A bill for an act
relating to health; establishing requirements for the commissioner of health to
administer lifeline centers to respond to 988 contacts; authorizing a 988 prepaid
wireless fee and 988 telecommunications fee; authorizing rulemaking; appropriating
money; amending Minnesota Statutes 2022, sections 403.161, subdivisions 1, 3,
5, 6, 7; 403.162, subdivisions 1, 2, 5; proposing coding for new law in Minnesota
Statutes, chapter 145.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

new text begin [145.561] 988 SUICIDE AND CRISIS LIFELINE.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following definitions
apply.
new text end

new text begin (b) "Commissioner" means the commissioner of health.
new text end

new text begin (c) "Department" means the Department of Health.
new text end

new text begin (d) "Lifeline center" means a state-identified center that is a member of the Suicide and
Crisis Lifeline network that responds to statewide or regional 988 contacts.
new text end

new text begin (e) "988" or "988 hotline" means the universal telephone number for the national suicide
prevention and mental health crisis hotline system within the United States operating through
the Suicide and Crisis Lifeline, or its successor, maintained by the assistant secretary for
mental health and substance use under section 520E-2 of the Public Health Service Act.
new text end

new text begin (f) "988 administrator" means the administrator of the 988 Suicide and Crisis Lifeline
maintained by the assistant secretary for mental health and substance use under section
520E-3 of the Public Health Service Act.
new text end

new text begin (g) "988 contact" means a communication with the 988 national suicide prevention and
mental health crisis hotline system within the United States via modalities offered that may
include call, chat, or text.
new text end

new text begin (h) "Veterans Crisis Line" means the Veterans Crisis Line maintained by the secretary
of veterans affairs under United States Code, title 38, section 170F(h).
new text end

new text begin Subd. 2. new text end

new text begin 988 hotline; lifeline centers. new text end

new text begin (a) The commissioner shall administer the
designation of and oversee a lifeline center or network of lifeline centers to answer 988
contacts from individuals accessing the Suicide and Crisis Lifeline from any location in
Minnesota 24 hours per day, seven days per week.
new text end

new text begin (b) The designated lifeline center or centers must:
new text end

new text begin (1) have an active agreement with the 988 administrator for participation within the
network and with the department;
new text end

new text begin (2) meet the 988 administrator's requirements and best practice guidelines for operational
and clinical standards;
new text end

new text begin (3) provide data, engage in reporting, and participate in evaluations and related quality
improvement activities as required by the 988 administrator and the department;
new text end

new text begin (4) identify or adapt technology that is demonstrated to be interoperable across crisis
and emergency response systems used in the state for the purpose of crisis care coordination;
new text end

new text begin (5) connect people to crisis response and outgoing services, including mobile crisis
teams, in accordance with guidelines established by the 988 administrator and the department
and in collaboration with the Department of Human Services;
new text end

new text begin (6) actively collaborate and coordinate service linkages with mental health and substance
use disorder treatment providers; local community mental health centers, including certified
community behavioral health clinics and community behavioral health centers; mobile crisis
teams; and emergency departments;
new text end

new text begin (7) offer follow-up services to individuals accessing the lifeline center that are consistent
with guidelines established by the 988 administrator and the department; and
new text end

new text begin (8) meet requirements set by the 988 administrator and the department for serving
high-risk and specialized populations and culturally or ethnically diverse populations.
new text end

new text begin (c) The commissioner shall use the commissioner's rulemaking authority to allow
appropriate information sharing and communication between and across crisis and emergency
response systems.
new text end

new text begin (d) The commissioner, having primary oversight of suicide prevention, shall work with
the Suicide and Crisis Lifeline, Veterans Crisis Line, and other SAMHSA-approved networks
to ensure consistency of public messaging about 988 services. The commissioner may
engage in activities to publicize and raise awareness about 988 services, or may provide
grants to other organizations for these purposes.
new text end

new text begin (e) The commissioner shall provide an annual report to the legislature on usage of the
988 hotline, including answer rates, rates of abandoned calls, and referral rates to 911
emergency response and to mental health crisis teams. Notwithstanding section 144.05,
subdivision 7, the reports required under this paragraph do not expire.
new text end

new text begin Subd. 3. new text end

new text begin 988 special revenue account. new text end

new text begin (a) A 988 special revenue account is established
as a dedicated account in the special revenue fund to create and maintain a statewide 988
suicide prevention crisis system according to the National Suicide Hotline Designation Act
of 2020, the Federal Communications Commission's report and order FCC 20-100 adopted
July 16, 2020, and national guidelines for crisis care.
new text end

new text begin (b) The 988 special revenue account shall consist of:
new text end

new text begin (1) a 988 telecommunications fee imposed under subdivision 4;
new text end

new text begin (2) a prepaid wireless 988 fee imposed under section 403.161;
new text end

new text begin (3) transfers of state money into the account;
new text end

new text begin (4) grants and gifts intended for deposit in the account;
new text end

new text begin (5) interest, premiums, gains, and other earnings of the account; and
new text end

new text begin (6) money from any other source that is deposited in or transferred to the account.
new text end

new text begin (c) The account shall be administered by the commissioner. Money in the account shall
only be used to offset costs that are or may reasonably be attributed to:
new text end

new text begin (1) implementing, maintaining, and improving the 988 suicide and crisis lifeline, including
staff and technology infrastructure enhancements needed to achieve the operational standards
and best practices set forth by the 988 administrator and the department;
new text end

new text begin (2) data collection, reporting, participation in evaluations, public promotion, and related
quality improvement activities as required by the 988 administrator and the department;
and
new text end

new text begin (3) administration, oversight, and evaluation of the account.
new text end

new text begin (d) Money in the account:
new text end

new text begin (1) does not cancel at the end of any state fiscal year and is carried forward in subsequent
state fiscal years;
new text end

new text begin (2) is not subject to transfer to any other account or fund or to transfer, assignment, or
reassignment for any use or purpose other than the purposes specified in this subdivision;
and
new text end

new text begin (3) is appropriated to the commissioner for the purposes specified in this subdivision.
new text end

new text begin (e) The commissioner shall submit an annual report to the legislature and to the Federal
Communications Commission on deposits to and expenditures from the account.
Notwithstanding section 144.05, subdivision 7, the reports required under this paragraph
do not expire.
new text end

new text begin Subd. 4. new text end

new text begin 988 telecommunications fee. new text end

new text begin (a) In compliance with the National Suicide
Hotline Designation Act of 2020, the commissioner shall impose a monthly statewide fee
on each subscriber of a wireline, wireless, or IP-enabled voice service at a rate that provides
for the robust creation, operation, and maintenance of a statewide 988 suicide prevention
and crisis system.
new text end

new text begin (b) The commissioner shall annually recommend to the Public Utilities Commission an
adequate and appropriate fee to implement this section. The amount of the fee must comply
with the limits in paragraph (c). The commissioner shall provide telecommunication service
providers and carriers a minimum of 30 days' notice of each fee change.
new text end