1.1    .................... moves to amend H. F. No. 196 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2006, section 148C.11, subdivision 1, is amended to
1.4read:
1.5    Subdivision 1. Other professionals. (a) Nothing in this chapter prevents members
1.6of other professions or occupations from performing functions for which they are qualified
1.7or licensed. This exception includes, but is not limited to: licensed physicians; registered
1.8nurses; licensed practical nurses; licensed psychological practitioners; members of
1.9the clergy; American Indian medicine men and women; licensed attorneys; probation
1.10officers; licensed marriage and family therapists; licensed social workers; social workers
1.11employed by city, county, or state agencies; licensed professional counselors; licensed
1.12school counselors; registered occupational therapists or occupational therapy assistants;
1.13city, county, or state employees when providing assessments or case management under
1.14Minnesota Rules, chapter 9530; and until July 1, 2007 2009, individuals providing
1.15integrated dual-diagnosis treatment in adult mental health rehabilitative programs certified
1.16by the Department of Human Services under section 256B.0622 or 256B.0623.
1.17    (b) Nothing in this chapter prohibits technicians and resident managers in programs
1.18licensed by the Department of Human Services from discharging their duties as provided
1.19in Minnesota Rules, chapter 9530.
1.20    (c) Any person who is exempt under this subdivision but who elects to obtain a
1.21license under this chapter is subject to this chapter to the same extent as other licensees.
1.22The board shall issue a license without examination to an applicant who is licensed or
1.23registered in a profession identified in paragraph (a) if the applicant:
1.24    (1) shows evidence of current licensure or registration; and
1.25    (2) has submitted to the board a plan for supervision during the first 2,000 hours of
1.26professional practice or has submitted proof of supervised professional practice that is
1.27acceptable to the board.
2.1    (d) Any person who is exempt from licensure under this section must not use a
2.2title incorporating the words "alcohol and drug counselor" or "licensed alcohol and drug
2.3counselor" or otherwise hold themselves out to the public by any title or description
2.4stating or implying that they are engaged in the practice of alcohol and drug counseling,
2.5or that they are licensed to engage in the practice of alcohol and drug counseling unless
2.6that person is also licensed as an alcohol and drug counselor. Persons engaged in the
2.7practice of alcohol and drug counseling are not exempt from the board's jurisdiction
2.8solely by the use of one of the above titles.

2.9    Sec. 2. Minnesota Statutes 2006, section 245.465, is amended by adding a subdivision
2.10to read:
2.11    Subd. 3. Responsibility not duplicated. For individuals who have health care
2.12coverage, the county board is not responsible for providing mental health services which
2.13are covered by the entity that administers the individual's health care coverage.

2.14    Sec. 3. [245.4682] MENTAL HEALTH SERVICE DELIVERY AND FINANCE
2.15REFORM.
2.16    Subdivision 1. Policy. The commissioner of human services shall undertake a series
2.17of reforms to address the underlying structural, financial, and organizational problems in
2.18Minnesota's mental health system with the goal of improving the availability, quality, and
2.19accountability of mental health care within the state.
2.20    Subd. 2. General provisions. (a) In the design and implementation of reforms to
2.21the mental health system, the commissioner shall:
2.22    (1) consult with consumers, families, counties, tribes, advocates, providers, and
2.23other stakeholders;
2.24    (2) bring to the legislature, and the state Mental Health Advisory Council, by
2.25January 15, 2008, recommendations for legislation to update the role of counties and to
2.26clarify the case management roles and functions of health plans and counties;
2.27    (3) ensure continuity of care for persons affected by these reforms including
2.28ensuring client choice of provider by requiring broad provider networks and developing
2.29mechanisms to facilitate a smooth transition of service responsibilities;
2.30    (4) provide accountability for the efficient and effective use of public and private
2.31resources in achieving positive outcomes for consumers;
2.32    (5) ensure client access to applicable protections and appeals; and
2.33    (6) make budget transfers necessary to implement the reallocation of services and
2.34client responsibilities between counties and health care programs that do not increase the
2.35state and county costs and efficiently allocate state funds.
3.1    (b) When making transfers under paragraph (a) necessary to implement movement
3.2of responsibility for clients and services between counties and health care programs,
3.3the commissioner, in consultation with counties, shall ensure that any transfer of state
3.4grants to health care programs, including the value of case management transfer grants
3.5under section 256B.0625, subdivision 20, does not exceed the value of the services being
3.6transferred for the latest 12-month period for which data is available. The commissioner
3.7may make quarterly adjustments based on the availability of additional data during the
3.8first four quarters after the transfers first occur. If case management transfer grants under
3.9section 256B.0625, subdivision 20, are repealed and the value, based on the last year prior
3.10to repeal, exceeds the value of the services being transferred, the difference becomes an
3.11ongoing part of each county's adult and children's mental health grants under sections
3.12245.4661, 245.4889, and 256E.12.
3.13    Subd. 3. Projects for coordination of care. (a) Consistent with section 256B.69
3.14and chapters 256D and 256L, the commissioner is authorized to solicit, approve, and
3.15implement projects to demonstrate the integration of physical and mental health services
3.16within prepaid health plans and their coordination with social services. The commissioner
3.17shall require that each project be based on locally defined partnerships that include at
3.18least one health maintenance organization, community integrated service network, or
3.19accountable provider network authorized and operating under chapter 62D, 62N, or 62T, or
3.20county-based purchasing entity under section 256B.692 that is eligible to contract with the
3.21commissioner as a prepaid health plan, and the county or counties within the service area.
3.22    (b) The commissioner, in consultation with consumers, families, and their
3.23representatives, shall:
3.24    (1) determine criteria for approving the projects and use those criteria to solicit
3.25proposals for preferred integrated networks. The commissioner must develop criteria to
3.26evaluate the partnership proposed by the county and prepaid health plan to coordinate
3.27access and delivery of services. The proposal must at a minimum address how the
3.28partnership will coordinate the provision of:
3.29    (i) client outreach and identification of health and social service needs paired with
3.30expedited access to appropriate resources;
3.31    (ii) activities to maintain continuity of health care coverage;
3.32    (iii) children's residential mental health treatment and treatment foster care;
3.33    (iv) court-ordered assessments and treatments;
3.34    (v) prepetition screening and commitments under chapter 253B;
3.35    (vi) assessment and treatment of children identified through mental health screening
3.36of child welfare and juvenile corrections cases;
4.1    (vii) housing; and
4.2    (viii) transportation;
4.3    (2) determine specifications for contracts with prepaid health plans to improve the
4.4plan's ability to serve persons with mental health conditions, including specifications
4.5addressing:
4.6    (i) early identification and intervention of physical and behavioral health problems;
4.7    (ii) communication between the enrollee and the health plan;
4.8    (iii) facilitation of enrollment for persons who are also eligible for a Medicare
4.9special needs plan offered by the health plan;
4.10    (iv) risk screening procedures;
4.11    (v) health care coordination;
4.12    (vi) member services and access to applicable protections and appeal processes;
4.13    (vii) specialty provider networks;
4.14    (viii) transportation services;
4.15    (ix) treatment planning; and
4.16    (x) administrative simplification for providers;
4.17    (3) begin implementation of the projects no earlier than January 1, 2009, with not
4.18more than 40 percent of the statewide population described in paragraph (c) included
4.19during calendar year 2009 and additional individuals included in subsequent years;
4.20    (4) waive any administrative rule not consistent with the implementation of the
4.21projects; and
4.22    (5) allow potential bidders at least 90 days to respond to the request for proposals.
4.23    (c) Notwithstanding any statute or administrative rule to the contrary, the
4.24commissioner may enroll all persons eligible for medical assistance with serious mental
4.25illness or emotional disturbance in the prepaid plan of their choice within the project
4.26service area unless:
4.27    (1) the individual is eligible for home and community-based services under section
4.28256B.092; or
4.29    (2) the individual has a basis for exclusion from the prepaid plan under section
4.30256B.69, subdivision 4, other than disability, mental illness, or emotional disturbance.
4.31    (d) If the person described in paragraph (c) does not elect to remain in fee-for-service
4.32medical assistance, or declines to choose a plan, the commissioner may preferentially
4.33assign that person to the prepaid plan participating in the preferred integrated network.
4.34The commissioner shall implement the enrollment changes within a project's service area
4.35on the timeline specified in that project's approved application.
5.1    (e) A person enrolled in a prepaid health plan under paragraph (c) may request to
5.2disenroll from the plan at any time.
5.3    (f) The commissioner, in consultation with consumers, families, and their
5.4representatives, shall evaluate the projects begun in 2009, and shall refine the design of
5.5the service integration projects before expanding the projects beyond 40 percent of the
5.6statewide population and before expanding the number of service areas engaged in the
5.7demonstration projects as additional qualified applicant partnerships present themselves.
5.8    (g) The commissioner shall apply for any federal waivers necessary to implement
5.9these changes.

5.10    Sec. 4. Minnesota Statutes 2006, section 245.4874, is amended to read:
5.11245.4874 DUTIES OF COUNTY BOARD.
5.12    Subdivision 1. Duties of the county board. (a) The county board must:
5.13    (1) develop a system of affordable and locally available children's mental health
5.14services according to sections 245.487 to 245.4887;
5.15    (2) establish a mechanism providing for interagency coordination as specified in
5.16section 245.4875, subdivision 6;
5.17    (3) consider the assessment of unmet needs in the county as reported by the local
5.18children's mental health advisory council under section 245.4875, subdivision 5, paragraph
5.19(b), clause (3). The county shall provide, upon request of the local children's mental health
5.20advisory council, readily available data to assist in the determination of unmet needs;
5.21    (4) assure that parents and providers in the county receive information about how to
5.22gain access to services provided according to sections 245.487 to 245.4887;
5.23    (5) coordinate the delivery of children's mental health services with services
5.24provided by social services, education, corrections, health, and vocational agencies to
5.25improve the availability of mental health services to children and the cost-effectiveness of
5.26their delivery;
5.27    (6) assure that mental health services delivered according to sections 245.487
5.28to 245.4887 are delivered expeditiously and are appropriate to the child's diagnostic
5.29assessment and individual treatment plan;
5.30    (7) provide the community with information about predictors and symptoms of
5.31emotional disturbances and how to access children's mental health services according to
5.32sections 245.4877 and 245.4878;
5.33    (8) provide for case management services to each child with severe emotional
5.34disturbance according to sections 245.486; 245.4871, subdivisions 3 and 4; and 245.4881,
5.35subdivisions 1, 3, and 5
;
6.1    (9) provide for screening of each child under section 245.4885 upon admission
6.2to a residential treatment facility, acute care hospital inpatient treatment, or informal
6.3admission to a regional treatment center;
6.4    (10) prudently administer grants and purchase-of-service contracts that the county
6.5board determines are necessary to fulfill its responsibilities under sections 245.487 to
6.6245.4887 ;
6.7    (11) assure that mental health professionals, mental health practitioners, and case
6.8managers employed by or under contract to the county to provide mental health services
6.9are qualified under section 245.4871;
6.10    (12) assure that children's mental health services are coordinated with adult mental
6.11health services specified in sections 245.461 to 245.486 so that a continuum of mental
6.12health services is available to serve persons with mental illness, regardless of the person's
6.13age;
6.14    (13) assure that culturally informed mental health consultants are used as necessary
6.15to assist the county board in assessing and providing appropriate treatment for children of
6.16cultural or racial minority heritage; and
6.17    (14) consistent with section 245.486, arrange for or provide a children's mental
6.18health screening to a child receiving child protective services or a child in out-of-home
6.19placement, a child for whom parental rights have been terminated, a child found to be
6.20delinquent, and a child found to have committed a juvenile petty offense for the third or
6.21subsequent time, unless a screening has been performed within the previous 180 days, or
6.22the child is currently under the care of a mental health professional. The court or county
6.23agency must notify a parent or guardian whose parental rights have not been terminated of
6.24the potential mental health screening and the option to prevent the screening by notifying
6.25the court or county agency in writing. The screening shall be conducted with a screening
6.26instrument approved by the commissioner of human services according to criteria that
6.27are updated and issued annually to ensure that approved screening instruments are valid
6.28and useful for child welfare and juvenile justice populations, and shall be conducted
6.29by a mental health practitioner as defined in section 245.4871, subdivision 26, or a
6.30probation officer or local social services agency staff person who is trained in the use of
6.31the screening instrument. Training in the use of the instrument shall include training in the
6.32administration of the instrument, the interpretation of its validity given the child's current
6.33circumstances, the state and federal data practices laws and confidentiality standards, the
6.34parental consent requirement, and providing respect for families and cultural values.
6.35If the screen indicates a need for assessment, the child's family, or if the family lacks
6.36mental health insurance, the local social services agency, in consultation with the child's
7.1family, shall have conducted a diagnostic assessment, including a functional assessment,
7.2as defined in section 245.4871. The administration of the screening shall safeguard the
7.3privacy of children receiving the screening and their families and shall comply with the
7.4Minnesota Government Data Practices Act, chapter 13, and the federal Health Insurance
7.5Portability and Accountability Act of 1996, Public Law 104-191. Screening results shall be
7.6considered private data and the commissioner shall not collect individual screening results.
7.7    (b) When the county board refers clients to providers of children's therapeutic
7.8services and supports under section 256B.0943, the county board must clearly identify
7.9the desired services components not covered under section 256B.0943 and identify the
7.10reimbursement source for those requested services, the method of payment, and the
7.11payment rate to the provider.
7.12    Subd. 2. Responsibility not duplicated. For individuals who have health care
7.13coverage, the county board is not responsible for providing mental health services which
7.14are covered by the entity which administers the individual's health care coverage.

7.15    Sec. 5. [245.4889] CHILDREN'S MENTAL HEALTH GRANTS.
7.16    Subdivision 1. Establishment and authority. (a) The commissioner is authorized
7.17to make grants from available appropriations to assist:
7.18    (1) counties;
7.19    (2) Indian tribes;
7.20    (3) children's collaboratives under section 124D.23 or 245.493; or
7.21    (4) mental health service providers
7.22for providing services to children with emotional disturbances as defined in section
7.23245.4871, subdivision 15, and their families. The commissioner may also authorize
7.24grants to young adults meeting the criteria for transition services in section 245.4875,
7.25subdivision 8, and their families.
7.26    (b) Services under paragraph (a) must be designed to help each child to function and
7.27remain with the child's family in the community and delivered consistent with the child's
7.28treatment plan. Transition services to eligible young adults under paragraph (a) must be
7.29designed to foster independent living in the community.
7.30    Subd. 2. Grant application and reporting requirements. To apply for a grant,
7.31an applicant organization shall submit an application and budget for the use of the
7.32money in the form specified by the commissioner. The commissioner shall make grants
7.33only to entities whose applications and budgets are approved by the commissioner. In
7.34awarding grants, the commissioner shall give priority to applications that indicate plans
7.35to collaborate in the development, funding, and delivery of services with other agencies
8.1in the local system of care. The commissioner shall specify requirements for reports,
8.2including quarterly fiscal reports under section 256.01, subdivision 2, paragraph (q). The
8.3commissioner shall require collection of data and periodic reports that the commissioner
8.4deems necessary to demonstrate the effectiveness of each service.

8.5    Sec. 6. Minnesota Statutes 2006, section 246.54, subdivision 1, is amended to read:
8.6    Subdivision 1. County portion for cost of care. Except for chemical dependency
8.7services provided under sections 254B.01 to 254B.09, the client's county shall pay to the
8.8state of Minnesota a portion of the cost of care provided in a regional treatment center
8.9or a state nursing facility to a client legally settled in that county. A county's payment
8.10shall be made from the county's own sources of revenue and payments shall be paid as
8.11follows: payments to the state from the county shall equal 20 percent a percentage of the
8.12cost of care, as determined by the commissioner, for each day, or the portion thereof, that
8.13the client spends at a regional treatment center or a state nursing facility. according to
8.14the following schedule:
8.15    (1) zero percent for the first 30 days;
8.16    (2) 20 percent for days 31 to 60; and
8.17    (3) 50 percent for any days over 60.
8.18     If payments received by the state under sections 246.50 to 246.53 exceed 80 percent
8.19of the cost of care for days 31 to 60, or 50 percent for days over 60, the county shall be
8.20responsible for paying the state only the remaining amount. The county shall not be
8.21entitled to reimbursement from the client, the client's estate, or from the client's relatives,
8.22except as provided in section 246.53. No such payments shall be made for any client who
8.23was last committed prior to July 1, 1947.
8.24EFFECTIVE DATE.This section is effective January 1, 2008.

8.25    Sec. 7. Minnesota Statutes 2006, section 256B.0625, is amended by adding a
8.26subdivision to read:
8.27    Subd. 5l. Intensive mental health outpatient treatment. Medical assistance
8.28covers intensive mental health outpatient treatment for dialectical behavioral therapy for
8.29adults. The commissioner shall establish:
8.30    (1) certification procedures to ensure that providers of these services are qualified;
8.31and
8.32    (2) treatment protocols including required service components and criteria for
8.33admission, continued treatment, and discharge.
9.1EFFECTIVE DATE.This section is effective July 1, 2008, and subject to federal
9.2approval. The commissioner shall notify the revisor of statutes when federal approval is
9.3obtained.

9.4    Sec. 8. Minnesota Statutes 2006, section 256B.0625, subdivision 20, is amended to
9.5read:
9.6    Subd. 20. Mental health case management. (a) To the extent authorized by rule
9.7of the state agency, medical assistance covers case management services to persons with
9.8serious and persistent mental illness and children with severe emotional disturbance.
9.9Services provided under this section must meet the relevant standards in sections 245.461
9.10to 245.4887, the Comprehensive Adult and Children's Mental Health Acts, Minnesota
9.11Rules, parts 9520.0900 to 9520.0926, and 9505.0322, excluding subpart 10.
9.12    (b) Entities meeting program standards set out in rules governing family community
9.13support services as defined in section 245.4871, subdivision 17, are eligible for medical
9.14assistance reimbursement for case management services for children with severe
9.15emotional disturbance when these services meet the program standards in Minnesota
9.16Rules, parts 9520.0900 to 9520.0926 and 9505.0322, excluding subparts 6 and 10.
9.17    (c) Medical assistance and MinnesotaCare payment for mental health case
9.18management shall be made on a monthly basis. In order to receive payment for an eligible
9.19child, the provider must document at least a face-to-face contact with the child, the child's
9.20parents, or the child's legal representative. To receive payment for an eligible adult, the
9.21provider must document:
9.22    (1) at least a face-to-face contact with the adult or the adult's legal representative; or
9.23    (2) at least a telephone contact with the adult or the adult's legal representative and
9.24document a face-to-face contact with the adult or the adult's legal representative within
9.25the preceding two months.
9.26    (d) Payment for mental health case management provided by county or state staff
9.27shall be based on the monthly rate methodology under section 256B.094, subdivision 6,
9.28paragraph (b), with separate rates calculated for child welfare and mental health, and
9.29within mental health, separate rates for children and adults.
9.30    (e) Payment for mental health case management provided by Indian health services
9.31or by agencies operated by Indian tribes may be made according to this section or other
9.32relevant federally approved rate setting methodology.
9.33    (f) Payment for mental health case management provided by vendors who contract
9.34with a county or Indian tribe shall be based on a monthly rate negotiated by the host county
9.35or tribe. The negotiated rate must not exceed the rate charged by the vendor for the same
9.36service to other payers. If the service is provided by a team of contracted vendors, the
10.1county or tribe may negotiate a team rate with a vendor who is a member of the team. The
10.2team shall determine how to distribute the rate among its members. No reimbursement
10.3received by contracted vendors shall be returned to the county or tribe, except to reimburse
10.4the county or tribe for advance funding provided by the county or tribe to the vendor.
10.5    (g) If the service is provided by a team which includes contracted vendors, tribal
10.6staff, and county or state staff, the costs for county or state staff participation in the team
10.7shall be included in the rate for county-provided services. In this case, the contracted
10.8vendor, the tribal agency, and the county may each receive separate payment for services
10.9provided by each entity in the same month. In order to prevent duplication of services,
10.10each entity must document, in the recipient's file, the need for team case management and
10.11a description of the roles of the team members.
10.12    (h) The commissioner shall calculate the nonfederal share of actual medical
10.13assistance and general assistance medical care payments for each county, based on the
10.14higher of calendar year 1995 or 1996, by service date, project that amount forward to 1999,
10.15and transfer one-half of the result from medical assistance and general assistance medical
10.16care to each county's mental health grants under section 256E.12 for calendar year 1999.
10.17The annualized minimum amount added to each county's mental health grant shall be
10.18$3,000 per year for children and $5,000 per year for adults. The commissioner may reduce
10.19the statewide growth factor in order to fund these minimums. The annualized total amount
10.20transferred shall become part of the base for future mental health grants for each county.
10.21    (i) (h) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of
10.22costs for mental health case management shall be provided by the recipient's county of
10.23responsibility, as defined in sections 256G.01 to 256G.12, from sources other than federal
10.24funds or funds used to match other federal funds. If the service is provided by a tribal
10.25agency, the nonfederal share, if any, shall be provided by the recipient's tribe. When this
10.26service is paid by the state without a federal share through fee-for-service, 50 percent of
10.27the cost shall be provided by the recipient's county of responsibility.
10.28    (i) Notwithstanding any administrative rule to the contrary, prepaid medical
10.29assistance, general assistance medical care, and MinnesotaCare include mental health case
10.30management. When the service is provided through prepaid capitation, the nonfederal
10.31share is paid by the state and the county pays no share.
10.32    (j) The commissioner may suspend, reduce, or terminate the reimbursement to a
10.33provider that does not meet the reporting or other requirements of this section. The county
10.34of responsibility, as defined in sections 256G.01 to 256G.12, or, if applicable, the tribal
10.35agency, is responsible for any federal disallowances. The county or tribe may share this
10.36responsibility with its contracted vendors.
11.1    (k) The commissioner shall set aside a portion of the federal funds earned for county
11.2expenditures under this section to repay the special revenue maximization account under
11.3section 256.01, subdivision 2, clause (15). The repayment is limited to:
11.4    (1) the costs of developing and implementing this section; and
11.5    (2) programming the information systems.
11.6    (l) Payments to counties and tribal agencies for case management expenditures
11.7under this section shall only be made from federal earnings from services provided
11.8under this section. When this service is paid by the state without a federal share through
11.9fee-for-service, 50 percent of the cost shall be provided by the state. Payments to
11.10county-contracted vendors shall include both the federal earnings, the state share, and the
11.11county share.
11.12    (m) Notwithstanding section 256B.041, county payments for the cost of mental
11.13health case management services provided by county or state staff shall not be made
11.14to the commissioner of finance. For the purposes of mental health case management
11.15services provided by county or state staff under this section, the centralized disbursement
11.16of payments to counties under section 256B.041 consists only of federal earnings from
11.17services provided under this section.
11.18    (n) (m) Case management services under this subdivision do not include therapy,
11.19treatment, legal, or outreach services.
11.20    (o) (n) If the recipient is a resident of a nursing facility, intermediate care facility,
11.21or hospital, and the recipient's institutional care is paid by medical assistance, payment
11.22for case management services under this subdivision is limited to the last 180 days of
11.23the recipient's residency in that facility and may not exceed more than six months in a
11.24calendar year.
11.25    (p) (o) Payment for case management services under this subdivision shall not
11.26duplicate payments made under other program authorities for the same purpose.
11.27    (q) By July 1, 2000, the commissioner shall evaluate the effectiveness of the changes
11.28required by this section, including changes in number of persons receiving mental health
11.29case management, changes in hours of service per person, and changes in caseload size.
11.30    (r) For each calendar year beginning with the calendar year 2001, the annualized
11.31amount of state funds for each county determined under paragraph (h) shall be adjusted by
11.32the county's percentage change in the average number of clients per month who received
11.33case management under this section during the fiscal year that ended six months prior to
11.34the calendar year in question, in comparison to the prior fiscal year.
12.1    (s) For counties receiving the minimum allocation of $3,000 or $5,000 described
12.2in paragraph (h), the adjustment in paragraph (s) shall be determined so that the county
12.3receives the higher of the following amounts:
12.4    (1) a continuation of the minimum allocation in paragraph (h); or
12.5    (2) an amount based on that county's average number of clients per month who
12.6received case management under this section during the fiscal year that ended six months
12.7prior to the calendar year in question, times the average statewide grant per person per
12.8month for counties not receiving the minimum allocation.
12.9    (t) The adjustments in paragraphs (s) and (t) shall be calculated separately for
12.10children and adults.
12.11EFFECTIVE DATE.This section is effective January 1, 2009, except the
12.12amendments to paragraphs (h), (r), (s), and (t) are effective January 1, 2008.

12.13    Sec. 9. Minnesota Statutes 2006, section 256B.0943, subdivision 8, is amended to read:
12.14    Subd. 8. Required preservice and continuing education. (a) A provider entity
12.15shall establish a plan to provide preservice and continuing education for staff. The plan
12.16must clearly describe the type of training necessary to maintain current skills and obtain
12.17new skills and that relates to the provider entity's goals and objectives for services offered.
12.18    (b) A provider that employs a mental health behavioral aide under this section must
12.19require the mental health behavioral aide to complete 30 hours of preservice training. The
12.20preservice training must include topics specified in Minnesota Rules, part 9535.4068,
12.21subparts 1 and 2, and parent team training. The preservice training must include 15 hours
12.22of in-person training of a mental health behavioral aide in mental health services delivery
12.23and eight hours of parent team training. Curricula for parent team training must be
12.24approved in advance by the commissioner. Components of parent team training include:
12.25    (1) partnering with parents;
12.26    (2) fundamentals of family support;
12.27    (3) fundamentals of policy and decision making;
12.28    (4) defining equal partnership;
12.29    (5) complexities of the parent and service provider partnership in multiple service
12.30delivery systems due to system strengths and weaknesses;
12.31    (6) sibling impacts;
12.32    (7) support networks; and
12.33    (8) community resources.
12.34    (c) A provider entity that employs a mental health practitioner and a mental health
12.35behavioral aide to provide children's therapeutic services and supports under this section
13.1must require the mental health practitioner and mental health behavioral aide to complete
13.220 hours of continuing education every two calendar years. The continuing education
13.3must be related to serving the needs of a child with emotional disturbance in the child's
13.4home environment and the child's family. The topics covered in orientation and training
13.5must conform to Minnesota Rules, part 9535.4068.
13.6    (d) The provider entity must document the mental health practitioner's or mental
13.7health behavioral aide's annual completion of the required continuing education. The
13.8documentation must include the date, subject, and number of hours of the continuing
13.9education, and attendance records, as verified by the staff member's signature, job
13.10title, and the instructor's name. The provider entity must keep documentation for each
13.11employee, including records of attendance at professional workshops and conferences,
13.12at a central location and in the employee's personnel file.

13.13    Sec. 10. Minnesota Statutes 2006, section 256B.0945, subdivision 4, is amended to
13.14read:
13.15    Subd. 4. Payment rates. (a) Notwithstanding sections 256B.19 and 256B.041,
13.16payments to counties for residential services provided by a residential facility shall only
13.17be made of federal earnings for services provided under this section, and the nonfederal
13.18share of costs for services provided under this section shall be paid by the county from
13.19sources other than federal funds or funds used to match other federal funds. Payment to
13.20counties for services provided according to this section shall be a proportion of the per
13.21day contract rate that relates to rehabilitative mental health services and shall not include
13.22payment for costs or services that are billed to the IV-E program as room and board.
13.23    (b) Per diem rates paid to providers under this section by prepaid plans shall be the
13.24proportion of the per-day contract rate that relates to rehabilitative mental health services
13.25and shall not include payment for group foster care costs or services that are billed to the
13.26county of financial responsibility.
13.27    (c) The commissioner shall set aside a portion not to exceed five percent of the
13.28federal funds earned for county expenditures under this section to cover the state costs of
13.29administering this section. Any unexpended funds from the set-aside shall be distributed
13.30to the counties in proportion to their earnings under this section.
13.31EFFECTIVE DATE.This section is effective January 1, 2009.

13.32    Sec. 11. Minnesota Statutes 2006, section 256B.69, subdivision 4, is amended to read:
13.33    Subd. 4. Limitation of choice. (a) The commissioner shall develop criteria to
13.34determine when limitation of choice may be implemented in the experimental counties.
14.1The criteria shall ensure that all eligible individuals in the county have continuing access
14.2to the full range of medical assistance services as specified in subdivision 6.
14.3    (b) The commissioner shall exempt the following persons from participation in the
14.4project, in addition to those who do not meet the criteria for limitation of choice:
14.5    (1) persons eligible for medical assistance according to section 256B.055,
14.6subdivision 1
;
14.7    (2) persons eligible for medical assistance due to blindness or disability as
14.8determined by the Social Security Administration or the state medical review team, unless:
14.9    (i) they are 65 years of age or older; or
14.10    (ii) they reside in Itasca County or they reside in a county in which the commissioner
14.11conducts a pilot project under a waiver granted pursuant to section 1115 of the Social
14.12Security Act;
14.13    (3) recipients who currently have private coverage through a health maintenance
14.14organization;
14.15    (4) recipients who are eligible for medical assistance by spending down excess
14.16income for medical expenses other than the nursing facility per diem expense;
14.17    (5) recipients who receive benefits under the Refugee Assistance Program,
14.18established under United States Code, title 8, section 1522(e);
14.19    (6) except children who are eligible for and who decline enrollment in an approved
14.20preferred integrated network under section 245.4682, children who are both determined to
14.21be severely emotionally disturbed and receiving case management services according to
14.22section 256B.0625, subdivision 20;
14.23    (7) adults who are both determined to be seriously and persistently mentally ill and
14.24received case management services according to section 256B.0625, subdivision 20;
14.25    (8) (7) persons eligible for medical assistance according to section 256B.057,
14.26subdivision 10
; and
14.27    (9) (8) persons with access to cost-effective employer-sponsored private health
14.28insurance or persons enrolled in a non-Medicare individual health plan determined to be
14.29cost-effective according to section 256B.0625, subdivision 15.
14.30Children under age 21 who are in foster placement may enroll in the project on an elective
14.31basis. Individuals excluded under clauses (1), and (6), and (7) may choose to enroll on an
14.32elective basis. The commissioner may enroll recipients in the prepaid medical assistance
14.33program for seniors who are (1) age 65 and over, and (2) eligible for medical assistance by
14.34spending down excess income.
15.1    (c) The commissioner may allow persons with a one-month spenddown who are
15.2otherwise eligible to enroll to voluntarily enroll or remain enrolled, if they elect to prepay
15.3their monthly spenddown to the state.
15.4    (d) The commissioner may require those individuals to enroll in the prepaid medical
15.5assistance program who otherwise would have been excluded under paragraph (b), clauses
15.6(1), (3), and (8) (7), and under Minnesota Rules, part 9500.1452, subpart 2, items H,
15.7K, and L.
15.8    (e) Before limitation of choice is implemented, eligible individuals shall be notified
15.9and after notification, shall be allowed to choose only among demonstration providers.
15.10The commissioner may assign an individual with private coverage through a health
15.11maintenance organization, to the same health maintenance organization for medical
15.12assistance coverage, if the health maintenance organization is under contract for medical
15.13assistance in the individual's county of residence. After initially choosing a provider,
15.14the recipient is allowed to change that choice only at specified times as allowed by the
15.15commissioner. If a demonstration provider ends participation in the project for any reason,
15.16a recipient enrolled with that provider must select a new provider but may change providers
15.17without cause once more within the first 60 days after enrollment with the second provider.
15.18    (f) An infant born to a woman who is eligible for and receiving medical assistance
15.19and who is enrolled in the prepaid medical assistance program shall be retroactively
15.20enrolled to the month of birth in the same managed care plan as the mother once the
15.21child is enrolled in medical assistance unless the child is determined to be excluded from
15.22enrollment in a prepaid plan under this section.
15.23EFFECTIVE DATE.This section is effective January 1, 2009.

15.24    Sec. 12. Minnesota Statutes 2006, section 256B.69, subdivision 5g, is amended to read:
15.25    Subd. 5g. Payment for covered services. For services rendered on or after January
15.261, 2003, the total payment made to managed care plans for providing covered services
15.27under the medical assistance and general assistance medical care programs is reduced by
15.28.5 percent from their current statutory rates. This provision excludes payments for nursing
15.29home services, home and community-based waivers, and payments to demonstration
15.30projects for persons with disabilities, and mental health services added as covered benefits
15.31after December 31, 2007.

15.32    Sec. 13. Minnesota Statutes 2006, section 256B.69, subdivision 5h, is amended to read:
15.33    Subd. 5h. Payment reduction. In addition to the reduction in subdivision 5g,
15.34the total payment made to managed care plans under the medical assistance program is
15.35reduced 1.0 percent for services provided on or after October 1, 2003, and an additional
16.11.0 percent for services provided on or after January 1, 2004. This provision excludes
16.2payments for nursing home services, home and community-based waivers, and payments
16.3to demonstration projects for persons with disabilities, and mental health services added as
16.4covered benefits after December 31, 2007.

16.5    Sec. 14. Minnesota Statutes 2006, section 256B.763, is amended to read:
16.6256B.763 CRITICAL ACCESS MENTAL HEALTH RATE INCREASE.
16.7    (a) For services defined in paragraph (b) and rendered on or after July 1, 2007,
16.8payment rates shall be increased by 23.7 percent over the rates in effect on January 1,
16.92006, for:
16.10    (1) psychiatrists and advanced practice registered nurses with a psychiatric specialty;
16.11    (2) community mental health centers under section 256B.0625, subdivision 5; and
16.12    (3) mental health clinics and centers certified under Minnesota Rules, parts
16.139520.0750 to 9520.0870, or hospital outpatient psychiatric departments that are designated
16.14as essential community providers under section 62Q.19.
16.15    (b) This increase applies to group skills training when provided as a component of
16.16children's therapeutic services and support, psychotherapy, medication management,
16.17evaluation and management, diagnostic assessment, explanation of findings, psychological
16.18testing, neuropsychological services, direction of behavioral aides, and inpatient
16.19consultation.
16.20    (c) This increase does not apply to rates that are governed by section 256B.0625,
16.21subdivision 30, or 256B.761, paragraph (b), other cost-based rates, rates that are
16.22negotiated with the county, rates that are established by the federal government, or rates
16.23that increased between January 1, 2004, and January 1, 2005.
16.24    (d) The commissioner shall adjust rates paid to prepaid health plans under contract
16.25with the commissioner to reflect the rate increases provided in paragraph paragraphs (a),
16.26(e), and (f). The prepaid health plan must pass this rate increase to the providers identified
16.27in paragraph paragraphs (a), (e), and (f).
16.28    (e) Payment rates shall be increased by 23.7 percent over the rates in effect on
16.29January 1, 2006, for:
16.30    (1) medication education services provided on or after January 1, 2008, by adult
16.31rehabilitative mental health services providers certified under section 256B.0623; and
16.32    (2) mental health behavioral aide services provided on or after January 1, 2008, by
16.33children's therapeutic services and support providers certified under section 256B.0943.
16.34    (f) For services defined in paragraph (b) and rendered on or after January 1, 2008, by
16.35children's therapeutic services and support providers certified under section 256B.0943
17.1and not already included in paragraph (a), payment rates shall be increased by 23.7 percent
17.2over the rates in effect on January 1, 2006.
17.3EFFECTIVE DATE.This section is effective January 1, 2008.

17.4    Sec. 15. Minnesota Statutes 2006, section 256D.03, subdivision 4, is amended to read:
17.5    Subd. 4. General assistance medical care; services. (a)(i) For a person who is
17.6eligible under subdivision 3, paragraph (a), clause (2), item (i), general assistance medical
17.7care covers, except as provided in paragraph (c):
17.8    (1) inpatient hospital services;
17.9    (2) outpatient hospital services;
17.10    (3) services provided by Medicare certified rehabilitation agencies;
17.11    (4) prescription drugs and other products recommended through the process
17.12established in section 256B.0625, subdivision 13;
17.13    (5) equipment necessary to administer insulin and diagnostic supplies and equipment
17.14for diabetics to monitor blood sugar level;
17.15    (6) eyeglasses and eye examinations provided by a physician or optometrist;
17.16    (7) hearing aids;
17.17    (8) prosthetic devices;
17.18    (9) laboratory and X-ray services;
17.19    (10) physician's services;
17.20    (11) medical transportation except special transportation;
17.21    (12) chiropractic services as covered under the medical assistance program;
17.22    (13) podiatric services;
17.23    (14) dental services as covered under the medical assistance program;
17.24    (15) outpatient services provided by a mental health center or clinic that is under
17.25contract with the county board and is established under section 245.62 mental health
17.26services covered under chapter 256B;
17.27    (16) day treatment services for mental illness provided under contract with the
17.28county board;
17.29    (17) (16) prescribed medications for persons who have been diagnosed as mentally
17.30ill as necessary to prevent more restrictive institutionalization;
17.31    (18) psychological services, (17) medical supplies and equipment, and Medicare
17.32premiums, coinsurance and deductible payments;
17.33    (19) (18) medical equipment not specifically listed in this paragraph when the use
17.34of the equipment will prevent the need for costlier services that are reimbursable under
17.35this subdivision;
18.1    (20) (19) services performed by a certified pediatric nurse practitioner, a
18.2certified family nurse practitioner, a certified adult nurse practitioner, a certified
18.3obstetric/gynecological nurse practitioner, a certified neonatal nurse practitioner, or a
18.4certified geriatric nurse practitioner in independent practice, if (1) the service is otherwise
18.5covered under this chapter as a physician service, (2) the service provided on an inpatient
18.6basis is not included as part of the cost for inpatient services included in the operating
18.7payment rate, and (3) the service is within the scope of practice of the nurse practitioner's
18.8license as a registered nurse, as defined in section 148.171;
18.9    (21) (20) services of a certified public health nurse or a registered nurse practicing
18.10in a public health nursing clinic that is a department of, or that operates under the direct
18.11authority of, a unit of government, if the service is within the scope of practice of the
18.12public health nurse's license as a registered nurse, as defined in section 148.171; and
18.13    (22) (21) telemedicine consultations, to the extent they are covered under section
18.14256B.0625, subdivision 3b ; and.
18.15    (23) mental health telemedicine and psychiatric consultation as covered under
18.16section 256B.0625, subdivisions 46 and 48.
18.17    (ii) Effective October 1, 2003, for a person who is eligible under subdivision 3,
18.18paragraph (a), clause (2), item (ii), general assistance medical care coverage is limited
18.19to inpatient hospital services, including physician services provided during the inpatient
18.20hospital stay. A $1,000 deductible is required for each inpatient hospitalization.
18.21    (b) Effective August 1, 2005, sex reassignment surgery is not covered under this
18.22subdivision.
18.23    (c) In order to contain costs, the commissioner of human services shall select
18.24vendors of medical care who can provide the most economical care consistent with high
18.25medical standards and shall where possible contract with organizations on a prepaid
18.26capitation basis to provide these services. The commissioner shall consider proposals by
18.27counties and vendors for prepaid health plans, competitive bidding programs, block grants,
18.28or other vendor payment mechanisms designed to provide services in an economical
18.29manner or to control utilization, with safeguards to ensure that necessary services are
18.30provided. Before implementing prepaid programs in counties with a county operated or
18.31affiliated public teaching hospital or a hospital or clinic operated by the University of
18.32Minnesota, the commissioner shall consider the risks the prepaid program creates for the
18.33hospital and allow the county or hospital the opportunity to participate in the program in a
18.34manner that reflects the risk of adverse selection and the nature of the patients served by
18.35the hospital, provided the terms of participation in the program are competitive with the
18.36terms of other participants considering the nature of the population served. Payment for
19.1services provided pursuant to this subdivision shall be as provided to medical assistance
19.2vendors of these services under sections 256B.02, subdivision 8, and 256B.0625. For
19.3payments made during fiscal year 1990 and later years, the commissioner shall consult
19.4with an independent actuary in establishing prepayment rates, but shall retain final control
19.5over the rate methodology.
19.6    (d) Recipients eligible under subdivision 3, paragraph (a), shall pay the following
19.7co-payments for services provided on or after October 1, 2003:
19.8    (1) $25 for eyeglasses;
19.9    (2) $25 for nonemergency visits to a hospital-based emergency room;
19.10    (3) $3 per brand-name drug prescription and $1 per generic drug prescription,
19.11subject to a $12 per month maximum for prescription drug co-payments. No co-payments
19.12shall apply to antipsychotic drugs when used for the treatment of mental illness; and
19.13    (4) 50 percent coinsurance on restorative dental services.
19.14    (e) Co-payments shall be limited to one per day per provider for nonpreventive visits,
19.15eyeglasses, and nonemergency visits to a hospital-based emergency room. Recipients of
19.16general assistance medical care are responsible for all co-payments in this subdivision.
19.17The general assistance medical care reimbursement to the provider shall be reduced by
19.18the amount of the co-payment, except that reimbursement for prescription drugs shall not
19.19be reduced once a recipient has reached the $12 per month maximum for prescription
19.20drug co-payments. The provider collects the co-payment from the recipient. Providers
19.21may not deny services to recipients who are unable to pay the co-payment, except as
19.22provided in paragraph (f).
19.23    (f) If it is the routine business practice of a provider to refuse service to an individual
19.24with uncollected debt, the provider may include uncollected co-payments under this
19.25section. A provider must give advance notice to a recipient with uncollected debt before
19.26services can be denied.
19.27    (g) Any county may, from its own resources, provide medical payments for which
19.28state payments are not made.
19.29    (h) Chemical dependency services that are reimbursed under chapter 254B must not
19.30be reimbursed under general assistance medical care.
19.31    (i) The maximum payment for new vendors enrolled in the general assistance
19.32medical care program after the base year shall be determined from the average usual and
19.33customary charge of the same vendor type enrolled in the base year.
19.34    (j) The conditions of payment for services under this subdivision are the same as the
19.35conditions specified in rules adopted under chapter 256B governing the medical assistance
19.36program, unless otherwise provided by statute or rule.
20.1    (k) Inpatient and outpatient payments shall be reduced by five percent, effective July
20.21, 2003. This reduction is in addition to the five percent reduction effective July 1, 2003,
20.3and incorporated by reference in paragraph (i).
20.4    (l) Payments for all other health services except inpatient, outpatient, and pharmacy
20.5services shall be reduced by five percent, effective July 1, 2003.
20.6    (m) Payments to managed care plans shall be reduced by five percent for services
20.7provided on or after October 1, 2003.
20.8    (n) A hospital receiving a reduced payment as a result of this section may apply the
20.9unpaid balance toward satisfaction of the hospital's bad debts.
20.10    (o) Fee-for-service payments for nonpreventive visits shall be reduced by $3
20.11for services provided on or after January 1, 2006. For purposes of this subdivision, a
20.12visit means an episode of service which is required because of a recipient's symptoms,
20.13diagnosis, or established illness, and which is delivered in an ambulatory setting by
20.14a physician or physician ancillary, chiropractor, podiatrist, advance practice nurse,
20.15audiologist, optician, or optometrist.
20.16    (p) Payments to managed care plans shall not be increased as a result of the removal
20.17of the $3 nonpreventive visit co-payment effective January 1, 2006.
20.18    (q) Payments for mental health services added as covered benefits after December
20.1931, 2007, are not subject to the reductions in paragraphs (i), (k), (l), and (m).
20.20EFFECTIVE DATE.This section is effective January 1, 2008, except mental
20.21health case management under paragraph (a)(i)(15) is effective January 1, 2009.

20.22    Sec. 16. Minnesota Statutes 2006, section 256L.03, subdivision 1, is amended to read:
20.23    Subdivision 1. Covered health services. For individuals under section 256L.04,
20.24subdivision 7
, with income no greater than 75 percent of the federal poverty guidelines
20.25or for families with children under section 256L.04, subdivision 1, all subdivisions of
20.26this section apply. "Covered health services" means the health services reimbursed
20.27under chapter 256B, with the exception of inpatient hospital services, special education
20.28services, private duty nursing services, adult dental care services other than services
20.29covered under section 256B.0625, subdivision 9, orthodontic services, nonemergency
20.30medical transportation services, personal care assistant and case management services,
20.31nursing home or intermediate care facilities services, inpatient mental health services,
20.32and chemical dependency services. Outpatient mental health services covered under the
20.33MinnesotaCare program are limited to diagnostic assessments, psychological testing,
20.34explanation of findings, mental health telemedicine, psychiatric consultation, medication
21.1management by a physician, day treatment, partial hospitalization, and individual, family,
21.2and group psychotherapy.
21.3    No public funds shall be used for coverage of abortion under MinnesotaCare
21.4except where the life of the female would be endangered or substantial and irreversible
21.5impairment of a major bodily function would result if the fetus were carried to term; or
21.6where the pregnancy is the result of rape or incest.
21.7    Covered health services shall be expanded as provided in this section.
21.8EFFECTIVE DATE.This section is effective January 1, 2008, except coverage for
21.9mental health case management under subdivision 1 is effective January 1, 2009.

21.10    Sec. 17. Minnesota Statutes 2006, section 256L.035, is amended to read:
21.11256L.035 LIMITED BENEFITS COVERAGE FOR CERTAIN SINGLE
21.12ADULTS AND HOUSEHOLDS WITHOUT CHILDREN.
21.13    (a) "Covered health services" for individuals under section 256L.04, subdivision
21.147
, with income above 75 percent, but not exceeding 175 percent, of the federal poverty
21.15guideline means:
21.16    (1) inpatient hospitalization benefits with a ten percent co-payment up to $1,000 and
21.17subject to an annual limitation of $10,000;
21.18    (2) physician services provided during an inpatient stay; and
21.19    (3) physician services not provided during an inpatient stay; outpatient hospital
21.20services; freestanding ambulatory surgical center services; chiropractic services; lab and
21.21diagnostic services; diabetic supplies and equipment; mental health services as covered
21.22under chapter 256B; and prescription drugs; subject to the following co-payments:
21.23    (i) $50 co-pay per emergency room visit;
21.24    (ii) $3 co-pay per prescription drug; and
21.25    (iii) $5 co-pay per nonpreventive visit.
21.26The services covered under this section may be provided by a physician, physician
21.27ancillary, chiropractor, psychologist, or licensed independent clinical social worker, or
21.28other mental health providers covered under chapter 256B if the services are within the
21.29scope of practice of that health care professional.
21.30    For purposes of this section, "a visit" means an episode of service which is required
21.31because of a recipient's symptoms, diagnosis, or established illness, and which is delivered
21.32in an ambulatory setting by any health care provider identified in this paragraph.
21.33    Enrollees are responsible for all co-payments in this section.
21.34    (b) Reimbursement to the providers shall be reduced by the amount of the
21.35co-payment, except that reimbursement for prescription drugs shall not be reduced once a
22.1recipient has reached the $20 per month maximum for prescription drug co-payments.
22.2The provider collects the co-payment from the recipient. Providers may not deny services
22.3to recipients who are unable to pay the co-payment, except as provided in paragraph (c).
22.4    (c) If it is the routine business practice of a provider to refuse service to an individual
22.5with uncollected debt, the provider may include uncollected co-payments under this
22.6section. A provider must give advance notice to a recipient with uncollected debt before
22.7services can be denied.
22.8EFFECTIVE DATE.This section is effective January 1, 2008, except coverage
22.9for mental health case management under paragraph (a), clause (3), is effective January
22.101, 2009.

22.11    Sec. 18. Minnesota Statutes 2006, section 256L.12, subdivision 9a, is amended to read:
22.12    Subd. 9a. Rate setting; ratable reduction. For services rendered on or after
22.13October 1, 2003, the total payment made to managed care plans under the MinnesotaCare
22.14program is reduced 1.0 percent. This provision excludes payments for mental health
22.15services added as covered benefits after December 31, 2007.

22.16    Sec. 19. Minnesota Statutes 2006, section 609.115, subdivision 9, is amended to read:
22.17    Subd. 9. Compulsive gambling assessment required. (a) If a person is convicted
22.18of theft under section 609.52, embezzlement of public funds under section 609.54, or
22.19forgery under section 609.625, 609.63, or 609.631, the probation officer shall determine in
22.20the report prepared under subdivision 1 whether or not compulsive gambling contributed
22.21to the commission of the offense. If so, the report shall contain the results of a compulsive
22.22gambling assessment conducted in accordance with this subdivision. The probation officer
22.23shall make an appointment for the offender to undergo the assessment if so indicated.
22.24    (b) The compulsive gambling assessment report must include a recommended level
22.25of treatment for the offender if the assessor concludes that the offender is in need of
22.26compulsive gambling treatment. The assessment must be conducted by an assessor
22.27qualified either under section 245.98, subdivision 2a Minnesota Rules, part 9585.0040,
22.28subpart 1, item C, or qualifications determined to be equivalent by the commissioner, to
22.29perform these assessments or to provide compulsive gambling treatment. An assessor
22.30providing a compulsive gambling assessment may not have any direct or shared financial
22.31interest or referral relationship resulting in shared financial gain with a treatment provider.
22.32If an independent assessor is not available, the probation officer may use the services of an
22.33assessor with a financial interest or referral relationship as authorized under rules adopted
22.34by the commissioner of human services under section 245.98, subdivision 2a.
23.1    (c) The commissioner of human services shall reimburse the assessor for the costs
23.2associated with a each compulsive gambling assessment at a rate established by the
23.3commissioner up to a maximum of $100 for each assessment. The commissioner shall
23.4reimburse these costs the assessor after receiving written verification from the probation
23.5officer that the assessment was performed and found acceptable.

23.6    Sec. 20. Laws 2005, chapter 98, article 3, section 25, is amended to read:
23.7    Sec. 25. REPEALER.
23.8    Minnesota Statutes 2004, sections 245.713, subdivisions 2 and subdivision 4;
23.9245.716 ; and 626.5551, subdivision 4, are repealed.
23.10EFFECTIVE DATE.This section is effective retroactively from August 1, 2005.

23.11    Sec. 21. REVISOR'S INSTRUCTION.
23.12    (a) In the next edition of Minnesota Statutes, the revisor of statutes shall change the
23.13references to sections "245.487 to 245.4887" wherever it appears in statutes or rules to
23.14sections "245.487 to 245.4889."
23.15    (b) The revisor of statutes shall correct all internal references that are necessary
23.16from the relettering in section 8.

23.17    Sec. 22. REPEALER.
23.18Minnesota Rules, part 9585.0030, is repealed."
23.19Amend the title accordingly