There are a few new legislative terms circulating to describe the end product of combining one-stop bills—which itself consist of dozens of separate bills—with other comprehensive bills.
The term is a huge bill, and the House Ways and Means Committee approved the 870-page Health, Human Services, and Early Childhood bill on Wednesday and sent it to the House Floor.
$768 million will be allocated in supplemental funding to state health and human services initiatives and programs.
The Commission used three bills as starting points in creating the supplemental funding and policy package:
- Articles 1-4 of the comprehensive early childhood bill (HF4735);
- comprehensive human services billHF4579); And
- universal health billHF4706).
The language from those invoices has been combined into one “Delete everything” Modify (This was the same an average), then adopted to replace the language SF4410Senate Comprehensive Health and Human Services Bill.
This aggregate package was then approved by 15 to 11 party votes. Representative Gene PeloskyDFL-Winona, Jr. was the only DFL member to vote against the bill.
Because of the replacement of House language in the Senate dossier, it is likely that a conference committee will be needed to work out the important differences between the new House version of the SF4410 And the Senate file sponsored by Senator Jim Ebeler (R-Anoka), and passed 61-5 by the Senate Tuesday.
The total supplemental expenditure to be allocated in the 2022-23 biennium is $768 million, of which $270.7 million is for health program funding, and $478.7 million is for human services and early childhood programs.
[MORE: View the spreadsheet]
Both GOP and DFL members said the bill would go a long way toward meeting the health care and social needs of Minnesota’s most vulnerable residents, but more could be done.
He said Republicans voted against the bill not because they disagreed with spending on it Representative Tony Albright (R-Prior Lake), but only because they have different priorities on how to do it.
Albright said his team will save those discussions for later.
“There will be more than enough opportunity to discuss the provisions in the bill on the ground as we move on to it [conference] He said.
health policy provisions
“This is a bill that helps Minnesota succeed in the future,” said Representative Tina Liebling (DFL – Rochester). “We’re a great country, but we still have some really serious problems going on in our health and human services areas.”
Liebling, shepherd HF4706 Chairman of the Committee on Financial Affairs and Health Policies in the House of Representatives Health parts of the overall bill Focus on ways to support the behavioral health workforce, mental health workers, and community health workers, including grants, scholarships, and technical assistance.
Liebling said access to health care will also be increased, especially for older adults, people with disabilities, and people in historically underserved communities.
Notable policy provisions in the bill include those that would:
- Improving access to medical assistance for people with disabilities by defining “spend down” Limit;
- Establish loan forgiveness programs for health care workers, including those serving in rural and disadvantaged areas;
- establish Minnesota Care General Option Effective from 1 January 2025;
- Allow all enrollees to opt out of managed health care plans;
- Expand the power of CHWs;
- funding for eight regional drug overdose prevention teams;
- voluntary creation home visit program for families who are expecting or looking after a baby boy;
- Lowering the fee for enrolling patients in the medical cannabis program to $40;
- construction Emmett Louis Till Victim Recovery Program;
- no-cost distribution COVID-19 tests, masks and respirators for individuals
- establish health care cost board Authorized to set healthcare spending growth targets;
- Extension of adult dental coverage under medical assistance;
- establish Dental Experimental Project; And
- Establishment of a grant program to address sources of lead in drinking water in schools and childcare settings.
Providing human services
Representative Jennifer Schultz (DFL-Duluth), chair of the House Human Services Policy and Finance Committee, said the sweeping bill makes “historic investments” in human services and reflects the committee’s highest priority. Addressing the healthcare workforce shortage across the state.
Schultz, who patronizes HF4579, he said those priorities include increasing wages for personal care assistants, allowing them to pay when clients drive and eliminating the 40-hour-week limit for paid family caregivers. According to the House’s nonpartisan Department of Financial Analysis, the cost will be approximately $102 million over the next three years.
Schultz said that paying for personal care assistants, who can help people with disabilities live in the community, and seniors in their place, has not kept pace with inflation.
“And we still have work to do because there are 13,000 jobs,” she said.
The comprehensive bill would also encourage workforce participation in human services through tools such as tuition waivers, incentive pay, workforce development grants, and increased reimbursement rates for wages paid to personal care aides.
The additional funds provided to the Department of Human Services will assist the workflow out of the COVID-19 emergency and modernize its technology systems.
Other provisions in the human services portion of the invoice would:
- increase public assistance for unmarried adults for the first time in nearly 40 years;
- Expand eligibility for the Supplemental Nutrition Assistance Program;
- Addressing the benefits slope that prevents some working parents from entering the workforce fully;
- Make grants to allow intensive residential treatment services to provide certain safe facilities; And
- Expand access to shared services.
The credits will include:
- $3 million for children’s mental health services, including first episodes of psychosis;
- $2.8 million for grants to allow residential intensive therapy services to provide certain safe facilities;
- $2 million for the Center for African American Mental Health;
- $1 million grant to the Minnesota Volunteer Management Association; And
- $750,000 to expand access to shared services.
behavioral health provisions
Many judgments were heard by behavioral or preventive health departments. Some of these would:
- Require the Ministry of Health to contract with a non-profit organization to support comprehensive school health centers and issue grants to assist existing centers or establish new ones;
- Expand Medicaid and MinnesotaCare coverage to include treatment programs, medications, or other services that help people quit smoking or stop using other tobacco and nicotine products;
- Create a grant program for mental health providers and a grant program for mental health professionals;
- Make mental health professionals who provide clinical supervision in their designated field eligible for loan forgiveness under the Health Professional Education Loan Forgiveness Program;
- Allow children referred for stabilization of a mental health crisis to receive treatment services in residence for up to 30 days and undergo current screening and admission criteria for ongoing inpatient treatment; And
- Add interventions for emerging or first episodes of mood disorder and public awareness campaigns to the list of items for child mental health provision.
Early Childhood Provisions
Representative Dave Pinto (DFL-St. Paul) said The bill seeks to make childcare affordable for low-income families and help childcare providersor what proponents of the bill say is the “public interest.”
will expand access to affordable child care by broadening the definition of family to include foster families, kin guardians, and successor guardians, and will make some permanent changes to child care assistance sliding core graphics software During the COVID-19 pandemic to help end the waiting list for families who meet income and other eligibility criteria.
Childcare reimbursement rates for providers will increase, and a brain-building reward pilot program has been set up to give incentives to qualified caregivers looking after infants and young children.
The Department of Human Services would be required to develop a costing model for providing early care and learning, and a child care provider pay scale, and the bill would also establish grant programs to help child care providers meet technology needs.
Other notable early childhood provisions in the bill would:
- Create a grant program to enable family child care providers to implement shared service alliances;
- Require child care resources and referral programs to administer the comprehensive regional child care assistance network;
- Providing assistance to child caregivers and individuals interested in becoming carers;
- Provide support that enables economically disabled individuals to obtain skills training, career counseling, and employment assistance necessary to start a career in child care; And
- Provide funding to upgrade IT support to facilitate data sharing across multiple government agencies for programs impacting early childhood.
Daily session writers Tim Walker, Margaret Stevens and Prateek Joshi contributed to this report.