, as needed, and ensure that women of color are receiving the information.
2.13 Sec. 2. [145.907] MATERNAL DEPRESSION; DEFINITION.
2.14"Maternal depression" means depression or other perinatal mood or anxiety disorder
2.15experienced by a woman during pregnancy or during the first year following the birth of
2.16her child.
2.17 Sec. 3. Minnesota Statutes 2012, section 145A.17, subdivision 1, is amended to read:
2.18 Subdivision 1. Establishment; goals. The commissioner shall establish a program
2.19to fund family home visiting programs designed to foster healthy beginnings, improve
2.20pregnancy outcomes, promote school readiness, prevent child abuse and neglect, reduce
2.21juvenile delinquency, promote positive parenting and resiliency in children, and promote
2.22family health and economic self-sufficiency for children and families. The commissioner
2.23shall promote partnerships, collaboration, and multidisciplinary visiting done by teams of
2.24professionals and paraprofessionals from the fields of public health nursing, social work,
2.25and early childhood education. A program funded under this section must serve families
2.26at or below 200 percent of the federal poverty guidelines, and other families determined
2.27to be at risk, including but not limited to being at risk for child abuse, child neglect, or
2.28juvenile delinquency. Programs must begin prenatally whenever possible and must be
2.29targeted to families with:
2.30 (1) adolescent parents;
2.31 (2) a history of alcohol or other drug abuse;
2.32 (3) a history of child abuse, domestic abuse, or other types of violence;
2.33 (4) a history of domestic abuse, rape, or other forms of victimization;
2.34 (5) reduced cognitive functioning;
3.1 (6) a lack of knowledge of child growth and development stages;
3.2 (7) low resiliency to adversities and environmental stresses;
3.3 (8) insufficient financial resources to meet family needs;
3.4 (9) a history of homelessness;
3.5 (10) a risk of long-term welfare dependence or family instability due to employment
3.6barriers;or
3.7(11) a serious mental health disorder, including maternal depression as defined in
3.8section 145.907; or
3.9(11) (12) other risk factors as determined by the commissioner.
3.10 Sec. 4. Minnesota Statutes 2012, section 256B.04, is amended by adding a subdivision
3.11to read:
3.12 Subd. 22. Maternal depression screening and referral. (a) The commissioner
3.13shall provide technical assistance to health care providers to improve maternal depression
3.14screening and referral rates for medical assistance and MinnesotaCare enrollees. The
3.15technical assistance must include, but is not limited to, the provision of information on
3.16culturally competent practice, administrative and legal liability issues, and best practices
3.17for discussing mental health issues with patients.
3.18(b) The commissioner, in consultation with the commissioners of health and
3.19education, shall monitor: (1) maternal depression screening and referral rates based on
3.20medical assistance and MinnesotaCare claims and Pregnancy Risk Assessment Monitoring
3.21System (PRAMS) survey findings; and (2) the impact of improved screening.
3.22(c) For purposes of this subdivision, "maternal depression" has the meaning provided
3.23in section 145.907.
3.24 Sec. 5. Minnesota Statutes 2012, section 256B.055, subdivision 5, is amended to read:
3.25 Subd. 5. Pregnant women; dependent unborn child. Medical assistance may be
3.26paid for a pregnant woman who has written verification of a positive pregnancy test from
3.27a physician or licensed registered nurse, who meets the other eligibility criteria of this
3.28section and who would be categorically eligible for assistance under the state's AFDC
3.29plan in effect as of July 16, 1996, as required by the Personal Responsibility and Work
3.30Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193, if the child
3.31had been born and was living with the woman. For purposes of this subdivision, a woman
3.32is considered pregnant for60 days the first year postpartum.
3.33EFFECTIVE DATE.This section is effective July 1, 2013, or upon federal
3.34approval, whichever is later.
4.1 Sec. 6. Minnesota Statutes 2012, section 256B.055, subdivision 6, is amended to read:
4.2 Subd. 6. Pregnant women; needy unborn child. Medical assistance may be paid
4.3for a pregnant woman who has written verification of a positive pregnancy test from a
4.4physician or licensed registered nurse, who meets the other eligibility criteria of this
4.5section and whose unborn child would be eligible as a needy child under subdivision 10 if
4.6born and living with the woman. For purposes of this subdivision, a woman is considered
4.7pregnant for60 days the first year postpartum.
4.8EFFECTIVE DATE.This section is effective July 1, 2013, or upon federal
4.9approval, whichever is later.
4.10 Sec. 7. Minnesota Statutes 2012, section 256B.057, subdivision 1, is amended to read:
4.11 Subdivision 1. Infants and pregnant women. (a)(1) An infant less than one year of
4.12age or a pregnant woman who has written verification of a positive pregnancy test from
4.13a physician or licensed registered nurse is eligible for medical assistance if countable
4.14family income is equal to or less than 275 percent of the federal poverty guideline for the
4.15same family size. For purposes of this subdivision, "countable family income" means the
4.16amount of income considered available using the methodology of the AFDC program
4.17under the state's AFDC plan as of July 16, 1996, as required by the Personal Responsibility
4.18and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193,
4.19except for the earned income disregard and employment deductions.
4.20 (2) For applications processed within one calendar month prior to the effective date,
4.21eligibility shall be determined by applying the income standards and methodologies in
4.22effect prior to the effective date for any months in the six-month budget period before
4.23that date and the income standards and methodologies in effect on the effective date for
4.24any months in the six-month budget period on or after that date. The income standards
4.25for each month shall be added together and compared to the applicant's total countable
4.26income for the six-month budget period to determine eligibility.
4.27 (b)(1) [Expired, 1Sp2003 c 14 art 12 s 19]
4.28 (2) For applications processed within one calendar month prior to July 1, 2003,
4.29eligibility shall be determined by applying the income standards and methodologies in
4.30effect prior to July 1, 2003, for any months in the six-month budget period before July 1,
4.312003, and the income standards and methodologies in effect on the expiration date for any
4.32months in the six-month budget period on or after July 1, 2003. The income standards
4.33for each month shall be added together and compared to the applicant's total countable
4.34income for the six-month budget period to determine eligibility.
5.1 (3) An amount equal to the amount of earned income exceeding 275 percent of
5.2the federal poverty guideline, up to a maximum of the amount by which the combined
5.3total of 185 percent of the federal poverty guideline plus the earned income disregards
5.4and deductions allowed under the state's AFDC plan as of July 16, 1996, as required
5.5by the Personal Responsibility and Work Opportunity Act of 1996 (PRWORA), Public
5.6Law 104-193, exceeds 275 percent of the federal poverty guideline will be deducted for
5.7pregnant women and infants less than one year of age.
5.8 (c) Dependent care and child support paid under court order shall be deducted from
5.9the countable income of pregnant women.
5.10 (d) An infant born to a woman who was eligible for and receiving medical assistance
5.11on the date of the child's birth shall continue to be eligible for medical assistance without
5.12redetermination until the child'sfirst second birthday.
5.13EFFECTIVE DATE.This section is effective July 1, 2013, or upon federal
5.14approval, whichever is later.
5.15 Sec. 8. Minnesota Statutes 2012, section 256B.0623, subdivision 2, is amended to read:
5.16 Subd. 2. Definitions. For purposes of this section, the following terms have the
5.17meanings given them.
5.18(a) "Adult rehabilitative mental health services" means mental health services
5.19which are rehabilitative and enable the recipient to develop and enhance psychiatric
5.20stability, social competencies, personal and emotional adjustment,and independent living,
5.21parenting skills, and community skills, when these abilities are impaired by the symptoms
5.22of mental illness. Adult rehabilitative mental health services are also appropriate when
5.23provided to enable a recipient to retain stability and functioning, if the recipient would
5.24be at risk of significant functional decompensation or more restrictive service settings
5.25without these services.
5.26(1) Adult rehabilitative mental health services instruct, assist, and support the
5.27recipient in areas such as: interpersonal communication skills, community resource
5.28utilization and integration skills, crisis assistance, relapse prevention skills, health care
5.29directives, budgeting and shopping skills, healthy lifestyle skills and practices, cooking
5.30and nutrition skills, transportation skills, medication education and monitoring, mental
5.31illness symptom management skills, household management skills, employment-related
5.32skills, parenting skills, and transition to community living services.
5.33(2) These services shall be provided to the recipient on a one-to-one basis in the
5.34recipient's home or another community setting or in groups.
6.1(b) "Medication education services" means services provided individually or in
6.2groups which focus on educating the recipient about mental illness and symptoms; the role
6.3and effects of medications in treating symptoms of mental illness; and the side effects of
6.4medications. Medication education is coordinated with medication management services
6.5and does not duplicate it. Medication education services are provided by physicians,
6.6pharmacists, physician's assistants, or registered nurses.
6.7(c) "Transition to community living services" means services which maintain
6.8continuity of contact between the rehabilitation services provider and the recipient and
6.9which facilitate discharge from a hospital, residential treatment program under Minnesota
6.10Rules, chapter 9505, board and lodging facility, or nursing home. Transition to community
6.11living services are not intended to provide other areas of adult rehabilitative mental health
6.12services.
6.15 Section 1. Minnesota Statutes 2012, section 214.12, is amended by adding a
6.16subdivision to read:
6.17 Subd. 4. Parental depression. (a) The health-related licensing boards that regulate
6.18professions that serve caregivers at risk of depression, or their children, including
6.19behavioral health and therapy, chiropractic, marriage and family therapy, medical practice,
6.20nursing, psychology, and social work, shall require that licensees receive continuing
6.21education on the subject of parental depression and its potential effects on children if
6.22unaddressed, including how to:
6.23(1) screen mothers for depression;
6.24(2) identify children who are affected by their mother's depression; and
6.25(3) provide treatment or referral information on needed services.
6.26(b) The health-related licensing boards shall require periodic continuing education
6.27credits on delivery of culturally competent services to parents with depression.
6.28 Sec. 2. INSTRUCTIONS TO COMMISSIONERS; PLAN.
6.29(a) By September 1, 2014, the commissioners of human services, health, and
6.30education shall develop a joint plan to reduce the prevalence of parental depression and
6.31other serious mental illness and the potential impact of unaddressed parental mental
6.32illness on children. The plan must include specific goals, outcomes, and recommended
6.33measures to determine the impact of interventions on the incidence of parental depression
6.34and child well-being, including early childhood screening and the school readiness of
7.1high-risk children. The plan shall address ways to encourage a multigenerational approach
7.2to adult mental health and child well-being in public health, health care, adult and child
7.3mental health, child welfare, and other relevant programs and policies, and include
7.4recommendations to increase public awareness about untreated parental depression and
7.5its potential harmful impact on children.
7.6(b) The commissioners may convene a multisector, multidisciplinary working group
7.7to identify key goals and objectives to be included in the plan. The working group may
7.8include, but not be limited to, local public health agencies, health providers, mental health
7.9providers, researchers, early childhood professionals, and advocates. The working group
7.10may use the findings and recommendations of the visible child work group established in
7.11Laws 2012, chapter 247, article 3, section 27, in developing its recommendations.
7.12(c) Jointly prepared biennial reports must be submitted to the legislature beginning
7.13December 15, 2015. The reports must address progress on plan implementation, budget
7.14and policy recommendations, and data on access to relevant services and resources
7.15reported by race, geography, and income. The reports must address progress in achieving
7.16goals established by Minnesota Milestones or other relevant statewide goals.
7.17(d) The Department of Human Services is the lead agency and is responsible for
7.18compiling data, developing joint performance measures, and defining the roles and
7.19responsibilities of collaborating agencies and divisions in order to reduce the prevalence
7.20of maternal depression and its adverse impact on child development and is responsible for
7.21submitting the initial plan and the biennial plans.
7.24 Section 1. MENTAL HEALTH CONSULTATION.
7.25$....... in fiscal year 2014 and $....... in fiscal year 2015 are appropriated from the
7.26general fund to the commissioner of human services to provide mental health consultation
7.27to early Head Start and Head Start programs, child care centers, family day care providers,
7.28and legally unlicensed family child care providers in order to reduce the number of children
7.29expelled from these programs due to behavioral, emotional, and developmental issues.
7.30 Sec. 2. CHILDREN'S MENTAL HEALTH GRANTS.
7.31$....... in fiscal year 2014 and $....... in fiscal year 2015 are appropriated from the
7.32general fund to the commissioner of human services for children's mental health grants.
7.33 Sec. 3. HOME VISITING PROGRAMS.
8.1$....... in fiscal year 2014 and $....... in fiscal year 2015 are appropriated from the
8.2general fund to the commissioner of health for grants to local public health agencies to
8.3implement evidence-based family home visiting programs for high-risk families under
8.4Minnesota Statutes, section 145A.17.
1.3education, and screening for maternal depression; expanding medical assistance
1.4eligibility for pregnant women and infants; requiring the commissioner of human
1.5services to provide technical assistance related to maternal depression screening
1.6and referrals; adding parenting skills to adult rehabilitative mental health
1.7services; expanding Minnesota health care program outreach; requiring reports;
1.8appropriating money;amending Minnesota Statutes 2012, sections 145.906;
1.9145A.17, subdivision 1; 214.12, by adding a subdivision; 256B.04, by adding a
1.10subdivision; 256B.055, subdivisions 5, 6; 256B.057, subdivision 1; 256B.0623,
1.11subdivision 2; proposing coding for new law in Minnesota Statutes, chapter 145.
1.12BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.15 Section 1. Minnesota Statutes 2012, section 145.906, is amended to read:
1.16145.906 POSTPARTUM DEPRESSION EDUCATION AND INFORMATION.
1.17(a) The commissioner of health shall work with health care facilities, licensed health
1.18and mental health care professionals, the women, infants, and children (WIC) program,
1.19mental health advocates, consumers, and families in the state to develop materials and
1.20information about postpartum depression, including treatment resources, and develop
1.21policies and procedures to comply with this section.
1.22(b) Physicians, traditional midwives, and other licensed health care professionals
1.23providing prenatal care to women must have available to women and their families
1.24information about postpartum depression.
1.25(c) Hospitals and other health care facilities in the state must provide departing new
1.26mothers and fathers and other family members, as appropriate, with written information
2.1about postpartum depression, including its symptoms, methods of coping with the illness,
2.2and treatment resources.
2.3(d) Information about postpartum depression, including its symptoms, potential
2.4impact on families, and treatment resources, must be available at WIC sites.
2.5(e) The commissioner of health, in collaboration with the commissioner of human
2.6services and to the extent authorized by the federal Centers for Disease Control and
2.7Prevention, shall review the materials and information related to postpartum depression to
2.8determine their effectiveness in transmitting the information in a way that reduces racial
2.9health disparities as reported in surveys of maternal attitudes and experiences before,
2.10during, and after pregnancy, including those conducted by the commissioner of health. The
2.11commissioner shall implement changes to reduce racial health disparities in the information
2.12reviewed, as needed, and ensure that women of color are receiving the information.
2.13 Sec. 2. [145.907] MATERNAL DEPRESSION; DEFINITION.
2.14"Maternal depression" means depression or other perinatal mood or anxiety disorder
2.15experienced by a woman during pregnancy or during the first year following the birth of
2.16her child.
2.17 Sec. 3. Minnesota Statutes 2012, section 145A.17, subdivision 1, is amended to read:
2.18 Subdivision 1. Establishment; goals. The commissioner shall establish a program
2.19to fund family home visiting programs designed to foster healthy beginnings, improve
2.20pregnancy outcomes, promote school readiness, prevent child abuse and neglect, reduce
2.21juvenile delinquency, promote positive parenting and resiliency in children, and promote
2.22family health and economic self-sufficiency for children and families. The commissioner
2.23shall promote partnerships, collaboration, and multidisciplinary visiting done by teams of
2.24professionals and paraprofessionals from the fields of public health nursing, social work,
2.25and early childhood education. A program funded under this section must serve families
2.26at or below 200 percent of the federal poverty guidelines, and other families determined
2.27to be at risk, including but not limited to being at risk for child abuse, child neglect, or
2.28juvenile delinquency. Programs must begin prenatally whenever possible and must be
2.29targeted to families with:
2.30 (1) adolescent parents;
2.31 (2) a history of alcohol or other drug abuse;
2.32 (3) a history of child abuse, domestic abuse, or other types of violence;
2.33 (4) a history of domestic abuse, rape, or other forms of victimization;
2.34 (5) reduced cognitive functioning;
3.1 (6) a lack of knowledge of child growth and development stages;
3.2 (7) low resiliency to adversities and environmental stresses;
3.3 (8) insufficient financial resources to meet family needs;
3.4 (9) a history of homelessness;
3.5 (10) a risk of long-term welfare dependence or family instability due to employment
3.6barriers;
3.7(11) a serious mental health disorder, including maternal depression as defined in
3.8section 145.907; or
3.9
3.10 Sec. 4. Minnesota Statutes 2012, section 256B.04, is amended by adding a subdivision
3.11to read:
3.12 Subd. 22. Maternal depression screening and referral. (a) The commissioner
3.13shall provide technical assistance to health care providers to improve maternal depression
3.14screening and referral rates for medical assistance and MinnesotaCare enrollees. The
3.15technical assistance must include, but is not limited to, the provision of information on
3.16culturally competent practice, administrative and legal liability issues, and best practices
3.17for discussing mental health issues with patients.
3.18(b) The commissioner, in consultation with the commissioners of health and
3.19education, shall monitor: (1) maternal depression screening and referral rates based on
3.20medical assistance and MinnesotaCare claims and Pregnancy Risk Assessment Monitoring
3.21System (PRAMS) survey findings; and (2) the impact of improved screening.
3.22(c) For purposes of this subdivision, "maternal depression" has the meaning provided
3.23in section 145.907.
3.24 Sec. 5. Minnesota Statutes 2012, section 256B.055, subdivision 5, is amended to read:
3.25 Subd. 5. Pregnant women; dependent unborn child. Medical assistance may be
3.26paid for a pregnant woman who has written verification of a positive pregnancy test from
3.27a physician or licensed registered nurse, who meets the other eligibility criteria of this
3.28section and who would be categorically eligible for assistance under the state's AFDC
3.29plan in effect as of July 16, 1996, as required by the Personal Responsibility and Work
3.30Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193, if the child
3.31had been born and was living with the woman. For purposes of this subdivision, a woman
3.32is considered pregnant for
3.33EFFECTIVE DATE.This section is effective July 1, 2013, or upon federal
3.34approval, whichever is later.
4.1 Sec. 6. Minnesota Statutes 2012, section 256B.055, subdivision 6, is amended to read:
4.2 Subd. 6. Pregnant women; needy unborn child. Medical assistance may be paid
4.3for a pregnant woman who has written verification of a positive pregnancy test from a
4.4physician or licensed registered nurse, who meets the other eligibility criteria of this
4.5section and whose unborn child would be eligible as a needy child under subdivision 10 if
4.6born and living with the woman. For purposes of this subdivision, a woman is considered
4.7pregnant for
4.8EFFECTIVE DATE.This section is effective July 1, 2013, or upon federal
4.9approval, whichever is later.
4.10 Sec. 7. Minnesota Statutes 2012, section 256B.057, subdivision 1, is amended to read:
4.11 Subdivision 1. Infants and pregnant women. (a)(1) An infant less than one year of
4.12age or a pregnant woman who has written verification of a positive pregnancy test from
4.13a physician or licensed registered nurse is eligible for medical assistance if countable
4.14family income is equal to or less than 275 percent of the federal poverty guideline for the
4.15same family size. For purposes of this subdivision, "countable family income" means the
4.16amount of income considered available using the methodology of the AFDC program
4.17under the state's AFDC plan as of July 16, 1996, as required by the Personal Responsibility
4.18and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193,
4.19except for the earned income disregard and employment deductions.
4.20 (2) For applications processed within one calendar month prior to the effective date,
4.21eligibility shall be determined by applying the income standards and methodologies in
4.22effect prior to the effective date for any months in the six-month budget period before
4.23that date and the income standards and methodologies in effect on the effective date for
4.24any months in the six-month budget period on or after that date. The income standards
4.25for each month shall be added together and compared to the applicant's total countable
4.26income for the six-month budget period to determine eligibility.
4.27 (b)(1) [Expired, 1Sp2003 c 14 art 12 s 19]
4.28 (2) For applications processed within one calendar month prior to July 1, 2003,
4.29eligibility shall be determined by applying the income standards and methodologies in
4.30effect prior to July 1, 2003, for any months in the six-month budget period before July 1,
4.312003, and the income standards and methodologies in effect on the expiration date for any
4.32months in the six-month budget period on or after July 1, 2003. The income standards
4.33for each month shall be added together and compared to the applicant's total countable
4.34income for the six-month budget period to determine eligibility.
5.1 (3) An amount equal to the amount of earned income exceeding 275 percent of
5.2the federal poverty guideline, up to a maximum of the amount by which the combined
5.3total of 185 percent of the federal poverty guideline plus the earned income disregards
5.4and deductions allowed under the state's AFDC plan as of July 16, 1996, as required
5.5by the Personal Responsibility and Work Opportunity Act of 1996 (PRWORA), Public
5.6Law 104-193, exceeds 275 percent of the federal poverty guideline will be deducted for
5.7pregnant women and infants less than one year of age.
5.8 (c) Dependent care and child support paid under court order shall be deducted from
5.9the countable income of pregnant women.
5.10 (d) An infant born to a woman who was eligible for and receiving medical assistance
5.11on the date of the child's birth shall continue to be eligible for medical assistance without
5.12redetermination until the child's
5.13EFFECTIVE DATE.This section is effective July 1, 2013, or upon federal
5.14approval, whichever is later.
5.15 Sec. 8. Minnesota Statutes 2012, section 256B.0623, subdivision 2, is amended to read:
5.16 Subd. 2. Definitions. For purposes of this section, the following terms have the
5.17meanings given them.
5.18(a) "Adult rehabilitative mental health services" means mental health services
5.19which are rehabilitative and enable the recipient to develop and enhance psychiatric
5.20stability, social competencies, personal and emotional adjustment,
5.21parenting skills, and community skills, when these abilities are impaired by the symptoms
5.22of mental illness. Adult rehabilitative mental health services are also appropriate when
5.23provided to enable a recipient to retain stability and functioning, if the recipient would
5.24be at risk of significant functional decompensation or more restrictive service settings
5.25without these services.
5.26(1) Adult rehabilitative mental health services instruct, assist, and support the
5.27recipient in areas such as: interpersonal communication skills, community resource
5.28utilization and integration skills, crisis assistance, relapse prevention skills, health care
5.29directives, budgeting and shopping skills, healthy lifestyle skills and practices, cooking
5.30and nutrition skills, transportation skills, medication education and monitoring, mental
5.31illness symptom management skills, household management skills, employment-related
5.32skills, parenting skills, and transition to community living services.
5.33(2) These services shall be provided to the recipient on a one-to-one basis in the
5.34recipient's home or another community setting or in groups.
6.1(b) "Medication education services" means services provided individually or in
6.2groups which focus on educating the recipient about mental illness and symptoms; the role
6.3and effects of medications in treating symptoms of mental illness; and the side effects of
6.4medications. Medication education is coordinated with medication management services
6.5and does not duplicate it. Medication education services are provided by physicians,
6.6pharmacists, physician's assistants, or registered nurses.
6.7(c) "Transition to community living services" means services which maintain
6.8continuity of contact between the rehabilitation services provider and the recipient and
6.9which facilitate discharge from a hospital, residential treatment program under Minnesota
6.10Rules, chapter 9505, board and lodging facility, or nursing home. Transition to community
6.11living services are not intended to provide other areas of adult rehabilitative mental health
6.12services.
6.15 Section 1. Minnesota Statutes 2012, section 214.12, is amended by adding a
6.16subdivision to read:
6.17 Subd. 4. Parental depression. (a) The health-related licensing boards that regulate
6.18professions that serve caregivers at risk of depression, or their children, including
6.19behavioral health and therapy, chiropractic, marriage and family therapy, medical practice,
6.20nursing, psychology, and social work, shall require that licensees receive continuing
6.21education on the subject of parental depression and its potential effects on children if
6.22unaddressed, including how to:
6.23(1) screen mothers for depression;
6.24(2) identify children who are affected by their mother's depression; and
6.25(3) provide treatment or referral information on needed services.
6.26(b) The health-related licensing boards shall require periodic continuing education
6.27credits on delivery of culturally competent services to parents with depression.
6.28 Sec. 2. INSTRUCTIONS TO COMMISSIONERS; PLAN.
6.29(a) By September 1, 2014, the commissioners of human services, health, and
6.30education shall develop a joint plan to reduce the prevalence of parental depression and
6.31other serious mental illness and the potential impact of unaddressed parental mental
6.32illness on children. The plan must include specific goals, outcomes, and recommended
6.33measures to determine the impact of interventions on the incidence of parental depression
6.34and child well-being, including early childhood screening and the school readiness of
7.1high-risk children. The plan shall address ways to encourage a multigenerational approach
7.2to adult mental health and child well-being in public health, health care, adult and child
7.3mental health, child welfare, and other relevant programs and policies, and include
7.4recommendations to increase public awareness about untreated parental depression and
7.5its potential harmful impact on children.
7.6(b) The commissioners may convene a multisector, multidisciplinary working group
7.7to identify key goals and objectives to be included in the plan. The working group may
7.8include, but not be limited to, local public health agencies, health providers, mental health
7.9providers, researchers, early childhood professionals, and advocates. The working group
7.10may use the findings and recommendations of the visible child work group established in
7.11Laws 2012, chapter 247, article 3, section 27, in developing its recommendations.
7.12(c) Jointly prepared biennial reports must be submitted to the legislature beginning
7.13December 15, 2015. The reports must address progress on plan implementation, budget
7.14and policy recommendations, and data on access to relevant services and resources
7.15reported by race, geography, and income. The reports must address progress in achieving
7.16goals established by Minnesota Milestones or other relevant statewide goals.
7.17(d) The Department of Human Services is the lead agency and is responsible for
7.18compiling data, developing joint performance measures, and defining the roles and
7.19responsibilities of collaborating agencies and divisions in order to reduce the prevalence
7.20of maternal depression and its adverse impact on child development and is responsible for
7.21submitting the initial plan and the biennial plans.
7.24 Section 1. MENTAL HEALTH CONSULTATION.
7.25$....... in fiscal year 2014 and $....... in fiscal year 2015 are appropriated from the
7.26general fund to the commissioner of human services to provide mental health consultation
7.27to early Head Start and Head Start programs, child care centers, family day care providers,
7.28and legally unlicensed family child care providers in order to reduce the number of children
7.29expelled from these programs due to behavioral, emotional, and developmental issues.
7.30 Sec. 2. CHILDREN'S MENTAL HEALTH GRANTS.
7.31$....... in fiscal year 2014 and $....... in fiscal year 2015 are appropriated from the
7.32general fund to the commissioner of human services for children's mental health grants.
7.33 Sec. 3. HOME VISITING PROGRAMS.
8.1$....... in fiscal year 2014 and $....... in fiscal year 2015 are appropriated from the
8.2general fund to the commissioner of health for grants to local public health agencies to
8.3implement evidence-based family home visiting programs for high-risk families under
8.4Minnesota Statutes, section 145A.17.
