1.1.................... moves to amend H.F. No. 3250 as follows:
1.2Page 3, line 13, delete the new language and strike "grant amounts for this purpose"
1.3Page 3, strike lines 14 and 15
1.4Page 3, line 16, strike "costs."
1.5Page 4, delete section 2, and insert:

1.6    "Sec. 2. Laws 2009, chapter 79, article 13, section 3, subdivision 8, is amended to read:

1.7

Subd. 8.Continuing Care Grants

1.8The amounts that may be spent from the
1.9appropriation for each purpose are as follows:

1.10

(a) Aging and Adult Services Grants

1.11	Appropriations by Fund
1.12	General	13,488,000	15,779,000
1.13	Federal	500,000	0

1.14Base Adjustment. The general fund base is
1.15increased by $5,751,000 in fiscal year 2012
1.16and $6,705,000 in fiscal year 2013.
1.17Information and Assistance
1.18Reimbursement. Federal administrative
1.19reimbursement obtained from information
1.20and assistance services provided by the
1.21Senior LinkAge or Disability Linkage lines
1.22to people who are identified as eligible for
1.23medical assistance shall be appropriated to
1.24the commissioner for this activity.
2.1Community Service Development Grant
2.2Reduction. Of this appropriation, $154,000
2.3in fiscal year 2011 and $139,000 in fiscal year
2.42012 shall be used to complete the actuarial
2.5and administrative work necessary to begin
2.6the operation of PACE under Minnesota
2.7Statutes, section 256B.69, subdivision 23,
2.8paragraph (e). Funding for community
2.9service development grants must be reduced
2.10by $251,000 for fiscal year 2010; $266,000 in
2.11fiscal year 2011; $25,000 in fiscal year 2012;
2.12and $25,000 in fiscal year 2013. Base level
2.13funding shall be restored in fiscal year 2014.
2.14Senior Nutrition Use of Federal Funds.
2.15For fiscal year 2010, general fund grants
2.16for home-delivered meals and congregate
2.17dining shall be reduced by $500,000. The
2.18commissioner must replace these general
2.19fund reductions with equal amounts from
2.20federal funding for senior nutrition from the
2.21American Recovery and Reinvestment Act
2.22of 2009.

2.23

(b) Alternative Care Grants

50,234,000

48,576,000

2.24Base Adjustment. The general fund base is
2.25decreased by $3,598,000 in fiscal year 2012
2.26and $3,470,000 in fiscal year 2013.
2.27Alternative Care Transfer. Any money
2.28allocated to the alternative care program that
2.29is not spent for the purposes indicated does
2.30not cancel but must be transferred to the
2.31medical assistance account.

2.32 2.33

(c) Medical Assistance Grants; Long-Term Care Facilities.

367,444,000

419,749,000

2.34 2.35

(d) Medical Assistance Long-Term Care Waivers and Home Care Grants

854,373,000

1,043,411,000

3.1Manage Growth in TBI and CADI
3.2Waivers. During the fiscal years beginning
3.3on July 1, 2009, and July 1, 2010, the
3.4commissioner shall allocate money for home
3.5and community-based waiver programs
3.6under Minnesota Statutes, section 256B.49,
3.7to ensure a reduction in state spending that is
3.8equivalent to limiting the caseload growth of
3.9the TBI waiver to 12.5 allocations per month
3.10each year of the biennium and the CADI
3.11waiver to 95 allocations per month each year
3.12of the biennium. Limits do not apply: (1)
3.13when there is an approved plan for nursing
3.14facility bed closures for individuals under
3.15age 65 who require relocation due to the
3.16bed closure; (2) to fiscal year 2009 waiver
3.17allocations delayed due to unallotment; or (3)
3.18to transfers authorized by the commissioner
3.19from the personal care assistance program
3.20of individuals having a home care rating
3.21of "CS," "MT," or "HL." Priorities for the
3.22allocation of funds must be for individuals
3.23anticipated to be discharged from institutional
3.24settings or who are at imminent risk of a
3.25placement in an institutional setting.
3.26Manage Growth in DD Waiver. The
3.27commissioner shall manage the growth in
3.28the DD waiver by limiting the allocations
3.29included in the February 2009 forecast to 15
3.30additional diversion allocations each month
3.31for the calendar years that begin on January
3.321, 2010, and January 1, 2011. Additional
3.33allocations must be made available for
3.34transfers authorized by the commissioner
3.35from the personal care program of individuals
4.1having a home care rating of "CS," "MT,"
4.2or "HL."
4.3Adjustment to Lead Agency Waiver
4.4Allocations. Prior to the availability of the
4.5alternative license defined in Minnesota
4.6Statutes, section 245A.11, subdivision 8,
4.7the commissioner shall reduce lead agency
4.8waiver allocations for the purposes of
4.9implementing a moratorium on corporate
4.10foster care.
4.11Alternatives to Personal Care Assistance
4.12Services. Base level funding of $3,237,000
4.13in fiscal year 2012 and $4,856,000 in
4.14fiscal year 2013 is to implement alternative
4.15services to personal care assistance services
4.16for persons with mental health and other
4.17behavioral challenges who can benefit
4.18from other services that more appropriately
4.19meet their needs and assist them in living
4.20independently in the community. These
4.21services may include, but not be limited to, a
4.221915(i) state plan option.

4.23

(e) Mental Health Grants

4.24	Appropriations by Fund
4.25	General	77,739,000	77,739,000
4.26	Health Care Access	750,000	750,000
4.27	Lottery Prize	1,508,000	1,508,000

4.28Funding Usage. Up to 75 percent of a fiscal
4.29year's appropriation for adult mental health
4.30grants may be used to fund allocations in that
4.31portion of the fiscal year ending December
4.3231.

4.33

(f) Deaf and Hard-of-Hearing Grants

1,930,000

1,917,000

4.34

(g) Chemical Dependency Entitlement Grants

111,303,000

122,822,000

5.1Payments for Substance Abuse Treatment.
5.2For services provided during fiscal years
5.32010 and 2011, county-negotiated rates and
5.4provider claims to the consolidated chemical
5.5dependency fund must not exceed rates
5.6charged for these services on January 1, 2009.
5.7For services provided in fiscal years 2012
5.8and 2013, statewide average rates under the
5.9new rate methodology to be developed under
5.10Minnesota Statutes, section 254B.12, must
5.11not exceed the average rates charged for these
5.12services on January 1, 2009, plus $3,787,000
5.13for fiscal year 2012 and $5,023,000 for fiscal
5.14year 2013. Notwithstanding any provision
5.15to the contrary in this article, this provision
5.16expires on June 30, 2013.
5.17Chemical Dependency Special Revenue
5.18Account. For fiscal year 2010, $750,000
5.19must be transferred from the consolidated
5.20chemical dependency treatment fund
5.21administrative account and deposited into the
5.22general fund.
5.23County CD Share of MA Costs for
5.24ARRA Compliance. Notwithstanding the
5.25provisions of Minnesota Statutes, chapter
5.26254B, for chemical dependency services
5.27provided during the period July 1, 2009,
5.28to December 31, 2010, and reimbursed by
5.29medical assistance at the enhanced federal
5.30matching rate provided under the American
5.31Recovery and Reinvestment Act of 2009, the
5.32county share is 30 percent of the nonfederal
5.33share.

5.34 5.35

(h) Chemical Dependency Nonentitlement Grants

1,729,000

1,729,000

6.1Base Adjustment. The general fund base is
6.2decreased by $3,000 in each of fiscal years
6.32012 and 2013.

6.4

(i) Other Continuing Care Grants

18,272,000

13,139,000

6.5Base Adjustment. The general fund base is
6.6increased by $7,028,000 in fiscal year 2012
6.7and increased by $8,243,000 in fiscal year
6.82013.
6.9Technology Grants. $650,000 in fiscal
6.10year 2010 and $1,000,000 in fiscal year
6.112011 are for technology grants, case
6.12consultation, evaluation, and consumer
6.13information grants related to developing and
6.14supporting alternatives to shift-staff foster
6.15care residential service models.
6.16Other Continuing Care Grants; HIV
6.17Grants. Money appropriated for the HIV
6.18drug and insurance grant program in fiscal
6.19year 2010 may be used in either year of the
6.20biennium."
6.21Renumber the sections in sequence and correct the internal references
6.22Amend the title accordingly