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SF2628 (Legislative Session 94 (2025-2026))

County cost modification of care provisions

Related bill: HF2416

AI Generated Summary

Purpose of the Bill

The purpose of this bill is to amend existing statutes related to the financial responsibilities of counties for the cost of care provided at certain state-operated facilities. It includes provisions for adjustments in the payment schedule, introduces new admission timelines, and mandates the creation of a report. The bill also appropriates funds necessary to implement these changes.

Main Provisions

  • County Payment Adjustments: Modifies how counties are charged for care at the Anoka-Metro Regional Treatment Center. Initially, counties pay 0% for the first 30 days, 20% for subsequent days if deemed clinically appropriate, and 100% for days when the facility has determined the client is ready for discharge.

  • Exemptions for Dangerous Clients: Between July 1, 2023, and March 31, 2025, counties are not responsible for the cost of care for individuals classified as having a mental illness and deemed dangerous if awaiting transfer to another state facility or program.

  • Extended Exemption: From April 1, 2025, to June 30, 2025, counties are not responsible for costs for civilly committed individuals awaiting transfer to another state facility or the Department of Corrections, provided the Direct Care and Treatment executive medical director confirms the facility is suitable and necessary for the client.

  • Financial Protections for Clients: Clients themselves are not responsible for paying for their care under this bill.

Significant Changes to Existing Law

  • Adjusts the financial responsibility of counties specifically concerning cost-sharing for the care of individuals in state-run facilities, particularly the Anoka-Metro Regional Treatment Center.
  • Implements a temporary waiver on county responsibilities for patients determined to be waiting for transfer to necessary state facilities or programs.
  • Removes financial obligations from clients regarding their care during indicated periods.

Relevant Terms

  • Direct care and treatment
  • County cost of care
  • Anoka-Metro Regional Treatment Center
  • Mental illness and dangerousness
  • Civilly committed
  • State-operated facility

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 16, 2025SenateFloorActionIntroduction and first reading
March 16, 2025SenateFloorActionReferred toHuman Services
March 26, 2025SenateFloorActionComm report: Amended, No recommendation, re-referred toState and Local Government

Citations

 
[
  {
    "analysis": {
      "added": [
        "Additional provisions exempting counties from certain payments during specified periods."
      ],
      "removed": [],
      "summary": "This bill addresses the county's financial responsibilities for care costs under section 246.53.",
      "modified": [
        "Clarifies instances where counties are not reimbursed from clients or their families."
      ]
    },
    "citation": "246.53"
  },
  {
    "analysis": {
      "added": [
        "Exempts counties from certain costs when clients await transfer."
      ],
      "removed": [],
      "summary": "The bill references section 253B.18 regarding commitments of individuals with mental illness who are dangerous to the public.",
      "modified": [
        "Defines conditions under which counties are exempt from financial responsibility."
      ]
    },
    "citation": "253B.18"
  }
]

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