|S.F. No. 380 - Modifying Mental Health Provisions|
|Author:||Senator John Marty|
|Prepared by:||Joan White, Senate Counsel (651/296-3814)|
|Date:||February 13, 2009|
Sections 1 and 2 (403.03; 403.05, subdivision 1) modify the 911 Emergency and Public Safety Communications chapter of law, by allowing the 911 system to include a referral to mental health crisis teams, and by allowing enhancement activities to include mental health crisis training.
Section 3 (626.96) requires the Commissioner of Public Safety to create a competitive grant process for crisis intervention team training for local police and sheriff departments.
Section 4 (641.156) establishes the county jail reentry projects. The Commissioner of Corrections, in consultation with the Commissioner of Human Services, is required to award grants to county boards for two-year reentry pilot projects. The purpose of the pilot project is to promote public safety, prevent recidivism, and promote a successful reintegration into the community by providing services to individuals confined in jails who are identified as having mental illness, traumatic brain injury, chemical dependency, or at risk of being homelessness.
Section 5 provides the appropriations for this article.
Section 1 (256.9961) establishes collaborative services for high-risk children. This section requires the Commissioner of Human Services to fund one or more projects that identify and serve children who are at high-risk for child maltreatment, substance abuse, mental illness, and serious and violent offending. This section specifies the program components.
Section 2 (256B.055) requires that foster children, for whom the commissioner or counties have custody and financial responsibility, on their 18th birthday be enrolled in medical assistance upon completion of an application, and be certified eligible until their 21st birthday.
Section 3 (256B.0943) increases the rates for children's therapeutic services and supports, when combined and delivered as a day treatment program, by 15 percent effective January 1, 2010.
Section 4 (260C.456) allows certain foster children between the ages of 18 and 21 to request, and requires the local agency to develop, a specific plan related to the foster child's vocational, educational, social, or maturational needs, and must ensure that any foster care, housing, or counseling benefits are consistent with that plan.
Section 1 (144.206) requires the Commissioner of Health to establish a loan forgiveness plan for individuals employed by a nonprofit agency that provides mental health services for cultural or ethnic minority clients.
Section 2 and 3 (145.56, subdivision 1; 145.56, subdivision 2) modify the state's suicide prevention plan by requiring the Commissioner of Health to consult with the chancellor of Minnesota State Colleges and Universities, and the president of the University of Minnesota, in refining the plan, and adds that the community-based grant program funds, to the extent available, include students attending Minnesota colleges and universities.
Sections 4 and 6 (245.462, subdivision 18; 245.4871, subdivision 27) expands the definition of mental health professional in the adult mental health act and the children's mental health act, respectively, by adding that in licensed professional clinical counseling, the mental health professional must be a licensed professional clinical counselor with at least 4,000 hours of postmaster's supervised experience in the delivery of clinical services in the treatment of mental illness.
Sections 5,7,8,10, 12, 13, 16, and 17 correct cross-references related to the changes in sections 4 and 6.
Sections 9 and 11 (256B.0622, subdivision 6; 256B.0624, subdivision 4) modify the intensive rehabilitative mental health services and the adult crisis response services sections of law, respectively, by clarifying that the services under these sections are not limited to the clients who are from the contracting county.
Section 14 (256B.0625, subdivision 13c) requires the Commissioner of Human Services to post a notice of vacancies and an application for appointment to the Drug Formulary Committee on the department's Web site. Changes the member makeup of the committee by adding a clinical researcher, adding two additional consumer representatives, and clarifying that the appointed health care professionals can be health care or mental health care professionals. Limits the terms that a member can serve to a total of two consecutive terms. Requires the department to conspicuously post on the department's Web site meeting notices and drugs to be considered by the committee.
Section 15 (256B.0625, subdivision 13f) requires the formulary committee to consider information from other sources when reviewing a drug to determine whether it should require prior authorization and to publish in the State Register notice of the public forum that is required to be held. Prohibits the committee from requiring prior authorization of any atypical antipsychotic drug prescribed for mental illness and limits the ability of the committee to require prior authorization on any other medication used to treat mental illness by prohibiting prior authorization if there is no generically equivalent drug available; the drug provides a new method of delivery, longevity, or dosage; or the drug is part of the recipient's current course of treatment.
Section 18 (256D.03, subdivision 3) modifies the general assistance medical care program by making individuals in a correctional facility who have been diagnosed with a mental illness eligible for general assistance medical care for three months from the date of release from confinement.
Section 19 (256J.08, subdivision 73a) modifies the definition of qualified professional under the Minnesota Family Investment Program, to make the definition consistent with the changes in sections 4 and 6.
Section 20 requires the Commissioner of Human Services to work with Hennepin County to establish a mental health fatality review team and resource panel. The 30-month pilot project in Hennepin County would review adult mental health fatalities that occurred during or after contact with law enforcement, courts, or corrections systems. This section defines mental health fatality, specifies the membership of the review team, requires the disclosure of records as necessary for the review team to carry out its purpose, and requires a report from the ombudsman for mental health and two reports from the review team related to the effectiveness of the pilot project, and proposed legislation.
Section 21 requires the Commissioner of Human Services to consult with stakeholder groups to examine possible budget-neutral changes that include and support evidence-based practices.
Section 22 requires the Commissioner of Human Services to fund up to three programs that provide services to high-risk adults with serious mental illness and co-occurring substance abuse problems.
Section 23 requires the Commissioner of Human Services, in consultation with mental health provider associations and knowledgeable experts, to identify and propose solutions to resolve medical assistance unnecessary claims, payment edits, and reimbursement methods that negatively interfere with best practices.
Section 24 provides the appropriations for this article.
Section 1 (256B.038) provides a rate increase, based on the formula in this section, for providers of adult rehabilitative mental health services, children's therapeutic services and supports, community mental health center services, and crisis services.
Section 2 (256B.0623, subdivision 8) requires that a diagnostic assessment provided by the adult rehabilitative mental health services be reimbursed at the same rate as the personal care assistant services rate. This section also requires the commissioner to include coverage of certain clinically related activities listed in this section when implementing the changes to the definition of the "service unit for diagnostic assessment," as required under federal law.
Section 3 (256B.0625, subdivision 38) modifies payments for mental health service providers. This section clarifies payments for mental health services provided by a social worker, and establishes a new rate for individuals who are employed by a community mental health center.
Section 4 (256B.0625, subdivision 43) modifies the per minute mileage rate for mental health provider travel time.
Section 5 (256B.0625, subdivision 46) modifies the mental health telemedicine reimbursement rate.
Section 6 (256B.0943) modifies the children's therapeutic services and supports statute, similar to the changes in Section 2, requiring the commissioner to include coverage of certain clinically related activities when implementing the changes to the definition of the "service unit for diagnostic assessment," as required under federal law.
Section 7 (256B.763) increases the payment rates by 23.7 percent for all services provided by community mental health centers that are not included under a separate paragraph in this section.
Section 8 (256D.03, subdivision 4) expands the services that are covered by general assistance medical care to include care coordination and collateral contacts.
Section 9 (256L.07, subdivision 3) modifies MinnesotaCare by striking the four-month waiting period to enroll in MinnesotaCare, and expands eligibility for children whose insurance provides fewer mental health services than those provided under medical assistance, if this is coupled with one more component in the list under this section.
Section 10 (Laws 2007, chapter 147, article 7, section 71) modifies the provider rate increases passed in the 2007 session, by adding to the list annual increases to community mental health center services and crisis services.
Section 1 requires the Commissioner of Employment and Economic Development to fund special projects providing employment support to certain individuals with mental illness.
Section 2 provides the appropriations for this article.
Sections 1 and 2 (43A.23, subdivision 1; 43A.316) modify the state personnel management chapter of law. Section 1 requires a self-insured hospital and medical product offered to state employees to extend dependent coverage to an eligible employee's unmarried child under the age of 25. Section 2 modifies the public employees insurance program, by requiring the program to include all mental health benefits consistent with medical assistance.
Section 1 (120A.22, subdivision 12) relates to excused absences from school, providing that a note from a physician or a licensed mental health professional stating that the child cannot attend school is a valid excuse for the child's absence.
Section 2 (125A.15) requires that a child with a disability who is in day treatment or a residential facility during the summer be automatically eligible for a summer school program.
Section 3 (125A.51) requires that a child with a short-term disability or illness who is in day treatment or a residential facility during the summer be automatically eligible for a summer school program.
Section 4 (126C.44) allows the proceeds of a safe schools levy to be used to pay for the costs of mental health crisis intervention team training for peace officers and sheriffs who serve as liaisons in school districts.
Section 5 requires the Commissioner of Human Services to study, in consultation with the Office of Higher Education, and provide to the legislature, different options for ensuring that all full-time and part-time students enrolled in higher education are participating in a qualifying student health insurance program or are covered under another health insurance plan.
Section 6 requires the Commissioner of Education to provide grants to school districts to develop a service delivery system for transition-aged youth and young adults with emotional or behavioral difficulties, to assist them in making a successful transition in to adulthood.
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