Transcript Highlights:

• It also extends the grant that was dedicated for direct care services, called a pilot project.
• grant that was uh dedicated for direct grant that was uh dedicated for direct care<01:13:40.080>
• direct care uh<01:15:01.640> workers.
• > are the direct care workforce program are the direct care workforce program are providing<01
• <01:15:24.520> care more people into the direct care more people into the direct care workforce

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• This project seeks to place certified direct support professionals across Minnesota's direct care services
• across Minnesota's direct professionals across Minnesota's direct care<00:36:45.800> services
• > daily rely upon direct care services for daily rely upon direct care services for daily living<
• care services.
• care services.

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• In 2024, the legislature appropriated a little over $2 million to direct care and treatment to develop
• the state can take to strengthen home care services in Minnesota.
• care services that allow access to home care services that allow older<00:04:42.240> Minnesotans<
• <00:05:19.600> services<00:05:20.120> in take to strengthen home care services in take
• <00:08:24.000> services<00:08:24.520> to access to home care services to access to

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• At a time when many health care and social service providers are facing workforce shortages, this change
• , her respit care, and our family<00:45:16.160> education<00:45:16.640> services.
• And if you look through the bill, when services are abruptly stopped, when recipients lose their care
• Human<01:15:59.120> Services<01:15:59.840> is one thing Metro Care Human Services
• Um, I receive ICS services on Bush Avenue for Caring LLC. Okay.

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• Kylian Stevens, Executive Medical Director for the Department of Human Services Direct Care and Treatment
• <00:09:09.320> Direct<00:09:09.640> Care Department of Human Services Direct Care Department
• of Human Services Direct Care and<00:09:09.920> treatment<00:09:10.320> division<00:09
• direct care and treatment admissions to direct care and treatment mha<00:33:58.600> strongly<00
• c> we the rest of direct care and treatment we the rest of direct care and treatment we are<00:59

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• Let essential to maintaining services. Let me<00:30:38.640> be<00:30:38.800> direct.
• They came from a corporate foster care, which is not the same as community residential services.
• Adult foster care is different than family residential services.
• Family residential services and adult foster care, we are not institutions; they are family homes.
• >> Family residential services and adult foster<00:53:03.920> care foster care foster care

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• Direct primary care and direct primary care-like approaches have emerged in part to help address these
• direct primary care.
• direct primary care.
• Um, and so, you know, I think this direct primary care service is something that we really ought to look
• Um, and so, you know, I think this direct primary care service is something that we really ought to look

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• child welfare services in the country. child welfare services in the country.
• While child welfare has not yet experienced direct cuts in the same way that other social services have
• While child welfare has not yet experienced direct cuts in the same way that other social services have
• same services as perhaps another county. same services as perhaps another county.
• Most people who are receiving public services are happy to receive those public services.

Bills: HF2135, HF776, HF1581, HF1158, HF2226

Keywords: child welfare, fiscal analysis, third-party consultant, program evaluation, Minnesota, HF776, Minnesota Family Assets for Independence Initiative, family assets for independence, FAI, asset-building, matched savings, financial literacy, family savings, economic mobility, children youth and families, general fund appropriation, family support, low-income families, financial stability, budget bill

Transcript Highlights:

• > including direct services for victims, including direct services for victims, including greater
• I direct the public policy program for the National Consumer Voice for Quality Long-Term Care.
• resident care, an spent on direct resident care, an essential<01:19:02.000> guardrail<01:19:02.560
• It supports maintaining service availability, quality of care, and program integrity.
• Please support House File 2779. service availability, quality of care, service availability, quality

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Summary: The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.

Transcript Highlights:

• , along with staff from Direct Care and Treatment and the Department of Human Services, to identify and
• Direct Care and Treatment or the executive board have been added so that once Direct Care and Treatment
• Care and Treatment or the Direct Care and Treatment executive board.
• Direct Care and Treatment or the executive board have been added so that once Direct Care and Treatment
• Care and Treatment or the Direct Care and Treatment executive board.

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• I'm the legislative director for Direct Care and Treatment.
• I'm the legislative director for Direct Care and Treatment.
• I will try to direct care and treatment.
• bill for direct care and treatment. bill for direct care and treatment.
• direct care and treatment on this one. direct care and treatment on this one.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• We're updating the advanced care directives as discussed during mobile crisis response.
• > dis<00:48:32.480> uh<00:48:32.720> discussed care directives as dis uh discussed
• care directives as dis uh discussed during<00:48:33.599> mobile<00:48:34.079> crisis<00
• <01:09:09.679> bill<01:09:10.400> directed<01:09:10.960> the Human Services
• bill directed the Human Services bill directed the agencies<01:09:11.839> to<01:09:12.080>

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• , CBC model of care.
• Uh, these are people who deserve to be taken care of, and taking care of them, doing criminal history
• programs and 211 services.
• It is the ethical and moral responsibility to provide that care.
• So we need to be caring for their part.

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• A complex care aide in home health is a trained caregiver who provides specialized care.
• And so private duty nursing is one of those services.
• (CBC) model of care.
• A landlord cannot provide health care services or assistance to more than three residents without being
• So we need to be caring for that part.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• It repeals the nursing facility direct care staff rate enhancement program.
• That's much-needed funding that goes to these folks in order to provide for direct patient care.
• So you have the patient care expense, which would include direct care, dietary, and indirect care.
• We are really excited to get this additional funding and help support our direct care staff.
• . and child care licensing services.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• The bill creates a Class A misdemeanor for individuals that provide personal care services without an
• If the proposed legislation has or will increase or decrease. total spending for health care services
• , if it has or will increase the utilization of any relevant health care services, if it has or will
• Fee-for-service, we really don't feel, is a good fit for primary care in particular because it rewards
• care, fee-for-service, to paying for health care that keeps people healthy.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• care for our seniors at the lowest possible cost. offered and where we can best manage those services
• There are three areas of services for seniors.
• We have home and community-based services, which is at the Department of Human Services.
• long-term care.
• We also have long-term care. The cost varies between these three categories of services.

Bills: HB3390, HB4199, HB4407, HB4412

Keywords: home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors

Transcript Highlights:

• And then the final piece with all the effective day changes deals with direct care and treatment to make
• It's Representative Norris's bill exempting assisted living providers from direct care staff compensation
• These sections add Direct Care and Treatment and the Direct Care and Treatment Executive Board or Chief
• Section 32 from the DHS Policy Bill exempts the Direct Care and Treatment Executive Board from the 18
• Interviews arranged by the Direct Care and Treatment (DCT) for certain recruited positions.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• c> to deals with direct care and treatment to deals with direct care and treatment to make<00:02:
• <00:04:12.959> care<00:04:13.280> staff providers from direct care staff providers
• They add direct care and treatment and the direct care and treatment executive board, or chief executive
• <00:08:50.560> care<00:08:50.800> treatment amended of the direct care treatment amended
• directed to the Minnesota Human Services directed to the Minnesota Human Services Agency.<00:27:

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• HF 4595 mental health care services.
• direct primary care is not insurance. direct primary care is not insurance.
• Direct primary care and direct primary care-like approaches have emerged in part to help address these
• c> direct<01:23:13.640> primary Direct primary care and direct primary Direct primary care
• direct primary care arrangements carving direct primary care arrangements out<01:23:27.360> of

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law