The bill aims to enhance human services in Minnesota by modifying existing provisions related to aging and older adult services, disability services, long-term care reform, substance use disorder treatment, housing supports, and healthcare. A significant aspect of the bill is the establishment of the Department of Direct Care and Treatment, which will oversee these services. Key changes include the insertion of new definitions such as "Activities of daily living" (ADL), "Patient Driven Payment Model" (PDPM), and "Resource utilization group" (RUG), effective from October 1, 2025. The bill also deletes specific provisions related to the licensing and certification of nursing home beds, particularly those associated with the Amherst H. Wilder Foundation, aiming to streamline the regulatory framework for nursing facilities while ensuring that residents' needs are met effectively.

Additionally, the bill introduces several amendments to existing laws regarding the licensing and compliance for programs under chapters 245A and 245D, enhancing oversight and ensuring quality in services provided. It establishes a framework for provisional licensing of early intensive developmental and behavioral intervention (EIDBI) agencies and outlines new qualifications for positive support analysts. The bill also includes provisions for a phase-in of the Patient Driven Payment Model (PDPM) and introduces a rate floor for customized living services provided to elderly waiver participants. Overall, the legislation seeks to improve the quality and accessibility of human services in Minnesota while ensuring compliance with federal standards and addressing the needs of vulnerable populations.

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