This bill aims to enhance funding and improve the financial structure of human services in Minnesota, particularly for nursing facilities and services provided under disability waivers. Key provisions include the establishment of new payment rates for home-delivered meals and customized living services, along with new definitions and calculations for dietary, housekeeping, and maintenance labor costs, effective January 1, 2025, or upon federal approval. The bill also mandates the annual updating of base wages and payroll tax factors by the commissioner of human services based on the latest wage data and cost reports.

Significant changes include the repeal of Minnesota Statutes 2022, section 256S.2101, and the introduction of new subdivisions that clarify various cost categories. From July 1, 2023, through December 31, 2025, nursing facilities reimbursed under chapter 256R will receive an increase of $52 per resident day, contingent upon the assurance that the additional revenue will be used solely for employee compensation-related costs. Facilities must submit a distribution plan detailing the allocation of these funds and ensure that at least 80% of the revenue increase from the elderly waiver rate framework is directed towards employee compensation. The bill's provisions are also contingent upon federal approval, with the commissioner required to notify the revisor of statutes upon obtaining such approval.

Statutes affected:
Introduction: 256B.4912, 256R.02, 256R.23, 256R.24, 256R.25, 256B.436, 256S.201, 256S.21, 256S.211, 256S.213, 256S.2101