1.1 .................... moves to amend H.F. No. 3976, the first committee engrossment,
1.2as follows:
1.3Page 10, after line 8, insert:
1.4"
EFFECTIVE DATE.This section is effective the day following final enactment."
1.5Page 11, after line 2, insert:
1.6"
EFFECTIVE DATE.This section is effective the day following final enactment.
1.7 Sec. 10. Minnesota Statutes 2007 Supplement, section 256B.434, subdivision 19,
1.8is amended to read:
1.9 Subd. 19.
Nursing facility rate increases beginning October 1, 2007, and
1.10October 1, 2008. (a) For the rate year beginning October 1, 2007, the commissioner
1.11shall make available to each nursing facility reimbursed under this section operating
1.12payment rate adjustments equal to 1.87 percent of the operating payment rates in effect
1.13on September 30, 2007.
For the rate year beginning October 1, 2008, the commissioner
1.14shall make available to each nursing facility reimbursed under this section, operating
1.15payment rate adjustments equal to 2.0 percent of the operating payment rates in effect
1.16on September 30, 2008.
1.17 (b) Seventy-five percent of the money resulting from the rate adjustment under
1.18paragraph (a) must be used for increases in compensation-related costs for employees
1.19directly employed by the nursing facility on or after the effective date of the rate
1.20adjustment, except:
1.21 (1) the administrator;
1.22 (2) persons employed in the central office of a corporation that has an ownership
1.23interest in the nursing facility or exercises control over the nursing facility; and
1.24 (3) persons paid by the nursing facility under a management contract.
1.25 (c) Two-thirds of the money available under paragraph (b) must be used for wage
1.26increases for all employees directly employed by the nursing facility on or after the
1.27effective date of the rate adjustment, except those listed in paragraph (b), clauses (1) to
2.1(3). The wage adjustment that employees receive under this paragraph must be paid as
2.2an equal hourly percentage wage increase for all eligible employees. All wage increases
2.3under this paragraph must be effective on the same date. Only costs associated with the
2.4portion of the equal hourly percentage wage increase that goes to all employees shall
2.5qualify under this paragraph. Costs associated with wage increases in excess of the
2.6amount of the equal hourly percentage wage increase provided to all employees shall be
2.7allowed only for meeting the requirements in paragraph (b). This paragraph shall not
2.8apply to employees covered by a collective bargaining agreement.
2.9 (d) The commissioner shall allow as compensation-related costs all costs for:
2.10 (1) wages and salaries;
2.11 (2) FICA taxes, Medicare taxes, state and federal unemployment taxes, and workers'
2.12compensation;
2.13 (3) the employer's share of health and dental insurance, life insurance, disability
2.14insurance, long-term care insurance, uniform allowance, and pensions; and
2.15 (4) other benefits provided, subject to the approval of the commissioner.
2.16 (e) The portion of the rate adjustment under paragraph (a) that is not subject to the
2.17requirements in paragraphs (b) and (c) shall be provided to nursing facilities effective
2.18October 1, 2007
, or October 1, 2008, as applicable.
2.19 (f) Nursing facilities may apply for the portion of the rate adjustment under
2.20paragraph (a) that is subject to the requirements in paragraphs (b) and (c). The application
2.21must be submitted to the commissioner within six months of the effective date of the
2.22rate adjustment, and the nursing facility must provide additional information required
2.23by the commissioner within nine months of the effective date of the rate adjustment.
2.24The commissioner must respond to all applications within three weeks of receipt.
2.25The commissioner may waive the deadlines in this paragraph under extraordinary
2.26circumstances, to be determined at the sole discretion of the commissioner. The
2.27application must contain:
2.28 (1) an estimate of the amounts of money that must be used as specified in paragraphs
2.29(b) and (c);
2.30 (2) a detailed distribution plan specifying the allowable compensation-related and
2.31wage increases the nursing facility will implement to use the funds available in clause (1);
2.32 (3) a description of how the nursing facility will notify eligible employees of
2.33the contents of the approved application, which must provide for giving each eligible
2.34employee a copy of the approved application, excluding the information required in clause
2.35(1), or posting a copy of the approved application, excluding the information required in
3.1clause (1), for a period of at least six weeks in an area of the nursing facility to which all
3.2eligible employees have access; and
3.3 (4) instructions for employees who believe they have not received the
3.4compensation-related or wage increases specified in clause (2), as approved by the
3.5commissioner, and which must include a mailing address, e-mail address, and the
3.6telephone number that may be used by the employee to contact the commissioner or the
3.7commissioner's representative.
3.8 (g) The commissioner shall ensure that cost increases in distribution plans under
3.9paragraph (f), clause (2), that may be included in approved applications, comply with the
3.10following requirements:
3.11 (1) costs to be incurred during the applicable rate year resulting from wage and
3.12salary increases effective after October 1, 2006, and prior to the first day of the nursing
3.13facility's payroll period that includes October 1
, 2007 of each year, shall be allowed if they
3.14were not used in the prior year's application;
3.15 (2) a portion of the costs resulting from tenure-related wage or salary increases
3.16may be considered to be allowable wage increases, according to formulas that the
3.17commissioner shall provide, where employee retention is above the average statewide
3.18rate of retention of direct care employees;
3.19 (3) the annualized amount of increases in costs for the employer's share of health
3.20and dental insurance, life insurance, disability insurance, and workers' compensation
3.21shall be allowable compensation-related increases if they are effective on or after April
3.221
, 2007, of the year in which the rate adjustments are effective and prior to April 1
, 2008
3.23of the following year; and
3.24 (4) for nursing facilities in which employees are represented by an exclusive
3.25bargaining representative, the commissioner shall approve the application only upon
3.26receipt of a letter of acceptance of the distribution plan, in regard to members of the
3.27bargaining unit, signed by the exclusive bargaining agent and dated after May 25, 2007.
3.28Upon receipt of the letter of acceptance, the commissioner shall deem all requirements of
3.29this section as having been met in regard to the members of the bargaining unit.
3.30 (h) The commissioner shall review applications received under paragraph (f) and
3.31shall provide the portion of the rate adjustment under paragraphs (b) and (c) if the
3.32requirements of this subdivision have been met. The rate adjustment shall be effective
3.33October 1. Notwithstanding paragraph (a), if the approved application distributes less
3.34money than is available, the amount of the rate adjustment shall be reduced so that the
3.35amount of money made available is equal to the amount to be distributed."
3.36Page 13, after line 32, insert:
4.1 "Section 1. Minnesota Statutes 2006, section 13.461, is amended by adding a
4.2subdivision to read:
4.3 Subd. 24a. Managed care plans. Data provided to the commissioner of human
4.4services by managed care plans relating to contracts and provider payment rates are
4.5classified under section 256B.69, subdivision 9b.
4.6 Sec. 2. Minnesota Statutes 2006, section 256.01, is amended by adding a subdivision
4.7to read:
4.8 Subd. 27. Automation and coordination for state health care programs. (a) For
4.9purposes of this subdivision, "state health care program" means the medical assistance,
4.10MinnesotaCare, or general assistance medical care programs.
4.11 (b) By July 1, 2010, the commissioner shall improve coordination between state
4.12health care programs and social service programs including but not limited to WIC, free
4.13and reduced school lunch programs, and food stamps, and shall develop and use automated
4.14systems to identify persons served by social service programs who may be eligible for, but
4.15are not enrolled in, a state health care program. The system must also permit enrollees to
4.16renew state health care program enrollment through these social services programs. By
4.17January 15, 2010, the commissioner shall, as necessary, identify and recommend to the
4.18legislature statutory changes to state health care and social service programs necessary
4.19to improve coordination and automation of outreach and enrollment efforts, and report
4.20estimated local and state costs of implementation and evaluate funding alternatives,
4.21including possible federal reimbursement.
4.22 (c) By January 15, 2010, the commissioner shall establish and implement an
4.23automated process to send out state health care program renewal forms in the most
4.24common foreign languages to those state health care program enrollees who request
4.25renewal forms in those foreign languages. The commissioner, as part of the initial
4.26enrollment process, shall inform applicants of the availability of this option.
4.27 (d) Beginning July 1, 2010, the commissioner, county social service agencies, and
4.28health care providers shall update state health care program enrollee addresses and related
4.29contact information at the time of each enrollee contact. The commissioner shall report
4.30the costs of automatically updating contact information across programs to health care
4.31providers and county agencies.
4.32 Sec. 4. Minnesota Statutes 2006, section 256B.69, subdivision 5a, is amended to read:
4.33 Subd. 5a.
Managed care contracts. (a) Managed care contracts under this section
4.34and sections
256L.12 and
256D.03, shall be entered into or renewed on a calendar year
4.35basis beginning January 1, 1996. Managed care contracts which were in effect on June
5.130, 1995, and set to renew on July 1, 1995, shall be renewed for the period July 1, 1995
5.2through December 31, 1995 at the same terms that were in effect on June 30, 1995. The
5.3commissioner may issue separate contracts with requirements specific to services to
5.4medical assistance recipients age 65 and older.
5.5 (b) A prepaid health plan providing covered health services for eligible persons
5.6pursuant to chapters 256B, 256D, and 256L, is responsible for complying with the terms
5.7of its contract with the commissioner. Requirements applicable to managed care programs
5.8under chapters 256B, 256D, and 256L, established after the effective date of a contract
5.9with the commissioner take effect when the contract is next issued or renewed.
5.10 (c) Effective for services rendered on or after January 1, 2003, the commissioner
5.11shall withhold five percent of managed care plan payments under this section for the
5.12prepaid medical assistance and general assistance medical care programs pending
5.13completion of performance targets. Each performance target must be quantifiable,
5.14objective, measurable, and reasonably attainable, except in the case of a performance
5.15target based on a federal or state law or rule. Criteria for assessment of each performance
5.16target must be outlined in writing prior to the contract effective date.
The managed
5.17care plan must demonstrate, to the commissioner's satisfaction, that the data submitted
5.18regarding attainment of the performance target is accurate. The commissioner shall
5.19periodically change the administrative measures used as performance targets in order
5.20to improve plan performance across a broader range of administrative services. The
5.21performance targets must include measurement of plan efforts to contain spending
5.22on health care services and administrative activities. The commissioner may adopt
5.23plan-specific performance targets that take into account factors affecting only one plan,
5.24including characteristics of the plan's enrollee population. The withheld funds must be
5.25returned no sooner than July of the following year if performance targets in the contract
5.26are achieved. The commissioner may exclude special demonstration projects under
5.27subdivision 23. A managed care plan or a county-based purchasing plan under section
5.28256B.692
may include as admitted assets under section
62D.044 any amount withheld
5.29under this paragraph that is reasonably expected to be returned.
5.30 Sec. 5. Minnesota Statutes 2006, section 256B.69, is amended by adding a subdivision
5.31to read:
5.32 Subd. 5i. Administrative expenses. (a) Managed care plan and county-based
5.33purchasing plan administrative costs for a prepaid health plan provided under this section
5.34or section 256B.692 must not exceed by more than five percent that prepaid health plan's
5.35or county-based purchasing plan's actual calculated administrative spending for the
6.1previous calendar year as a percentage of total revenue. The penalty for exceeding this
6.2limit must be the amount of administrative spending in excess of 105 percent of the actual
6.3calculated amount. The commissioner may waive this penalty if the excess administrative
6.4spending is the result of unexpected shifts in enrollment or member needs or new program
6.5requirements.
6.6 (b) Capitated rate payments for administrative costs must be reduced to exclude
6.7onetime or sporadic expenditures in the prior year unless the managed care plan certifies
6.8that the expenditure will recur during the contract year. The commissioner shall verify
6.9these certifications on an annual basis and recoup any payments made for onetime or
6.10sporadic expenditures that did not occur in the prior year.
6.11 (c) Expenses listed under section 62D.12, subdivision 9a, clause (4), are not
6.12allowable administrative expenses for rate-setting purposes under this section, unless
6.13approved by the commissioner.
6.14 Sec. 6. Minnesota Statutes 2006, section 256B.69, is amended by adding a subdivision
6.15to read:
6.16 Subd. 5j. Treatment of investment earnings. Capitation rates shall treat investment
6.17income and interest earnings as income to the same extent that investment-related
6.18expenses are treated as administrative expenditures.
6.19 Sec. 7. Minnesota Statutes 2006, section 256B.69, is amended by adding a subdivision
6.20to read:
6.21 Subd. 9a. Administrative expense reporting. Each managed care plan and
6.22county-based purchasing plan must provide to the commissioner detailed information on
6.23administrative spending, including:
6.24 (1) itemized lists of costs for claims processing and provider network management;
6.25 (2) detailed reports of costs for contracts with providers and third-party
6.26administrators;
6.27 (3) a detailed analysis of administrative spending for each Minnesota health care
6.28program;
6.29 (4) a detailed analysis of the provider's allocation of administrative expenses among
6.30its public and commercial lines of business;
6.31 (5) a detailed analysis of administrative costs by service category; and
6.32 (6) a detailed analysis of onetime and sporadic expenditures included in the
6.33administrative spending category.
7.1 Sec. 8. Minnesota Statutes 2006, section 256B.69, is amended by adding a subdivision
7.2to read:
7.3 Subd. 9b. Reporting of subcontracts and provider payment rates. (a) Each
7.4managed care plan and county-based purchasing plan must provide to the commissioner:
7.5 (1) detailed information on contracts with health care providers; and
7.6 (2) detailed information on reimbursement rates paid by the managed care plan
7.7to providers under contract with the plan.
7.8 (b) Data provided to the commissioner under this subdivision are nonpublic data as
7.9defined in section 13.02.
7.10 Sec. 9. Minnesota Statutes 2006, section 256B.692, subdivision 2, is amended to read:
7.11 Subd. 2.
Duties of commissioner of health. (a) Notwithstanding chapters 62D
7.12and 62N, a county that elects to purchase medical assistance and general assistance
7.13medical care in return for a fixed sum without regard to the frequency or extent of services
7.14furnished to any particular enrollee is not required to obtain a certificate of authority
7.15under chapter 62D or 62N. The county board of commissioners is the governing body of
7.16a county-based purchasing program. In a multicounty arrangement, the governing body
7.17is a joint powers board established under section
471.59.
7.18 (b) A county that elects to purchase medical assistance and general assistance
7.19medical care services under this section must satisfy the commissioner of health that the
7.20requirements for assurance of consumer protection, provider protection, and
, effective
7.21January 1, 2010, fiscal solvency of chapter 62D, applicable to health maintenance
7.22organizations
, or chapter 62N, applicable to community integrated service networks, will
7.23be met
. according to the following schedule:
7.24 (1) for a county-based purchasing plan approved on or before June 30, 2008, the
7.25plan must have in reserve:
7.26 (i) at least 50 percent of the minimum amount required under chapter 62D as
7.27of January 1, 2010;
7.28 (ii) at least 75 percent of the minimum amount required under chapter 62D as of
7.29January 1, 2011;
7.30 (iii) at least 87.5 percent of the minimum amount required under chapter 62D as
7.31of January 1, 2012; and
7.32 (iv) at least 100 percent of the minimum amount required under chapter 62D as
7.33of January 1, 2013; and
7.34 (2) for a county-based purchasing plan first approved after June 30, 2008, the plan
7.35must have in reserve:
8.1 (i) at least 50 percent of the minimum amount required under chapter 62D at the
8.2time the plan begins enrolling enrollees;
8.3 (ii) at least 75 percent of the minimum amount required under chapter 62D after
8.4the first full calendar year;
8.5 (iii) at least 87.5 percent of the minimum amount required under chapter 62D after
8.6the second full calendar year; and
8.7 (iv) at least 100 percent of the minimum amount required under chapter 62D after
8.8the third full calendar year.
8.9 (c)
Until a plan is required to have reserves equaling at least 100 percent of the
8.10minimum amount required under chapter 62D, the plan may demonstrate its ability to
8.11cover any losses by satisfying the requirements of chapter 62N. A
county county-based
8.12purchasing plan must also assure the commissioner of health that the requirements of
8.13sections
62J.041;
62J.48;
62J.71 to
62J.73;
62M.01 to
62M.16; all applicable provisions
8.14of chapter 62Q, including sections
62Q.075;
62Q.1055;
62Q.106;
62Q.12;
62Q.135;
8.1562Q.14
;
62Q.145;
62Q.19;
62Q.23, paragraph (c);
62Q.43;
62Q.47;
62Q.50;
62Q.52 to
8.1662Q.56
;
62Q.58;
62Q.68 to
62Q.72; and
72A.201 will be met.
8.17 (d) All enforcement and rulemaking powers available under chapters 62D, 62J,
8.1862M, 62N, and 62Q are hereby granted to the commissioner of health with respect to
8.19counties that purchase medical assistance and general assistance medical care services
8.20under this section.
8.21 (e) The commissioner, in consultation with county government, shall develop
8.22administrative and financial reporting requirements for county-based purchasing programs
8.23relating to sections
62D.041,
62D.042,
62D.045,
62D.08,
62N.28,
62N.29, and
62N.31,
8.24and other sections as necessary, that are specific to county administrative, accounting, and
8.25reporting systems and consistent with other statutory requirements of counties.
8.26 Sec. 10. Minnesota Statutes 2006, section 256B.692, is amended by adding a
8.27subdivision to read:
8.28 Subd. 4a. Expenditure of revenues. (a) A county that has elected to participate
8.29in a county-based purchasing plan under this section shall use any excess revenues over
8.30expenses that are received by the county and are not needed for capital reserves under
8.31subdivision 2, to increase payments to providers, or to repay county investments or
8.32contributions to the county-based purchasing plan, for prevention, early intervention, and
8.33health care programs, services, or activities.
8.34 (b) A county-based purchasing plan under this section is subject to the unreasonable
8.35expense provisions of section 62D.19.
9.1 Sec. 12. Minnesota Statutes 2006, section 256L.12, subdivision 9, is amended to read:
9.2 Subd. 9.
Rate setting; performance withholds. (a) Rates will be prospective,
9.3per capita, where possible. The commissioner may allow health plans to arrange for
9.4inpatient hospital services on a risk or nonrisk basis. The commissioner shall consult with
9.5an independent actuary to determine appropriate rates.
9.6 (b) For services rendered on or after January 1, 2003, to December 31, 2003, the
9.7commissioner shall withhold .5 percent of managed care plan payments under this section
9.8pending completion of performance targets. The withheld funds must be returned no
9.9sooner than July 1 and no later than July 31 of the following year if performance targets
9.10in the contract are achieved. A managed care plan may include as admitted assets under
9.11section
62D.044 any amount withheld under this paragraph that is reasonably expected
9.12to be returned.
9.13 (c) For services rendered on or after January 1, 2004, the commissioner shall
9.14withhold five percent of managed care plan payments under this section pending
9.15completion of performance targets. Each performance target must be quantifiable,
9.16objective, measurable, and reasonably attainable, except in the case of a performance target
9.17based on a federal or state law or rule. Criteria for assessment of each performance target
9.18must be outlined in writing prior to the contract effective date.
The managed care plan
9.19must demonstrate, to the commissioner's satisfaction, that the data submitted regarding
9.20attainment of the performance target is accurate. The commissioner shall periodically
9.21change the administrative measures used as performance targets in order to improve plan
9.22performance across a broader range of administrative services. The performance targets
9.23must include measurement of plan efforts to contain spending on health care services and
9.24administrative activities. The commissioner may adopt plan-specific performance targets
9.25that take into account factors affecting only one plan, such as characteristics of the plan's
9.26enrollee population. The withheld funds must be returned no sooner than July 1 and no
9.27later than July 31 of the following calendar year if performance targets in the contract are
9.28achieved. A managed care plan or a county-based purchasing plan under section
256B.692
9.29may include as admitted assets under section
62D.044 any amount withheld under this
9.30paragraph that is reasonably expected to be returned.
9.31 Sec. 14.
REPORT ON FINANCIAL MANAGEMENT OF HEALTH CARE
9.32PROGRAMS.
9.33 The commissioner of human services shall report to the legislature under Minnesota
9.34Statutes, section 3.195, by January 15, 2009, with the following information regarding
9.35financial management of health care programs:
10.1 (1) a status report on implementation of the cost containment strategies identified in
10.2the 2005 "Strategies for Savings" report. The report must include:
10.3 (i) information on progress made towards implementation of cost-saving strategies;
10.4 (ii) an explanation of why certain strategies were not implemented; and
10.5 (iii) where appropriate, alternative strategies to those recommended in 2005 for
10.6containing public health care program costs;
10.7 (2) a description of and, to the extent possible, an explanation of recent differences
10.8between the health plan net revenue targets established by the commissioner for health
10.9plans participating in public health care programs and the actual net revenue realized by
10.10the plans from public programs;
10.11 (3) the adequacy of public health care program for fee-for-service rates, including
10.12an identification of service areas or geographical regions where enrollees have difficulty
10.13accessing providers as the result of inadequate provider payments. This report must
10.14include recommendations to increase rates as needed to eliminate identified access
10.15problems; and
10.16 (4) a progress report on implementation of Minnesota Statutes, section 256B.76,
10.17paragraph (e), requiring payments for physician and professional services to be based
10.18on Medicare relative value units, and an estimated completion date for implementation
10.19of this payment system.
10.20 Sec. 15.
HEALTH PLAN AND COUNTY-BASED PURCHASING PLAN
10.21REQUIREMENTS.
10.22 (a) The commissioner of health shall develop and report to the legislature under
10.23Minnesota Statutes, section 3.195, by January 15, 2009, guidelines to ensure that health
10.24plans, and county-based purchasing plans where applicable, have consistent procedures
10.25for allocating administrative expenses and investment income across their commercial and
10.26public lines of business and across individual public programs. The guidelines shall be
10.27consistent with generally accepted accounting principles and principles from the National
10.28Association of Insurance Commissioners. The guidelines shall not have the effect of
10.29changing allocation for Medicare-related programs as permitted by federal law and the
10.30Centers for Medicare and Medicaid Services.
10.31 (b) The commissioner of health, in cooperation with the commissioners of commerce
10.32and human services, shall develop and report to the legislature under Minnesota Statutes,
10.33section 3.195, by January 15, 2009, detailed standards and procedures for examining
10.34the reasonableness of health plan and county-based purchasing plan administrative
10.35expenditures for publicly funded programs. These standards and procedures must include
10.36a process for detailed examinations of individual programs and functional areas.
11.1 (c) The commissioner of health shall develop and report to the legislature under
11.2Minnesota Statutes, section 3.195, by January 15, 2009, a more efficient method for a
11.3health plan, and a county-based purchasing plan where appropriate, to demonstrate to the
11.4commissioner that providers in the plan's network have appropriate credentials. The
11.5commissioner shall review issues regarding:
11.6 (1) the duplicate review of credentials at a health care provider by multiple health
11.7plans;
11.8 (2) the review of the credentials of all staff of a health care provider when only
11.9limited staff will be in the plan network; and
11.10 (3) other duplicative credentialing issues.
11.11 Sec. 16.
OMBUDSMAN FOR MANAGED CARE STUDY.
11.12 The commissioner of human services, in cooperation with the ombudsman for
11.13managed care, shall study and report to the legislature under Minnesota Statutes,
11.14section 3.195, by January 15, 2009, with recommendations on whether the duties of the
11.15ombudsman should be expanded to include advocating on behalf of public health care
11.16program fee-for-service enrollees. The report must include:
11.17 (1) a comparison of the recourse available to managed care clients versus
11.18fee-for-service clients when service problems occur; and
11.19 (2) an estimate of any net cost increase from this change in the ombudsman's duties,
11.20taking into account any reduction in the commissioner's duties.
11.21 Sec. 17.
REPORTING MANAGED CARE PERFORMANCE DATA.
11.22 The commissioner of human services, in cooperation with the commissioner of
11.23health, shall report to the legislature under Minnesota Statutes, section 3.195, by January
11.2415, 2009, with recommendations on the adoption of a single method to compute and
11.25publicly report managed health care performance measures in order to avoid confusion
11.26about the plans' performance levels. The study must include recommendations regarding
11.27coordinated use by the two agencies of the following data sources:
11.28 (1) Healthcare Effectiveness Data and Information Set (HEDIS) from managed
11.29care organizations;
11.30 (2) data that health plans submit to claim reimbursement for health care procedures;
11.31and
11.32 (3) data collected from medical record reviews of randomly selected individuals."
11.33Page 14, after line 19, insert:
11.34 "Sec. 2.
WORK GROUP; TARGETED CASE MANAGEMENT.
12.1 (a) The commissioner of human services shall convene a work group and seek
12.2information from counties, juvenile court staff, guardians ad litem, and mental health and
12.3child welfare advocates on the impact of federal regulations that cut funding for targeted
12.4case management services and the child support administrative collection system. The
12.5work group shall consider the impact these cuts will have on child protection, mental
12.6health, and housing relocation services.
12.7 (b) the commissioner shall issue a report from the work group summarizing the
12.8impact of the federal budget cuts on persons eligible for targeted case management
12.9services and the impact on county budgets. This report shall include budget and policy
12.10strategies to restore service levels to that of the year prior to the effective date of the
12.11federal regulations. A preliminary report shall be issued on December 15, 2008."
12.12Page 16, line 23, after "
child" insert "
care"
12.13Page 26, line 16, delete "
$42,526,000" and insert "
$42,905,000"
12.14Page 26, line 17, strike "$20,398,000" and insert "
$29,026,000"
12.15Page 26, line 18, strike "$19,841,000" and insert "
$28,361,000"
12.16Page 31, line 28, after "
individuals" insert "
identified by the commissioner"
12.17Page 32, line 8, after "
recipient" insert "
identified by the commissioner"
12.18Page 34, line 31, delete "
an additional"
12.19Page 35, line 3, delete everything after "
paragraph" and insert "
. The return of the
12.20withhold under this paragraph is not subject to the requirements of paragraph (c)."
12.21Page 35, line 28, delete "
an additional"
12.22Page 35, line 32, delete "
that is reasonably expected to be returned"
12.23Page 37, after line 9, insert:
12.24"
Additional TANF Transfer to Social
12.25Services Block Grant In addition to
12.26transfers allowed under prior law, $5,754,000
12.27in fiscal year 2009 is appropriated to the
12.28commissioner for the purposes of providing
12.29services for families with children whose
12.30incomes are at or below 200 percent
12.31of the federal poverty guidelines. The
12.32commissioner shall authorize a sufficient
12.33transfer of funds from the state's federal
12.34social services block grant to meet this
12.35appropriation. The funds must be distributed
12.36to counties for the children and community
13.1services grant according to the formula for
13.2state appropriations in Minnesota Statutes,
13.3chapter 256M."
13.4Page 37, line 16, delete "
(25,959,000)" and insert "
(25,947,000)"
13.5Page 37, line 17, delete "
27,323,000" and insert "
27,311,000"
13.6Page 37, after line 33, insert:
13.7
13.8
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"Subd. 4a.Children and Economic Assistance
Management
|
|
|
|
|
13.10Children and Economic Assistance
13.11Operations
13.12
|
Appropriations by Fund
|
13.13
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General
|
0
|
12,000
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|
|
|
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13.14MAXIS costs. $12,000 is appropriated in
13.15fiscal year 2009 for MAXIS systems costs.
13.16This appropriation is one-time only."
13.17Page 41, after line 17, insert:
13.18"
Targeted case management work group.
13.19$15,000 is appropriated from the general
13.20fund for fiscal year 2009 to the commissioner
13.21of human services for administrative costs
13.22directly related to the operation of the
13.23targeted case management work group."
13.24Page 41, line 35, delete "
$2,500,000" and insert "
$2,650,000"
13.25Renumber the sections in sequence and correct the internal references
13.26Amend the title accordingly
13.27Amend the appropriations by the specified amounts and correct the totals and the
13.28appropriations by fund accordingly.