1.1    .................... moves to amend H. F. No. 908, the first engrossment, as follows:
1.2Page 1, line 19, reinstate "The project expires on June 30," and after the stricken
1.3period, insert "2014."
1.4Page 2, line 25, reinstate the stricken language
1.5Page 2, line 26, reinstate everything through the third comma and after "2009."
1.6insert "2014."
1.7Page 2, delete sections 3 and 4 and insert:

1.11    Subdivision 1. Scope. In order to improve the quality of services provided to
1.12Minnesotans with disabilities and to meet the requirements of the federally approved home
1.13and community-based waivers under section 1915c of the Social Security Act, a statewide
1.14quality assurance and improvement system for Minnesotans receiving disability services
1.15shall be developed. The disability services included are the home and community-based
1.16services waiver programs for persons with developmental disabilities, under section
1.17256B.092, subdivision 4, and persons with disabilities, under section 256B.49.
1.18    Subd. 2. Stakeholder advisory group. The commissioner shall consult with a
1.19stakeholder advisory group on the development and implementation of the state quality
1.20management, assurance, and improvement system, including representatives from:
1.21disability service recipients, disability service providers, disability advocacy groups,
1.22county human service agencies, and state agency staff from the Departments of Human
1.23Services and Health and ombudsman for mental health and developmental disabilities on
1.24the development of a statewide quality assurance and improvement system.
1.25    Subd. 3. Annual survey of service recipients. The commissioner, in consultation
1.26with the stakeholder advisory group, shall develop and conduct an annual independent
2.1random statewide survey of between five and ten percent of service recipients to determine
2.2the effectiveness and quality of disability services. The survey shall be consistent with
2.3the system performance expectations of the Centers for Medicare and Medicaid Services
2.4(CMS) quality management requirements and framework. The survey shall analyze
2.5whether desired outcomes have been achieved for persons with different demographic,
2.6diagnostic, health, and functional needs, receiving different types of services, in
2.7different settings, with different costs. The survey shall be field tested during 2008 and
2.8implemented by February 1, 2009. Annual statewide and regional reports of the results
2.9shall be published for use by regions, counties, and providers to plan and measure the
2.10impact of quality improvement activities.
2.11    Subd. 4. Improvements for incident reporting, investigation, analysis, and
2.12follow-up. In consultation with the stakeholder group, the commissioner shall identify
2.13the information, data sources, and technology needed to improve the system of incident
2.14reporting, including:
2.15    (1) reports made under the Maltreatment of Minors and Vulnerable Adults Acts; and
2.16    (2) investigation, analysis, and follow-up for disability services.
2.17    The commissioner must ensure that the federal home and community-based waiver
2.18requirements are met and that incidents that may have jeopardized safety, health, or
2.19violated service-related assurances, civil and human rights, and other protections designed
2.20to prevent abuse, neglect, and exploitation are reviewed, investigated, and acted upon
2.21in a timely manner.
2.22    Subd. 5. Biennial report. The commissioner shall provide a biennial report to the
2.23chairs of the legislative committees with jurisdiction over health and human services
2.24policy and funding beginning January 15, 2009, on the development and activities of the
2.25quality management, assurance, and improvement system designed to meet the federal
2.26requirements under the home and community-based services waiver programs for persons
2.27with disabilities. By January 15, 2008, the commissioner shall provide a preliminary
2.28report on the priorities for meeting the federal requirements, progress on the annual
2.29survey, recommendations for improvements in the incident reporting system, and a plan
2.30for incorporating the quality assurance efforts under section 256B.095 and other regional
2.31efforts into the statewide system.

2.32    Sec. 4. APPROPRIATIONS.
2.33    $....... is appropriated from the general fund to the commissioner of human services
2.34for the biennium beginning July 1, 2007, for the purposes of section 3. Federal Medicaid
2.35match obtained for this purpose shall be dedicated to the commissioner for this purpose."
3.1Renumber the sections in sequence and correct the internal references
3.2Amend the title accordingly