Bill Text: MN SF2585 | 2011-2012 | 87th Legislature | Introduced
Bill Title: Maternal depression outreach, public education, screening, child care and medical assistance provisions modifications; task force on low-income families establishment; appropriations
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Introduced - Dead) 2012-03-29 - Referred to Health and Human Services [SF2585 Detail]
Download: Minnesota-2011-SF2585-Introduced.html
1.2relating to state government; requiring development of outreach, public
1.3education, and screening for maternal depression; expanding medical assistance
1.4eligibility for pregnant women and infants; requiring the commissioner of
1.5human services to provide technical assistance related to maternal depression
1.6screening and referrals; adding parenting skills to adult rehabilitative mental
1.7health services; expanding Minnesota health care program outreach; providing
1.8appointments; requiring reports; appropriating money;amending Minnesota
1.9Statutes 2010, sections 119B.03, subdivision 3; 119B.05, subdivision 1; 125A.27,
1.10subdivision 11; 145.906; 145A.17, subdivisions 1, 8, by adding a subdivision;
1.11214.12, by adding a subdivision; 256B.04, by adding a subdivision; 256B.055,
1.12subdivisions 5, 6; 256B.057, subdivision 1; 256B.0623, subdivision 2; Minnesota
1.13Statutes 2011 Supplement, section 119B.13, subdivision 7; Laws 2011, First
1.14Special Session chapter 9, article 10, section 3, subdivision 4; Laws 2011, First
1.15Special Session chapter 11, article 7, section 2, subdivision 5; proposing coding
1.16for new law in Minnesota Statutes, chapter 145; repealing Minnesota Statutes
1.172010, section 256J.24, subdivision 6.
1.18BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.21 Section 1. Minnesota Statutes 2010, section 145.906, is amended to read:
1.22145.906 POSTPARTUM DEPRESSION EDUCATION AND INFORMATION.
1.23(a) The commissioner of health shall work with health care facilities, licensed health
1.24and mental health care professionals, the women, infants, and children (WIC) program,
1.25mental health advocates, consumers, and families in the state to develop materials and
1.26information about postpartum depression, including treatment resources, and develop
1.27policies and procedures to comply with this section.
2.1(b) Physicians, traditional midwives, and other licensed health care professionals
2.2providing prenatal care to women must have available to women and their families
2.3information about postpartum depression.
2.4(c) Hospitals and other health care facilities in the state must provide departing new
2.5mothers and fathers and other family members, as appropriate, with written information
2.6about postpartum depression, including its symptoms, methods of coping with the illness,
2.7and treatment resources.
2.8(d) The commissioner of health, in collaboration with the commissioner of human
2.9services and to the extent authorized by the federal Centers for Disease Control and
2.10Prevention, shall reduce racial disparities in postpartum information reported in surveys
2.11of maternal attitudes and experiences before, during, and after pregnancy, such as those
2.12conducted by the commissioner of health.
2.13 Sec. 2. [145.907] MATERNAL DEPRESSION; DEFINITION.
2.14"Maternal depression" means depression or other perinatal mood or anxiety disorder
2.15experienced by a woman during pregnancy or during the first two years following the
2.16birth of her child.
2.17 Sec. 3. Minnesota Statutes 2010, section 145A.17, subdivision 1, is amended to read:
2.18 Subdivision 1. Establishment; goals. The commissioner shall establish a program
2.19to fund family home visiting programs designed to foster healthy beginnings, improve
2.20pregnancy outcomes, promote school readiness, prevent child abuse and neglect, reduce
2.21juvenile delinquency, promote positive parenting and resiliency in children, and promote
2.22family health and economic self-sufficiency for children and families. The commissioner
2.23shall promote partnerships, collaboration, and multidisciplinary visiting done by teams of
2.24professionals and paraprofessionals from the fields of public health nursing, social work,
2.25and early childhood education. A program funded under this section must serve families
2.26at or below 200 percent of the federal poverty guidelines, and other families determined
2.27to be at risk, including but not limited to being at risk for child abuse, child neglect, or
2.28juvenile delinquency. Programs must begin prenatally whenever possible and must be
2.29targeted to families with:
2.30 (1) adolescent parents;
2.31 (2) a history of alcohol or other drug abuse;
2.32 (3) a history of child abuse, domestic abuse, or other types of violence;
2.33 (4) a history of domestic abuse, rape, or other forms of victimization;
2.34 (5) reduced cognitive functioning;
3.1 (6) a lack of knowledge of child growth and development stages;
3.2 (7) low resiliency to adversities and environmental stresses;
3.3 (8) insufficient financial resources to meet family needs;
3.4 (9) a history of homelessness;
3.5 (10) a risk of long-term welfare dependence or family instability due to employment
3.6barriers;or
3.7(11) a serious mental health disorder, including maternal depression as defined in
3.8section 145.907; or
3.9(11) (12) other risk factors as determined by the commissioner.
3.10 Sec. 4. Minnesota Statutes 2010, section 145A.17, is amended by adding a subdivision
3.11to read:
3.12 Subd. 6a. Practice standards; development. The commissioner, in consultation
3.13with others including representatives of family home visiting providers, community health
3.14boards, tribal governments, and mental health services providers, shall develop practice
3.15standards and a common set of measurable outcomes for family home visiting programs.
3.16The practice standards must include screening of all primary caregivers for depression or
3.17other serious mental illness who are not being successfully treated.
3.18 Sec. 5. Minnesota Statutes 2010, section 145A.17, subdivision 8, is amended to read:
3.19 Subd. 8. Report. By January 15, 2002, and January 15 of each even-numbered year
3.20thereafter, the commissioner shall submit a report to the legislature on the family home
3.21visiting programs funded under this section including data collected under subdivision 6,
3.22and on the results of the evaluations conducted under subdivision 7.
3.23 Sec. 6. Minnesota Statutes 2010, section 256B.04, is amended by adding a subdivision
3.24to read:
3.25 Subd. 22. Maternal depression screening and referral. (a) The commissioner
3.26shall provide technical assistance to health care providers to improve maternal depression
3.27screening and referral rates for medical assistance and MinnesotaCare enrollees. The
3.28technical assistance must include, but is not limited to, the provision of information on
3.29culturally competent practice, administrative and legal liability issues, and best practices
3.30for discussing mental health issues with patients.
3.31(b) The commissioner, in consultation with the commissioners of health and
3.32education, shall monitor: (1) maternal depression screening and referral rates based on
3.33medical assistance and MinnesotaCare claims and Pregnancy Risk Assessment Monitoring
4.1System (PRAMS) survey findings; and (2) the impact of improved screening and referral
4.2rates on child well-being using a variety of methods, including but not limited to analyzing
4.3trends in measures of children's school readiness. The information must be publicly
4.4available and reported annually on the agency Web site.
4.5(c) For purposes of this subdivision, "maternal depression" has the meaning provided
4.6in section 145.907.
4.7 Sec. 7. Minnesota Statutes 2010, section 256B.055, subdivision 5, is amended to read:
4.8 Subd. 5. Pregnant women; dependent unborn child. Medical assistance may be
4.9paid for a pregnant woman who has written verification of a positive pregnancy test from
4.10a physician or licensed registered nurse, who meets the other eligibility criteria of this
4.11section and who would be categorically eligible for assistance under the state's AFDC
4.12plan in effect as of July 16, 1996, as required by the Personal Responsibility and Work
4.13Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193, if the child
4.14had been born and was living with the woman. For purposes of this subdivision, a woman
4.15is considered pregnant for60 days two years postpartum.
4.16EFFECTIVE DATE.This section is effective July 1, 2012, or upon federal
4.17approval, whichever is later.
4.18 Sec. 8. Minnesota Statutes 2010, section 256B.055, subdivision 6, is amended to read:
4.19 Subd. 6. Pregnant women; needy unborn child. Medical assistance may be paid
4.20for a pregnant woman who has written verification of a positive pregnancy test from a
4.21physician or licensed registered nurse, who meets the other eligibility criteria of this
4.22section and whose unborn child would be eligible as a needy child under subdivision 10 if
4.23born and living with the woman. For purposes of this subdivision, a woman is considered
4.24pregnant for60 days two years postpartum.
4.25EFFECTIVE DATE.This section is effective July 1, 2012, or upon federal
4.26approval, whichever is later.
4.27 Sec. 9. Minnesota Statutes 2010, section 256B.057, subdivision 1, is amended to read:
4.28 Subdivision 1. Infants and pregnant women. (a)(1) An infant less than one year of
4.29age or a pregnant woman who has written verification of a positive pregnancy test from
4.30a physician or licensed registered nurse is eligible for medical assistance if countable
4.31family income is equal to or less than 275 percent of the federal poverty guideline for the
4.32same family size. For purposes of this subdivision, "countable family income" means the
5.1amount of income considered available using the methodology of the AFDC program
5.2under the state's AFDC plan as of July 16, 1996, as required by the Personal Responsibility
5.3and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193,
5.4except for the earned income disregard and employment deductions.
5.5 (2) For applications processed within one calendar month prior to the effective date,
5.6eligibility shall be determined by applying the income standards and methodologies in
5.7effect prior to the effective date for any months in the six-month budget period before
5.8that date and the income standards and methodologies in effect on the effective date for
5.9any months in the six-month budget period on or after that date. The income standards
5.10for each month shall be added together and compared to the applicant's total countable
5.11income for the six-month budget period to determine eligibility.
5.12 (b)(1) [Expired, 1Sp2003 c 14 art 12 s 19]
5.13 (2) For applications processed within one calendar month prior to July 1, 2003,
5.14eligibility shall be determined by applying the income standards and methodologies in
5.15effect prior to July 1, 2003, for any months in the six-month budget period before July 1,
5.162003, and the income standards and methodologies in effect on the expiration date for any
5.17months in the six-month budget period on or after July 1, 2003. The income standards
5.18for each month shall be added together and compared to the applicant's total countable
5.19income for the six-month budget period to determine eligibility.
5.20 (3) An amount equal to the amount of earned income exceeding 275 percent of
5.21the federal poverty guideline, up to a maximum of the amount by which the combined
5.22total of 185 percent of the federal poverty guideline plus the earned income disregards
5.23and deductions allowed under the state's AFDC plan as of July 16, 1996, as required
5.24by the Personal Responsibility and Work Opportunity Act of 1996 (PRWORA), Public
5.25Law 104-193, exceeds 275 percent of the federal poverty guideline will be deducted for
5.26pregnant women and infants less than one year of age.
5.27 (c) Dependent care and child support paid under court order shall be deducted from
5.28the countable income of pregnant women.
5.29 (d) An infant born to a woman who was eligible for and receiving medical assistance
5.30on the date of the child's birth shall continue to be eligible for medical assistance without
5.31redetermination until the child'sfirst second birthday.
5.32EFFECTIVE DATE.This section is effective July 1, 2012, or upon federal
5.33approval, whichever is later.
5.34 Sec. 10. Minnesota Statutes 2010, section 256B.0623, subdivision 2, is amended to
5.35read:
6.1 Subd. 2. Definitions. For purposes of this section, the following terms have the
6.2meanings given them.
6.3(a) "Adult rehabilitative mental health services" means mental health services
6.4which are rehabilitative and enable the recipient to develop and enhance psychiatric
6.5stability, social competencies, personal and emotional adjustment, and independent living,
6.6parenting, and community skills, when these abilities are impaired by the symptoms of
6.7mental illness. Adult rehabilitative mental health services are also appropriate when
6.8provided to enable a recipient to retain stability and functioning, if the recipient would
6.9be at risk of significant functional decompensation or more restrictive service settings
6.10without these services.
6.11(1) Adult rehabilitative mental health services instruct, assist, and support the
6.12recipient in areas such as: interpersonal communication skills, community resource
6.13utilization and integration skills, crisis assistance, relapse prevention skills, health care
6.14directives, budgeting and shopping skills, healthy lifestyle skills and practices, cooking
6.15and nutrition skills, transportation skills, medication education and monitoring, mental
6.16illness symptom management skills, household management skills, employment-related
6.17skills, parenting, and transition to community living services.
6.18(2) These services shall be provided to the recipient on a one-to-one basis in the
6.19recipient's home or another community setting or in groups.
6.20(b) "Medication education services" means services provided individually or in
6.21groups which focus on educating the recipient about mental illness and symptoms; the role
6.22and effects of medications in treating symptoms of mental illness; and the side effects of
6.23medications. Medication education is coordinated with medication management services
6.24and does not duplicate it. Medication education services are provided by physicians,
6.25pharmacists, physician's assistants, or registered nurses.
6.26(c) "Transition to community living services" means services which maintain
6.27continuity of contact between the rehabilitation services provider and the recipient and
6.28which facilitate discharge from a hospital, residential treatment program under Minnesota
6.29Rules, chapter 9505, board and lodging facility, or nursing home. Transition to community
6.30living services are not intended to provide other areas of adult rehabilitative mental health
6.31services.
6.32 Sec. 11. HEALTH CARE PROGRAM OUTREACH.
6.33$....... is appropriated from the general fund to the commissioner of human services
6.34for the fiscal year ending June 30, 2013, to award health care program outreach grants and
7.1to fund the incentive program under Minnesota Statutes, section 256.962, subdivisions
7.22 and 5.
7.5 Section 1. Minnesota Statutes 2010, section 125A.27, subdivision 11, is amended to
7.6read:
7.7 Subd. 11. Interagency child find systems. "Interagency child find systems" means
7.8activities developed on an interagency basis with the involvement of interagency early
7.9intervention committees and other relevant community groups using rigorous standards
7.10to actively seek out, identify, and refer infants and young children, with, or at risk of,
7.11disabilities, and their families, including a child under the age of three who:
7.12(1) is involved in a substantiated case of abuse or neglect, or;
7.13(2) is identified as affected by illegal substance abuse, or withdrawal symptoms
7.14resulting from prenatal drug exposure, to reduce the need for future services; or
7.15(3) has a parent with a diagnosis of depression or other serious mental illness within
7.16the prior three years.
7.17EFFECTIVE DATE.This section is effective July 1, 2012.
7.18 Sec. 2. Minnesota Statutes 2010, section 214.12, is amended by adding a subdivision
7.19to read:
7.20 Subd. 4. Parental depression. (a) The health-related licensing boards that regulate
7.21professions that serve caregivers at risk of depression, or their children, including
7.22behavioral health and therapy, chiropractic, marriage and family therapy, medical practice,
7.23nursing, psychology, and social work, shall require licensees to receive education on
7.24the subject of parental depression and its potential effects on children if unaddressed,
7.25including how to:
7.26(1) screen mothers for depression;
7.27(2) identify children who are affected by their mother's depression; and
7.28(3) provide treatment or referral information on needed services.
7.29(b) The health-related licensing boards shall require at least two hours of continuing
7.30education credit each reporting period on delivery of culturally competent services to
7.31parents with depression.
8.1 Sec. 3. Laws 2011, First Special Session chapter 9, article 10, section 3, subdivision 4,
8.2is amended to read:
8.4The amounts that may be spent from this
8.5appropriation for each purpose are as follows:
8.10MFIP Consolidated Fund Grants. The
8.11TANF fund base is reduced by $10,000,000
8.12each year beginning in fiscal year 2012.
8.13Subsidized Employment Funding Through
8.14ARRA. The commissioner is authorized to
8.15apply for TANF emergency fund grants for
8.16subsidized employment activities. Growth
8.17in expenditures for subsidized employment
8.18within the supported work program and the
8.19MFIP consolidated fund over the amount
8.20expended in the calendar year quarters in
8.21the TANF emergency fund base year shall
8.22be used to leverage the TANF emergency
8.23fund grants for subsidized employment and
8.24to fund supported work. The commissioner
8.25shall develop procedures to maximize
8.26reimbursement of these expenditures over the
8.27TANF emergency fund base year quarters,
8.28and may contract directly with employers
8.29and providers to maximize these TANF
8.30emergency fund grants.
8.33Base Adjustment. The general fund base is
8.34decreased by $990,000 in fiscal year 2014
8.35and $979,000 in fiscal year 2015.
9.1Child Care and Development Fund
9.2Unexpended Balance. In addition to
9.3the amount provided in this section, the
9.4commissioner shall expend $5,000,000
9.5in fiscal year 2012 from the federal child
9.6care and development fund unexpended
9.7balance for basic sliding fee child care under
9.8Minnesota Statutes, section119B.03 . The
9.9commissioner shall ensure that all child
9.10care and development funds are expended
9.11according to the federal child care and
9.12development fund regulations.
9.14Base Adjustment. The general fund base is
9.15increased by $713,000 in fiscal years 2014
9.16and 2015.
9.18Federal Child Support Demonstration
9.19Grants. Federal administrative
9.20reimbursement resulting from the federal
9.21child support grant expenditures authorized
9.22under section 1115a of the Social Security
9.23Act is appropriated to the commissioner for
9.24this activity.
9.29Adoption Assistance and Relative Custody
9.30Assistance Transfer. The commissioner
9.31may transfer unencumbered appropriation
9.32balances for adoption assistance and relative
9.33custody assistance between fiscal years and
9.34between programs.
10.1Privatized Adoption Grants. Federal
10.2reimbursement for privatized adoption grant
10.3and foster care recruitment grant expenditures
10.4is appropriated to the commissioner for
10.5adoption grants and foster care and adoption
10.6administrative purposes.
10.7Adoption Assistance Incentive Grants.
10.8Federal funds available during fiscal year
10.92012 and fiscal year 2013 for adoption
10.10incentive grants are appropriated to the
10.11commissioner for these purposes.
10.17Long-Term Homeless Services. $700,000
10.18is appropriated from the federal TANF
10.19fund for the biennium beginning July
10.201, 2011, to the commissioner of human
10.21services for long-term homeless services
10.22for low-income homeless families under
10.23Minnesota Statutes, section256K.26 . This
10.24is a onetime appropriation and is not added
10.25to the base.
10.26Base Adjustment. The general fund base is
10.27increased by $42,000 in fiscal year 2014 and
10.28$43,000 in fiscal year 2015.
10.29Minnesota Food Assistance Program.
10.30$333,000 in fiscal year 2012 and $408,000 in
10.31fiscal year 2013 are to increase the general
10.32fund base for the Minnesota food assistance
10.33program. Unexpended funds for fiscal year
10.342012 do not cancel but are available to the
11.1commissioner for this purpose in fiscal year
11.22013.
11.7Base Adjustment. The general fund base is
11.8increased by $24,000 in each of fiscal years
11.92014 and 2015.
11.11Aging Grants Reduction. Effective July
11.121, 2011, funding for grants made under
11.13Minnesota Statutes, sections256.9754 and
11.14256B.0917, subdivision 13
, is reduced by
11.15$3,600,000 for each year of the biennium.
11.16These reductions are onetime and do
11.17not affect base funding for the 2014-2015
11.18biennium. Grants made during the 2012-2013
11.19biennium under Minnesota Statutes, section
11.20256B.9754
, must not be used for new
11.21construction or building renovation.
11.22Essential Community Support Grant
11.23Delay. Upon federal approval to implement
11.24the nursing facility level of care on July
11.251, 2013, essential community supports
11.26grants under Minnesota Statutes, section
11.27256B.0917, subdivision 14
, are reduced by
11.28$6,410,000 in fiscal year 2013. Base level
11.29funding is increased by $5,541,000 in fiscal
11.30year 2014 and $6,410,000 in fiscal year 2015.
11.31Base Level Adjustment. The general fund
11.32base is increased by $10,035,000 in fiscal
11.33year 2014 and increased by $10,901,000 in
11.34fiscal year 2015.
12.3Grants for Housing Access Services. In
12.4fiscal year 2012, the commissioner shall
12.5make available a total of $161,000 in housing
12.6access services grants to individuals who
12.7relocate from an adult foster care home to
12.8a community living setting for assistance
12.9with completion of rental applications or
12.10lease agreements; assistance with publicly
12.11financed housing options; development of
12.12household budgets; and assistance with
12.13funding affordable furnishings and related
12.14household matters.
12.15HIV Grants. The general fund appropriation
12.16for the HIV drug and insurance grant
12.17program shall be reduced by $2,425,000 in
12.18fiscal year 2012 and increased by $2,425,000
12.19in fiscal year 2014. These adjustments are
12.20onetime and shall not be applied to the base.
12.21Notwithstanding any contrary provision, this
12.22provision expires June 30, 2014.
12.23Region 10. Of this appropriation, $100,000
12.24each year is for a grant provided under
12.25Minnesota Statutes, section256B.097 .
12.26Base Level Adjustment. The general fund
12.27base is increased by $2,944,000 in fiscal year
12.282014 and $653,000 in fiscal year 2015.
12.29Local Planning Grants for Creating
12.30Alternatives to Congregate Living for
12.31Individuals with Lower Needs. The
12.32commissioner shall make available a total
12.33of $250,000 per year in local planning
12.34grants, beginning July 1, 2011, to assist
13.1lead agencies and provider organizations in
13.2developing alternatives to congregate living
13.3within the available level of resources for the
13.4home and community-based services waivers
13.5for persons with disabilities.
13.6Disability Linkage Line. Of this
13.7appropriation, $125,000 in fiscal year 2012
13.8and $300,000 in fiscal year 2013 are for
13.9assistance to people with disabilities who are
13.10considering enrolling in managed care.
13.16Funding Usage. Up to 75 percent of a fiscal
13.17year's appropriation for adult mental health
13.18grants may be used to fund allocations in that
13.19portion of the fiscal year ending December
13.2031.
13.21Base Adjustment. The general fund base is
13.22increased by $200,000 in fiscal years 2014
13.23and 2015.
13.25Funding Usage. Up to 75 percent of a fiscal
13.26year's appropriation for children's mental
13.27health grants may be used to fund allocations
13.28in that portion of the fiscal year ending
13.29December 31.
13.30Base Adjustment. The general fund base is
13.31increased by$225,000 $....... in fiscal years
13.322014 and 2015.
14.1 Sec. 4. Laws 2011, First Special Session chapter 11, article 7, section 2, subdivision 5,
14.2is amended to read:
14.3 Subd. 5. Head Start program. (a) For Head Start programs under Minnesota
14.4Statutes, section119A.52 :
14.7(b) As a condition of receiving an appropriation under this subdivision, a Head Start
14.8program must provide training to its staff regarding maternal depression and other mental
14.9illnesses that may affect the child's parent or guardian.
14.10(c) $....... of the fiscal year 2013 appropriation under paragraph (a) must be reserved
14.11and used only for early Head Start programs.
14.12(d) The appropriation base for this program for fiscal year 2014 and later is $........
14.13EFFECTIVE DATE.This section is effective July 1, 2012.
14.14 Sec. 5. INSTRUCTIONS TO COMMISSIONERS; PLAN.
14.15(a) By January 15, 2013, the commissioners of human services, health, and
14.16education shall develop a joint plan to reduce the prevalence of parental depression and
14.17other serious mental illness and the potential impact of unaddressed parental mental
14.18illness on children. The plan must include specific goals, outcomes, and recommended
14.19measures to determine the impact of interventions on the incidence of parental depression
14.20and child well-being, including early childhood screening and the school readiness of
14.21high-risk children. The plan shall address ways to encourage a multigenerational approach
14.22to adult mental health and child well-being in public health, health care, adult and child
14.23mental health, child welfare, and other relevant programs and policies, and include
14.24recommendations to increase public awareness about untreated parental depression and
14.25its potential harmful impact on children.
14.26(b) The commissioners shall convene a multisector, multidisciplinary task force
14.27to identify key goals and objectives to be included in the plan. The task force shall
14.28include, but not be limited to, health providers, mental health providers, researchers, early
14.29childhood professionals, and advocates.
14.30(c) Jointly prepared biennial reports must be submitted to the legislature beginning
14.31December 15, 2014. The reports must address progress on plan implementation, budget
14.32and policy recommendations, and data on access to relevant services and resources
14.33reported by race, geography, and income. The reports must address progress in achieving
14.34goals established by Minnesota Milestones.
15.1(d) The Department of Human Services shall be the lead agency. The Children's
15.2Mental Health Division shall be responsible for compiling data, developing joint
15.3performance measures, and defining the roles and responsibilities of collaborating
15.4agencies and divisions in order to reduce the prevalence of maternal depression and its
15.5adverse impact on child development. The Children's Mental Health Division shall be
15.6responsible for submitting the initial plan and the biennial plans.
15.7 Sec. 6. MENTAL HEALTH CONSULTATION.
15.8$....... is appropriated from the general fund to the commissioner of human services
15.9to provide mental health consultation to child care centers, family day care providers, and
15.10legally unlicensed family child care providers in order to reduce the number of children
15.11expelled from these programs due to behavioral, emotional, and developmental issues.
15.14 Section 1. Minnesota Statutes 2010, section 119B.03, subdivision 3, is amended to read:
15.15 Subd. 3. Eligible participants. Families that meet the eligibility requirements
15.16under sections119B.07 ,
119B.09 , and
119B.10 , except MFIP participants, diversionary
15.17work program, and transition year families are eligible for child care assistance under the
15.18basic sliding fee program. Families in which a parent is unable to work due to a diagnosis
15.19of mental illness may retain eligibility for child care assistance under this section for up to
15.20six months if the parent is seeking or obtaining mental health treatment and the family
15.21continues to meet all other eligibility requirements under this chapter. Families following
15.22a recommended treatment plan may retain their child care assistance for an additional six
15.23months if needed to continue to access mental health treatment. Families in which a parent
15.24experiences a temporary break in the need for child care assistance due to changes in the
15.25parent's work schedule or employment may retain eligibility for child care assistance
15.26under this section for up to three months if the family continues to meet all other eligibility
15.27requirements under this chapter. Families enrolled in the basic sliding fee program shall
15.28be continued until they are no longer eligible. Child care assistance provided through the
15.29child care fund is considered assistance to the parent.
15.30 Sec. 2. Minnesota Statutes 2010, section 119B.05, subdivision 1, is amended to read:
15.31 Subdivision 1. Eligible participants. Families eligible for child care assistance
15.32under the MFIP child care program are:
16.1 (1) MFIP participants who are employed or in job search and meet the requirements
16.2of section119B.10 ;
16.3 (2) persons who are members of transition year families under section119B.011,
16.4subdivision 20 , and meet the requirements of section
119B.10 ;
16.5 (3) families who are participating in employment orientation or job search, or
16.6other employment or training activities that are included in an approved employability
16.7development plan under section256J.95 ;
16.8 (4) MFIP families who are participating in work job search, job support,
16.9employment, or training activities as required in their employment plan, or in appeals,
16.10hearings, assessments, or orientations according to chapter 256J;
16.11 (5) MFIP families who are participating in social services activities under chapter
16.12256J or mental health treatment as required in their employment plan approved according
16.13to chapter 256J;
16.14 (6) families who are participating in services or activities that are included in an
16.15approved family stabilization plan under section256J.575 ;
16.16(7) MFIP child-only cases under section 256J.88. MFIP child-only cases may be
16.17authorized to receive up to 12 hours of MFIP child care assistance per week as approved
16.18by the county, if the child's primary caregiver has a diagnosis of depression or other
16.19serious mental illness and is exempt from work requirements because of the primary
16.20caregiver's disability;
16.21(7) (8) families who are participating in programs as required in tribal contracts
16.22under section119B.02, subdivision 2 , or
256.01, subdivision 2 ; and
16.23(8) (9) families who are participating in the transition year extension under section
16.24119B.011, subdivision 20a
.
16.25 Sec. 3. Minnesota Statutes 2011 Supplement, section 119B.13, subdivision 7, is
16.26amended to read:
16.27 Subd. 7. Absent days. (a) Licensed child care providers and license-exempt centers
16.28must not be reimbursed for more than ten full-day absent days per child, excluding
16.29holidays, in a fiscal year. However, licensed child care providers and license-exempt
16.30centers may be reimbursed for an additional ....... absent days per child, excluding
16.31holidays, in a fiscal year if a parent or guardian has a diagnosis of mental illness and
16.32is receiving documented mental health services. Legal nonlicensed family child care
16.33providers must not be reimbursed for absent days. If a child attends for part of the time
16.34authorized to be in care in a day, but is absent for part of the time authorized to be in care
16.35in that same day, the absent time must be reimbursed but the time must not count toward
17.1the ten absent day limit. Child care providers must only be reimbursed for absent days
17.2if the provider has a written policy for child absences and charges all other families in
17.3care for similar absences.
17.4 (b) Child care providers must be reimbursed for up to ten federal or state holidays
17.5or designated holidays per year when the provider charges all families for these days
17.6and the holiday or designated holiday falls on a day when the child is authorized to be
17.7in attendance. Parents may substitute other cultural or religious holidays for the ten
17.8recognized state and federal holidays. Holidays do not count toward the ten absent day
17.9limit.
17.10 (c) A family or child care provider must not be assessed an overpayment for an
17.11absent day payment unless (1) there was an error in the amount of care authorized for the
17.12family, (2) all of the allowed full-day absent payments for the child have been paid, or (3)
17.13the family or provider did not timely report a change as required under law.
17.14 (d) The provider and family shall receive notification of the number of absent days
17.15used upon initial provider authorization for a family and ongoing notification of the
17.16number of absent days used as of the date of the notification.
17.17 Sec. 4. TASK FORCE ON LOW-INCOME FAMILIES.
17.18 Subdivision 1. Purpose. A task force on low-income families is established to
17.19review the adequacy of state programs and tax policies to support low-income families.
17.20 Subd. 2. Membership. The task force shall include the following members:
17.21(1) the commissioner of economic development or designee;
17.22(2) the commissioner of health or designee;
17.23(3) the commissioner of human services or designee;
17.24(4) the commissioner of education or designee;
17.25(5) the commissioner of revenue or designee;
17.26(6) two county representatives appointed by the governor;
17.27(7) two advocates for low-income families appointed by the governor;
17.28(8) two members of the house of representatives, one from the majority party and
17.29one from the minority party, appointed by the speaker of the house; and
17.30(9) two members of the senate, one from the majority party and one from the
17.31minority party, appointed by the Subcommittee on Committees of the Committee on
17.32Rules and Administration.
17.33 Subd. 3. Staff. The Department of Employment and Economic Development shall
17.34provide staff support for the task force.
18.1 Subd. 4. Duties. Within the context of the state's projected workforce and economic
18.2development needs, the task force shall review state programs and tax policies affecting
18.3low-income families. The task force shall consider the return on investment to the public
18.4and private sectors of family support policies such as paid sick leave, parental leave, early
18.5childhood programs, and family tax policies. The task force shall make recommendations
18.6to the legislature by January 15, 2014, to modify state programs and tax policies to improve
18.7family economic security and child outcomes, including future worker productivity. The
18.8recommendations must be related to the Minnesota Milestones goals and measures.
18.9 Subd. 5. Expiration. The task force under this section expires June 30, 2013.
18.10EFFECTIVE DATE.This section is effective the day following final enactment.
18.11 Sec. 5. APPROPRIATIONS.
18.12 Subd. 1. School readiness service agreements. $....... is appropriated from the
18.13general fund to the commissioner of human services in fiscal year 2013 for the purposes of
18.14school readiness service agreements under Minnesota Statutes, section 119B.231.
18.15 Subd. 2. MFIP family stabilization services. $....... is appropriated from the
18.16general fund to the commissioner of human services in fiscal year 2013 to provide counties
18.17with sufficient funding to implement provisions of the MFIP family stabilization services
18.18under Minnesota Statutes, section 256J.575, to help families access mental health and
18.19other services, and to provide state technical assistance to counties regarding ways to help
18.20families access child care when parents have a serious mental illness.
18.21 Sec. 6. REPEALER.
18.22Minnesota Statutes 2010, section 256J.24, subdivision 6, is repealed.
1.3education, and screening for maternal depression; expanding medical assistance
1.4eligibility for pregnant women and infants; requiring the commissioner of
1.5human services to provide technical assistance related to maternal depression
1.6screening and referrals; adding parenting skills to adult rehabilitative mental
1.7health services; expanding Minnesota health care program outreach; providing
1.8appointments; requiring reports; appropriating money;amending Minnesota
1.9Statutes 2010, sections 119B.03, subdivision 3; 119B.05, subdivision 1; 125A.27,
1.10subdivision 11; 145.906; 145A.17, subdivisions 1, 8, by adding a subdivision;
1.11214.12, by adding a subdivision; 256B.04, by adding a subdivision; 256B.055,
1.12subdivisions 5, 6; 256B.057, subdivision 1; 256B.0623, subdivision 2; Minnesota
1.13Statutes 2011 Supplement, section 119B.13, subdivision 7; Laws 2011, First
1.14Special Session chapter 9, article 10, section 3, subdivision 4; Laws 2011, First
1.15Special Session chapter 11, article 7, section 2, subdivision 5; proposing coding
1.16for new law in Minnesota Statutes, chapter 145; repealing Minnesota Statutes
1.172010, section 256J.24, subdivision 6.
1.18BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.21 Section 1. Minnesota Statutes 2010, section 145.906, is amended to read:
1.22145.906 POSTPARTUM DEPRESSION EDUCATION AND INFORMATION.
1.23(a) The commissioner of health shall work with health care facilities, licensed health
1.24and mental health care professionals, the women, infants, and children (WIC) program,
1.25mental health advocates, consumers, and families in the state to develop materials and
1.26information about postpartum depression, including treatment resources, and develop
1.27policies and procedures to comply with this section.
2.1(b) Physicians, traditional midwives, and other licensed health care professionals
2.2providing prenatal care to women must have available to women and their families
2.3information about postpartum depression.
2.4(c) Hospitals and other health care facilities in the state must provide departing new
2.5mothers and fathers and other family members, as appropriate, with written information
2.6about postpartum depression, including its symptoms, methods of coping with the illness,
2.7and treatment resources.
2.8(d) The commissioner of health, in collaboration with the commissioner of human
2.9services and to the extent authorized by the federal Centers for Disease Control and
2.10Prevention, shall reduce racial disparities in postpartum information reported in surveys
2.11of maternal attitudes and experiences before, during, and after pregnancy, such as those
2.12conducted by the commissioner of health.
2.13 Sec. 2. [145.907] MATERNAL DEPRESSION; DEFINITION.
2.14"Maternal depression" means depression or other perinatal mood or anxiety disorder
2.15experienced by a woman during pregnancy or during the first two years following the
2.16birth of her child.
2.17 Sec. 3. Minnesota Statutes 2010, section 145A.17, subdivision 1, is amended to read:
2.18 Subdivision 1. Establishment; goals. The commissioner shall establish a program
2.19to fund family home visiting programs designed to foster healthy beginnings, improve
2.20pregnancy outcomes, promote school readiness, prevent child abuse and neglect, reduce
2.21juvenile delinquency, promote positive parenting and resiliency in children, and promote
2.22family health and economic self-sufficiency for children and families. The commissioner
2.23shall promote partnerships, collaboration, and multidisciplinary visiting done by teams of
2.24professionals and paraprofessionals from the fields of public health nursing, social work,
2.25and early childhood education. A program funded under this section must serve families
2.26at or below 200 percent of the federal poverty guidelines, and other families determined
2.27to be at risk, including but not limited to being at risk for child abuse, child neglect, or
2.28juvenile delinquency. Programs must begin prenatally whenever possible and must be
2.29targeted to families with:
2.30 (1) adolescent parents;
2.31 (2) a history of alcohol or other drug abuse;
2.32 (3) a history of child abuse, domestic abuse, or other types of violence;
2.33 (4) a history of domestic abuse, rape, or other forms of victimization;
2.34 (5) reduced cognitive functioning;
3.1 (6) a lack of knowledge of child growth and development stages;
3.2 (7) low resiliency to adversities and environmental stresses;
3.3 (8) insufficient financial resources to meet family needs;
3.4 (9) a history of homelessness;
3.5 (10) a risk of long-term welfare dependence or family instability due to employment
3.6barriers;
3.7(11) a serious mental health disorder, including maternal depression as defined in
3.8section 145.907; or
3.9
3.10 Sec. 4. Minnesota Statutes 2010, section 145A.17, is amended by adding a subdivision
3.11to read:
3.12 Subd. 6a. Practice standards; development. The commissioner, in consultation
3.13with others including representatives of family home visiting providers, community health
3.14boards, tribal governments, and mental health services providers, shall develop practice
3.15standards and a common set of measurable outcomes for family home visiting programs.
3.16The practice standards must include screening of all primary caregivers for depression or
3.17other serious mental illness who are not being successfully treated.
3.18 Sec. 5. Minnesota Statutes 2010, section 145A.17, subdivision 8, is amended to read:
3.19 Subd. 8. Report. By January 15, 2002, and January 15 of each even-numbered year
3.20thereafter, the commissioner shall submit a report to the legislature on the family home
3.21visiting programs funded under this section including data collected under subdivision 6,
3.22and on the results of the evaluations conducted under subdivision 7.
3.23 Sec. 6. Minnesota Statutes 2010, section 256B.04, is amended by adding a subdivision
3.24to read:
3.25 Subd. 22. Maternal depression screening and referral. (a) The commissioner
3.26shall provide technical assistance to health care providers to improve maternal depression
3.27screening and referral rates for medical assistance and MinnesotaCare enrollees. The
3.28technical assistance must include, but is not limited to, the provision of information on
3.29culturally competent practice, administrative and legal liability issues, and best practices
3.30for discussing mental health issues with patients.
3.31(b) The commissioner, in consultation with the commissioners of health and
3.32education, shall monitor: (1) maternal depression screening and referral rates based on
3.33medical assistance and MinnesotaCare claims and Pregnancy Risk Assessment Monitoring
4.1System (PRAMS) survey findings; and (2) the impact of improved screening and referral
4.2rates on child well-being using a variety of methods, including but not limited to analyzing
4.3trends in measures of children's school readiness. The information must be publicly
4.4available and reported annually on the agency Web site.
4.5(c) For purposes of this subdivision, "maternal depression" has the meaning provided
4.6in section 145.907.
4.7 Sec. 7. Minnesota Statutes 2010, section 256B.055, subdivision 5, is amended to read:
4.8 Subd. 5. Pregnant women; dependent unborn child. Medical assistance may be
4.9paid for a pregnant woman who has written verification of a positive pregnancy test from
4.10a physician or licensed registered nurse, who meets the other eligibility criteria of this
4.11section and who would be categorically eligible for assistance under the state's AFDC
4.12plan in effect as of July 16, 1996, as required by the Personal Responsibility and Work
4.13Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193, if the child
4.14had been born and was living with the woman. For purposes of this subdivision, a woman
4.15is considered pregnant for
4.16EFFECTIVE DATE.This section is effective July 1, 2012, or upon federal
4.17approval, whichever is later.
4.18 Sec. 8. Minnesota Statutes 2010, section 256B.055, subdivision 6, is amended to read:
4.19 Subd. 6. Pregnant women; needy unborn child. Medical assistance may be paid
4.20for a pregnant woman who has written verification of a positive pregnancy test from a
4.21physician or licensed registered nurse, who meets the other eligibility criteria of this
4.22section and whose unborn child would be eligible as a needy child under subdivision 10 if
4.23born and living with the woman. For purposes of this subdivision, a woman is considered
4.24pregnant for
4.25EFFECTIVE DATE.This section is effective July 1, 2012, or upon federal
4.26approval, whichever is later.
4.27 Sec. 9. Minnesota Statutes 2010, section 256B.057, subdivision 1, is amended to read:
4.28 Subdivision 1. Infants and pregnant women. (a)(1) An infant less than one year of
4.29age or a pregnant woman who has written verification of a positive pregnancy test from
4.30a physician or licensed registered nurse is eligible for medical assistance if countable
4.31family income is equal to or less than 275 percent of the federal poverty guideline for the
4.32same family size. For purposes of this subdivision, "countable family income" means the
5.1amount of income considered available using the methodology of the AFDC program
5.2under the state's AFDC plan as of July 16, 1996, as required by the Personal Responsibility
5.3and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public Law 104-193,
5.4except for the earned income disregard and employment deductions.
5.5 (2) For applications processed within one calendar month prior to the effective date,
5.6eligibility shall be determined by applying the income standards and methodologies in
5.7effect prior to the effective date for any months in the six-month budget period before
5.8that date and the income standards and methodologies in effect on the effective date for
5.9any months in the six-month budget period on or after that date. The income standards
5.10for each month shall be added together and compared to the applicant's total countable
5.11income for the six-month budget period to determine eligibility.
5.12 (b)(1) [Expired, 1Sp2003 c 14 art 12 s 19]
5.13 (2) For applications processed within one calendar month prior to July 1, 2003,
5.14eligibility shall be determined by applying the income standards and methodologies in
5.15effect prior to July 1, 2003, for any months in the six-month budget period before July 1,
5.162003, and the income standards and methodologies in effect on the expiration date for any
5.17months in the six-month budget period on or after July 1, 2003. The income standards
5.18for each month shall be added together and compared to the applicant's total countable
5.19income for the six-month budget period to determine eligibility.
5.20 (3) An amount equal to the amount of earned income exceeding 275 percent of
5.21the federal poverty guideline, up to a maximum of the amount by which the combined
5.22total of 185 percent of the federal poverty guideline plus the earned income disregards
5.23and deductions allowed under the state's AFDC plan as of July 16, 1996, as required
5.24by the Personal Responsibility and Work Opportunity Act of 1996 (PRWORA), Public
5.25Law 104-193, exceeds 275 percent of the federal poverty guideline will be deducted for
5.26pregnant women and infants less than one year of age.
5.27 (c) Dependent care and child support paid under court order shall be deducted from
5.28the countable income of pregnant women.
5.29 (d) An infant born to a woman who was eligible for and receiving medical assistance
5.30on the date of the child's birth shall continue to be eligible for medical assistance without
5.31redetermination until the child's
5.32EFFECTIVE DATE.This section is effective July 1, 2012, or upon federal
5.33approval, whichever is later.
5.34 Sec. 10. Minnesota Statutes 2010, section 256B.0623, subdivision 2, is amended to
5.35read:
6.1 Subd. 2. Definitions. For purposes of this section, the following terms have the
6.2meanings given them.
6.3(a) "Adult rehabilitative mental health services" means mental health services
6.4which are rehabilitative and enable the recipient to develop and enhance psychiatric
6.5stability, social competencies, personal and emotional adjustment, and independent living,
6.6parenting, and community skills, when these abilities are impaired by the symptoms of
6.7mental illness. Adult rehabilitative mental health services are also appropriate when
6.8provided to enable a recipient to retain stability and functioning, if the recipient would
6.9be at risk of significant functional decompensation or more restrictive service settings
6.10without these services.
6.11(1) Adult rehabilitative mental health services instruct, assist, and support the
6.12recipient in areas such as: interpersonal communication skills, community resource
6.13utilization and integration skills, crisis assistance, relapse prevention skills, health care
6.14directives, budgeting and shopping skills, healthy lifestyle skills and practices, cooking
6.15and nutrition skills, transportation skills, medication education and monitoring, mental
6.16illness symptom management skills, household management skills, employment-related
6.17skills, parenting, and transition to community living services.
6.18(2) These services shall be provided to the recipient on a one-to-one basis in the
6.19recipient's home or another community setting or in groups.
6.20(b) "Medication education services" means services provided individually or in
6.21groups which focus on educating the recipient about mental illness and symptoms; the role
6.22and effects of medications in treating symptoms of mental illness; and the side effects of
6.23medications. Medication education is coordinated with medication management services
6.24and does not duplicate it. Medication education services are provided by physicians,
6.25pharmacists, physician's assistants, or registered nurses.
6.26(c) "Transition to community living services" means services which maintain
6.27continuity of contact between the rehabilitation services provider and the recipient and
6.28which facilitate discharge from a hospital, residential treatment program under Minnesota
6.29Rules, chapter 9505, board and lodging facility, or nursing home. Transition to community
6.30living services are not intended to provide other areas of adult rehabilitative mental health
6.31services.
6.32 Sec. 11. HEALTH CARE PROGRAM OUTREACH.
6.33$....... is appropriated from the general fund to the commissioner of human services
6.34for the fiscal year ending June 30, 2013, to award health care program outreach grants and
7.1to fund the incentive program under Minnesota Statutes, section 256.962, subdivisions
7.22 and 5.
7.5 Section 1. Minnesota Statutes 2010, section 125A.27, subdivision 11, is amended to
7.6read:
7.7 Subd. 11. Interagency child find systems. "Interagency child find systems" means
7.8activities developed on an interagency basis with the involvement of interagency early
7.9intervention committees and other relevant community groups using rigorous standards
7.10to actively seek out, identify, and refer infants and young children, with, or at risk of,
7.11disabilities, and their families, including a child under the age of three who:
7.12(1) is involved in a substantiated case of abuse or neglect
7.13(2) is identified as affected by illegal substance abuse, or withdrawal symptoms
7.14resulting from prenatal drug exposure, to reduce the need for future services; or
7.15(3) has a parent with a diagnosis of depression or other serious mental illness within
7.16the prior three years.
7.17EFFECTIVE DATE.This section is effective July 1, 2012.
7.18 Sec. 2. Minnesota Statutes 2010, section 214.12, is amended by adding a subdivision
7.19to read:
7.20 Subd. 4. Parental depression. (a) The health-related licensing boards that regulate
7.21professions that serve caregivers at risk of depression, or their children, including
7.22behavioral health and therapy, chiropractic, marriage and family therapy, medical practice,
7.23nursing, psychology, and social work, shall require licensees to receive education on
7.24the subject of parental depression and its potential effects on children if unaddressed,
7.25including how to:
7.26(1) screen mothers for depression;
7.27(2) identify children who are affected by their mother's depression; and
7.28(3) provide treatment or referral information on needed services.
7.29(b) The health-related licensing boards shall require at least two hours of continuing
7.30education credit each reporting period on delivery of culturally competent services to
7.31parents with depression.
8.1 Sec. 3. Laws 2011, First Special Session chapter 9, article 10, section 3, subdivision 4,
8.2is amended to read:
| 8.3 |
Subd. 4.Grant Programs |
||||||
8.5appropriation for each purpose are as follows:
| 8.6 |
(a) Support Services Grants |
||||||
| 8.7 |
Appropriations by Fund |
||
| 8.8 |
General |
8,715,000 |
8,715,000 |
| 8.9 |
Federal TANF |
100,525,000 |
94,611,000 |
8.11TANF fund base is reduced by $10,000,000
8.12each year beginning in fiscal year 2012.
8.13Subsidized Employment Funding Through
8.14ARRA. The commissioner is authorized to
8.15apply for TANF emergency fund grants for
8.16subsidized employment activities. Growth
8.17in expenditures for subsidized employment
8.18within the supported work program and the
8.19MFIP consolidated fund over the amount
8.20expended in the calendar year quarters in
8.21the TANF emergency fund base year shall
8.22be used to leverage the TANF emergency
8.23fund grants for subsidized employment and
8.24to fund supported work. The commissioner
8.25shall develop procedures to maximize
8.26reimbursement of these expenditures over the
8.27TANF emergency fund base year quarters,
8.28and may contract directly with employers
8.29and providers to maximize these TANF
8.30emergency fund grants.
| 8.31 8.32 |
(b) Basic Sliding Fee Child Care Assistance Grants |
37,144,000 |
38,678,000 |
||||
8.34decreased by $990,000 in fiscal year 2014
8.35and $979,000 in fiscal year 2015.
9.1Child Care and Development Fund
9.2Unexpended Balance. In addition to
9.3the amount provided in this section, the
9.4commissioner shall expend $5,000,000
9.5in fiscal year 2012 from the federal child
9.6care and development fund unexpended
9.7balance for basic sliding fee child care under
9.8Minnesota Statutes, section
9.9commissioner shall ensure that all child
9.10care and development funds are expended
9.11according to the federal child care and
9.12development fund regulations.
| 9.13 |
(c) Child Care Development Grants |
774,000 |
774,000 |
||||
9.15increased by $713,000 in fiscal years 2014
9.16and 2015.
| 9.17 |
(d) Child Support Enforcement Grants |
50,000 |
50,000 |
||||
9.19Grants. Federal administrative
9.20reimbursement resulting from the federal
9.21child support grant expenditures authorized
9.22under section 1115a of the Social Security
9.23Act is appropriated to the commissioner for
9.24this activity.
| 9.25 |
(e) Children's Services Grants |
||||||
| 9.26 |
Appropriations by Fund |
||
| 9.27 |
General |
47,949,000 |
48,507,000 |
| 9.28 |
Federal TANF |
140,000 |
140,000 |
9.30Assistance Transfer. The commissioner
9.31may transfer unencumbered appropriation
9.32balances for adoption assistance and relative
9.33custody assistance between fiscal years and
9.34between programs.
10.1Privatized Adoption Grants. Federal
10.2reimbursement for privatized adoption grant
10.3and foster care recruitment grant expenditures
10.4is appropriated to the commissioner for
10.5adoption grants and foster care and adoption
10.6administrative purposes.
10.7Adoption Assistance Incentive Grants.
10.8Federal funds available during fiscal year
10.92012 and fiscal year 2013 for adoption
10.10incentive grants are appropriated to the
10.11commissioner for these purposes.
| 10.12 |
(f) Children and Community Services Grants |
53,301,000 |
53,301,000 |
||||
| 10.13 |
(g) Children and Economic Support Grants |
||||||
| 10.14 |
Appropriations by Fund |
||
| 10.15 |
General |
16,103,000 |
16,180,000 |
| 10.16 |
Federal TANF |
700,000 |
0 |
10.18is appropriated from the federal TANF
10.19fund for the biennium beginning July
10.201, 2011, to the commissioner of human
10.21services for long-term homeless services
10.22for low-income homeless families under
10.23Minnesota Statutes, section
10.24is a onetime appropriation and is not added
10.25to the base.
10.26Base Adjustment. The general fund base is
10.27increased by $42,000 in fiscal year 2014 and
10.28$43,000 in fiscal year 2015.
10.29Minnesota Food Assistance Program.
10.30$333,000 in fiscal year 2012 and $408,000 in
10.31fiscal year 2013 are to increase the general
10.32fund base for the Minnesota food assistance
10.33program. Unexpended funds for fiscal year
10.342012 do not cancel but are available to the
11.1commissioner for this purpose in fiscal year
11.22013.
| 11.3 |
(h) Health Care Grants |
||||||
| 11.4 |
Appropriations by Fund |
||
| 11.5 |
General |
26,000 |
66,000 |
| 11.6 |
Health Care Access |
190,000 |
190,000 |
11.8increased by $24,000 in each of fiscal years
11.92014 and 2015.
| 11.10 |
(i) Aging and Adult Services Grants |
12,154,000 |
11,456,000 |
||||
11.121, 2011, funding for grants made under
11.13Minnesota Statutes, sections
11.15$3,600,000 for each year of the biennium.
11.16These reductions are onetime and do
11.17not affect base funding for the 2014-2015
11.18biennium. Grants made during the 2012-2013
11.19biennium under Minnesota Statutes, section
11.21construction or building renovation.
11.22Essential Community Support Grant
11.23Delay. Upon federal approval to implement
11.24the nursing facility level of care on July
11.251, 2013, essential community supports
11.26grants under Minnesota Statutes, section
11.28$6,410,000 in fiscal year 2013. Base level
11.29funding is increased by $5,541,000 in fiscal
11.30year 2014 and $6,410,000 in fiscal year 2015.
11.31Base Level Adjustment. The general fund
11.32base is increased by $10,035,000 in fiscal
11.33year 2014 and increased by $10,901,000 in
11.34fiscal year 2015.
| 12.1 |
(j) Deaf and Hard-of-Hearing Grants |
1,936,000 |
1,767,000 |
||||
| 12.2 |
(k) Disabilities Grants |
15,945,000 |
18,284,000 |
||||
12.4fiscal year 2012, the commissioner shall
12.5make available a total of $161,000 in housing
12.6access services grants to individuals who
12.7relocate from an adult foster care home to
12.8a community living setting for assistance
12.9with completion of rental applications or
12.10lease agreements; assistance with publicly
12.11financed housing options; development of
12.12household budgets; and assistance with
12.13funding affordable furnishings and related
12.14household matters.
12.15HIV Grants. The general fund appropriation
12.16for the HIV drug and insurance grant
12.17program shall be reduced by $2,425,000 in
12.18fiscal year 2012 and increased by $2,425,000
12.19in fiscal year 2014. These adjustments are
12.20onetime and shall not be applied to the base.
12.21Notwithstanding any contrary provision, this
12.22provision expires June 30, 2014.
12.23Region 10. Of this appropriation, $100,000
12.24each year is for a grant provided under
12.25Minnesota Statutes, section
12.26Base Level Adjustment. The general fund
12.27base is increased by $2,944,000 in fiscal year
12.282014 and $653,000 in fiscal year 2015.
12.29Local Planning Grants for Creating
12.30Alternatives to Congregate Living for
12.31Individuals with Lower Needs. The
12.32commissioner shall make available a total
12.33of $250,000 per year in local planning
12.34grants, beginning July 1, 2011, to assist
13.1lead agencies and provider organizations in
13.2developing alternatives to congregate living
13.3within the available level of resources for the
13.4home and community-based services waivers
13.5for persons with disabilities.
13.6Disability Linkage Line. Of this
13.7appropriation, $125,000 in fiscal year 2012
13.8and $300,000 in fiscal year 2013 are for
13.9assistance to people with disabilities who are
13.10considering enrolling in managed care.
| 13.11 |
(l) Adult Mental Health Grants |
||||||
| 13.12 |
Appropriations by Fund |
||
| 13.13 |
General |
70,570,000 |
70,570,000 |
| 13.14 |
Health Care Access |
750,000 |
750,000 |
| 13.15 |
Lottery Prize |
1,508,000 |
1,508,000 |
13.17year's appropriation for adult mental health
13.18grants may be used to fund allocations in that
13.19portion of the fiscal year ending December
13.2031.
13.21Base Adjustment. The general fund base is
13.22increased by $200,000 in fiscal years 2014
13.23and 2015.
| 13.24 |
(m) Children's Mental Health Grants |
16,457,000 |
16,457,000 |
||||
13.26year's appropriation for children's mental
13.27health grants may be used to fund allocations
13.28in that portion of the fiscal year ending
13.29December 31.
13.30Base Adjustment. The general fund base is
13.31increased by
13.322014 and 2015.
| 13.33 13.34 |
(n) Chemical Dependency Nonentitlement Grants |
1,336,000 |
1,336,000 |
||||
14.1 Sec. 4. Laws 2011, First Special Session chapter 11, article 7, section 2, subdivision 5,
14.2is amended to read:
14.3 Subd. 5. Head Start program. (a) For Head Start programs under Minnesota
14.4Statutes, section
| 14.5 |
$ |
20,100,000 |
..... |
2012 |
|
| 14.6 |
$ |
..... |
2013 |
14.8program must provide training to its staff regarding maternal depression and other mental
14.9illnesses that may affect the child's parent or guardian.
14.10(c) $....... of the fiscal year 2013 appropriation under paragraph (a) must be reserved
14.11and used only for early Head Start programs.
14.12(d) The appropriation base for this program for fiscal year 2014 and later is $........
14.13EFFECTIVE DATE.This section is effective July 1, 2012.
14.14 Sec. 5. INSTRUCTIONS TO COMMISSIONERS; PLAN.
14.15(a) By January 15, 2013, the commissioners of human services, health, and
14.16education shall develop a joint plan to reduce the prevalence of parental depression and
14.17other serious mental illness and the potential impact of unaddressed parental mental
14.18illness on children. The plan must include specific goals, outcomes, and recommended
14.19measures to determine the impact of interventions on the incidence of parental depression
14.20and child well-being, including early childhood screening and the school readiness of
14.21high-risk children. The plan shall address ways to encourage a multigenerational approach
14.22to adult mental health and child well-being in public health, health care, adult and child
14.23mental health, child welfare, and other relevant programs and policies, and include
14.24recommendations to increase public awareness about untreated parental depression and
14.25its potential harmful impact on children.
14.26(b) The commissioners shall convene a multisector, multidisciplinary task force
14.27to identify key goals and objectives to be included in the plan. The task force shall
14.28include, but not be limited to, health providers, mental health providers, researchers, early
14.29childhood professionals, and advocates.
14.30(c) Jointly prepared biennial reports must be submitted to the legislature beginning
14.31December 15, 2014. The reports must address progress on plan implementation, budget
14.32and policy recommendations, and data on access to relevant services and resources
14.33reported by race, geography, and income. The reports must address progress in achieving
14.34goals established by Minnesota Milestones.
15.1(d) The Department of Human Services shall be the lead agency. The Children's
15.2Mental Health Division shall be responsible for compiling data, developing joint
15.3performance measures, and defining the roles and responsibilities of collaborating
15.4agencies and divisions in order to reduce the prevalence of maternal depression and its
15.5adverse impact on child development. The Children's Mental Health Division shall be
15.6responsible for submitting the initial plan and the biennial plans.
15.7 Sec. 6. MENTAL HEALTH CONSULTATION.
15.8$....... is appropriated from the general fund to the commissioner of human services
15.9to provide mental health consultation to child care centers, family day care providers, and
15.10legally unlicensed family child care providers in order to reduce the number of children
15.11expelled from these programs due to behavioral, emotional, and developmental issues.
15.14 Section 1. Minnesota Statutes 2010, section 119B.03, subdivision 3, is amended to read:
15.15 Subd. 3. Eligible participants. Families that meet the eligibility requirements
15.16under sections
15.17work program, and transition year families are eligible for child care assistance under the
15.18basic sliding fee program. Families in which a parent is unable to work due to a diagnosis
15.19of mental illness may retain eligibility for child care assistance under this section for up to
15.20six months if the parent is seeking or obtaining mental health treatment and the family
15.21continues to meet all other eligibility requirements under this chapter. Families following
15.22a recommended treatment plan may retain their child care assistance for an additional six
15.23months if needed to continue to access mental health treatment. Families in which a parent
15.24experiences a temporary break in the need for child care assistance due to changes in the
15.25parent's work schedule or employment may retain eligibility for child care assistance
15.26under this section for up to three months if the family continues to meet all other eligibility
15.27requirements under this chapter. Families enrolled in the basic sliding fee program shall
15.28be continued until they are no longer eligible. Child care assistance provided through the
15.29child care fund is considered assistance to the parent.
15.30 Sec. 2. Minnesota Statutes 2010, section 119B.05, subdivision 1, is amended to read:
15.31 Subdivision 1. Eligible participants. Families eligible for child care assistance
15.32under the MFIP child care program are:
16.1 (1) MFIP participants who are employed or in job search and meet the requirements
16.2of section
16.3 (2) persons who are members of transition year families under section
16.4subdivision 20
16.5 (3) families who are participating in employment orientation or job search, or
16.6other employment or training activities that are included in an approved employability
16.7development plan under section
16.8 (4) MFIP families who are participating in work job search, job support,
16.9employment, or training activities as required in their employment plan, or in appeals,
16.10hearings, assessments, or orientations according to chapter 256J;
16.11 (5) MFIP families who are participating in social services activities under chapter
16.12256J or mental health treatment as required in their employment plan approved according
16.13to chapter 256J;
16.14 (6) families who are participating in services or activities that are included in an
16.15approved family stabilization plan under section
16.16(7) MFIP child-only cases under section 256J.88. MFIP child-only cases may be
16.17authorized to receive up to 12 hours of MFIP child care assistance per week as approved
16.18by the county, if the child's primary caregiver has a diagnosis of depression or other
16.19serious mental illness and is exempt from work requirements because of the primary
16.20caregiver's disability;
16.21
16.22under section
16.23
16.25 Sec. 3. Minnesota Statutes 2011 Supplement, section 119B.13, subdivision 7, is
16.26amended to read:
16.27 Subd. 7. Absent days. (a) Licensed child care providers and license-exempt centers
16.28must not be reimbursed for more than ten full-day absent days per child, excluding
16.29holidays, in a fiscal year. However, licensed child care providers and license-exempt
16.30centers may be reimbursed for an additional ....... absent days per child, excluding
16.31holidays, in a fiscal year if a parent or guardian has a diagnosis of mental illness and
16.32is receiving documented mental health services. Legal nonlicensed family child care
16.33providers must not be reimbursed for absent days. If a child attends for part of the time
16.34authorized to be in care in a day, but is absent for part of the time authorized to be in care
16.35in that same day, the absent time must be reimbursed but the time must not count toward
17.1the ten absent day limit. Child care providers must only be reimbursed for absent days
17.2if the provider has a written policy for child absences and charges all other families in
17.3care for similar absences.
17.4 (b) Child care providers must be reimbursed for up to ten federal or state holidays
17.5or designated holidays per year when the provider charges all families for these days
17.6and the holiday or designated holiday falls on a day when the child is authorized to be
17.7in attendance. Parents may substitute other cultural or religious holidays for the ten
17.8recognized state and federal holidays. Holidays do not count toward the ten absent day
17.9limit.
17.10 (c) A family or child care provider must not be assessed an overpayment for an
17.11absent day payment unless (1) there was an error in the amount of care authorized for the
17.12family, (2) all of the allowed full-day absent payments for the child have been paid, or (3)
17.13the family or provider did not timely report a change as required under law.
17.14 (d) The provider and family shall receive notification of the number of absent days
17.15used upon initial provider authorization for a family and ongoing notification of the
17.16number of absent days used as of the date of the notification.
17.17 Sec. 4. TASK FORCE ON LOW-INCOME FAMILIES.
17.18 Subdivision 1. Purpose. A task force on low-income families is established to
17.19review the adequacy of state programs and tax policies to support low-income families.
17.20 Subd. 2. Membership. The task force shall include the following members:
17.21(1) the commissioner of economic development or designee;
17.22(2) the commissioner of health or designee;
17.23(3) the commissioner of human services or designee;
17.24(4) the commissioner of education or designee;
17.25(5) the commissioner of revenue or designee;
17.26(6) two county representatives appointed by the governor;
17.27(7) two advocates for low-income families appointed by the governor;
17.28(8) two members of the house of representatives, one from the majority party and
17.29one from the minority party, appointed by the speaker of the house; and
17.30(9) two members of the senate, one from the majority party and one from the
17.31minority party, appointed by the Subcommittee on Committees of the Committee on
17.32Rules and Administration.
17.33 Subd. 3. Staff. The Department of Employment and Economic Development shall
17.34provide staff support for the task force.
18.1 Subd. 4. Duties. Within the context of the state's projected workforce and economic
18.2development needs, the task force shall review state programs and tax policies affecting
18.3low-income families. The task force shall consider the return on investment to the public
18.4and private sectors of family support policies such as paid sick leave, parental leave, early
18.5childhood programs, and family tax policies. The task force shall make recommendations
18.6to the legislature by January 15, 2014, to modify state programs and tax policies to improve
18.7family economic security and child outcomes, including future worker productivity. The
18.8recommendations must be related to the Minnesota Milestones goals and measures.
18.9 Subd. 5. Expiration. The task force under this section expires June 30, 2013.
18.10EFFECTIVE DATE.This section is effective the day following final enactment.
18.11 Sec. 5. APPROPRIATIONS.
18.12 Subd. 1. School readiness service agreements. $....... is appropriated from the
18.13general fund to the commissioner of human services in fiscal year 2013 for the purposes of
18.14school readiness service agreements under Minnesota Statutes, section 119B.231.
18.15 Subd. 2. MFIP family stabilization services. $....... is appropriated from the
18.16general fund to the commissioner of human services in fiscal year 2013 to provide counties
18.17with sufficient funding to implement provisions of the MFIP family stabilization services
18.18under Minnesota Statutes, section 256J.575, to help families access mental health and
18.19other services, and to provide state technical assistance to counties regarding ways to help
18.20families access child care when parents have a serious mental illness.
18.21 Sec. 6. REPEALER.
18.22Minnesota Statutes 2010, section 256J.24, subdivision 6, is repealed.
