HF2758

HF2758 (Legislative Session 94 (2025-2026))

Assertive community treatment and intensive residential treatment services statutory language recodified, and conforming changes made.

Related bill: SF2986

AI Generated Summary

Purpose of the Bill

The bill aims to update and reorganize Minnesota's statutory language concerning assertive community treatment (ACT) and intensive residential treatment services (IRTS). This will ensure more clarity and conformity across various statutes involving human services.

Main Provisions

Coverage and Payment: The bill clarifies that medical assistance will cover medically necessary assertive community treatment and intensive residential treatment services provided by certified entities. It establishes a single daily rate for these services, inclusive of necessary staff travel and crisis stabilization services.
Provider Requirements: Entities providing these services must report individual client outcomes using approved instruments. Providers need to demonstrate capacity and establish ongoing relationships with other service providers to facilitate referrals.
Grant Programs: The bill allows for the distribution of sustainability and startup grants to maintain and establish assertive community treatment and intensive residential treatment services.

Significant Changes to Existing Law

Licensure and Standards: The bill proposes the repeal of certain existing licensing and contract requirements specifically for intensive residential treatment services, as it reorganizes these requirements under different statute sections.
Inflation Adjustment: Rates for services will now be annually adjusted for inflation based on the Medicare Economic Index.
Third-party Payments and Eligibility: Clarifications are made regarding eligibility for services if clients have third-party payers, and for those disenrolled from state prepaid plans, ensuring continuity of care.
Special Needs Allowance: Adjustments to allowances for different living arrangements and dietary needs for individuals transitioning from institutions or requiring specialized diets.

Relevant Terms

Assertive Community Treatment (ACT)
Intensive Residential Treatment Services (IRTS)
Medically Necessary
Medical Assistance
Sustainability Grants
Startup Grants
Rate Adjustment
Inflation Adjustment
Third-party Payments
Licensing Requirements

Bill text versions

Introduction PDF file

Actions

Date	Chamber	Where	Type	Name	Committee Name
March 23, 2025	House	Floor	Action	Introduction and first reading, referred to	Human Services Finance and Policy
March 23, 2025	House	Floor	Action	Introduction and first reading, referred to	Human Services Finance and Policy

Citations

[
  {
    "analysis": {
      "added": [
        "Clarifies eligible applicants do not include state-operated direct care facilities."
      ],
      "removed": [
        ""
      ],
      "summary": "Section 245.4662 provides definitions and clarifies eligibility criteria for applicants under the community partnership and intensive residential treatment services.",
      "modified": [
        "Language referencing collaboration projects and specific applicant eligibility criteria."
      ]
    },
    "citation": "245.4662",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        "Specifies employment of a mental health certified peer specialist."
      ],
      "removed": [
        ""
      ],
      "summary": "Section 245.4906 clarifies the eligible applicants criteria for peer specialist services.",
      "modified": [
        "Lists services associated with intensive residential and crisis stabilization services."
      ]
    },
    "citation": "245.4906",
    "subdivision": "subdivision 2"
  },
  {
    "analysis": {
      "added": [
        "Criteria for transition from intensive residential program to community settings."
      ],
      "removed": [
        ""
      ],
      "summary": "This section outlines eligibility parameters for the transition to community initiative under section 256.478.",
      "modified": [
        "Explicit eligibility criteria for community integration services."
      ]
    },
    "citation": "256.478",
    "subdivision": "subdivision 2"
  },
  {
    "analysis": {
      "added": [
        "Peer specialist eligibility criteria based on completed training."
      ],
      "removed": [
        ""
      ],
      "summary": "Defines the scope of medical assistance for mental health certified peer specialist services under section 256B.0615.",
      "modified": [
        "Enhanced clarity on service provision eligibility."
      ]
    },
    "citation": "256B.0615",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        "Clarifies federal approval compliance for services."
      ],
      "removed": [
        ""
      ],
      "summary": "This section defines scope for medical assistance on assertive community treatment services.",
      "modified": [
        "Adjustments in provider requirements and client outcome reporting."
      ]
    },
    "citation": "256B.0622",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        "Defines the daily inclusive service rates."
      ],
      "removed": [
        "Eliminates specific payment conditions for multi-entity provided services."
      ],
      "summary": "Section 256B.0622 outlines payments for assertive community and intensive residential treatment services.",
      "modified": [
        "Payment structure refined to one rate per provider."
      ]
    },
    "citation": "256B.0622",
    "subdivision": "subdivision 8"
  },
  {
    "analysis": {
      "added": [
        "Provision for maintenance and access to current service levels."
      ],
      "removed": [
        ""
      ],
      "summary": "Defines sustainability grants for intensive residential treatment services and ACT.",
      "modified": [
        ""
      ]
    },
    "citation": "256B.0622",
    "subdivision": "subdivision 11"
  },
  {
    "analysis": {
      "added": [
        "Enables new ACT teams and crisis service establishment funding."
      ],
      "removed": [
        ""
      ],
      "summary": "Establishes startup grant provisions for developing essential treatment services.",
      "modified": [
        ""
      ]
    },
    "citation": "256B.0622",
    "subdivision": "subdivision 12"
  },
  {
    "analysis": {
      "added": [
        "Eligibility for non-medical assistance behavioral health services."
      ],
      "removed": [
        ""
      ],
      "summary": "Outlines client eligibility for behavioral health fund services.",
      "modified": [
        "Clarifications on eligible individuals under federal and state assistance."
      ]
    },
    "citation": "254B.04",
    "subdivision": "subdivision 1a"
  },
  {
    "analysis": {
      "added": [
        "Establishments must meet various operational standards to qualify."
      ],
      "removed": [
        ""
      ],
      "summary": "Provider requirements for room and board under behavioral health funding.",
      "modified": [
        "Exemptions specified for certain licensed programs."
      ]
    },
    "citation": "254B.05",
    "subdivision": "subdivision 1a"
  }
]