SF2628 (Legislative Session 94 (2025-2026))

County cost modification of care provisions

Related bill: HF2416

AI Generated Summary

Purpose of the Bill

The bill aims to change the way county costs are managed regarding direct care and treatment services, specifically at the Anoka-Metro Regional Treatment Center. It also intends to establish specific timelines for patient admissions and create a requirement for reporting. Additional funding is allocated to implement these changes.

Main Provisions

  • Cost of Care Payment Structure:

    • The county pays different percentages of care costs based on the length of a patient's stay at the Anoka-Metro Regional Treatment Center:
    • 0% for the first 30 days.
    • 20% for days 31 and over if the stay is clinically appropriate.
    • 100% for each day beyond clinical appropriateness, unless exceptions apply.
  • Exceptions to County Payment Responsibility:

    • Between April 1, 2023, and June 30, 2025, counties are not responsible for costs for patients deemed dangerous due to mental illness and awaiting transfer to other facilities.
    • Counties are not responsible if patients are waiting to transfer to facilities operated by the Department of Corrections or another state-operated program that has been determined to be the only suitable facility.
  • Exemption for Clients:

    • Clients are not required to pay any costs of their care under this new subdivision, regardless of any contrary laws.

Significant Changes to Existing Law

  • Adjustments to County Financial Responsibility: Changes the financial obligations of counties concerning patient care durations and certain patient transfers, reducing county liabilities under specified conditions.
  • New Reporting and Timeline Requirements: Establishes new rules for report submissions and timelines concerning patient admissions.

Relevant Terms

direct care, treatment center, county cost, patient admission, mental illness, civil commitment, state-operated facility, Department of Corrections, Anoka-Metro Regional Treatment Center

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": [
        "Exceptions to county responsibility for costs between specific dates for certain committed individuals."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill modifies county payment responsibilities for costs of care at the Anoka Metro Regional Treatment Center under section 246.54 subdivision 1a.",
      "modified": [
        "Adjusts percentages and conditions for county payment based on length of stay and discharge appropriateness."
      ]
    },
    "citation": "246.54",
    "subdivision": "subdivision 1a"
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Referenced in context of county payment responsibilities as outlined in sections 246.50 to 246.53.",
      "modified": [
        "County will be responsible only for amounts exceeding state-received payments."
      ]
    },
    "citation": "246.50",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Referenced regarding exceptions to reimbursement liabilities.",
      "modified": [
        "Clarifies conditions under which counties or clients are not responsible for certain payments."
      ]
    },
    "citation": "246.53",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Referenced concerning commitments of individuals with mental illness and danger to the public.",
      "modified": [
        "Provides context for exceptions to county financial responsibilities for certain committed individuals."
      ]
    },
    "citation": "253B.18",
    "subdivision": ""
  }
]