The bill proposes extensive amendments to Minnesota Statutes concerning human services, particularly focusing on aging and older adult services, disability services, long-term care reform, substance use disorder treatment, and housing supports. A key feature is the establishment of the Department of Direct Care and Treatment, which will oversee these services and replace the previous executive board structure. The bill introduces new terms such as "Patient Driven Payment Model" (PDPM) and "Resource Utilization Group" (RUG), while also amending definitions related to assessments and reimbursement classifications for nursing facilities. It allows for the renovation and replacement of nursing homes under specific conditions, while deleting previous limitations on bed transfers, reflecting a shift towards more flexible management of nursing home resources.

Additionally, the bill establishes the Age-Friendly Minnesota Council to promote age-friendly initiatives and introduces grant programs to support community efforts. It modifies the licensing and certification processes for nursing facilities, including provisions for bed relocation and consolidation, and emphasizes compliance with physical plant requirements. The bill also addresses reimbursement rates for various services, including enhanced rates for personal care assistance and adjustments based on occupancy. Furthermore, it outlines new requirements for case management services, the establishment of a positive supports competency program, and the introduction of a task force focused on guardianship issues. Overall, the bill aims to improve the quality and accessibility of health and social services in Minnesota while ensuring fiscal responsibility and enhanced oversight.

Statutes affected:
Introduction: 144A.071, 144A.161, 256.9657, 256B.431, 256R.02, 256R.10, 256R.23, 256R.24, 256R.25, 256B.436, 256R.26, 256R.43, 179A.54, 245C.16, 256B.0659, 256B.0924, 256B.0949, 256B.19, 256B.49, 256B.4914, 256B.85, 256B.851, 260E.14, 626.5572, 13.46, 246B.10, 256G.01, 256G.08, 256G.09, 611.43, 611.46, 611.55, 245.4661, 245.91, 245G.01, 245G.02, 245G.07, 245G.11, 245G.22, 254A.19, 254B.01, 254B.02, 254B.03, 254B.04, 254B.05, 254B.06, 254B.09, 254B.181, 254B.19, 256.043, 256B.0625, 256B.0757, 256I.04, 325F.725, 256.01, 256B.04, 144.0724
1st Engrossment: 256.9657, 256B.0922, 256B.434, 256R.02, 256R.23, 256R.24, 256R.25, 256B.436, 144.0724, 179A.54, 245C.16, 245D.091, 256B.0659, 256B.0911, 256B.0924, 256B.0949, 256B.19, 256B.4914, 256B.85, 256B.851, 260E.14, 626.5572, 252.27, 256.01, 256B.14, 256B.766, 245.4661, 245.4871, 245.91, 245G.01, 245G.02, 245G.07, 245G.11, 245G.22, 254A.19, 254B.01, 254B.02, 254B.03, 254B.04, 254B.05, 254B.052, 254B.06, 254B.09, 254B.19, 256.043, 256B.0625, 256B.0757, 256B.0761, 256I.04, 325F.725, 254B.181, 142A.02, 142A.09, 245C.02, 245C.03, 245C.04, 245C.08, 245C.10, 245C.13, 245C.14, 245C.15, 245C.22, 609A.015, 609A.055, 13.46, 245.095, 245A.03, 245A.04, 245A.043, 245A.05, 245A.07, 245A.10, 256.983, 256B.4912, 246.54, 246B.10, 246C.091, 256G.08, 256G.09, 611.43, 611.46, 611.55, 256B.051, 256I.03, 256I.05
2nd Engrossment: 256.9657, 256B.0922, 256B.434, 256R.02, 256R.23, 256R.24, 256R.25, 144.0724, 179A.54, 245C.16, 245D.091, 256B.0659, 256B.0911, 256B.0924, 256B.0949, 256B.19, 256B.4914, 256B.85, 256B.851, 260E.14, 626.5572, 252.27, 256.01, 256B.14, 256B.766, 245.462, 245.4661, 245.467, 245.4711, 245.4712, 245.4871, 245.91, 245G.01, 245G.02, 245G.07, 245G.11, 245G.22, 254A.19, 254B.01, 254B.02, 254B.03, 254B.04, 254B.05, 254B.052, 254B.06, 254B.09, 254B.19, 256.043, 256B.0625, 256B.0757, 256B.0761, 256I.04, 325F.725, 254B.181, 142A.02, 142A.09, 245C.02, 245C.03, 245C.04, 245C.08, 245C.10, 245C.13, 245C.14, 245C.15, 245C.22, 609A.015, 609A.055, 13.46, 245.095, 245A.03, 245A.04, 245A.043, 245A.05, 245A.07, 245A.10, 256.983, 256B.4912, 246.54, 246B.10, 246C.091, 256G.08, 256G.09, 611.43, 611.46, 611.55, 256B.051, 256I.03, 256I.05, 245A.042
3rd Engrossment: 256.9657, 256.9752, 256B.0922, 256B.434, 256R.02, 256R.23, 256R.24, 256R.25, 144.0724, 179A.54, 245C.16, 245D.091, 256B.0659, 256B.0911, 256B.0924, 256B.0949, 256B.19, 256B.4914, 256B.85, 256B.851, 260E.14, 626.5572, 252.27, 256.01, 256B.14, 256B.766, 245.462, 245.4661, 245.467, 245.4711, 245.4712, 245.4871, 245.735, 245.91, 245F.08, 245G.01, 245G.02, 245G.07, 245G.11, 245G.22, 254A.19, 254B.01, 254B.02, 254B.03, 254B.04, 254B.05, 254B.052, 254B.06, 254B.09, 254B.19, 256.043, 256B.0625, 256B.0757, 256B.0761, 256I.04, 325F.725, 254B.181, 142A.02, 142A.09, 245C.02, 245C.03, 245C.04, 245C.08, 245C.10, 245C.13, 245C.14, 245C.15, 245C.22, 609A.015, 609A.055, 13.46, 245.095, 245A.03, 245A.04, 245A.043, 245A.05, 245A.07, 245A.10, 256.983, 256B.4912, 246.54, 246B.10, 246C.091, 256G.08, 256G.09, 611.43, 611.46, 611.55, 256B.051, 256I.03, 256I.05, 245A.042
1st Unofficial Engrossment: 144.0724, 144A.071, 144A.161, 144A.1888, 256.9657, 256.9752, 256B.431, 256B.434, 256R.02, 256R.10, 256R.23, 256R.24, 256R.25, 256B.436, 256R.26, 256R.27, 256R.43, 256S.205, 144A.351, 179A.54, 245A.042, 245A.06, 245C.16, 245D.091, 245D.12, 252.32, 256.01, 256.476, 256B.04, 256B.0659, 256B.0911, 256B.0924, 256B.0949, 256B.49, 256B.4914, 256B.85, 256B.851, 260E.14, 626.5572, 245G.01, 245G.02, 245G.05, 245G.07, 245G.11, 245G.22, 254B.01, 254B.04, 254B.05, 254B.06, 254B.09, 254B.19, 256.042, 256.043, 256B.0625, 256B.0757, 256B.0761, 256B.761, 256I.05, 256B.766, 611.43, 611.46, 611.55, 10.65, 15.01, 15.06, 43A.241, 246C.01, 246C.015, 246C.02, 246C.04, 246C.07, 246C.08, 246C.09, 246C.091, 15A.0815, 15A.082, 43A.08, 245.021, 245.073, 246.13, 246B.01, 252.021, 252.50, 253.195, 253B.02, 253B.03, 253B.041, 253B.09, 253B.18, 253B.19, 253B.20, 253D.02, 256.045, 256G.09, 352.91, 524.3, 611.57, 144A.01, 144A.474, 144A.4799, 144G.08, 144G.31, 144G.52, 144G.54, 144G.55, 256B.092