March 19, 2023
Action Alert - We Need Your Advocacy this Week!
This Friday is the second deadline at the legislature, which means it is the last chance for most legislation to meet the requirements to stay "alive" in the legislative process. We have been following all the action and please know that your calls and emails make a difference. We need a big push this week to get these bills included in the next phase of the process. Thank you for being a part of this movement!

House Human Services Finance Committee
Wednesday 1:00pm: Voluntary engagement amendment.
An amendment will be offered on Wednesday to HF 1298 to include funding for voluntary engagement services. These services were created in 2020 with the big civil commitment rewrite, but so far no county is using them. Voluntary engagement services allow the county to send someone like a peer specialist out to assertively engage people in voluntary treatment, before the need for civil commitment arises. We think this could be a gamechanger for families and for our mental health system. We know when we invest in prevention and intervention we save money and lives. Key points to make:
• Allows for 90 days of assertive outreach to engage people in voluntary treatment before a crisis
• Prevents hospitalizations, police encounters, incarceration, and civil commitment
• Saves taxpayers' money by engaging people well before the most intensive and expensive interventions become necessary
• Gives families peace of mind that a third party can engage their loved one to seek treatment
• Provides a great opportunity for peer services, as people with lived experience can be some of the best people to engage others struggling with insight
• When we invest in prevention we are actively relieving the pressures we are facing in our emergency rooms which helps everyone in our healthcare system

Please write or call your representative if they are listed below. Your message can be "I am a NAMI member and I urge you to support the author's amendment for HF 1298. This amendment funds voluntary engagement services for adults with mental illnesses. This service will engage people early and avoid crises, hospitalizations, arrests, and incarceration. Counties need these funds to begin offering this important service to people. Please support the author's amendment for HF 1298.

Chair Mohamud Noor (DFL) District: 60B Minneapolis rep.mohamud.noor@house.mn.gov
Vice Chair Kristin Bahner (DFL) District: 37B Maple Grove rep.kristin.bahner@house.mn.gov
Republican Lead Anne Neu Brindley (R) District: 28B North Branch rep.anne.neu@house.mn.gov
Rep. Dave Baker (R) District: 16B Willmar rep.dave.baker@house.mn.gov
Rep. Mary Frances Clardy (DFL) District: 53A Inver Grove Heights rep.mary.frances.clardy@house.mn.gov
Rep. Peter Fischer (DFL) District: 44A Maplewood rep.peter.fischer@house.mn.gov
Rep. Mary Franson (R) District: 12B Alexandria rep.mary.franson@house.mn.gov
Rep. Dawn Gillman (R) District: 17A Dassel rep.dawn.gillman@house.mn.gov
Rep. Kim Hicks (DFL) District: 25A Rochester rep.kim.hicks@house.mn.gov
Rep. Heather Keeler (DFL) District: 04A Moorhead rep.heather.keeler@house.mn.gov
Rep. Carlie Kotyza-Witthuhn (DFL) District: 49B Eden Prairie rep.carlie.kotyza-witthuhn@house.mn.gov
Rep. Laurie Pryor (DFL) District: 49A Minnetonka rep.laurie.pryor@house.mn.gov
Rep. Duane Quam (R) District: 24A Byron rep.duane.quam@house.mn.gov
Rep. Liz Reyer (DFL) District: 52A Eagan rep.liz.reyer@house.mn.gov
Rep. Natalie Zeleznikar (R) District: 03B Fredenberg Township rep.natalie.zeleznikar@house.mn.gov

Senate Jobs and Economic Development Committee
Monday 5:30pm: Fund employment supports for people with mental illnesses
Monday the Senate Jobs committee will hear the MHLN's employment bill to fund Individual Placement and Support programs and a task force to reduce barriers to employment for people with mental illnesses.

Please write or call your senator if they are listed below. Your message can be "I am a NAMI member and I urge you to support SF 1779. Employment is so important for people with mental illnesses to experience recovery. We need to maintain and fund our IPS programs across the state and address other barriers people with mental illnesses face in employment. Please support SF 1779."

Chair Bobby Joe Champion (DFL) District: 59 Minneapolis
Vice Chair Zaynab Mohamed (DFL) District: 63 Minneapolis Use Mail Form
Ranking Minority Member Sen. Rich Draheim (R) District: 22 Madison Lake 
Sen. Heather Gustafson (DFL) District: 36 Vadnais Heights Use Mail Form
Sen. Foung Hawj (DFL) District: 67 St. Paul Use Mail Form
Sen. Karin Housley (R) District: 33 Stillwater sen.karin.housley@senate.mn
Sen. Carla J. Nelson (R) District: 24 Rochester sen.carla.nelson@senate.mn
Sen. Eric Pratt (R) District: 54 Prior Lake sen.eric.pratt@senate.mn
Sen. Aric Putnam (DFL) District: 14 St. Cloud Use Mail Form

Senate Health and Human Services Committee
Tuesday 8:30 AM: Mandated Coverage of PRTFs
On Tuesday the Senate Health and Human Services Committee will hear the Mental Health Legislative Network's bill to make Psychiatric Residential Treatment facilities (PRTF) a mandated benefit under commercial insurance. This is a residential level of care right below hospitalization and more intense than our current residential care, and is a critical piece of our children's mental health system. This bill would make the service a mandated benefit which means that private health plans would be required to cover it. If your legislator is listed below, we need you to reach out and ask them to support this bill.

Please write or call your senator if they are listed below. Your message can be "I am a NAMI member and I urge you to support SF 2485. At a time when we have a children's mental health crisis in our state, we must ensure that parents and families have affordable access to the right level of care. Psychiatric Residential Treatment Facilities can keep children out of the ER or a juvenile detention facility. We need private insurance to cover these services. Please support SF 2485. "

Wednesday 8:30am
Five MHLN bills being heard!
  • SF 1490 collaborative care
  • SF 1615 long term rates
  • SF 2449 regulations
  • SF 926 rates bridging
  • SF 1174 children's bill
You list these bill numbers when you write or call your senator and say "I am a NAMI member. These bills are essential to addressing the mental health crisis in our state for adults and children. We need to increase access to the right level of care, especially for children, and we need to support our providers for the long term. These investments are very important to the mental health community and I hope you will support these bills."

Chair Melissa Wiklund (DFL) District: 51 Bloomington sen.melissa.wiklund@senate.mn 
Vice Chair Alice Mann (DFL) District: 50 Edina Use Mail Form
Ranking Minority Member Paul Utke (R) District: 5 Park Rapids sen.paul.utke@senate.mn
Sen. Jim Abeler (R) District: 35 Anoka sen.jim.abeler@senate.mn
Sen. Liz Boldon (DFL) District: 25 Rochester Use Mail Form
Sen. John Hoffman (DFL) District: 34 Champlin Use Mail Form
Sen. Robert Kupec (DFL) District: 4 Moorhead Use Mail Form
Sen. Bill Lieske (R) District: 58 Lonsdale sen.bill.lieske@senate.mn 
Sen. Kelly Morrison (DFL) District: 45 Deephaven Use Mail Form

House Health Finance and Policy Committee
Tuesday 10:30am: Rates and collaborative care.
The committee will hear two MHLN bills. HF 346 will sustainably increase rates for mental health providers and HF 1771 will requires MA to cover the psychiatric collaborative care model. Please write or call your representative if they are listed below. Your message can be "I am a NAMI member and I urge you to support HF 346 and HF 1771. We need to keep building our mental health system and that means paying providers sustainable rates. It also means integrating mental health care with primary care. These bills will help to ensure that people can access the treatment they, need when they need it. Please support HF 346 and HF 1771."

Chair Tina Liebling (DFL) District: 24B Rochester rep.tina.liebling@house.mn.gov
Vice Chair Robert Bierman (DFL) District: 56A Apple Valley rep.robert.bierman@house.mn.gov 
Republican Lead Joe Schomacker (R) District: 21A Luverne rep.joe.schomacker@house.mn.gov
Rep. Patty Acomb (DFL) District: 45B Minnetonka rep.patty.acomb@house.mn.gov
Rep. Jeff Backer (R) District: 09A Browns Valley rep.jeff.backer@house.mn.gov
Rep. Kristin Bahner (DFL) District: 37B Maple Grove rep.kristin.bahner@house.mn.gov 
Rep. Ned Carroll (DFL) District: 42A Plymouth rep.ned.carroll@house.mn.gov
Rep. Steve Elkins (DFL) District: 50B Bloomington rep.steve.elkins@house.mn.gov
Rep. Peter Fischer (DFL) District: 44A Maplewood rep.peter.fischer@house.mn.gov
Rep. Amanda Hemmingsen-Jaeger (DFL) District: 47A Woodbury rep.amanda.hemmingsen-jaeger@house.mn.gov
Rep. Kaohly Vang Her DFL) District: 64A St. Paul rep.kaohly.her@house.mn.gov
Rep. Debra Kiel (R) District: 01B Crookston rep.deb.kiel@house.mn.gov
Rep. Tom Murphy (R) District: 09B Underwood rep.tom.murphy@house.mn.gov
Rep. Danny Nadeau (R) District: 34A Rogers rep.danny.nadeau@house.mn.gov
Rep. Anne Neu Brindley (R) District: 28B North Branch rep.anne.neu@house.mn.gov
Rep. Bernie Perryman (R) District: 14A St. Augusta rep.bernie.perryman@house.mn.gov
Rep. Duane Quam (R) District: 24A Byron rep.duane.quam@house.mn.gov
Rep. Liz Reyer (DFL) District: 52A Eagan rep.liz.reyer@house.mn.gov
Rep. Andy Smith (DFL) District: 25B Rochester rep.andy.smith@house.mn.gov

Senate Commerce and Consumer Protections Committee
Tuesday 12:30pm: Mental Health Parity.
SF 2582 creates an office within Commerce to enforce mental health parity (equal coverage under insurance). We hope an amendment will be accepted to include even more provisions to enforce parity. Please write or call your senator if they are listed below. Your message can be "I am a NAMI member and I urge you to support SF 2582. We must continue to fight discrimination against people with mental illnesses. Health plans must be held accountable and our state should prioritize enforcing parity so that all people can access care. Please support SF 2582. "

Chair Matt Klein (DFL) District: 53 Mendota Heights Use Mail Form
Vice Chair Judy Seeberger (DFL) District: 41 Afton Use Mail Form
Ranking Minority Member Gary Dahms O’Driscoll (R) District: 15 Redwood Falls
Assistant Minority Leader Zach Duckworth (R) District: 57 Lakeville Use Mail Form
Sen. Nick Frentz (DFL) District: 18 North Mankato Use Mail Form
Sen. Jeff Howe (R) District: 13 Rockville Use Mail Form
Sen. Ron Latz (DFL) District:46 St. Louis Park Use Mail Form
Sen. Jordan Rasmusson (R) District: 9 Fergus Falls Use Mail Form
Sen. Melissa Wiklund (DFL) District: 51 Bloomington sen.melissa.wiklund@senate.mn
Sen. Tou Xiong (DFL) District: 44 Maplewood Use Mail Form

Senate Housing and Homelessness Prevention Committee
Tuesday 12:30pm: Governor's Housing Budget.
SF 2566 includes the MHLN's housing priorities to fund the Bridges Rental Assistance Program and landlord risk mitigation funds in Article 1, Section 2, subdivision 8. Please write or call your senator if they are listed below. Your message can be "I am a NAMI member and I urge you to support SF 2566. The funds for the Bridges Rental Assistance program and landlord risk mitigation funds are critical supports for people with mental illnesses. Without stable and supportive housing people cannot focus on their recovery. Please support the mental health funding in SF 2566."

Chair Lindsey Port, 55, DFL Use Mail Form
Vice Chair Liz Boldon, 25, DFL Use Mail Form 
Ranking Minority Member Eric Lucero, 30, R Use Mail Form
Rich Draheim, 22, R sen.rich.draheim@senate.mn
Karin Housley, 33, R Use Mail Form
Zaynab Mohamed, 63, DFL Use Mail Form
Susan Pha, 38, DFL Use Mail Form
Ann H. Rest, 43, DFL Use Mail Form

House Commerce Finance and Policy Committee
Wednesday 1:00pm: Mental Health Parity
HF 1540 creates an office within Commerce to enforce mental health parity (equal coverage under insurance). We hope an amendment will be accepted to include even more provisions to enforce parity. Please write or call your representative if they are listed below. Your message can be "I am a NAMI member and I urge you to support HF 1540. We must continue to fight discrimination against people with mental illnesses. Health plans must be held accountable and our state should prioritize enforcing parity so that all people can access care. Please support HF 1540. "

Chair Zach Stephenson (DFL) District: 35A Coon Rapids   
Vice Chair Carlie Kotyza-Witthuhn (DFL) District: 49B Eden Prairie rep.carlie.kotyzawitthuhn@house.mn.gov 
Republican Lead Tim O’Driscoll (R) District: 13B Sartell
Rep. Robert Bierman (DFL) District: 56A Apple Valley
Rep. Ethan Cha (DFL) District: 47B Woodbury
Rep. Kurt Daudt (R) District: 27B Crown
Rep. Jeff Dotseth (R) District: 11A Kettle River
Rep. Mike Freiberg (DFL) District: 43B Golden Valley
Rep. Ginny Klevorn (DFL) District: 42B Plymouth
Rep. Erin Koegel (DFL) District: 39A Spring Lake Park
Rep. Larry Kraft (DFL) District: 46A St. Louis Park
Rep. Tina Liebling (DFL) District: 24B Rochester
Rep. Anne Neu Brindley (R) District: 28B North Branch
Rep. Harry Niska (R) District: 31A Ramsey
Rep. Bernie Perryman (R) District: 14A St. Augusta
Rep. Brian Pfarr (R) District: 22B Le Sueur
Rep. Brad Tabke (DFL) District: 54A Shakopee
Governor's Budget Bills Introduced
The Governor's budget bills have been introduced and many are being heard this week. Here is a summary of the bills of interest to NAMI members.

Human Services
HF2847/SF 2934 
• Creates a study to identify options to expand services under the home and community-based waivers to decrease the number of people who remain in hospitals, jails, and other acute or crisis settings when they no longer meet medical necessity criteria. 
• Makes changes to the SUD comprehensive assessment by requiring the assessment done under 245I and some additional items
• Makes changes to the treatment plan requirements for SUD treatment 
• Requires peer specialists to be credentialed by the Minnesota Certification Board, lays out requirements for recovery peers. 
• Uses American Society of Addiction Medicine criteria for SUD services 
• meaning provided in section 254B.01, subdivision 2a.
• Changes definition of recovery community organization, provides funding to serve culturally specific or population specific recovery communities
• Provides start up funds for withdrawal management programs 
• Funds the “third path” residential services for children with mental illnesses so that they do not have to go through child protection and ensures the rates are similar to the SUD children’s residential. 
• Defines sober homes. 
o Requires all sober homes to register with DHS and 1) maintain a supply of naloxone in the home; (2) have trained staff that can administer naloxone; (3) have written policies regarding access to all prescribed medications; (4) have written policies regarding evictions; (5) have staff training and policies regarding co-occurring mental illnesses; (6) not prohibit prescribed medications taken as directed by a licensed prescriber, such as pharmacotherapies specifically approved by the Food and Drug Administration (FDA) for treatment of opioid use disorder as well as other medications with FDA-approved indications for the treatment of co-occurring disorders; and (7) return all property and medications to a person discharged from the home and retain the items for a minimum of 60 days if the person did not collect them upon discharge. The owner must make every effort to contact persons listed as emergency contacts so that the items are returned.  
o Creates a three year certification program for sober homes and requires any home that uses federal, state, or local funding to follow them. The certification program includes health and safety standards, intake admission procedures, assessment of resident needs, policies to address mental heath emergencies, resident bill of rights, discharge procedures (including involuntary), and much more. 
o Creates a resident bill of rights 
o Allows for a private right of action to recover damages
• Adds members from each tribe to the Opiate Epidemic Response Advisory Council and designates 505 of the grants go to address the crisis in Black and Indigenous communities. 
• Expands the transition to community initiative to anyone who no longer requires the care in the CABHS program, PRTF, IRTS, or children’s residential.
• Increases the rate for adult day treatment 
• Creates a revised payment methodology for Opioid treatment programs 
• Requires the commissioner to assess the feasibility and design of covering traditional healing behavioral health services in correctional facilities under MA
• Creates the Department of Direct Care and Treatment, breaking off these services from the Department of Human Services and creates a board to oversee it
• Provides $143,000 for the MN Certification Board (for peers) to standardize the requirements an add peer specialists. 
• Appropriates $2 million for traditional healing grants for opioids
• $1 million to expand the peer workforce 

HF2900/SF2966
• Creates a grant program to fund independent living services to foster youth and funds a beyond 21 grant program funds to eligible youth to be used for basic well-being needs and housing as determined solely by the youth.
• Establishes a grant program for the development, implementation, and evaluation of services to increase housing stability for unaccompanied minors who are experiencing homelessness or who are at risk of homelessness and not currently receiving child welfare services.
• Requires a transition plan for all youth being discharged from foster care at 21 years of age or older
• Adds information under child protection related to noncaregiver sex trafficking
• Creates "Community resource centers" which are a community-based coordinated point of entry that provides relationship-based, culturally responsive service navigation and other supportive services for expecting and parenting families and youth.
• Requires the commissioner of human services to develop a plan to preserve and make available the income and resources attributable to a child in foster care (such as SSI/death benefits) to meet their best interests rests of the child. 
• Expands housing supports to people with a disability who lacks a fixed, adequate, nighttime residence upon discharge from a correctional facility
• Street and community outreach and drop-in programs are expanded to include youth at risk of discrimination based on sexual orientation or gender identity
• DHS must establish the safe harbor shelter and housing grant program and award grants to providers who are committed to serving sexually exploited youth and youth at risk of sexual exploitation. The grant program is to provide street and community outreach programs, emergency shelter programs, and supportive housing programs
• Requires biennial inflationary updates to housing stabilization services rates based on the consumer price index
• Creates a grant program for evidence-informed interventions for youth and young adults who are at risk of developing a mood disorder or are experiencing an emerging mood disorder including major depression and bipolar disorders 
• Hospitals, federally qualified health centers and rural health clinics are eligible vendors of a comprehensive SUD assessment when completed by an alcohol and drug counselor
• Creates standards around opioid termination
• Provides start-up and capacity-building grants for new Psychiatric Residential Treatment sites (PRTFs) for (1) administrative expenses; (2) consulting services; (3) Health Insurance Portability and Accountability Act of 1996 compliance; (4) therapeutic resources including evidence-based, culturally appropriate curriculums and training programs for staff and clients; (5) allowable physical renovations to the property; and 6) emergency workforce shortage uses, as determined by the commissioner. The focus is on children who have complex needs: (1) neurocognitive disorders; (2) co-occurring intellectual developmental disabilities; (3) schizophrenia spectrum disorders; (4) manifested or labeled aggressive behaviors; and (5) manifested sexually inappropriate behaviors.
• Creates a pilot to promote access to crisis response services and reduce psychiatric hospitalizations and out-of-home placement services for children. The pilot will incorporate a two-pronged approach to provide an immediate, in-person response within 60 minutes of crisis as well as extended, longer-term supports for the family unit. 
• Extends audio only telehealth to July 1, 2025
• Beginning July 1, 2023, medical assistance may be paid for a person under 26 years who was in foster care on the date of attaining 18 years of age and enrolled in another state's Medicaid program while in foster care
• Provides continuous coverage under MA for children under age 6, and for 1 year for children under 21. 
• MA covers medically necessary dental services (instead of a specific list)
• Adds an additional consumer rep to the drug formulary committee 
• Eliminates co-pays and deductibles for services under MA after January 1, 2024
• Expands eligibility and creates a buy in for MinnesotaCare
• Creates "Department of Human Services Public Law Background Studies Act."
• Places CCBHC language into statute in terms of organization, funding, services provided, etc.
• Requires all of the following mental health services be transitioned from certification to licensure (1) certified community behavioral health clinics; (2) adult rehabilitative mental health services; (3) mobile mental health crisis response services; (4) children's therapeutic services and supports; and (5) community mental health centers.
• Create changes to residential adult mental health program licensing requirements to align with current mental health practices, client rights for similar services, and health and safety needs of clients receiving services, etc.
• $1,720,000 each of two years to fund an online behavioral health program locator with continued expansion of the provider database allowing people to research and access mental health and substance use disorder treatment options (Fasttracker)
• $300,000 each of two years for adult mental health initiative grants to the White Earth Nation.
• $1,375,000 in fiscal year 2024 and $5,000,000 in fiscal year 2025 for the transition to community grant initiative 
• $4,000,000 in fiscal year 2024 and $8,000,000 in fiscal year 2025 are for the mobile crisis grants
• $1,000,000 each of two years for mobile crisis funds to Tribal nations.
• $4,400,000 each of two years is for school-linked behavioral health services in intermediate school districts.
• $1,050,000 in each of two year is for psychiatric residential treatment facilities specialization grants 
• $1,250,000 each of two years for the emerging mood disorder program
• $1,000,000 each of two years for grants to implement the mobile response and stabilization services model for children
• $1,000,000 each of two years is for mental health consultants including Tribal nations for expertise in young children's development and early childhood services.

Health
HF 2930/SF 2995
• Carries over funds for the studies of telehealth expansion and payment parity and is available for use until June 30, 2024
• $2,790,000 in each of the two years for adolescent mental health promotion to increase protective factors for mental well-being and decrease disparities in rates of mental health issues among adolescent population
• Community Mental Well-being gets $2,350,000 in each of the two years for mental health resources and post-COVID-19 recovery and healing for communities that have been disproportionately impacted by COVID-19. Looking to improve outcomes related to the well-being of Black, nonwhite Latino(a), American Indians, LGBTQIA+, and disability communities, including but not limited to health and well-being;
• $11,428,000 in fiscal year 2024 and $10,770,000 in fiscal year 2025 are for comprehensive overdose and morbidity prevention strategies
• $12,500,000 a year for home visiting 
• Creates an Office of African American Health and American Indian Health under MDH
• $1,000,000 each of two years for mental health for health care professional grants
• $561,000 each of two years to establish a Sentinel Event Review Committee regarding police involved deadly encounters and an 18-member law enforcement-involved deadly force encounters community advisory committee.
• Funds a homeless mortality study
• Assesses the feasibility of MDH creating "Health care provider directory" that supports management of health care provider information, both individual and organizational, in a directory structure for public use to find available providers and networks and support state agency responsibilities (such as network adequacy)
• Has MDH establish a comprehensive drug overdose and morbidity program to conduct comprehensive drug overdose and morbidity prevention, epidemiologic investigations and surveillance, and evaluation to monitor, address and prevent drug overdose statewide through eight integrated strategies
• MDH will award health professional training site grants to eligible physician, physician assistant, advanced practice registered nurse, pharmacy, dentistry, dental therapy, and mental health professional programs to augment existing clinical training by adding rural and underserved rotations or clinical training experiences, such as credential or certificate rural tracks or other specialized training
• Creates an additional clinical training program (includes MH). Training may occur in an inpatient or ambulatory patient care setting or alternative setting as determined by the commissioner.
• Funds 988 and places language into statute. 
• Funds school-based health clinics (different than school-linked MH but includes MH)
• Increase developmental and social emotional screening of children
• Grants to implement model jail practices to support children of incarcerated parents and their caregivers.
• Mental health care for health care professional grants will include identifying and modifying structural barriers in health care delivery that create unnecessary stress in the workplace.

Commerce
HF 2680 (Stephenson) /SF 2744 (Klien, Frentz) Prohibits Health Maintenance Organizations (HMOs) from imposing co-payments, out of pocket maximums, and deductibles for preventive healthcare services including children's immunizations, children's screenings, certain screenings for women, and FDA approved contraceptives. Requires health plans to offer each level of coverage (bronze, silver, gold, etc.) prescribed by the ACA and requires plans to market them like other plans.

Housing
SF 2655 (Port, Rest, Boldon)/HF 2335 (Howard): Appropriates $18 million over the biennium for the Bridges Rental Assistance program. These funds may also be used for landlord risk mitigation funds. These are the MHLN's priorities. $120 million for family homeless prevention, $100 million one-time funds for housing infrastructure. Establishes and funds a supportive housing program for people at risk of homelessness with a onetime appropriation of $40 million over the biennium.

Education
HF 2497 (Youakim, Pryor, Clardy, Hill)/SF 2684 (Kunesh, Cwodzinski): Raises the basic revenue funding for general education. Updates standards on full-service community school programs including provisions for integrated mental health student supports. Appropriates $53 million over the biennium for new student support personnel (MHLN priority) and $10 million for alternatives to exclusionary discipline. Appropriates $4.7 billion over the biennium to increase the percent the state pays for special education. Requires reporting for using "reasonable force" to restrain students in safety situations. Allows special ed students who turn 21 after school starts to stay in school until they turn 22 or until they graduate with a regular diploma, whichever comes first.

Public Safety
SF 2909 (Latz)/HF 2890 (Moller): Appropriates funds for public defenders, first responder wellness programs, law enforcement training, and the Minnesota Youth Justice Office. Includes the Governor’s budget for the Department of Corrections with funds for the Healthy Start Act, pre- and post-release services like medications, employment support, housing, IDs and birth certificates. Funds intervention centers for people on probation, and a Family Support Unit including $4 million to provide free phone calls and video visits in prison. Includes language to include suicide in the definition of “killed in the line of duty” for families to receive survivor benefits. Includes the Minnesota Rehabilitation and Reinvestment Act. Includes the red flag law or Extreme Risk Protection Orders. The red flag language does not include NAMI’s amendment and we will be reaching out to the authors.
News from the Capitol
Summary of This Week's Hearings
Human Services
On Tuesday, March 14th, the Senate Health and Human Services committee heard S.F. 1747, a onetime appropriation to establish a community behavioral health center and training clinic at Minnesota State University, Mankato. This would help support the greater Minnesota area, which needs more mental health professionals. Metropolitan counties have 50% of the population but 80% of mental health providers, though farmers in rural Minnesota face a suicide rate twice as high as the general population. Thad Shunkwiler, a professor at MSU Mankato and Founding Director of the Center for Rural Behavioral Health reports that mental health training institutions in Minnesota turn away more than 100 qualified students every year. NAMI wrote a letter of support for the House hearing.

“Now 100 might not sound like very much, unless your family lives in Jackson County, where according to Minnesota Department of Health data, there isn't a single mental health professional that lives or practices within… that county.” – Thad Shunkwiler, Professor at MSU Mankato and Founding Director of the Center for Rural Behavioral Health. Emma Zellmer, Student Government President at Minnesota State University, Mankato expressed the potential for this program to attract new scholars to the area.
The bill was laid over for possible inclusion in the omnibus bill. 

988
On Thursday, the Senate Health and Human Services committee heard the MHLN’s 988 bill, SF 2588. Mental Health Legislative Network Co-Chair and Mental Health MN Executive Director Shannah Mulvihill testified for the bill. “Our mental health system is far behind any emergency response for a physical health condition, and we need to respond to mental health crises with the appropriate expertise and resources,” said Mulvihill. The bill establishes 988 in state law and creates a telecom fee to pay for the service similar to how we pay for 911. Sen. Utke asked about the range of the telecom fee of 12 to 25 cents and how the price is decided on. Shannah explained that the range allows for meeting increased needs as the system develops. The bill also includes onetime funding to sustain the service until the telecom fee goes into effect. Shannah mentioned that the telecom providers are working with the MHLN to clarify some policy language. The bill was laid over for inclusion in the omnibus bill.

On Thursday March 16th, House Human Services heard H.F. 1436 the MHLN’s Workforce Bill, H.F. 2544 (SUD Treatment Services), and HF 1845 funding for Wellness in the Woods.

Rep. Vang provided information on what HF 1436 would fund and the reasons for the investments to increase our workforce and its diversity. Sue Abderholden from NAMI shared two important provisions in the bill, creating the center focused on the MH workforce and the grants to help BIPOC mental health professionals become supervisors. Dr. Abigail Schnaith, chief pediatric resident at Masonic Children's Hospital, testified in support of the bill, particularly the training of pediatricians in mental health. Lisa Xiong, a licensed marriage and family therapist, MN board approved supervisor for practitioners on the marriage and family therapy and professional counseling licensure tracks and works at Change Inc. as the clinical director testified in support of the bill.

"People feel discouraged to enter and stay in the field. With the lack of BIPOC providers, members from cultural and ethnic communities are not seeking mental health care. We need support and resources during practitioners’ licensure process and professional career to encourage people to make mental health care their career and not a stepping stone. It should be their destination." The bill passed and was rereferred to House Health Care Policy and Finance Committee.

H.F. 2544 seeks to match the payment rate system for Substance Use Disorder treatment services with the Medicare bundled rate system. The benefit of matching this will help DHS be more efficient and allows an expansion of the services as it will match the Medicare system already in place. Brian Sowada, Regional Director of the Behavioral Health Group, testified in support of the bill. Brian Sowada stated that the bill will bring structural alignment on how services are billed under the Minnesota medical assistance opioid treatment program and Medicare and how it will reduce billing confusion and administrative burden costs by bringing it under one structure. The bill was laid over for possible inclusion in omnibus.

H.F 1845 (Funding for Wellness in the Woods), was presented in committee, noting the increasing crisis in mental health substance use and Minnesota lacks access to care. Victor Obisakin, Director of Peer Programs and Legislative Liaison for Wellness in the Woods, spoke about the bill, that will allow Wellness in the Woods to provide daily peer support and special sessions for individuals who are in substance use recovery, are transitioning out of incarceration, or have experienced trauma. Monica Yeadon, Operations and Communications Coordinator for Wellness in the Woods, also spoke in support of the bill stating the urgent need to increase funding to to continue providing the services by Wellness in the Woods. The bill was laid over for possible inclusion.

On Monday the Senate Human Services committee heard SF 2139 to create a Task Force on Pregnancy Health and Substance Use Disorders. The task force would develop standards for when healthcare practitioners should test for prenatal exposure to substances and make recommendations on increasing access to family-centered substance use disorder treatment. One of the main purposes of the bill is to reduce racial disparities in negative impacts when pregnant people screen positive for substances. For many substances, any exposure triggers a mandated report to child protective services. Indigenous people in Hennepin County are 37 times more likely to be reported on than white people said Liz Young, a Public Policy Manager with Hennepin County. “Drug enforcement policies that deter women from seeking prenatal care are detrimental to the welfare of the mother and baby. The more punitive the laws, the worse health outcomes are for both moms and babies,” said chief author Sen. Morrison. This bill builds on a law from last session that allows discretion for prenatal healthcare providers to not report a parent if they are engaging in their prenatal care. The task force would begin its work in October of this year. The bill was passed to the Health and Human Services committee.

On Tuesday the House Human Services Policy heard HF 1494 to fund workplace safety grants for human service workers. Rep. Luke Frederick is authoring the bill and shared some of his experience working at the Minnesota Security Hospital in St. Peter. We appreciate Rep. Frederick’s careful words on not associating mental illnesses with violence, “In the spectrum of mental health services across the state, the overwhelming majority of people who are receiving services of some type on that spectrum are very peaceful, just trying to live their best life, and not a source of violence or harm in any way, shape, or form,” said Rep. Frederick. The bill appropriates $20 million over the biennium for grants for human service agencies to provide training, facility improvements, technology, mental health support, and prevention and mitigation measures relating to worker safety. Minnesota Social Service Association Director of Public Policy and Advocacy Michelle SanCartier, and Executive Director Beth Ringer testified in support of the bill and shared experiences from the field. “The reality is unsafe situations in human services exist and won’t go away by ignoring them,” said SanCartier. Mason Schlief testified as a provider and social work student and shared several experiences of being unsafe at work, “I want to do the very best for my clients and in order to do that I need to be safe on the job,” said Schlief. The bill passed unanimously to the House Human Services Finance committee. You can read more here.

Education
On Tuesday, March 14th, the House Higher Education Finance and Policy committee heard HF 1339, which would appropriate money for the addiction medicine fellowship program at Hennepin County Medical Center. NAMI submitted a letter of support. Dr.Gavin Bart, Addiction Specialist at Hennepin Healthcare, and the Director of Division of Addiction Medicine expressed the need for access to specialists in addiction care. Graduating physicians typically receive between 6 and 8 hours of clinical addiction training in medical school, while substance use disorder impacts tens of millions of Americans and their families.
“Yes, primary care doctors and other healthcare professionals can help address some issues related to addiction, just as they can help address some issues related to cancer. We still need to have those specialists out there. We need the experts.” – Dr. Gavin Bart, Addiction Specialist at Hennepin Healthcare, Director of Division of Addiction Medicine. Dr. Sheila Specker, Addiction Psychiatrist, Faculty at the University of Minnesota, and the program director of the Minnesota Addiction Medicine Fellowship, stated that for the 21 million Americans with an addiction, under 2000 physicians are specialized to treat them. “Only one in 10 people with a substance use disorder receive treatment in the United States” – Dr. Sheila Specker.
 
On Wednesday March 15th, House Education Finance heard H.F. 2497, the Governor’s Education Finance bill, and the H.F. 2097, active shooter drills. Stephanie Graff, Department of Education, discussed the purpose of the bill to provide a world class education and to provide world class education to all. The governor proposes $6.9 billion to fund a range of initiatives, including academic excellence, early childhood and education, American Indian Education, reimagining the secondary experience, PreK-12 workforce, and much more.

Assistant Commissioner Bobbie Burnham, Dept. of Education, spoke on the multi-tiered system of supports that will seek to address the needs of all diverse students in Minnesota and support academic, behavioral, and social-emotional outcomes for every student. Daron Korte, Assistant Commissioner at MDE, spoke on the newly proposed position at MDE – the Office of the Inspector General. The purpose of the office of the inspector general would be to improve the State’s ability to detect fraud and wrongdoing, ensuring that funds are being appropriated in accordance with the goals of the state and that they are reaching the intended beneficiaries, schools, teachers, and children and families. The bill also includes additional funding for Special Education services for students needing a Setting IV or higher and extended funding for special education services until the student reaches 22 years old.

Testifiers included Laura Mogelson, Minnesota Association of Colleges for Teacher Education, who spoke to the value in providing funding to pay student teachers. Unpaid student teaching is based on an old model and essentially disincentivizes effective teaching and excludes those with less resources. By paying student teachers, it will help solve the teacher shortage and opening the teaching profession to a more diverse candidate pool. Josh Downham, Minneapolis Public Schools, also testified, stating that the Governor’s proposal on special education is a great starting point, but ideally the 50% cross subsidy should be phased in so that in the long run we can see even more funding of that cross subsidy. Annie Christenson, School Psychologist and a member of the Minnesota School Psychologists Association, spoke on multi-tiered systems of supports (MTSS), noting that Wisconsin has focused on MtSS and as a result saw significant academic growth and reduction in behavioral issues as well as administrative gains in instructional time. Annie also noted that there are long term fiscal benefits for society if we invest in MTSS by proactively contributing in student achievement now, there will no longer be a need for social services that students may need later in life. Additionally, there can no longer be a need for a child needing special education services later in life as well as better identify students with disabilities if we have the infrastructure in place to identify skill deficits and provide the individualized targeted support to reduce those gaps.

Other testifiers included: Matt Shaver, Public Policy Director at EdAllies, Bernadeia Johnson, Minnesota State University Mankato, Marcy Doud, Superintendent for Intermediate School District 287, Eric Olson, Superintendent of Monticello Public Schools, Seth Putz, Building Grounds Supervisor for Lake of the Woods School, and Katherine Myers, LiveMore ScreenLess. The bill was laid over for possible inclusion in the Education Finance Bill.

On Wednesday March 15th, Senate Education Finance heard S.F. 2684, the Governor’s Education Bill, which focuses on early childhood, creating a more welcoming teaching environment, reimagining the secondary experience, Native American education, supporting the educator workforce, and increasing education agency capacity. The bill is the Senate version of H.F. 2497 and mirrors the budget proposals in that bill which is composed of a total $6.9 billion education funding as proposed by the Governor’s office. There was a question asked to clarify the difference between schools that have the resources to write grants and then those who may not have enough resources and whether the education department has considered providing resources for those schools to write grants. The Department has looked at the grant making process and seeing an ask for resources to engage in higher level grant services and overall resources for the department to provide additional assistance to more districts to get more access to these grants. The concerns also were about non exclusionary discipline and assuring that students have the supports they need in the instances that the student is suspended or expelled including funding for those resources and supports. The bill was considered for further conversation.

On Thursday March 16th, Senate Education Finance heard S.F. 2010, active shooter drills, where concerns were brought up about the bill not being clear on how the drills were going to be conducted without causing further harm to student’s mental health. Currently, Minnesota Statute requires 5 lockdown active shooter drills and can be done in various ways. Simulations however are noted to further traumatize children and students and so the bill works to clarify what to consider when conducting the drills. The bill restricts the simulation to off hours and requirement of parental notification with the opportunity to opt out or even participate in the simulation if they would like. There is also criteria for active shooter drills- that they are accessible and developmentally aware, trauma informed, and inclusive along with requiring a post drill debrief. The bill was laid over for further conversation.

Employment
On Friday the House Workforce Development committee heard HF 1697, the MHLN’s employment bill. The bill increases ongoing funding for Individual Placement and Support (IPS) programs which provide integrated job supports with mental health services for people with serious mental illnesses. The bill also creates a task force in the Department of Employment and Economic Development (DEED) to engage people with mental illnesses and make recommendations to the legislature to remove barriers to employment. Thank you to our two testifiers from Rise, the Senior Director of Vocational Services and Danial Dooley who has used IPS services for their powerful testimony. “Work works. SAMHSA recognizes that employment is an essential part of recovery from mental illness. This is something we see everyday at rise,” said Reedy, “Without the funding in this legislation, current projects will be cut 27% including projects at Rise. At our organization that means that we will serve 73 fewer individuals in the next year. In addition to preserving services, the increased funding in this bill would allow the program to serve 325 more Minnesotans with mental illness.” Reedy went on to share his personal story of how work helped him maintain stability after the loss of his son to fentanyl poisoning.

Danial Dooley spoke about his experience getting a job as part of his recovery, “That employment has allowed me to purchase a car, live on my own, and work part time,” said Danial Dolley, “Rise and IPS have played a big part… in the process of me becoming a productive member of society which has had profound effect on my mental health, quality of life, and wellbeing.” Rep. Dave Baker recommended that employers be included on the task force proposed in the bill and we will look into making that change. Thank you Rep. Samantha Sencer-Mura for carrying this bill and for her advocacy for people with mental illnesses! The bill was laid over for inclusion in the omnibus bill.

Housing
On Tuesday March 14th, House Housing Finance and Policy heard H.F. 917, the Landlord & Tenant Omnibus bill. The bill prohibits discrimination based on the use of public assistance, reforms to the eviction court process, no longer a fee required to be paid by tenants who want to state their counter claims and defenses in court, and a 14 day eviction notice so tenants have time to negotiate or mediate with their landlords before things escalate to the courtroom. The bill also deals with expungements of eviction records, and the bill keeps court records private until there has been an adjudication in favor of the landlord. The bill was referred to the House Judiciary and Civil Law Finance and Policy.

Children and Families
SF 2399: On Wednesday, the Senate Committee on Education Finance heard SF 2399 a bill that would make modifications to the children’s cabinet for establishing the Department of Children, Youth, and Families. Senator Wiklund began by introducing an amendment to the committee with new language, exclusions, and more. Senator Wiklund then turned it over to Erin Bailey the Children’s Cabinet Executive Director who began by explaining the proposal to members emphasizing how a department that is child focused would be a step towards providing support to youth and family stating “children are Minnesota's priority and they’re the future.” Bobby Burnham, the Assistant Commissioner of the Office of Teaching and Learning in the Minnesota Department of Education also testified on behalf of SF 2399. Burnham clarified in her testimony that there would be no changes in how current services work at the district or local level, only transitioning to a different department to better align programs stating “we must act boldly in this moment because our state depends on the success of Minnesota's children, youth, and families”. Discussion began with various questions including whether the transition of four different agencies into one would affect jurisdiction. Senator Wiklund the better alignment would help budget work and committees. Another question was if the use of money for the appropriation would be reported to the state and public. Erin Bailey stated that they would be more than open to sharing spending information to committee and use of funds. SF 2399 was laid over for possible inclusion.

On Wednesday, the House Committee on Public Safety Finance and Policy heard HF 2322. Through a short hearing Representative Pinto shortly went over the purpose of HF 2322 and the committee heard a common testimony from Assistant commissioner of the Children’s Cabinet Erin Bailey. Who briefly ran through the transition proposal and wanted to highlight the centered youth voice that have been heard in the community but also members of the committee who would also like to see
youth program strategies. We also heard from Bob Jacobson from the Department of Public Safety who spoke in favor of HF 2322 speaking on the work within the Juvenile Justice Advisory Committee to reduce racial and ethnic disparities. Also the benefits of the cross collaboration with the help of the Children’s Cabinet that would better support children, youth and families with increased access to services that would come with the transfer. In discussion a concern was raised regarding data sharing that
would make information available whereas currently information wouldn't be accessible. Representative Pinto let members know that there will be an amendment coming that would make changes to the language used for the expressed concern. HF 2322 was rereferred to the Committee on Children and Families.

On Friday, the House Committee on Education Finance heard HF 2320 modifying the
Children’s Cabinet. Representative Pinto briefly introduced a new A7 amendment changing language regarding previous concerns for data practices and specific to the committee reassuring employees of the departments that will be transitioning that there will be no changes to their job classifications. The committee heard from several testimonies from Erin Bailey Assistant Commissioner of the Children’s Cabinet, Bobby Burnham Assistant Commissioner of the Office of Teaching and Learning in the
Minnesota Department of Education, and testimony from the public. Erin Bailey and Bobby Burnham gave a presentation to the committee going over the key components of the proposal for the children focused state department. A parent testifier shared their experience struggling to find help and adequate child care for their foster new baby stating “the reality is the DHS compensation was not slated to cover everything lying ahead” expressing her full support for the government working with and for families. Member discussion began with questions regarding budget numbers the asked $5 million appropriation and if there will be a fiscal note laying out costs. Representative Pinto let members know that the governor came out with a supplemental budget so the numbers will be changing. Another recurring question is whether there will be changes for providers or families regarding services locally. Bobby Burnham clarified that the goal is to improve local services and there will be no change. Several members expressed support for the proposal and the long time need for a child focused department because DHS is too large. HF 2320 was rereferred to the Committee on Children and Families

Public Safety
On Tuesday the House Public Safety committee heard HF 1234 to create regulations around mental health disability benefits for first responders. The bill requires first responders to undergo up to 24 weeks of consecutive mental health treatment before applying for disability benefits for a mental illness. First responders would maintain their employment status and all salary and benefits during the treatment period and agencies would be reimbursed by a new special revenue fund. The bill also requires agencies to provide an annual wellness training, an employee assistance program, or peer support program in order to qualify for reimbursement. “There’s so much more we’re learning about mental health,” said Rep. Mark Wiens (Lake Elmo). “Those of us that are in the service or have been in the service have seen things and witnessed things… we had to destigmatize this whole thing. I think groups like NAMI and legislators that have a willingness to step out, step into that gray zone… get good things done for people,” said Rep. Wiens. Several members applauded the data privacy provisions in the bill, “There’s always that fear in these first responders, if they come forward with an issue that is mental health related, that it won’t be a secret, it won’t be held in confidence. So, I’m hoping that that language will help tear down that barrier so that people will get the help they need,” said Rep. Peggy Scott (Andover). The bill was passed unanimously to the State and Local Government committee which also passed the bill to Ways and Means on Thursday morning.

On Friday the House Public Safety committee heard HF 1838 to reform the funding formula and standards for probation throughout the state. NAMI submitted a letter of support. A delete-all amendment was adopted that included further provisions for looking for community treatment options before sending people to jail or prison on smaller technical violations. A number of testifiers spoke in support of the bill including county probation providers, Paul Schnell the Commissioner of Corrections, and people who have been under probation. The bill was laid over for inclusion in the omnibus bill.
Hearings Coming Up This Week
Monday March 20th
10:30am - House Ways and Means will hear HF 2286 (DHS Commissioner procedures established, continuous MA eligibility for children)
12:30pm - House Judiciary and Public Safety will hear HF 688 (Grants addressing racial disparities in youth using shelter services) and SF 928 on Heroes Helping Heroes
1:00pm – House Commerce will hear an amendment for HF 100 (Cannabis)
3:00pm- Senate Human Services will hear SF 2934 (Governor's Human Services Budget Bill)
5:30pm- Senate Jobs and Economic Development will hear SF 1779 the MHLN's employment bill

Tuesday March 21st
8:30am – Senate Health and Human Services will hear SF 2485 the MHLN's PRTF bill and SF 2464 on foster children benefits and fees.
10:30am- House Education Finance will hear HF 1269 (MDE Policy Bill)
10:30am- House Health Finance and Policy will hear HF346 the MHLN's Rates Bill and HF 1771 the MHLN's collaborative care bill and HF402 on the Fairview Sanford merger.
10:30am- House Public Safety Finance and Policy HF46 (Office of Juvenile Restorative Justice established)
12:30pm - Senate Commerce will hear SF 2382 on mental health parity.
12:30pm – Senate Housing and Homelessness Prevention will hear HF2566 including MHLN’s Housing pieces in Governor’s budget.
1:00pm - House Human Services Finance will hear HF 1494 on human services workplace safety grants.
6pm- House Health Finance and Policy will hear HF2930 (MDH Budget Bill)
6:30pm- House State and Local Government Finance and Policy will hear HF2321 (Children’s Cabinet, Dept. of Children established)

Wednesday March 22nd
8:30 - Senate Health and Human Services is hearing SF 1490 the MHLN's collaborative care bill, SF 1615 the MHLN's rates bill, the SF 2449 MHLN's regulations bill, SF 926 the MHLN's rates bridging bill, and SF 1174 the MHLN's children's bill.
10:30am- House Education Finance HF2398 (Schools required to maintain supply of opiate antagonist administration)
12:30pm- Senate Judiciary and Public Safety will hear SF 1972 banning strip searches and disciplinary room in juvenile facilities, SF 412 to fund the violence prevention project, SF 2380 to reform probation funding and standards, and SF 1087 to train therapists to work with first responders.
1pm – House Commerce HF1540 on mental health parity.
1pm – House Human Services Finance will hear an amendment to add voluntary engagement services to HF 1298, HF2553 the MHLN Regulations bill, and HF1434 (Parental contribution fees eliminated for services for children for disabilities)
3pm- Senate Human Services will mark up the of DHS Policy Bill
6pm - House Public Safety will hear HF 2295 to study pretrial release practices

Thursday March 23rd 
1pm – Human Services Finance HF 2847 DHS Human Services Budget Bill

Friday March 24th
1pm- Education Finance HF58 (Dismissal of K-3 prohibited) and HF1175 (Medical assistance coverage school social workers services)
TBA - Senate Judiciary and Public Safety will hear SF 2909 the Public Safety budget bill
News from the State Level
Continuous Enrollment
Leading up to the end of the Medicaid continuous enrollment provision, CMS has issued guidance and granted states certain flexibilities designed to promote continued coverage during the unwinding period. We have identified ten key policies and actions that could affect continued enrollment in Medicaid. These policies include taking 12-14 months to complete renewals following the end of the continuous enrollment; taking steps to increase the share of ex parte renewals and completing more than 50% of renewals using ex parte processes; following up with enrollees when action is needed to complete a renewal, attempting to contact enrollees when mail is returned; and publishing comprehensive unwinding data on the state’s website. In addition, states have other policy levers, such as adopting the Medicaid expansion, extending 12-months postpartum coverage, and providing 12-months continuous eligibility for children that can also increase the number of people who will be able to retain coverage. State adoption of these policies varies. In states that are planning to move more quickly to complete renewals, have lower ex parte renewal rates, do not follow up with enrollees who have not responded to a renewal request, are less transparent with unwinding data, and have not adopted the Medicaid expansion or 12-month postpartum coverage or continuous eligibility for children, the risk of coverage loss during the unwinding period is higher, though budgetary costs from continued enrollment will likely be lower.
News from the Federal Level
Lawmakers Tell Their Story
CNN released an article discussing lawmakers and the struggles around mental health while in either running for office or while in office, especially during the turmoil’s of the pandemic and specifically the January 6th event that occurred on Capitol Hill in 2021. Minnesota Senator Tina Smith opened about carrying a bill that sought to expand mental health care access for kids in schools and the personal connection she had with it. In 2019, Senator Smith gave a speech on the Senate Floor opening about her personal experience with mental health and although nervous, the power she felt in telling her story while being a strong lawmaker in the country. She found it incredibly important to open up about her mental health and bringing to the forefront that “somebody who supposedly has everything all together all the time […]” – Doesn’t.

Senator Smith was glad to share her story with mental health, even more so now after hearing Senator John Fetterman (PA) announced that he was going to seek inpatient treatment for clinical depression. Lawmakers all around applauded his transparency and celebrated his strength in taking action to take care of himself.

There is a risk involved in lawmakers who share personal stories about mental health, some withdrawing from campaigns and some having mental health crises while in office that made others think differently of them once they came back to work.
On January 6th, 2021, the aftermath of the event drew mental health conversations to the forefront of conversations in the legislature and many lawmakers who experienced the traumatic event banded together to encourage therapy and other mental health treatments to those who felt they needed it. The event left unexpected consequences for lawmakers who went through the day hiding under desks, hearing gunshots and hearing gas masks being deployed in the hallways. Discussions about mental health after the day revealed the generational divide and gender divide among those talking about it openly and getting therapy.

“It doesn’t take a statistician to tell you that of the 100 of us in the United States Senate, mental health issues are going to have touched every single one of us in one way or another. I think it gives people some permission to maybe speak a little bit more openly about it.” -Senator Tina Smith (MN)
Bill Introductions
Mental Health Legislative Network Bills
These are the bills that were developed and are being promoted by the Mental Health Legislative Network. Please contact your own legislators and ask them to sign on as co-authors of these bills.

H.F. 1706 (Edelson, Fischer, Kiel, Mann)/S.F. 1826 (Morrison): MHLN’s Adult Bill. Increases funding for housing support grants for people with mental illnesses (HSASMI), Increases funding for First Episode of Psychosis and Emerging Mood Disorder grant programs, increases rates for protected transport, expands telephonic care (audio only) past July 1, 2023, require providers using telehealth or telephonic care to be reimbursed at the same rate as in-person, and funds voluntary engagement services as a pilot project. The bill passed the House Commerce Finance and Policy Committee and was rereferred to House Health Finance. Awaiting hearing in the Senate Health and Human Services Committee.

HF 1198 (Hanson, J.; Olson, L.; Fischer; Frederick; Hicks; Coulter; Kotyza-Witthuhn; Berg; Hassan; Edelson; Noor and Curran, Agbaje, Freiberg, Lee, F., Acomb, Zeleznikar)/SF 1174 (Morrison, Hoffman, Boldon, Coleman, Mann): MHLN’s Children’s Bill.
  • Requires 20 hours of childcare for parents with mental illnesses who are on MFIP child-only and need treatment or who aren't doing well. Funds the increased costs.
  • Allows children 16 and older to consent to outpatient treatment.
  • Expands the Mental Health Innovation grant to create specialized settings for children with complex needs.
  • Expands respite care to include families with children who have recently used the ER, crisis services, or have lost in-home support. Requires counties to provide regularly scheduled respite care. Appropriates $350,000 in FYs 24 and 25 for this purpose.
  • Allows the Behavioral Health Fund to pay for room and board for children in residential treatment coming through the "Third Path" to avoid the child protection system.
  • Expands the Transition to Community Initiative (Whatever It Takes) to include children, including children in juvenile detention.
  • Allows the commissioner of human services to develop training or use existing training to increase the number of Family Peer Specialists. the training can be provided by DHS or community organizations. Increases rates for services provided by family peer specialists by 50% in 2024.
  • Allows Youth Act participants to automatically qualify for Adult ACT when they turn 21 and to keep their current ACT provider until they turn age 27.
  • Requires six of the existing training hours for mobile crisis and crisis stabilization teams to be focused on working with children and families. Provides funding to do this.
  • Creates a child mode for Nonemergency Medical Transport (NEMT) by allowing youth ages 20 and under to be eligible for assisted transport and increases the mileage rate when transporting youth.
  • Increases the number of PRTF beds allowed and allows PRTFs to specialize. Appropriates $2 million in FY 24 and $1.5 million in FY 25 for start-up and capacity building for PRTFs.
  • Expands extended personal care assistant services to include children boarded in the ER and raises the PCA rate 20% for children with high aggression.
  • Creates "Children's Care Coordination" as a MA service to provide seamless transitions across health systems for children and families.
  • Increases rates by 30% for CTSS - Children's Therapeutic Services and Supports when services are provided in the child's home and a 130% increase for Youth ACT providers when services are provided in the child's home.
  • Changes the definition of "neglect" and "abandonment" in child protection statute to exclude parents who cannot find adequate services for their children.
  • Requires aftercare services for children leaving residential treatment under a voluntary or involuntary placement through the child protection system.
  • Creates and funds a rural Family Response and Stabilization Services Pilot Program to offer ongoing crisis and stabilization support to families.
  • Requires the commissioner of human services to review the Medicaid state plan to maximize family-focused children's mental health care. The commissioner must consult experts and report to the legislature by January 1, 2024.
  • Requires the state to request approval from CMS for Collaborative Intensive Bridging Services by June 30, 2026. Appropriates money to maintain current levels of services, training and technical assistance, and limited expansions of CIB and evaluation.
  • Appropriates funds for School-Linked Mental Health services. Requires the commissioner to work with culturally specific providers so that they serve students from their community in multiple schools. Also directs the commissioner to take into account the need to have consistency of providers over time.
  • Appropriates funds for Shelter-Linked Mental Health grants.
  • Appropriates funds to increase the staff of the State Medical Review Team.
  • Appropriates funds to expand early childhood mental health services.
  • Appropriates $1.25 million in FY 24 for training of staff to provide intensive in-home children's mental health care.
  • Appropriates funds to create alternatives to children who are boarding in the ER.
  • Appropriates $810,000 in FYs 24 and 25 each for the Child First Program.
The bill was re-referred to the House Committee on Children and Families Finance and Policy, passed and rereferred to the House Human Services Finance and is still waiting hearing in Senate Committee on Health and Human Services.

HF 770 (Tabke, Stephenson, Greenman)/S.F. 1871 (Xiong T. and Klein): MHLN’s Life Insurance Bill. Updates language and eliminates the two-year waiting period for life insurance (Families of people who take their own life cannot access life insurance benefits if the policy has been in place less than two years). The bill is waiting for a floor vote in both bodies.

S.F. 1491 (Xiong)/ H.F. 1677 (Kraft, Stephenson, Kotyza-Witthuhn, Tabke, Kozlowski, Acomb, Hicks, Pursell, Pinto, Freiberg): MHLN’s Network Adequacy Bill. Defines network adequacy standards beyond 30 miles 30 minutes. Requires PMAP to use timely filing timelines and prior authorization processes consistent with fee-for-service. Requires health plan companies to credential with any provider meeting their eligibility criteria. The bill was laid over in House Health Finance and Policy. It passed out of Senate Health and Human Services and was rereferred to Senate Committee on Commerce and Consumer Protection.

H.F. 1771 (Bierman, Stephenson, Koegel, Clardy)/S.F. 1490 (Xiong): MHLN’s Collaborative Care Model Bill. Requires Medical Assistance (MA) to cover services delivered through the psychiatric collaborative care model. The bill has passed two committees and is now in the House Health Finance and Policy committee. The bill also has a clone: S.F. 1219 (Boldon, Abeler, Hoffman).

HF 824 (Curran, Becker-Finn, Huot, Tabke and Moller, Feist, Pinto)/S.F. 1921 (Westlin): MHLN’s Criminal Justice bill. Requires free mental-health-related phone calls from jails. Requires the Department of Corrections to update a model policy for jail discharge plans. Creates and funds jail reentry programs. Laid over in House Public Safety and awaiting a hearing in the Senate Judiciary and Public Safety.

HF 2822 (Clardy)/SF 2760 (Westlin): MHLN's teacher suicide prevention training bill. Funds an online evidence-based suicide prevention training for teachers. Referred to House Health Finance and Policy and Senate Education Finance.

H.F. 1697 (Sencer-Mura)/S.F. 1779 (Mohamed): MHLN’s Employment Bill. Increases funding for Individual Placement and Support programs and creates a task force at DEED to identify barriers and solutions to employment for people with mental illnesses who don’t need IPS. The bill was laid over in the House Workforce Development Finance and Policy Committee and is awaiting a hearing in the Senate Jobs and Economic Development Committee.

H.F. 2058 (Hassan, Her, Edelson, Richardson, Frazier, Perez-Vega, Hanson J., Noor, Xiong)/ S.F. 1891 (Maye Quade, Oumou Verbeten, Fateh, Xiong, Hawj): MHLN’s Equity Bill. Funds the Cultural and Ethnic Minority Infrastructure Grant program and put it in statute, funds culturally specific provider consultation, funds cultural healers from different communities, creates fund to provide interpreters in child or adult residential settings, and creates a program to train community health care workers in mental health. Heard and passed out of House Human Services Policy and heard in the House Human Services Finance Committee. Still waiting hearing in the Senate Health and Human Services Committee.

H.F. 2692 (Hanson)/SF2629 (Fateh): MHLN’s Higher Education Bill. Fund college-linked mental health services for community colleges. The bill was referred to House Committee on Higher Education Finance and Senate Committee on Higher Education. 

H.F. 1696 (Norris, Hassan)/S.F. 1603 (Port, Boldon): MHLN’s Housing Bill. Increases funding for the Bridges Rental Assistance Program and funds landlord risk mitigation. The bill was laid over for possible inclusion in housing omnibus bill. Waiting hearing in Senate Housing and Homelessness Prevention Committee.

H.F. 1683 (Bierman, Fischer, Kiel, Edelson, Engen, Freiberg)/S.F. 1615 (Gustafson, Abeler, Hoffman, Mann): MHLN’s Long Term Rates Bill. Increases rates for Intensive Residential Treatment Services (IRTS), Assertive Community Treatment (ACT), and Residential Crisis Services, establishes a single statewide reimbursement rate for behavioral health home services, allows MN Care enrollees to have room and board through IRTS and Residential Crisis Services, and adjusts PRTF per diem rates to reflect changes in the CMS Psychiatric Facility Market Basket. The bill was rereferred to House Human Services Finance Committee and was rereferred to Senate Health and Human Services Committee.

H.F. 2553 (Fischer, Kiel)/S.F. 2449 (Boldon, Abeler, Kupec): MHLN Regulations Bill. Changes BHH staffing regulations from registered nurse to licensed nurse, establishes a provider entity application and certification process, adds definition of children’s care coordination to CTSS, simplifies some documentation requirements, simplifies diagnostic assessments updates, eliminates the CASII and ECSII early childhood assessments, eliminates case reviews under treatment supervision, eliminates host county contract for ARMHS, ensures MCO process consistency, and no longer requires additional training for clinical trainees within the first 90 days of providing direct contact services. The bill was passed from House Human Services Policy to House Human Services Finance and needs a hearing in Senate Health and Human Services.

H.F. 1436 (Vang, Norris, Sencer-Mura)/S.F. 1679 (Wiklund, Morrison): MHLN’s Workforce bill.
  • Establishes mental health and SUD education center to increase the number of professionals, practitioners and peers working in the field, increase the diversity and target training to have a workforce that is more culturally informed and responsive.
  • Increases funding for mental health professional loan forgiveness program.
  • Creates special program to train pediatricians in mental health.
  • Increases funding for the mental health provider supervision grant program.
  • Includes training hours outside of hospital-based settings in medical education. Establishes the mental health professional scholarship grant program.
  • Creates and funds a Youth Care Professional training program for people working in direct care with youth in residential settings.
  • Creates a governing board of peers. Increases funds for culturally diverse mental health professionals to become supervisors.
The bill passed out of House Human Services and the Committee on Human Services Finance. It is still awaiting a Senate Health and Human Services Hearing.

H.F. 1566 (Hanson J., Curran, Lee F.)/SF 2588 (Wiklund): MHLN’s 988 bill. Provides more funding for 988 and establishes a telecommunication fee. The bill passed House Human Services Policy and referred to House Human Services Finance. It was heard in the Senate Health and Human Services Committee.

SF 926 (Boldon, Abeler)/H.F. 346 (Reyer, Her, Kiel, Fischer, Hicks, Acomb, Smith, Curran, Olson L., Elkins, Baker, Moller): MHLN’s Rates Bridging bill. Raises certain mental health service rates in 2024 and 2025 while DHS completes its rate study. Referred and awaiting hearings in the House Committee on Health Finance and Policy and Senate Committee on Health and Human Services.

H.F. 2371 (Bierman)/ S.F. 2485 (Gustafson, Mann, Morrison, Seeberger, Abeler): MHLNs mandated coverage of PRTFs Bill. Requires health plans to cover treatment at psychiatric residential treatment facilities (PRTFs) for children. The bill passed the House Commerce and was rereferred to House Health Care Finance and will heard this week in the Senate Health and Human Services.
Senate Bills
S.F 2806 (Hoffman and Abeler) increasing the approved recovery program grant amounts from $125,000 to $325,000 and including student and family recovery support staff. The bill was referred to the Committee on Education Finance.

S.F. 2832 (Mohamed, McEwen, Seeberger, Latz, Oumou Verbeten) establishing a right for juveniles to consult with an attorney before an interrogation and requiring parents to be notified. A report is required and includes the result of the interrogation and the clear attempt to contact the parent or guardian if the peace officer or officer was unable to. The child’s consultation is confidential and any information obtained by the peace officer in the consultation can not be used as admissible evidence in court proceedings against the child. The bill was referred to the Committee on Judiciary and Public Safety.

S.F. 2879 (Port) establishes an ombudsperson for shelter residents. All contacts made by residents seeking assistance from the ombudsperson for shelter residents is classified as private data. The ombudsperson will be an independent office within the Department of Human Services. Appropriations will be to support the position and its operations. The bill was referred to the Committee on Housing and Homelessness Prevention.

S.F. 2880 (Port) creates a shelter inhabitants’ bill of rights and appropriates money. The bill of rights includes the right to be treated with dignity and respect, right to adequate facilities, right to reasonable accommodations, right to privacy and confidential records, right to know shelter rules and resources, right to meet with attorneys and other advocates, and right to complain. The appropriation of money is for the commissioner to develop a list of resources to distribute to meet these rights. The bill was referred to the Committee on Housing and Homelessness Prevention.

S.F. 2944 (Miller, Hoffman, Abeler, Fateh, and Mann) establishing a Direct Care Service Corps, a pilot program to attract postsecondary students to work as personal care assistants or direct support professionals. A report should be done to evaluate the pilot project’s effectiveness and appropriations given for a grant to perform the report and project start up. The bill was referred to the Committee on Human Services.
S.F. 2960 (Hoffman, Draheim, Pappas, Xiong, Abeler) appropriating money to Ramsey County for a youth mental health urgency room. The bill was referred to Committee on Health and Human Services.
House Bills
H.F. 2396 (Keeler, Kozlowski, Frazier) establishes an ombudsperson for shelter residents. All contacts made by residents seeking assistance from the ombudsperson for shelter residents is classified as private data. The ombudsperson will be an independent office within the Department of Human Services. Appropriations will be to support the position and its operations. The bill was referred to Judiciary Finance and Civil Law.
H.F. 2636 (Fischer and Keeler) creates a shelter inhabitants’ bill of rights and appropriates money. The bill of rights includes the right to be treated with dignity and respect, right to adequate facilities, right to reasonable accommodations, right to privacy and confidential records, right to know shelter rules and resources, right to meet with attorneys and other advocates, and right to complain. The appropriation of money is for the commissioner to develop a list of resources to distribute to meet these rights. The bill was referred to the Committee on Human Services Policy.
H.F. 2764 (Norris, Frazier, Newton, Hill, and Sencer-Mura) increasing the approved recovery program grant amounts from $125,000 to $325,000 and including student and family recovery support staff. The bill was referred to the Committee on Education.
H.F. 2859 (Feist, Fraizer, Finke, Kozlowski, Becker-Finn) establishing a right for juveniles to consult with an attorney before an interrogation and requiring parents to be notified. A report is required and includes the result of the interrogation and the clear attempt to contact the parent or guardian if the peace officer or officer was unable to. The child’s consultation is confidential, and any information obtained by the peace officer in the consultation cannot be used as admissible evidence in court proceedings against the child. The bill was referred to the Committee on Public Safety Finance and Policy.
HF 2886 (Hanson, J.; Pursell): Modifications to protect the title of ‘social worker’ in Minnesota. Social workers employed by a city, county, or state agency must possess a bachelor's or graduate degree in social work and be licensed as a social worker. Individuals without these qualifications may not be represented to the public by any title that includes the terms ‘social work’ or ‘social worker’. The bill was referred to House Health Finance and Policy.
HF 2916 (Hanson, J.): Establishment of a grant program for social work students. Applicants must meet certain criteria, such as enrollment in an accredited social work program, and completion of an internship or practicum in the academic term when the grant is awarded. Grants may be up to $10,000 in an academic year, and awards preference will be needs based. The bill was referred to Higher Education Finance and Policy.
H.F. 2926 (Urdahl) establishing a legislative group on school safety. The group would consist of various legislative officials that would make recommendations to address school safety. The group must also provide a report with school recommendations by January 2024. The bill was referred to the Committee on Education Policy.
HF 2914 (Hanson, J) Establishes a Last-dollar scholarship program from the general fund in 2024 and 2025 for students who are going to become licensed social workers in Minnesota. Students who are enrolled in a social work bachelors or graduate degree program and submit a FAFSA will be eligible for this scholarship. This scholarship requires recipients within six months after completion of their degree to
be licensed and employed as a full time social worker in Minnesota. Referred to the Committee on Higher Education Finance and Policy.
Updates from NAMI Minnesota
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