The bill aims to reform human services in Minnesota, particularly focusing on aging and older adult services, disability services, and long-term care. It establishes the Department of Direct Care and Treatment and introduces new provisions for grants and reporting requirements. Key amendments include the addition of definitions related to nursing facility assessments, such as "Activities of daily living" (ADL), "Patient Driven Payment Model" (PDPM), and "Resource utilization group" (RUG), which clarify reimbursement classifications based on residents' clinical and functional status. The bill also modifies licensing and certification provisions for nursing home beds, including new conditions for renovations and the deletion of clauses allowing bed transfers from certain facilities. The effective date for many changes is set for October 1, 2025, with some provisions taking effect immediately or on January 1, 2026.

Additionally, the bill establishes the Age-Friendly Minnesota Council to promote age-friendly initiatives and support local efforts to accommodate older residents. It introduces a closure rate adjustment for facilities and modifies the nursing home license surcharge. The bill also enhances the regulatory framework for home and community-based services, requiring compliance education for license holders and establishing a provisional licensing process for early intensive developmental and behavioral intervention (EIDBI) agencies. Other provisions include updates to reimbursement rates for various services, the introduction of new definitions, and the establishment of a Disability Services Technology and Advocacy Expansion Grant. Overall, the legislation seeks to improve the quality and accessibility of services for vulnerable populations in Minnesota while streamlining administrative processes.

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