1.1.................... moves to amend H.F. No. 3467, the second engrossment, as follows:
1.2Page 50, after line 24, insert:

"1.3    Sec. .... Minnesota Statutes 2014, section 145.882, subdivision 2, is amended to read:
1.4    Subd. 2. Allocation to commissioner of health. (a) Beginning January 1, 1986,
1.5up to one-third of the total maternal and child health block grant money may be retained
1.6by the commissioner of health to:
1.7(1) meet federal maternal and child block grant requirements of a statewide needs
1.8assessment every five years and prepare the annual federal block grant application and
1.9report;
1.10(2) collect and disseminate statewide data on the health status of mothers and
1.11children within one year of the end of the year;
1.12(3) provide technical assistance to community health boards in meeting statewide
1.13outcomes;
1.14(4) evaluate the impact of maternal and child health activities on the health status
1.15of mothers and children;
1.16(5) provide services to children under age 16 receiving benefits under title XVI
1.17of the Social Security Act; and
1.18(6) perform other maternal and child health activities listed in section 145.88 and as
1.19deemed necessary by the commissioner.
1.20(b) Any money under this subdivision used by the commissioner for grants for the
1.21provision of prepregnancy family planning services must be distributed under section
1.22145.925.
1.23EFFECTIVE DATE.This section is effective July 1, 2017.

1.24    Sec. .... Minnesota Statutes 2014, section 145.882, subdivision 3, is amended to read:
2.1    Subd. 3. Allocation to community health boards. (a) The maternal and child
2.2health block grant money remaining after distributions made under subdivision 2 and
2.3used for services other than prepregnancy family planning services must be allocated
2.4according to the formula in section 145A.131, subdivision 2, for distribution to community
2.5health boards. Maternal and child health block grant money used for the provision of
2.6prepregnancy family planning services must be distributed under section 145.925.
2.7(b) A community health board that receives funding under this section shall provide
2.8at least a 50 percent match for funds received under United States Code, title 42, sections
2.9701 to 709. Eligible funds must be used to meet match requirements. Eligible funds
2.10include funds from local property taxes, reimbursements from third parties, fees, other
2.11funds, donations, nonfederal grants, or state funds received under the local public health
2.12grant defined in section 145A.131, that are used for maternal and child health activities as
2.13described in subdivision 7.
2.14EFFECTIVE DATE.This section is effective July 1, 2017.

2.15    Sec. .... Minnesota Statutes 2014, section 145.882, subdivision 7, is amended to read:
2.16    Subd. 7. Use of block grant money. Maternal and child health block grant money
2.17allocated to a community health board under this section must be used for qualified
2.18programs for high risk and low-income individuals. Block grant money allocated under
2.19this section or for family planning services under section 145.925 must be used for
2.20programs that:
2.21(1) specifically address the highest risk populations, particularly low-income and
2.22minority groups with a high rate of infant mortality and children with low birth weight,
2.23by providing services, including prepregnancy family planning services, calculated
2.24to produce measurable decreases in infant mortality rates, instances of children with
2.25low birth weight, and medical complications associated with pregnancy and childbirth,
2.26including infant mortality, low birth rates, and medical complications arising from
2.27chemical abuse by a mother during pregnancy;
2.28(2) specifically target pregnant women whose age, medical condition, maternal
2.29history, or chemical abuse substantially increases the likelihood of complications
2.30associated with pregnancy and childbirth or the birth of a child with an illness, disability,
2.31or special medical needs;
2.32(3) specifically address the health needs of young children who have or are likely
2.33to have a chronic disease or disability or special medical needs, including physical,
2.34neurological, emotional, and developmental problems that arise from chemical abuse
2.35by a mother during pregnancy;
3.1(4) provide family planning and preventive medical care for specifically identified
3.2target populations, such as minority and low-income teenagers, in a manner calculated to
3.3decrease the occurrence of inappropriate pregnancy and minimize the risk of complications
3.4associated with pregnancy and childbirth;
3.5(5) specifically address the frequency and severity of childhood and adolescent
3.6health issues, including injuries in high risk target populations by providing services
3.7calculated to produce measurable decreases in mortality and morbidity;
3.8(6) specifically address preventing child abuse and neglect, reducing juvenile
3.9delinquency, promoting positive parenting and resiliency in children, and promoting
3.10family health and economic sufficiency through public health nurse home visits under
3.11section 145A.17; or
3.12(7) specifically address nutritional issues of women, infants, and young children
3.13through WIC clinic services.
3.14EFFECTIVE DATE.This section is effective July 1, 2017.
"3.15Page 51, after line 17, insert:

"3.16    Sec. .... Minnesota Statutes 2014, section 145.925, subdivision 1, is amended to read:
3.17    Subdivision 1. Eligible organizations; Purpose. The commissioner of health may
3.18shall make special grants to cities, counties, groups of cities or counties, or nonprofit
3.19corporations to provide prepregnancy family planning services.
3.20EFFECTIVE DATE.This section is effective July 1, 2017.

3.21    Sec. .... Minnesota Statutes 2014, section 145.925, subdivision 1a, is amended to read:
3.22    Subd. 1a. Family planning services; defined Definitions. (a) For purposes of this
3.23section, the following terms have the meanings given them.
3.24(b) "Community health board" has the meaning given in section 145A.02,
3.25subdivision 5.
3.26(c) "Family planning" means voluntary action by individuals to prevent or aid
3.27conception.
3.28(d) "Family planning services" means counseling by trained personnel regarding
3.29family planning; distribution of information relating to family planning,; referral to
3.30licensed physicians or local health agencies for consultation, examination, medical
3.31treatment, genetic counseling, and prescriptions for the purpose of family planning; and
3.32the distribution of family planning products, such as charts, thermometers, drugs, medical
3.33preparations, and contraceptive devices. For purposes of sections 145A.01 to 145A.14,
3.34family planning shall mean voluntary action by individuals to prevent or aid conception
4.1but does not include the performance, or make referrals for encouragement of voluntary
4.2termination of pregnancy.
4.3(e) "Federally qualified health center" has the meaning given in section 145.9269,
4.4subdivision 1.
4.5(f) "Hospital" means a facility licensed as a hospital under section 144.55.
4.6(g) "Public health clinic" means a health clinic operated by one or more local units
4.7of government or community health boards or by the University of Minnesota and that
4.8has as a primary focus the provision of primary and preventive health care services and
4.9immunizations.
4.10(h) "Rural health clinic" means a rural health clinic as defined in United States Code,
4.11title 42, section 1395x(aa)(2) that is certified according to Code of Federal Regulations,
4.12title 42, part 491, subpart A.
4.13EFFECTIVE DATE.This section is effective July 1, 2017.

4.14    Sec. .... Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
4.15to read:
4.16    Subd. 1b. Commissioner to apply for federal Title X funds. For each federal Title
4.17X grant fund cycle, the commissioner shall apply to the federal Department of Health and
4.18Human Services for grant funds under Title X of the federal Public Health Service Act,
4.19United States Code, title 42, sections 300 to 300a-6.
4.20EFFECTIVE DATE.This section is effective beginning with the federal 2018
4.21application deadline for Title X grant funds.

4.22    Sec. .... Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
4.23to read:
4.24    Subd. 1c. State and federal funds distributed according to this section. The
4.25commissioner shall distribute the following funds according to subdivision 1d:
4.26(1) federal Title X funds received by the commissioner according to an application
4.27submitted under subdivision 1b;
4.28(2) funds appropriated from the general fund and the federal TANF fund for
4.29purposes of grants under this section; and
4.30(3) maternal and child health block grant funds used for prepregnancy family
4.31planning services.
4.32EFFECTIVE DATE.This section is effective July 1, 2017.

5.1    Sec. .... Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
5.2to read:
5.3    Subd. 1d. Distribution; eligible entities. The commissioner shall distribute the
5.4funds specified in subdivision 1c to public entities, including community health boards and
5.5public health clinics, that apply to the commissioner for funds to provide family planning
5.6services according to procedures established by the commissioner. If any funds remain
5.7after the commissioner fulfills all approved grant requests from public entities for the grant
5.8period, the commissioner may distribute the remaining funds to nonpublic entities that:
5.9(1) are hospitals, federally qualified health centers, or rural health clinics;
5.10(2) provide comprehensive primary and preventive health care services in addition
5.11to family planning services; and
5.12(3) apply to the commissioner for funds to provide family planning services
5.13according to procedures established by the commissioner.
5.14EFFECTIVE DATE.This section is effective July 1, 2017.

5.15    Sec. .... Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
5.16to read:
5.17    Subd. 1e. Subgrants from public entities. (a) A public entity that receives funds
5.18from the commissioner under subdivision 1d may distribute some or all of the funds as
5.19subgrants to other public or private entities to provide family planning services. Except as
5.20provided in paragraph (b), an entity is not eligible for a subgrant under this subdivision if
5.21the entity provides abortion services or has an affiliate that provides abortion services.
5.22(b) An entity that provides abortion services or has an affiliate that provides abortion
5.23services is eligible for a subgrant under this subdivision if the entity or affiliate provides
5.24abortion services solely when the abortion is directly and medically necessary to save the
5.25life of the woman, provided a physician signs a certification stating the direct and medical
5.26necessity of the abortion.
5.27EFFECTIVE DATE.This section is effective July 1, 2017.

5.28    Sec. .... Minnesota Statutes 2014, section 145.925, is amended by adding a subdivision
5.29to read:
5.30    Subd. 10. Reporting and publication of grant and subgrant recipients. At least
5.31once every grant cycle, a public entity that distributes funds under subdivision 1e shall
5.32provide the commissioner of health with a list of the entities that received subgrants to
5.33provide family planning services and the amount of each subgrant. At least once every
6.1grant cycle, the commissioner of health shall publish on the department's Web site a list of
6.2all the entities that received funds as a grant from the commissioner under subdivision 1d
6.3or a subgrant from a public entity under subdivision 1e, and the amount of the grant or
6.4subgrant received by each entity.
6.5EFFECTIVE DATE.This section is effective July 1, 2017.
"6.6Page 54, line 27, before "Minnesota" insert "(a)"
6.7Page 54, after line 28, insert:
"6.8(b) Minnesota Statutes 2014, section 145.925, subdivision 2, is repealed effective
6.9July 1, 2017.
"6.10Page 125, line 35, delete "$202,000" and insert "$174,000"
6.11Page 126, after line 33, insert:
"6.12Family Planning. $28,000 in fiscal year
6.132017 from the general fund is for costs
6.14related to amendments to Minnesota Statutes,
6.15section 145.925.
"6.16Renumber the sections in sequence and correct the internal references
6.17Amend the title accordingly