1.1.................... moves to amend H.F. No. 2614, the first engrossment, as follows:
1.2Page 2, line 13, strike everything after "hearing" and delete the new language
1.3Page 2, line 14, delete the new language and strike the existing language
1.4Page 2, line 15, strike "section 245C.22" and insert "(a) An individual"
1.5Page 2, line 21, after "256.045" insert "following a reconsideration decision issued
1.6under section 245C.23"
1.7Page 3, line 9, after "hearing" insert "following a reconsideration decision"
1.8Page 3, line 12, strike everything after "disqualification"
1.9Page 3, line 13, delete the new language and before the comma, insert "following a
1.10reconsideration decision under section 245C.23"
1.11Page 3, line 21, strike everything after "(a)"
1.12Page 3, line 22, delete the new language and strike everything before "individual"
1.13and insert "A disqualified"
1.14Page 3, line 23, strike "the individual"
1.15Page 3, line 24, after "14" insert "following a reconsideration determination under
1.16section 245C.23"
1.17Page 3, line 26, strike "that the"
1.18Page 3, line 27, delete "rescinded" and strike everything before the period and insert
1.19"of the reconsideration decision"
1.20Page 3, line 31, delete "rescind" and strike everything before "based" and insert
1.21"(b) When an individual is disqualified"
1.22Page 3, line 32, after "hearing" insert "under paragraph (a),"
1.23Page 4, delete lines 1 to 5
1.24Page 4, line 6, reinstate the stricken language and delete the new language
1.25Page 4, line 9, reinstate the stricken language and delete the new language
1.26Page 4, line 10, strike everything before the comma
1.27Page 4, line 13, delete "rescinded" and strike "which were not"
2.1Page 4, line 14, reinstate the stricken language and delete the new language
2.2Page 5, line 14, delete the new language and strike everything after the comma
2.3Page 5, line 15, strike "245C.22 and" and insert "following a reconsideration
2.4decision under section"
2.5Page 5, line 21, delete "rescinded" and strike everything before the comma and insert
2.6"and the individual remains disqualified following a reconsideration decision"
2.7Page 11, line 5, strike everything after "denied"
2.8Page 11, line 6, delete "rescinded" and strike everything before the comma and insert
2.9"and the individual remains disqualified following a reconsideration decision"
2.10Page 14, delete section 2 and insert:

2.11    "Sec. 2. Minnesota Statutes 2008, section 256.01, is amended by adding a subdivision
2.12to read:
2.13    Subd. 30. Review and evaluation of ongoing studies. The commissioner
2.14shall review all ongoing studies, reports, and program evaluations completed by the
2.15Department of Human Services for state fiscal years 2006 through 2010. For each item,
2.16the commissioner shall report the legislature's appropriation for that work, if any, and the
2.17actual reported cost of the completed work by the Department of Human Services. The
2.18commissioner shall make recommendations to the legislature about which studies, reports,
2.19and program evaluations required by law on an ongoing basis are duplicative, unnecessary,
2.20or obsolete. The commissioner shall repeat this review every five fiscal years."
2.21Page 18, line 15, after "2011" insert "through June 30, 2013,"
2.22Page 18, line 19, after "2012" insert "through December 31, 2013," and delete
2.23everything after the period
2.24Page 18, delete lines 20 to 22
2.25Page 19, line 19, delete "over" and insert "at least" and after "pregnant," insert "who
2.26is not entitled to Medicare Part A or enrolled in Medicare Part B under Title XVIII of the
2.27Social Security Act, who is not an adult in a family with children as defined in section
2.28256L.01, subdivision 3a,"
2.29Page 19, line 20, delete "subdivision 4, 7, or"
2.30Page 19, line 21, after "effective" insert "January 1, 2011, or" and delete "and is"
2.31and insert a period
2.32Page 19, delete line 22
2.33Page 20, line 7, after "have" insert "gross countable"
2.34Page 20, line 9, after "effective" insert "January 1, 2011, or" and delete "and is"
2.35and insert a period
2.36Page 20, delete line 10
3.1Page 25, line 12, after "for" insert "face-to-face"
3.2Page 30, line 28, delete "September 1, 2010" and insert "January 1, 2011"
3.3Page 31, lines 25 to 26, delete "January 1, 2011" and insert "July 1, 2011"
3.4Page 32, delete section 22
3.5Page 33, after line 8, insert:

3.6    "Sec. .... Minnesota Statutes 2009 Supplement, section 256B.69, subdivision 5a, is
3.7amended to read:
3.8    Subd. 5a. Managed care contracts. (a) Managed care contracts under this section
3.9and sections 256L.12 and 256D.03, shall be entered into or renewed on a calendar year
3.10basis beginning January 1, 1996. Managed care contracts which were in effect on June
3.1130, 1995, and set to renew on July 1, 1995, shall be renewed for the period July 1, 1995
3.12through December 31, 1995 at the same terms that were in effect on June 30, 1995. The
3.13commissioner may issue separate contracts with requirements specific to services to
3.14medical assistance recipients age 65 and older.
3.15    (b) A prepaid health plan providing covered health services for eligible persons
3.16pursuant to chapters 256B, 256D, and 256L, is responsible for complying with the terms
3.17of its contract with the commissioner. Requirements applicable to managed care programs
3.18under chapters 256B, 256D, and 256L, established after the effective date of a contract
3.19with the commissioner take effect when the contract is next issued or renewed.
3.20    (c) Effective for services rendered on or after January 1, 2003, the commissioner
3.21shall withhold five percent of managed care plan payments under this section and
3.22county-based purchasing plan's payment rate under section 256B.692 for the prepaid
3.23medical assistance and general assistance medical care programs pending completion of
3.24performance targets. Each performance target must be quantifiable, objective, measurable,
3.25and reasonably attainable, except in the case of a performance target based on a federal
3.26or state law or rule. Criteria for assessment of each performance target must be outlined
3.27in writing prior to the contract effective date. The managed care plan must demonstrate,
3.28to the commissioner's satisfaction, that the data submitted regarding attainment of
3.29the performance target is accurate. The commissioner shall periodically change the
3.30administrative measures used as performance targets in order to improve plan performance
3.31across a broader range of administrative services. The performance targets must include
3.32measurement of plan efforts to contain spending on health care services and administrative
3.33activities. The commissioner may adopt plan-specific performance targets that take into
3.34account factors affecting only one plan, including characteristics of the plan's enrollee
3.35population. The withheld funds must be returned no sooner than July of the following
4.1year if performance targets in the contract are achieved. The commissioner may exclude
4.2special demonstration projects under subdivision 23.
4.3    (d) Effective for services rendered on or after January 1, 2009, through December 31,
4.42009, the commissioner shall withhold three percent of managed care plan payments under
4.5this section and county-based purchasing plan payments under section 256B.692 for the
4.6prepaid medical assistance and general assistance medical care programs. The withheld
4.7funds must be returned no sooner than July 1 and no later than July 31 of the following
4.8year. The commissioner may exclude special demonstration projects under subdivision 23.
4.9    The return of the withhold under this paragraph is not subject to the requirements of
4.10paragraph (c).
4.11(e) Effective for services provided on or after January 1, 2010, the commissioner
4.12shall require that managed care plans use the assessment and authorization processes,
4.13forms, timelines, standards, documentation, and data reporting requirements, protocols,
4.14billing processes, and policies consistent with medical assistance fee-for-service or the
4.15Department of Human Services contract requirements consistent with medical assistance
4.16fee-for-service or the Department of Human Services contract requirements for all
4.17personal care assistance services under section 256B.0659.
4.18(f) Effective for services rendered on or after January 1, 2010, through December
4.1931, 2010, the commissioner shall withhold 3.5 percent of managed care plan payments
4.20under this section and county-based purchasing plan payments under section 256B.692
4.21for the prepaid medical assistance program. The withheld funds must be returned no
4.22sooner than July 1 and no later than July 31 of the following year. The commissioner may
4.23exclude special demonstration projects under subdivision 23.
4.24(g) Effective for services rendered on or after January 1, 2011, through December
4.2531, 2011, the commissioner shall withhold four percent of managed care plan payments
4.26under this section and county-based purchasing plan payments under section 256B.692
4.27for the prepaid medical assistance program. The withheld funds must be returned no
4.28sooner than July 1 and no later than July 31 of the following year. The commissioner may
4.29exclude special demonstration projects under subdivision 23.
4.30(h) Effective for services rendered on or after January 1, 2012, through December
4.3131, 2012, the commissioner shall withhold 4.5 percent of managed care plan payments
4.32under this section and county-based purchasing plan payments under section 256B.692
4.33for the prepaid medical assistance program. The withheld funds must be returned no
4.34sooner than July 1 and no later than July 31 of the following year. The commissioner may
4.35exclude special demonstration projects under subdivision 23.
5.1(i) Effective for services rendered on or after January 1, 2013, through December 31,
5.22013, the commissioner shall withhold 4.5 percent of managed care plan payments under
5.3this section and county-based purchasing plan payments under section 256B.692 for the
5.4prepaid medical assistance program. The withheld funds must be returned no sooner than
5.5July 1 and no later than July 31 of the following year. The commissioner may exclude
5.6special demonstration projects under subdivision 23.
5.7(j) Effective for services rendered on or after January 1, 2014, the commissioner
5.8shall withhold three percent of managed care plan payments under this section and
5.9county-based purchasing plan payments under section 256B.692 for the prepaid medical
5.10assistance and prepaid general assistance medical care programs. The withheld funds must
5.11be returned no sooner than July 1 and no later than July 31 of the following year. The
5.12commissioner may exclude special demonstration projects under subdivision 23.
5.13(k) A managed care plan or a county-based purchasing plan under section 256B.692
5.14may include as admitted assets under section 62D.044 any amount withheld under this
5.15section that is reasonably expected to be returned.
5.16(l) Contracts between the commissioner and a prepaid health plan are exempt from
5.17the set-aside and preference provisions of section 16C.16, subdivisions 6, paragraph
5.18(a), and 7.
5.19(m) Effective for services rendered on or after January 1, 2011, the commissioner
5.20shall include as part of the performance targets described in paragraph (c) a reduction in
5.21the health plan's emergency room utilization rate for state health care program enrollees
5.22by a measurable rate of five percent from the plan's utilization rate for state health care
5.23program enrollees for the previous calendar year.
5.24The withheld funds must be returned no sooner than July 1 and no later than July
5.2531 of the following calendar year if the managed care plan or county-based purchasing
5.26plan demonstrates to the satisfaction of the commissioner that a reduction in the utilization
5.27rate was achieved.
5.28The withhold described in this paragraph shall continue for each consecutive contract
5.29period until the managed care plan's emergency room utilization rate for state health care
5.30program enrollees is reduced by 25 percent of the managed care plan's emergency room
5.31utilization rate for state health care program enrollees for calendar year 2009."
5.32Page 33, lines 11 to 12 delete "August 1, 2010," and insert "July 1, 2011,"
5.33Page 33, line 15, delete "August 1, 2010" and insert "July 1, 2011"
5.34Page 33, after line 15, insert:

5.35    "Sec. 24. Minnesota Statutes 2008, section 256.969, subdivision 21, is amended to read:
6.1    Subd. 21. Mental health or chemical dependency admissions; rates. (a)
6.2Admissions under the general assistance medical care program occurring on or after
6.3July 1, 1990, and admissions under medical assistance, excluding general assistance
6.4medical care, occurring on or after July 1, 1990, and on or before September 30, 1992,
6.5that are classified to a diagnostic category of mental health or chemical dependency
6.6shall have rates established according to the methods of subdivision 14, except the per
6.7day rate shall be multiplied by a factor of 2, provided that the total of the per day rates
6.8shall not exceed the per admission rate. This methodology shall also apply when a hold
6.9or commitment is ordered by the court for the days that inpatient hospital services are
6.10medically necessary. Stays which are medically necessary for inpatient hospital services
6.11and covered by medical assistance shall not be billable to any other governmental entity.
6.12Medical necessity shall be determined under criteria established to meet the requirements
6.13of section 256B.04, subdivision 15, or 256D.03, subdivision 7, paragraph (b).
6.14(b) Payment rates for fee-for-service medical assistance admissions occurring on
6.15or after July 1, 2011, through June 30, 2013, for diagnosis-related groups admissions
6.16related to children's mental health specified by the commissioner, shall be increased for
6.17these diagnosis-related groups at a percentage calculated to cost not more than a total
6.18of $7,200,000 per fiscal year, including state and federal shares. For purposes of this
6.19paragraph, medical assistance does not include general assistance medical care. The
6.20commissioner shall adjust rates paid to a prepaid health plan under contract with the
6.21commissioner on a temporary basis to reflect payments provided in this paragraph, and
6.22prepaid health plans are required to increase rates to providers under contract on a
6.23temporary basis to reflect payments provided in this paragraph.
6.24EFFECTIVE DATE.This section is effective July 1, 2011."
6.25Page 33, line 20, delete ", general assistance medical care,"
6.26Page 33, line 21, delete "from their current statutory rates"
6.27Page 36, delete line 10 and insert "for the specified"
6.28Page 42, line 2, after the period insert "The commissioner shall implement this
6.29section after any other rate adjustment that is effective July 1, 2010, and shall reduce rates
6.30under this section by first reducing or eliminating provider rate add-ons."
6.31Page 42, after line 28, insert:

6.32    "Sec. 37. Minnesota Statutes 2008, section 256D.03, subdivision 3b, is amended to
6.33read:
6.34    Subd. 3b. Cooperation. (a) General assistance or general assistance medical care
6.35applicants and recipients must cooperate with the state and local agency to identify
7.1potentially liable third-party payors and assist the state in obtaining third-party payments.
7.2Cooperation includes identifying any third party who may be liable for care and services
7.3provided under this chapter to the applicant, recipient, or any other family member for
7.4whom application is made and providing relevant information to assist the state in pursuing
7.5a potentially liable third party. General assistance medical care applicants and recipients
7.6must cooperate by providing information about any group health plan in which they may
7.7be eligible to enroll. They must cooperate with the state and local agency in determining
7.8if the plan is cost-effective. For purposes of this subdivision, coverage provided by the
7.9Minnesota Comprehensive Health Association under chapter 62E shall not be considered
7.10group health plan coverage or cost-effective by the state and local agency. If the plan is
7.11determined cost-effective and the premium will be paid by the state or local agency or is
7.12available at no cost to the person, they must enroll or remain enrolled in the group health
7.13plan. Cost-effective insurance premiums approved for payment by the state agency and
7.14paid by the local agency are eligible for reimbursement according to subdivision 6.
7.15    (b) Effective for all premiums due on or after June 30, 1997, general assistance
7.16medical care does not cover premiums that a recipient is required to pay under a qualified
7.17or Medicare supplement plan issued by the Minnesota Comprehensive Health Association.
7.18General assistance medical care shall continue to cover premiums for recipients who are
7.19covered under a plan issued by the Minnesota Comprehensive Health Association on June
7.2030, 1997, for a period of six months following receipt of the notice of termination or
7.21until December 31, 1997, whichever is later.
7.22EFFECTIVE DATE.This section is effective June 1, 2010."
7.23Page 44, line 16, delete "January" and insert "July"
7.24Page 44, line 17, after the period, insert "The commissioner of human services shall
7.25notify the revisor of statutes when federal approval is obtained."
7.26Page 44, line 20, delete "Effective January 1, 2011, or upon"
7.27Page 44, line 21, delete everything before "the"
7.28Page 44, after line 34, insert:
7.29"EFFECTIVE DATE.This section is effective July 1, 2011, or upon federal
7.30approval, whichever is later. The commissioner of human services shall notify the revisor
7.31of statutes when federal approval is obtained."
7.32Page 45, after line 35, insert:

7.33    "Sec. 41. Minnesota Statutes 2008, section 256L.04, subdivision 7, is amended to read:
8.1    Subd. 7. Single adults and households with no children. (a) The definition of
8.2eligible persons includes all individuals and households with no children who have gross
8.3family incomes that are equal to or less than 200 percent of the federal poverty guidelines.
8.4    (b) Effective July 1, 2009, The definition of eligible persons includes all individuals
8.5and households with no children who have gross family incomes that are above 75 percent
8.6and equal to or less than 250 percent of the federal poverty guidelines.
8.7EFFECTIVE DATE.This section is effective January 1, 2011, or upon
8.8implementation of medical assistance for adults without children under section 256B.055,
8.9subdivision 15, and 256B.056, subdivision 4, whichever is later."
8.10Page 46, after line 10, insert:

8.11    "Sec. 42. Minnesota Statutes 2008, section 256L.07, subdivision 1, is amended to read:
8.12    Subdivision 1. General requirements. (a) Children enrolled in the original
8.13children's health plan as of September 30, 1992, children who enrolled in the
8.14MinnesotaCare program after September 30, 1992, pursuant to Laws 1992, chapter 549,
8.15article 4, section 17, and children who have family gross incomes that are equal to or
8.16less than 150 percent of the federal poverty guidelines are eligible without meeting
8.17the requirements of subdivision 2 and the four-month requirement in subdivision 3, as
8.18long as they maintain continuous coverage in the MinnesotaCare program or medical
8.19assistance. Children who apply for MinnesotaCare on or after the implementation date
8.20of the employer-subsidized health coverage program as described in Laws 1998, chapter
8.21407, article 5, section 45, who have family gross incomes that are equal to or less than 150
8.22percent of the federal poverty guidelines, must meet the requirements of subdivision 2 to
8.23be eligible for MinnesotaCare.
8.24    (b) Families enrolled in MinnesotaCare under section 256L.04, subdivision 1, whose
8.25income increases above 275 percent of the federal poverty guidelines, are no longer
8.26eligible for the program and shall be disenrolled by the commissioner.
8.27(c) Beginning January 1, 2008, Individuals enrolled in MinnesotaCare under section
8.28256L.04, subdivision 7 , whose income decreases to 75 percent of the federal poverty
8.29guidelines or less, or increases above 200 percent of the federal poverty guidelines or
8.30250 percent of the federal poverty guidelines on or after July 1, 2009, are no longer
8.31eligible for the program and shall be disenrolled by the commissioner. For persons
8.32disenrolled under this subdivision due to income above the income limits, MinnesotaCare
8.33coverage terminates the last day of the calendar month following the month in which the
8.34commissioner determines that the income of a family or individual exceeds program
8.35income limits. Persons disenrolled under this subdivision due to income at or above 75
9.1percent of the federal poverty guidelines shall have eligibility redetermined for medical
9.2assistance under section 256B.055, subdivision 15.
9.3    (b) (d) Notwithstanding paragraph (a), children may remain enrolled in
9.4MinnesotaCare if ten percent of their gross individual or gross family income as defined in
9.5section 256L.01, subdivision 4, is less than the annual premium for a policy with a $500
9.6deductible available through the Minnesota Comprehensive Health Association. Children
9.7who are no longer eligible for MinnesotaCare under this clause shall be given a 12-month
9.8notice period from the date that ineligibility is determined before disenrollment. The
9.9premium for children remaining eligible under this clause shall be the maximum premium
9.10determined under section 256L.15, subdivision 2, paragraph (b).
9.11    (c) (e) Notwithstanding paragraphs (a) and (b), parents are not eligible for
9.12MinnesotaCare if gross household income exceeds $57,500 for the 12-month period
9.13of eligibility.
9.14EFFECTIVE DATE.This section is effective January 1, 2011, or upon
9.15implementation of medical assistance for adults without children under section 256B.055,
9.16subdivision 15, and section 256B.056, subdivision 4, whichever is later."
9.17Page 46, after line 24, insert:
9.18"EFFECTIVE DATE.This section is effective April 1, 2011."
9.19Page 47, line 30, delete "January" and insert "July"
9.20Page 47, line 31, after the period, insert "The commissioner of human services shall
9.21notify the revisor of statutes when federal approval is obtained."
9.22Page 49, line 24, delete "June 30" and insert "August 31" and delete "December
9.2331, 2011" and insert "February 28, 2012"
9.24Page 50, line 30, delete "upon" and insert "to"
9.25Page 52, line 11, strike everything after "system" and insert a period
9.26Page 52, strike lines 12 and 13
9.27Page 54, line 13, delete ", or until medical assistance"
9.28Page 54, line 14, delete the new language
9.29Page 54, line 26, after "that" insert "subdivision 3, paragraph (e) regarding
9.30MinnesotaCare eligibility, and" and delete "is" and insert "are"
9.31Page 54, after line 27, insert:

9.32    "Sec. 53. Laws 2010, chapter 200, article 1, section 13, subdivision 1b, is amended to
9.33read:
9.34    Subd. 1b. MinnesotaCare enrollment by county agencies. Beginning September
9.351, 2006, county agencies shall enroll single adults and households with no children
10.1formerly enrolled in general assistance medical care in MinnesotaCare according to
10.2Minnesota Statutes 2009 Supplement, section 256D.03, subdivision 3. County agencies
10.3shall perform all duties necessary to administer the MinnesotaCare program ongoing for
10.4these enrollees, including the redetermination of MinnesotaCare eligibility at renewal,
10.5through January 1, 2011, or implementation of medical assistance for adults without
10.6children under section 256B.055, subdivision 15, whichever is later.
10.7EFFECTIVE DATE.This section is effective January 1, 2011."
10.8Page 57, line 6, after "effective" insert "January 1, 2011, or" and delete "and is"
10.9and insert a period
10.10Page 57, delete line 7
10.11Page 63, delete line 5 and insert:
10.12"EFFECTIVE DATE.The amendments to paragraph (e) are effective July 1, 2011.
10.13The amendments to all other paragraphs in this section are effective January 1, 2011."
10.14Page 67, line 26, strike "for,"
10.15Page 67, line 27, strike "contract years starting in 2012,"
10.16Page 67, line 31, strike "years" and insert "year" and strike "and 2011"
10.17Page 67, line 34, after the period insert "Effective December 31, 2010, enrollment
10.18and operation of the MnDHO program in effect during calendar year 2010 will close. The
10.19commissioner may reopen the program provided all applicable conditions of this section
10.20are met."
10.21Page 68, line 2, strike "further expansion of"
10.22Page 68, line 4, strike "by February 1, 2007" and insert "prior to any further
10.23implementation or expansion"
10.24Page 68, after line 24, insert:

10.25    "Sec. .... Laws 2009, chapter 79, article 8, section 51, the effective date, is amended to
10.26read:
10.27EFFECTIVE DATE.This section is effective January July 1, 2011."
10.28Page 69, after line 19, insert:

10.29    "Sec. 9. ICF/DD RATE INCREASE.
10.30    The daily rate at an intermediate care facility for the developmentally disabled
10.31located in Clearwater County and classified as a Class A facility with 15 beds shall be
10.32increased from $112.73 to $138.23 beginning July 1, 2010."
10.33Page 70, delete lines 23 to 31
10.34Page 72, after line 11, insert:
11.1"EFFECTIVE DATE.This section is effective November 1, 2010."
11.2Page 74, line 11, delete "October 1, 2010" and insert "March 1, 2011"
11.3Page 75, line 21, delete "October 1, 201" and insert "February 1, 2011"
11.4Page 76, after line 29, insert:

11.5    "Sec. 9. Minnesota Statutes 2008, section 256I.05, is amended by adding a subdivision
11.6to read:
11.7    Subd. 1n. Supplemental rate; Mahnomen County. Notwithstanding the
11.8provisions of this section, beginning July 1, 2009, a county agency shall negotiate a
11.9supplemental service rate in addition to the rate specified in subdivision 1, not to exceed
11.10$753 per month or the existing rate, including any legislative authorized inflationary
11.11adjustments, for a group residential provider located in Mahnomen County that operates
11.12a 28-bed facility providing 24-hour care to individuals who are homeless, disabled,
11.13chemically dependent, mentally ill, or chronically homeless."
11.14Page 83, delete section 4 and insert:

11.15    "Sec. 4. [62Q.545] COVERAGE OF PRIVATE DUTY NURSING SERVICES.
11.16    (a) Private duty nursing services, as provided under section 256B.0625, subdivision
11.177, with the exception of section 256B.0654, subdivision 4, shall be provided by a
11.18health plan company for persons who require private duty nursing services and who
11.19are concurrently covered by a health plan, as defined in section 62Q.01, and enrolled in
11.20medical assistance under chapter 256B.
11.21    (b) For purposes of this section, a period of private duty nursing services may
11.22be subject to the co-payment, coinsurance, deductible, or other enrollee cost-sharing
11.23requirements that apply under the health plan. Cost-sharing requirements for private
11.24duty nursing services must not place a greater financial burden on the insured or enrollee
11.25than those requirements applied by the health plan to other similar services or benefits.
11.26Nothing in this section is intended to prevent a health plan company from requiring
11.27prior authorization by the health plan company for services required under 256B.0625,
11.28subdivision 7, or using contracted providers under the applicable provisions of the plan.
11.29EFFECTIVE DATE.This section is effective July 1, 2010, and applies to health
11.30plans offered, sold, issued, or renewed on or after that date."
11.31Page 86, line 17, delete everything after "illness" and insert a period
11.32Page 86, delete line 18 and insert "Remaining beds shall be converted into
11.33community-based transitional intensive treatment foster homes in the Cambridge area
11.34and staffed by state employees."
11.35Page 112, after line 26, insert:

12.1    "Sec. 11. Minnesota Statutes 2008, section 144.293, subdivision 4, is amended to read:
12.2    Subd. 4. Duration of consent. Except as provided in this section, a consent is
12.3valid for one year or for a lesser period specified in the consent or for a different period
12.4provided by law.

12.5    Sec. 12. Minnesota Statutes 2008, section 144.293, subdivision 5, is amended to read:
12.6    Subd. 5. Exceptions to consent requirement. This section does not prohibit the
12.7release of health records:
12.8    (1) for a medical emergency when the provider is unable to obtain the patient's
12.9consent due to the patient's condition or the nature of the medical emergency;
12.10    (2) to other providers within related health care entities when necessary for the
12.11current treatment of the patient; or
12.12    (3) to a health care facility licensed by this chapter, chapter 144A, or to the same
12.13types of health care facilities licensed by this chapter and chapter 144A that are licensed
12.14in another state when a patient:
12.15    (i) is returning to the health care facility and unable to provide consent; or
12.16    (ii) who resides in the health care facility, has services provided by an outside
12.17resource under Code of Federal Regulations, title 42, section 483.75(h), and is unable to
12.18provide consent.; or
12.19    (4) among providers who have or had a treatment relationship with the patient for
12.20purposes of treatment and care coordination."
12.21Page 118, delete subdivision 4
12.22Renumber the subdivisions in sequence
12.23Page 121, line 22, after the period insert "Prescription drug coverage shall not be
12.24provided through accountable care organizations and shall instead be provided through a
12.25delivery method that qualifies for federal prescription drug rebates."
12.26Page 124, lines 13 and 14, delete "at least"
12.27Page 124, line 14, after "organization" insert "and one from the business community"
12.28Page 141, after line 7, insert:
12.29"SNAP Enhanced Administrative
12.30Funding. The funds available for
12.31administration of the Supplemental Nutrition
12.32Assistance Program under the Department
12.33of Defense Appropriations Act of 2010
12.34(Public Law 111-118) are appropriated
12.35to the commissioner to pay the actual
13.1costs of providing for increased eligibility
13.2determinations, caseload-related cost, timely
13.3application processing, and quality control.
13.4Of these funds, 20 percent shall be allocated
13.5ot the commissioner and 80 percent shall
13.6be allocated to counties. The commissioner
13.7shall allocate the county portion based
13.8on recent caseload. Reimbursement shall
13.9be based on actual costs reported by
13.10counties through existing processes. Tribal
13.11reimbursement must be made from the state
13.12portion, based on a caseload factor equivalent
13.13to that of a county."
13.14Page 141, line 13, delete "(7,500,000)" and insert "11,222,000" and delete
13.15"35,500,000" and insert "26,457,000"
13.16Page 141, line 19, delete "$18,689,000" and insert "$18,957,000"
13.17Page 141, line 21, after "the" insert "general fund for the"
13.18Page 141, line 23, after "families" insert ", with respect to the amounts appropriated
13.19for fiscal year 2010, the commissioner shall reimburse the general fund by June 30, 2010,
13.20with respect to the funds appropriated for fiscal year 2011," and delete ". Beginning" and
13.21insert "beginning"
13.22Page 141, line 27, delete "20" and insert "30"
13.23Page 141, delete lines 33 and 34 and insert:
13.24"This appropriation reduction is from the
13.25federal TANF fund."
13.26Page 142, delete lines 1 and 2
13.27Page 142, line 8, after the period, insert "$4,000,000 of the amounts earned in the
13.28TANF emergency fund (TEF) subsidized employment category under the American
13.29Recovery and Reinvestment Act (ARRA) of 2009, Public Law 111-5, are available for
13.30reimbursement in the working family credit in fiscal year 2011."
13.31Page 142, delete lines 13 to 16
13.32Page 142, line 33, delete "(9,900,000)" and insert "(5,900,000)"
13.33Page 143, line 7, delete "$9,900,000" and insert "$5,900,000" and delete everything
13.34after the period
13.35Page 143, delete line 8 and insert "The ongoing reduction shall be $9,900,000 in
13.36each of fiscal years 2012 and 2013."
14.1Page 143, line 9, delete "(8,028,000)" and insert "(5,980,000)"
14.2Page 143, delete lines 10 to 19
14.3Page 143, line 20, delete "(3)" and insert "(1)"
14.4Page 143, line 23, delete "(4)" and insert "(2)"
14.5Page 144, delete lines 1 to 5
14.6Page 144, line 6, delete everything before "The"
14.7Page 144, after line 10, insert:
14.8"The federal TANF fund appropriation is
14.9reduced by $172,000 in fiscal year 2010, and
14.10by $176,000 in fiscal year 2011."
14.11Page 144, delete lines 19 to 21
14.12Page 146, delete lines 5 to 17
14.13Page 148, line 4, delete "(154,000)" and insert "-0-" and delete "(139,000)" and
14.14insert "(154,000)"
14.15Page 148, after line 21, insert:
14.16"$84,000 is appropriated in fiscal year 2011
14.17from the general fund to the commissioner of
14.18human services for the purposes of article 3,
14.19section 9. This appropriation is onetime.
14.20Intermediate Care Facilities for the
14.21Developmentally Disabled Payment Rates.
14.22$36,000 is appropriated from the general
14.23fund in fiscal year 2011 and $4,000 in fiscal
14.24year 2012 to increase payment rates for an
14.25ICF/MR licensed for six beds and located in
14.26Kandiyohi County to serve persons with high
14.27behavioral needs. The payment rate increase
14.28shall be effective for services provided from
14.29July 1, 2010, through June 30, 2011. These
14.30appropriations are onetime.
14.31Crisis Center Services. Of this
14.32appropriation, $400,000 in fiscal year
14.332011 is to a community collaborative to
14.34continue crisis center services provided in
14.35the Mankato are."
15.1Page 151, delete lines 19 to 29
15.2Page 152, delete lines 32 to 35
15.3Page 153, delete subdivision 12
15.4Page 153, delete lines 1 to 2 and insert:
15.5"State-Operated Services. Of this
15.6appropriation, $12,854,000 in fiscal year
15.72011 is for the commissioner to maintain
15.8dental clinics, the METO program, and other
15.9residential adult mental health services."
15.10Page 154, delete lines 15 to 27
15.11Page 184, line 14, strike "services provided" and insert "placements beginning"
15.12Page 184, line 22, after the period insert "For services provided during fiscal year
15.132011, all payment rates are reduced by five percent from the rates in effect on June
15.141, 2010."
15.15Page ..., after line ..., insert:
15.16"MnDHO Transition. $250,000 is
15.17appropriated from the general fund in fiscal
15.18year 2011 to the commissioner of human
15.19services to be made available to county
15.20agencies to assist in the proactive transition
15.21of the approximately 1,290 current MnDHO
15.22members to the fee-for-service Medicaid
15.23program or another managed care option
15.24by January 1, 2011. County agencies shall
15.25work with the department of human services,
15.26health plans, and MnDHO members and
15.27their legal representatives to develop and
15.28implement transition plans that include:
15.29(1) identification of service needs of MnDHO
15.30members based on the current assessment or
15.31through the completion of a new assessment;
15.32(2) identification of services currently
15.33provided to MnDHO members and which
15.34of those services will continue to be
15.35reimbursable through fee-for-service or
16.1another managed care option under the
16.2Medicaid state plan or a Title XIX home and
16.3community-based waiver program;
16.4(3) identification of service providers who do
16.5not have a contract with the county or who
16.6are currently reimbursed at a different rate
16.7than the county contracted rate; and
16.8(4) development of an individual service
16.9plan that is within allowable home and
16.10community-based service waiver funding
16.11limits."
16.12Page ..., after line ..., insert:
16.13"Group Residential Housing; Mahnomen
16.14County. $48,000 is appropriated from
16.15the general fund in fiscal year 2011 to the
16.16commissioner of human services for the
16.17purposes of Minnesota Statutes, section
16.18256I.05, subdivision 1n. This appropriation
16.19is onetime."
16.20Correct the subdivision and section totals and the appropriations by fund
16.21Renumber the sections in sequence and correct the internal references
16.22Amend the title accordingly