SF2986 (Legislative Session 94 (2025-2026))

Assertive community treatment and intensive residential treatment services statutory language recodifying provision

Related bill: HF2758

AI Generated Summary

Purpose of the Bill

The bill aims to recodify statutory language concerning assertive community treatment (ACT) and intensive residential treatment services (IRTS) in Minnesota. It introduces changes to streamline administrative processes and improve the delivery and funding of these mental health services.

Main Provisions

  • Coverage and Certification: The bill outlines that medical assistance covers medically necessary ACT and IRTS when provided by entities certified or licensed according to specific standards.
  • Payment and Rates: It establishes a single daily rate payment system for these services, inclusive of all necessary treatments a client receives in a day, staff travel time, and nonresidential crisis stabilization services.
  • Provider Reimbursement: Payments depend on federal approval and are contingent upon a client’s eligibility and medical necessity, even if court-ordered.
  • Grant Funding: Provides for sustainability and startup grants to counties, tribal authorities, or service providers to maintain and expand access to ACT and IRTS.
  • Inflation Adjustment: Rates must be adjusted annually for inflation based on the Medicare Economic Index.
  • Evaluation and Compliance: Providers must report client outcomes to the state's commissioner to ensure compliance with standards.

Significant Changes to Existing Law

  • Standardized Rate Development: Introduces a developed rate for each provider, based on the costs of direct services, other program costs, and performance-based quality incentives.
  • Licensure Procedures: The bill includes detailed procedures for provider entity licensure and the requirement for approval based on documented need in the community.
  • Repealed Section: The bill repeals a former requirement for local mental health authority statements of need.

Relevant Terms

  • Assertive Community Treatment (ACT)
  • Intensive Residential Treatment Services (IRTS)
  • Medical Assistance
  • Certification and Licensure
  • Grant Funding
  • Mental Health Services
  • Federal Approval
  • Inflation Adjustment
  • Reimbursement Rates

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 26, 2025SenateFloorActionIntroduction and first reading
March 26, 2025SenateFloorActionReferred toHealth and Human Services

Citations

 
[
  {
    "analysis": {
      "added": [
        "Inclusion of more roles under 'Other professionals'.",
        "Clarification on jurisdiction of the board."
      ],
      "removed": [],
      "summary": "Modifies the scope of practice for various professionals under section 148F.11, subdivision 1.",
      "modified": [
        "Updated some rights and restrictions for specific professional designations."
      ]
    },
    "citation": "148F.11",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Updates definitions related to community partnerships in mental health services under section 245.4662, subdivision 1.",
      "modified": [
        "Clarification of terms such as 'community partnership' and 'eligible applicant'."
      ]
    },
    "citation": "245.4662",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        "Specific credentials and qualifications required for eligibility."
      ],
      "removed": [],
      "summary": "Defines who is an eligible applicant for mental health certified peer specialist services under section 245.4906, subdivision 2.",
      "modified": []
    },
    "citation": "245.4906",
    "subdivision": "subdivision 2"
  },
  {
    "analysis": {
      "added": [
        "Clarifications on who is eligible based on income and other criteria."
      ],
      "removed": [],
      "summary": "Details eligibility for behavioral health fund services under section 254B.04, subdivision 1a.",
      "modified": []
    },
    "citation": "254B.04",
    "subdivision": "subdivision 1a"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Specifies requirements for room and board providers to receive behavioral health fund payment under section 254B.05, subdivision 1a.",
      "modified": [
        "Exemptions and specific conditions for eligibility are refined."
      ]
    },
    "citation": "254B.05",
    "subdivision": "subdivision 1a"
  },
  {
    "analysis": {
      "added": [
        "Inclusion of more specific criteria that must be demonstrated for eligibility."
      ],
      "removed": [],
      "summary": "Eligibility criteria for transition to community initiative under section 256.478, subdivision 2.",
      "modified": [
        "Clarification of various detailed points regarding eligibility."
      ]
    },
    "citation": "256.478",
    "subdivision": "subdivision 2"
  },
  {
    "analysis": {
      "added": [
        "Additional conditions where these services may be applied."
      ],
      "removed": [],
      "summary": "Adjusts scope of mental health certified peer specialist services under 256B.0615, subdivision 1.",
      "modified": [
        "Defines eligible recipients more clearly."
      ]
    },
    "citation": "256B.0615",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        "Conditions under which peer support services can be included."
      ],
      "removed": [],
      "summary": "Updates eligibility for peer support services under section 256B.0615, subdivision 3.",
      "modified": []
    },
    "citation": "256B.0615",
    "subdivision": "subdivision 3"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Mental health rehabilitative services coverage under prepaid plans listed in section 256B.82.",
      "modified": [
        "Expanded to include more services within coverage scope."
      ]
    },
    "citation": "256B.82",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        "Clarifications on diet allowances and specific needs."
      ],
      "removed": [],
      "summary": "Defines special needs payments for supplemental aid recipients under 256D.44, subdivision 5.",
      "modified": [
        "Modifications to include more recipient classifications and needs."
      ]
    },
    "citation": "256D.44",
    "subdivision": "subdivision 5"
  }
]