This bill establishes the Department of Direct Care and Treatment (DCT) in Minnesota and assigns a Commissioner as its head, replacing the existing Direct Care and Treatment Executive Board. It transfers authority for state-operated care services from the Commissioner of Human Services to the new Commissioner of Direct Care and Treatment, effective July 1, 2025.

Key provisions include: - Creation of the Department of Direct Care and Treatment, responsible for state-operated care services for individuals with mental illness, developmental disabilities, or substance use disorders. - Dissolution of the Direct Care and Treatment Executive Board. - Transfer of custody for civilly committed individuals and authority over state hospitals to the new department on July 1, 2025. - Amendments to multiple Minnesota statutes to reflect the new structure. - Establishment of advisory committees to provide ongoing input on DCT operations. - Renaming and restructuring of various accounts related to facility management, IT systems, and cemetery maintenance for state-operated facilities.

The bill streamlines governance over direct care and treatment services, shifting authority from the Department of Human Services to a dedicated agency with a single commissioner.