1.1.................... moves to amend H.F. No. 2023 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2012, section 256B.0654, subdivision 1, is amended to
1.4read:
1.5    Subdivision 1. Definitions. (a) "Complex private duty home care nursing care"
1.6means home care nursing services provided to recipients who are ventilator dependent or
1.7for whom a physician has certified that the recipient would meet the criteria for inpatient
1.8hospital meet the criteria for regular home care nursing, except that life-sustaining
1.9interventions are necessary for the recipient to be considered stable and the recipient may
1.10require an intensive care unit (ICU) level of care.
1.11(b) "Private duty Home care nursing" means ongoing professional physician-ordered
1.12hourly nursing services by a registered or licensed practical nurse, including assessment,
1.13professional nursing tasks skilled nursing interventions, and education, based on an
1.14assessment and physician orders the recipient's assessed needs, to maintain or restore
1.15optimal health of the recipient. Home care nursing must be performed by a registered
1.16nurse or licensed practical nurse within the scope of practice as defined by the Minnesota
1.17Nurse Practice Act under sections 148.171 to 148.285.
1.18(c) "Private duty Home care nursing agency" means a medical assistance enrolled
1.19provider licensed under chapter 144A to provide private duty home care nursing services.
1.20(d) "Regular private duty home care nursing" means nursing services provided to
1.21a recipient who is considered stable and not at an inpatient hospital intensive care unit
1.22level of care, but may have episodes of instability that are not life threatening home care
1.23nursing provided because:
1.24(1) the recipient requires more individual and continuous care than can be provided
1.25during a skilled nurse visit; or
1.26(2) the cares are outside of the scope of services that can be provided by a home
1.27health aide or personal care assistant.
2.1(e) "Shared private duty home care nursing" means the provision of home care
2.2nursing services by a private duty home care nurse to two recipients at the same time
2.3and in the same setting.
2.4(f) "Technology dependent home care nursing" means home care nursing services
2.5provided to recipients who meet the criteria for complex home care nursing services and
2.6require life-sustaining interventions to reduce the risk of long-term injury or death.
2.7EFFECTIVE DATE.This section is effective July 1, 2014.

2.8    Sec. 2. Minnesota Statutes 2012, section 256B.0654, is amended by adding a
2.9subdivision to read:
2.10    Subd. 5. Payment rates for home care nursing services. Effective for services
2.11provided on or after July 1, 2014, payments for regular home care nursing services shall be
2.12increased by 14 percent from the rates in effect on June 30, 2014, payments for complex
2.13home care nursing services shall be increased by 21 percent from the rates in effect on June
2.1430, 2014, and payments for technology dependent home care nursing services shall be set
2.15at a level 25 percent higher than the payment rate for complex home care nursing services
2.16that is in effect on July 1, 2014. This increase does not apply to federally qualified health
2.17centers, rural health centers, and Indian health services. The commissioner shall adjust
2.18payment rates to managed care and county-based purchasing plans to reflect this increase,
2.19and shall require plans to pass on the full amount of the rate increase to eligible home care
2.20nursing service providers, in the form of higher payments for home care nursing services.

2.21    Sec. 3. REVISOR'S INSTRUCTION.
2.22The revisor of statutes shall change the term "private duty nursing" or similar terms
2.23to "home care nursing" or similar terms, and shall change the term "private duty nurse" to
2.24"home care nurse," wherever these terms appear in Minnesota Statutes and Minnesota
2.25Rules. The revisor shall also make grammatical changes related to the changes in terms."
2.26Delete the title and insert:
2.28relating to human services; establishing a technology dependent category for
2.29home care nursing services; increasing payment rates for home care nursing
2.30services; changing terminology and providing a revisor's instruction;amending
2.31Minnesota Statutes 2012, section 256B.0654, subdivision 1, by adding a
2.32subdivision."