The proposed Senate bill SF No. 815 addresses changes in the requirements for support workers under Minnesota's community first services and supports (CFSS) system. Key points of the bill include:

1. Background Checks and Qualifications: Support workers must undergo a background study and be cleared or granted a disqualification set-aside to enroll as a support worker.

2. Training Requirements: Workers are required to complete CFSS basic training, which includes first aid, understanding of abuse and maltreatment, safety precautions, and other essential care functions. The training must be accessible in multiple languages and accommodate those with disabilities.

3. Client-Centered Care: Support workers need skills to effectively communicate and meet the specific needs of participants as outlined in their individualized service plan.

4. Employer-Directed Orientation: Additional training on the specific needs of the participant must be completed, guided by the employer.

5. Privacy and Ethical Standards: Workers must maintain confidentiality and are prohibited from making independent decisions about medication dosages or schedules.

6. Prohibitions and Grounds for Termination: The bill lists conditions under which a support worker's enrollment can be terminated, such as failure to meet requirements, substance abuse while on duty, or illegal activities related to drugs.

7. Appeals Process: Support workers have the right to appeal a termination decision in writing.

8. Work Hour Limitations: A cap is set on the number of hours a support worker can bill per month to prevent overwork and ensure quality of care.

9. Enhanced Rate Eligibility: Support workers can qualify for higher pay rates if they meet specific service provision criteria, including training and competency as aligned with current Medicare standards or equivalent.

In summary, the bill aims to ensure that support workers are well-trained, appropriately vetted, and act in the best interests of the individuals they support, while also setting provisions for fair labor practices and enhanced compensation under certain conditions.