1.1.................... moves to amend H.F. No. 2614, the delete everything amendment
1.2(H2614DE2) as follows:
1.3Page 37 , after line 5, insert:

1.4    "Sec. 30. Minnesota Statutes 2008, section 256B.76, subdivision 2, is amended to read:
1.5    Subd. 2. Dental reimbursement. (a) Effective for services rendered on or after
1.6October 1, 1992, the commissioner shall make payments for dental services as follows:
1.7    (1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25
1.8percent above the rate in effect on June 30, 1992; and
1.9    (2) dental rates shall be converted from the 50th percentile of 1982 to the 50th
1.10percentile of 1989, less the percent in aggregate necessary to equal the above increases.
1.11    (b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
1.12shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
1.13    (c) Effective for services rendered on or after January 1, 2000, payment rates for
1.14dental services shall be increased by three percent over the rates in effect on December
1.1531, 1999.
1.16    (d) Effective for services provided on or after January 1, 2002, payment for
1.17diagnostic examinations and dental x-rays provided to children under age 21 shall be the
1.18lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
1.19    (e) The increases listed in paragraphs (b) and (c) shall be implemented January 1,
1.202000, for managed care.
1.21(f) Effective for dental services rendered on or after October 1, 2010, by a
1.22state-operated dental clinic, payment shall be paid on a cost-based payment system that
1.23is based on the cost-finding methods and allowable costs of the Medicare program. For
1.24services performed by a state-operated dental clinic pursuant to a contract between the
1.25clinic and a managed care plan or a county-based purchasing plan, a supplemental payment
1.26shall be made to the clinic by the commissioner that is equal to the amount by which the
1.27amount determined under this paragraph exceeds the amount of the payments provided
2.1under the contract. Managed care plans and county-based purchasing plans participating
2.2in medical assistance must provide to the commissioner any expenditure, cost, and
2.3revenue information deemed necessary by the commissioner for purposes of obtaining
2.4federal Medicaid matching funds for cost-based reimbursement for state-operated dental
2.5clinics. Cost-based reimbursement shall be implemented in managed care contracts
2.6beginning January 1, 2011.
2.7(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
2.8in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal
2.9year, a supplemental state payment equal to the difference between the total payments
2.10in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
2.11services for the operation of the dental clinics."
2.12Page 37, line 28, delete "or"
2.13Page 37, line 31, after the semicolon insert "or"
2.14Page 37, after line 31, insert:
2.15"(iv) the dental clinic is a state-operated dental clinic;"
2.16Page 79, after line 10 , insert:

2.19    Subdivision 1. Establishment. The Advisory Group on State-Operated Services
2.20Redesign is established to make recommendations to the commissioner of human services
2.21and the legislature on the continuum of services needed to provide individuals with
2.22complex conditions including mental illness and developmental disabilities access to
2.23quality care and the appropriate level of care across the state to promote wellness, reduce
2.24cost, and improve efficiency.
2.25    Subd. 2. Duties. The Advisory Group on State-Operated Services Redesign shall
2.26make recommendations to the commissioner and the legislature no later than December
2.2715, 2010, on the following:
2.28(1) transformation needed to improve service delivery and provide a continuum of
2.29care, such as transition of current facilities, closure of current facilities, or the development
2.30of new models of care;
2.31(2) gaps and barriers to accessing quality care, system inefficiencies, and cost
2.33(3) services that are best provided by the state and those that are best provided
2.34in the community;
2.35(4) an implementation plan to achieve integrated service delivery across the public,
2.36private, and nonprofit sectors;
3.1(5) an implementation plan to ensure that individuals with complex chemical and
3.2mental health needs receive the appropriate level of care to achieve recovery and wellness;
3.4(6) financing mechanisms that include all possible revenue sources to maximize
3.5federal funding and promote cost efficiencies and sustainability.
3.6    Subd. 3. Membership. The advisory group shall be composed of the following,
3.7who will serve at the pleasure of their appointing authority:
3.8(1) the commissioner of human services or the commissioner's designee, and two
3.9additional representatives from the department;
3.10(2) two legislators appointed by the speaker of the house, one from the minority
3.11and one from the majority;
3.12(3) two legislators appointed by the Senate Rules Committee, one from the minority
3.13and one from the majority;
3.14(4) one representative appointed by AFSCME Council 5;
3.15(5) one representative appointed by the ombudsman for mental health and
3.16developmental disabilities;
3.17(6) one representative appointed by the Minnesota Association of Professional
3.19(7) one representative appointed by the Minnesota Hospital Association;
3.20(8) one representative appointed by the Minnesota Nurses Association;
3.21(9) one representative appointed by NAMI-MN;
3.22(10) one representative appointed by the Mental Health Association of Minnesota;
3.23(11) one representative appointed by the Minnesota Association Of Community
3.24Mental Health Programs;
3.25(12) one representative appointed by the Minnesota Dental Association; and
3.26(13) three clients or client family members representing different populations
3.27receiving services from state-operated services, who are appointed by the commissioner.
3.28    Subd. 4. Administration. The commissioner shall convene the first meeting of the
3.29advisory group and shall provide administrative support and staff.
3.30    Subd. 5. Recommendations. The advisory group must report its recommendations
3.31to the commissioner and to the legislature no later than December 15, 2010.
3.32    Subd. 6. Expiration. This section expires January 31, 2011.

3.33    Sec. 8. [245.6972] LEGISLATIVE APPROVAL REQUIRED.
3.34The commissioner of human services shall not redesign or move state-operated
3.35services programs without specific legislative approval.

4.1    Sec. 9. Minnesota Statutes 2009 Supplement, section 252.025, subdivision 7, is
4.2amended to read:
4.3    Subd. 7. Minnesota extended treatment options. The commissioner shall develop
4.4by July 1, 1997, the Minnesota extended treatment options to serve Minnesotans who have
4.5developmental disabilities and exhibit severe behaviors which present a risk to public
4.6safety. This program is statewide and must provide specialized residential services in
4.7Cambridge and an array of community-based services with sufficient levels of care and a
4.8sufficient number of specialists to ensure that individuals referred to the program receive
4.9the appropriate care. The number of beds at the Cambridge facility may be reorganized
4.10into two 16-bed facilities, one for individuals with developmental disabilities and one
4.11for individuals with developmental disabilities and a co-occurring mental illness, with
4.12the remaining beds converted into transitional intensive treatment foster homes.The
4.13individuals working in the community-based services under this section are state
4.14employees supervised by the commissioner of human services. No layoffs shall occur as a
4.15result of restructuring under this section.
4.16EFFECTIVE DATE.This section is effective the day following final enactment."
4.17Page 83 , after line 32 , insert:

4.18    "Sec. .... Laws 2009, chapter 79, article 3, section 18, is amended to read:
4.22In consultation with community partners, the commissioner of human services The
4.23Advisory Group on State-Operated Services Redesign shall develop recommend an array
4.24of community-based services to transform the current services now provided to patients
4.25at the Anoka-Metro Regional Treatment Center. The community-based services may
4.26be provided in facilities with 16 or fewer beds, and must provide the appropriate level
4.27of care for the patients being admitted to the facilities. The planning for this transition
4.28must be completed by October 1, 2009 2010, with an initial report to the committee chairs
4.29of health and human services by November 30, 2009 2010, and a semiannual report on
4.30progress until the transition is completed. The commissioner of human services shall
4.31solicit interest from stakeholders and potential community partners. The individuals
4.32working in the community-based services facilities under this section are state employees
4.33supervised by the commissioner of human services. No layoffs shall occur as a result of
4.34restructuring under this section.
4.35EFFECTIVE DATE.This section is effective the day following final enactment.

5.3The commissioner of human services shall make an application to the secretary
5.4of health and human services to participate in the Medicaid Emergency Psychiatric
5.5Demonstration Project under Public Law 111-148, 2010 H.R. 3590, the Patient Protection
5.6and Affordable Care Act. The commissioner shall submit a complete application at such
5.7time and in such format as required by the secretary."
5.8Renumber the sections in sequence and correct the internal references
5.9Amend the title accordingly