1.1.................... moves to amend S.F. No. 2168 (for which the language of H.F. 2680,
1.2the second engrossment has been substituted), as follows:
1.3Page 1, after line 11, insert:

1.4"ARTICLE 1
1.5HEALTH CARE PROGRAM MODIFICATION"
1.6Page 6, line 19, after the period insert "Payments to managed care health plans shall
1.7not be increased for payments under this subdivision."
1.8Page 6, line 31, before the period insert ", including payments under subdivision 9"
1.9Page 8, line 17, after the period insert "Payments under this subdivision shall be
1.10further ratably reduced as follows: by $3,243,000 in fiscal year 2011; and by $2,495,000
1.11in fiscal year 2012. These amounts shall be deposited in the account established in
1.12section 256D.032."
1.13Page 16, line 4, after the period, insert "This paragraph does not apply to applicants
1.14and recipients who are exempt under paragraph (f)."
1.15Page 16, after line 20, insert "If an enrollee meets one of the categories described in
1.16this paragraph, the commissioner shall not require the enrollee to enroll in MinnesotaCare."
1.17Page 25, line 17, delete "and supportive"
1.18Page 25, line 22, delete everything after the period
1.19Page 25, line 23, delete everything before "Counties"
1.20Page 27, line 5, delete "65.6" and insert "70"
1.21Page 27, line 12, delete "60" and insert "40"
1.22Page 29, line 5, delete everything after "legislature" and insert a period
1.23Page 29, delete lines 6 and 7
1.24Page 33, line 16, after "hospital" insert ", primary care, and specialist"
1.25Page 33, delete section 26
1.26Page 34, delete 27
1.27Page 35, delete section 28
2.1Page 35, after line 14, insert:

2.2"ARTICLE 2
2.3APPROPRIATIONS

2.4
Section 1. HEALTH AND HUMAN SERVICES APPROPRIATION.
2.5The sums shown in the columns marked "Appropriations" are added to or, if shown
2.6in parentheses, subtracted from the appropriations in Laws 2009, chapter 79, as amended
2.7by Laws 2009, chapter 173, or other law to the agencies and for the purposes specified in
2.8this article. The appropriations are from the general fund, or another named fund, and are
2.9available for the fiscal years indicated for each purpose. The figures "2010" and "2011"
2.10used in this article mean that the addition to or subtraction from appropriations listed under
2.11them are available for the fiscal year ending June 30, 2010, or June 30, 2011, respectively.
2.12"The first year" is fiscal year 2010. "The second year" is fiscal year 2011. "The biennium"
2.13is fiscal years 2010 and 2011. Supplemental appropriations and reductions for the fiscal
2.14year ending June 30, 2010, are effective the day following final enactment.
2.15
APPROPRIATIONS
2.16
Available for the Year
2.17
Ending June 30
2.18
2010
2011

2.19
Sec. 2. HUMAN SERVICES
2.20
Subdivision 1.Total Appropriation
$
(88,551,000)
$
23,916,000
2.21
Appropriations by Fund
2.22
2010
2011
2.23
General
(62,256,000)
(37,991,000)
2.24
Health Care Access
(68,568,000)
(185,157,000)
2.25
Special Revenue
42,273,000
247,064,000
2.26The amounts that may be spent for each
2.27purpose are specified in the following
2.28subdivisions.
2.29
2.30
Subd. 2.Children and Economic Assistance
Grants
-0-
(11,560,000)
2.31The general fund appropriation to the
2.32commissioner of human services for children
2.33and community services grants in Laws
2.342009, chapter 79, article 13, section 3,
2.35subdivision 4, as amended by Laws 2009,
3.1chapter 173, article 2, section 1, subdivision
3.24, is reduced by $9,938,000 in fiscal year
3.32011. The general fund base for children
3.4and community service grants is increased
3.5by $9,938,000 per year for fiscal years 2012
3.6and 2013.
3.7
3.8
Subd. 3.Children and Economic Assistance
Management
3.9
Children and Economic Assistance Operations
3.10
Appropriations by Fund
3.11
Special Revenue
29,000
-0-
3.12
Subd. 4.Basic Health Care Grants
3.13The amounts that may be spent from this
3.14appropriation for each purpose are as follows:
3.15
(a) MinnesotaCare Grants
(68,568,000)
(185,157,000)
3.16
3.17
(b) Medical Assistance Basic Health Care
Grants - Families and Children
3.18
Appropriations by Fund
3.19
General
-0-
(4,021,000)
3.20
3.21
(c) Medical Assistance Basic Health Care
Grants - Elderly and Disabled
3.22
Appropriations by Fund
3.23
General
-0-
(6,401,000)
3.24
(d) General Assistance Medical Care Grants
(20,083,000)
241,308,000
3.25
Appropriations by Fund
3.26
General
(60,406,000)
-0-
3.27
Special Revenue
40,323,000
241,308,000
3.28For general assistance medical care grants
3.29under Minnesota Statutes, section 256D.031.
3.30The commissioner shall transfer $60,406,000
3.31on March 1, 2010, from the general fund to
3.32the fund established in Minnesota Statutes,
3.33section 256D.032. Any unexpended amount
4.1not used for general assistance medical care
4.2expenditures incurred before March 1, 2010,
4.3does not cancel and shall be transferred to
4.4the fund established in Minnesota Statutes,
4.5section 256D.032, by January 1, 2011.
4.6
Subd. 5.Health Care Management
4.7The amounts that may be spent from the
4.8appropriation for each purpose are as follows:
4.9
(a) Health Care Administration
4.10
Appropriations by Fund
4.11
General
(825,000)
(2,425,000)
4.12
Special Revenue
825,000
2,681,000
4.13$825,000 in fiscal year 2010 and $2,475,000
4.14in fiscal year 2011 from the special revenue
4.15fund are for administration of the general
4.16assistance medical care program under
4.17Minnesota Statutes, section 256D.031. For
4.18purposes of consistent cost allocation and
4.19accounting, the commissioner may transfer
4.20these amounts to the general fund. The
4.21commissioner shall transfer $825,000 in
4.22fiscal year 2010 and $2,475,000 in fiscal
4.23year 2011 from the general fund to the fund
4.24established in Minnesota Statutes, section
4.25256D.032.
4.26
(b) Health Care Operations
4.27
Appropriations by Fund
4.28
General
(1,025,000)
(3,075,000)
4.29
Special Revenue
1,067,000
3,075,000
4.30$1,025,000 in fiscal year 2010 and
4.31$3,075,000 in fiscal year 2011 from the
4.32special revenue fund are for operations of
4.33the general assistance medical care program
4.34under Minnesota Statutes, section 256D.031.
5.1For purposes of consistent cost allocation
5.2and accounting, the commissioner may
5.3transfer these amounts to the general fund.
5.4The commissioner shall transfer $1,025,000
5.5in fiscal year 2010 and $3,075,000 in fiscal
5.6year 2011 from the general fund to the fund
5.7established in Minnesota Statutes, section
5.8256D.032.
5.9
Subd. 6.Continuing Care Grants
5.10
Mental Health Grants
-0-
(11,560,000)
5.11The general fund appropriation to the
5.12commissioner of human services for adult
5.13mental health grants in Laws 2009, chapter
5.1479, article 13, section 3, subdivision 8, as
5.15amended by Laws 2009, chapter 173, article
5.162, section 1, subdivision 8, is reduced by
5.17$9,939,000 in fiscal year 2011. The general
5.18fund base for adult mental health grants is
5.19increased by $9,939,000 per year in fiscal
5.20years 2012 and 2013.
5.21
Subd. 7.Continuing Care Management
-0-
1,051,000
5.22
Subd. 8.Transfers
5.23(a) The commissioner of finance shall
5.24transfer $169,733,000 in fiscal year 2011
5.25and $12,979,000 in fiscal year 2012, from
5.26the general fund to the fund established in
5.27Minnesota Statutes, section 256D.032.
5.28(b) $19,877,000 shall be transferred in
5.29fiscal year 2011 from the general fund to
5.30the general assistance medical care account
5.31established in Minnesota Statutes, section
5.32256D.032.
5.33EFFECTIVE DATE.This article is effective March 1, 2010."
6.1Renumber the sections in sequence and correct the internal references
6.2Amend the title accordingly