The bill introduces a comprehensive set of amendments to Minnesota Statutes aimed at enhancing human services, particularly in the areas of aging, disability services, and substance use disorder treatment. A significant addition is the prohibition against service providers requiring individuals to obtain a guardian or conservator as a condition for receiving services, which is included in a new subdivision of section 245D.10. The bill also updates licensing requirements for facilities serving individuals with developmental disabilities and clarifies definitions related to day services for adults with disabilities, promoting independence and community integration. Furthermore, it allows for remote reassessments and verbal attestations during the reassessment process, streamlining service delivery for home and community-based waiver services.

In addition to these provisions, the bill mandates that county agencies provide direct case management services and emphasizes the need for culturally responsive programs. It establishes criteria for accessing residential support services and requires transparency in provider cost data. The bill also enhances the rate-setting framework for waiver services, introduces significant changes to the Waiver Reimagine initiative, and outlines new definitions and requirements for nursing facilities and assisted living facilities. Overall, the legislation aims to improve the quality, accessibility, and accountability of services for individuals with disabilities and mental health needs, with various effective dates set for implementation, primarily around July 1, 2025.

Statutes affected:
Introduction: 252.43, 252.46, 256B.092, 256B.49, 245.4871, 245.4881, 13.46, 15.471, 16A.103, 62J.495, 97A.441, 144.53, 144.651, 144A.07, 146A.08, 147.091, 147A.13, 148.10, 148.261, 148.754, 148B.5905, 148F.09, 150A.08, 151.071, 153.21, 153B.70, 168.012, 244.052, 245.50, 245.91, 246.585, 246C.06, 246C.12, 246C.20, 252.291, 252.50, 253B.09, 253B.10, 256.01, 256.019, 256.0281, 256.0451, 256.4825, 256.93, 256.98, 256G.09, 299F.77, 342.04, 352.91, 401.17, 507.071, 611.57, 624.7131, 624.7132, 624.714, 631.40, 62M.17, 256B.0625, 142E.51, 245A.04, 245A.16, 245A.242, 245C.05, 245C.08, 245C.22, 245D.02, 245G.05, 245G.06, 245G.07, 245G.08, 245G.09, 245G.11, 245G.18, 245G.19, 245G.22, 256B.12, 480.40, 245A.11, 142B.10, 142B.30, 142B.51, 142B.65, 142B.66, 142B.70, 142C.06, 142C.11, 142C.12, 245A.18, 246.41
1st Engrossment: 245D.10, 252.28, 252.41, 252.42, 252.43, 252.44, 252.45, 252.46, 256B.0911, 256B.092, 256B.49, 256B.4914, 256R.38, 256R.40, 144.0724, 144.586, 144.6502, 144.6512, 144A.04, 144A.08, 144A.70, 144A.751, 144G.08, 144G.10, 144G.16, 144G.45, 144G.51, 144G.52, 144G.53, 144G.70, 144G.71, 144G.81, 144G.92, 145C.07, 145C.10, 144G.9999, 13.46, 15.471, 43A.241, 62J.495, 97A.441, 144.53, 144.651, 144A.07, 146A.08, 147.091, 147A.13, 148.10, 148.261, 148.754, 148B.5905, 148F.09, 150A.08, 151.071, 153.21, 153B.70, 168.012, 244.052, 245.50, 245.91, 246.585, 246C.06, 246C.12, 246C.20, 252.291, 252.50, 253B.07, 253B.09, 253B.10, 253B.141, 253B.18, 253B.19, 253D.29, 253D.30, 256.01, 256.019, 256.0281, 256.0451, 256.4825, 256.93, 256.98, 256G.09, 299F.77, 342.04, 352.91, 401.17, 507.071, 611.57, 624.7131, 624.7132, 624.714, 631.40, 4.046, 245G.05, 245G.11, 254A.03, 254B.05, 62Q.75, 246.41