NAMI Legislative Update
February 28, 2015
State Budget in Great Shape
Minnesota Management and Budget (MMB) issued the February Forecast, which means they
have a new estimate for how much money the state will have for the 2016-17 fiscal years.
They estimated that there will be MORE money (or revenues), a 1.5% increase over their
November estimates. This additional money is due to more money coming in ($616 million
more) and less money being spent ($115 million lower) than previously expected. The total
surplus rose to $1.869 billion.
Governor Dayton's current budget spends $42 billion and he said that he would submit what is
called a "supplemental budget" the week of March 9 that will increase spending by about
$444.2 million to fund additional legislative priorities. This includes universal pre-k for all fouryear olds, higher education and transportation and restoring funding for the Mpls Park Board.
Governor Dayton said he would set aside $50 million to implement the recommendations of
the child protection task force.
NAMI Minnesota would like to see those additional dollars used to fund our mental
health system and ensure that the additional funding for mental health that is in the
Governor's original budget is passed. Saturday's Star Tribune editorial points to the very
fact that "The governor also voiced willingness to spend more in other areas. Dayton's initial
proposal was stingy with several other state services that have not yet recovered from
recession-era cuts. Assistance for vulnerable people - the frail elderly and the disabled,
impoverished and endangered children, and mental illness sufferers - deserves serious
consideration."
In order for this to happen, NAMI members need to call the leaders of the house and
senate this week. Please make your calls by Thursday. Here is who to call:
Senate
Senate Majority Leader Thomas Bakk at 651-296-8881
Assistant Majority Leader Katie Sieben at 651-297-8060
Finance Committee Chair Dick Cohen at 651-296-5931
Senate Minority Leader David Hann at 651-296-1749
House
Speaker of the House Kurt Daudt at 651-296-5364 or 1-800-710-7642
Majority Leader Joyce Peppin at 651-296-7806
Ways and Means Committee Chair Jim Knoblach at 651-296-6612
House Minority Leader Paul Thissen at 651-296-5375
Your message is simple: I am a NAMI member and I (live with a mental illness, have a family
member, work in the field). I am so pleased that our state budget has a bigger surplus than
expected. Please use these dollars to increase funding to our mental health system.
Making all these calls will take less than 10 minutes. Do you have ten minutes to spare to
help improve the mental health system? If you only have 5 minutes, please focus on the
House members. Got an extra minute? Call your own state senator and representative and
tell him or her the same thing. Your voice matters! Make sure it's heard!
Committee Hearings
Senate Health, Human Services and Housing
Senate HHS and Housing committee met on Monday and heard Sen. Lourey's bill, SF 139. This
bill proposes a number of changes to MNSure, including making it a state agency. Sen.
Lourey said this change would give the legislature more direct oversight on MNSure.
Sen. Lourey was joined by DHS Commissioner Lucinda Jesson and DHS Deputy Commissioner
for Policy and Operations Chuck Johnson, the three testifiers answered a wide-ranging series
of questions.
Senator Benson and Senator Nelson expressed a number of concerns about MNsure in
general. Senator Nelson described MNsure as the largest failure in state
programming. Senator Lourey said that there have been technical challenges but added that
MNsure has been responsible for 181,000 uninsured Minnesotans finding health coverage.
Senator Sheran asked about the difficulty of building a single Information Technology (IT)
system that can establish eligibility for private and public insurance. Commissioner Jesson
responded that there is hope for fixing the IT system. She said there has been significant
progress in the last year in this area.
The committee met on Wednesday to hear the Governor's health and human services bill.
Senator Lourey walked through the bill explaining the various sections. No testimony was
taken.
Senate Judiciary Committee
On Tuesday, the Judiciary Committee met to hear several bills. Senator Sheran presented SF
253, which would establish an Interstate Medical License Compact. She said if Minnesota
joined this Compact, it would allow physicians a faster process to become licensed if they are
licensed in another state. The bill was described as a tool to expand access to physicians,
particularly through telemedicine. The bill passed and was referred to Senate Finance.
House Agriculture Finance Committee
The House Agriculture Finance committee met on Tuesday. Jim Molenaar with the Minnesota
State Council of Universities (MNSCU) spoke in support of mental health counseling for
farm families. He explained that this program started in response to flooding in rural areas
and helped families work through the stress related to these events. He said that this
program made a positive impact, such as preventing suicides and helping families stay
together.
The program currently funds one mental health professional and he often travels long
distances to provide vital mental health counseling. Representative Jeanne Poppe shared her
support for this program. She recalled a recent example where a teacher in a rural school lost
his child in a car accident. The mental health professional was quickly on hand to help the
family cope with the loss. Representative Poppe said she was introducing a bill this session to
increase funding for mental health counseling for farm families.
NAMI Bills Introduced
More bills were introduced this week to carry forward our goals of increasing access to the
mental health system. If your legislator is a chief author - call and thank them. If he or she
signed on as a co-author, please email them and thank them as well. When legislators support
our issues we need to take the time to thank them! The bills are listed below.
HF 1024 (Davnie; Erickson; Ward and Clark) (Companion to SF 1188) Referred to the
Committee on Education Innovation Policy. Appropriates $750,000 to provide training and
technical assistance to schools to reduce the use of seclusions and restraint on students and
to reimburse school districts for the costs of hiring experts to provide training in reducing the
use of seclusion and restraints for students with complex needs.
HF 1209 (Barrett; Fischer; Johnson, C.; Yarusso; Baker; Ward and Slocum) Referred to the
Committee on Education Innovation Policy. Adds evidence-based suicide prevention training to
the current continuing education requirements for teachers. Adds de-escalation and suicide
prevention to the deadly force training for police officers. Adds a new program to provide
evidence-based suicide prevention and intervention to a variety of professionals including
public school nurses, teachers, coaches, and police officers. Adds postvention training.
Requires the commissioner of health in consultation with stakeholders to improve the
timeliness, usefulness and quality of suicide-related data. Appropriates $300,000 in FY 20162017 for suicide prevention training, $3 million for text message suicide prevention services,
and $45,000 for youth mental health first aid training.
SF 1006 (Tomassoni; Metzen; Sheran and Lourey) Referred to the Committee on Finance.
Appropriates an additional $5 million over the next biennium to fund programs that provide
employment support services for persons with mental illness. More than half of the money is
explicitly designated for expansions to areas of the state without existing programs.
SF 1187 (Clausen) Referred to the Committee on Commerce. Requires health plans to pay for
treatment and services provided by a clinical trainee to the extent that the services are within
the scope of practice of that person. Requires that denial of payment claims that concern the
appropriateness, quality, or utilization of mental health services "be made by, under the
direction of, or subject to the review of a licensed mental health professional."
SF 1188 (Torres Ray and Clausen) (Companion to HF 1024) Referred to the Committee on
Finance. Appropriates $750,000 to provide training and technical assistance to schools to
reduce the use of seclusions and restraint on students and to reimburse school districts for the
costs of hiring experts to provide training in reducing the use of seclusion and restraints for
students with complex needs.
Governor Dayton Signs the Deficiency Bill
On Thursday, the Governor signed legislation that provides deficiency funding for a variety of
agencies and items. The bill included $10,437,000 for the Minnesota Security Hospital (MSH).
This is the same amount that was proposed in the initial bill. MSH is currently operating under
a conditional license that requires increased staffing, cameras, and training. The increased
staffing is to help improve safety and implement a more person-centered approach to
care. The hospital is dependent on overtime to provide staffing at safe levels. This has led to
higher than expected costs.
Report Released on Offenders with Mental Illnesses
The Offenders with Mental Illness Workgroup report was released this week. The group looked
at several areas: Pre-Arrest/Arrest, Urgent Care/Central Receiving Center, Law enforcement,
Hospital, Jails and Courts, Discharge and Juvenile Justice.
The group developed recommendations and then voted on them. The recommendations
receiving the largest number of votes were:



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Create sustainable funding methods for mental health urgent care services. Urgent
care services include mental health crisis assessment, access to crisis psychiatry,
chemical health screening, and crisis stabilization services.
Encourage local jurisdictions to have regular meetings between law enforcement and
mental health communities to facilitate dialogue and collaboration, identify trends, and
address barriers.
Continue medication for inmates after discharge.
Establish a sustainable payment rate for mobile crisis services that covers not only
face-to-face contact but other necessary service elements such as telephone/text
support, engagement in treatment, service coordination, and travel.
NAMI Minnesota participated on this task force.
Not sure who represents you?
This Week at the Capitol
On Tuesday the House Education Innovation Policy Committee will hear Rep Barrett's bill on
suicide prevention (HF 1209) and the discipline bill(HF 1233). On Tuesday the House Health
and Human Services Reform Committee will hear HF 753 related to the loan forgiveness
programs for mental health professionals and they will hear the text for life bill (HF 1201) on
Thursday. On Wednesday, the Senate Health, Human Services and Housing Committee will
hear two bills related to MA-EPD and MA spenddown - SF 238 and SF 566.
2015 Mental Health Day on the Hill Bus Schedule and Registration
You can now register for buses for the 2015 Mental Health Day on the Hill! We need hundreds
of people from around the state to come to the capitol and advocate for children and adults
living with mental illnesses and their families on March 12. Join us and make your voice
heard! There will be five routes around Minnesota leaving in the morning to take people to
the Christ Lutheran Church across the street from the Capitol. There won't be the traditional
"rally" since there is no rotunda but legislators will be coming to speak at the church.
Please call your state representative and senator and make an appointment to visit with them
(for 15 minutes on the 12th between 12 and 2. Let us know the details once you make the
appointment. It is critical that legislators hear from their constituents!
Come help us strengthen and expand our mental health system at the capitol this year! We
know what works, let's build on it! You can register for buses by clicking here.
President Obama Releases Budget
President Obama unveiled his $4 trillion budget proposal for 2016. The budget includes a
number of important proposals for agencies and programs of importance to people living with
serious mental illness and their families. In a surprise development, the budget proposes to
eliminate the unfair 190-day lifetime limit on inpatient psychiatric care in the Medicare
program, a proposal that requires congressional action.
Perhaps most important is the President's proposal to increase the current budget limits by
$74 billion on spending, thankfully eliminating the looming threat of across-the-board cuts
known as "sequestration" for 2016. Back in 2013, sequestration became a reality, with
harmful cuts to mental illness research and supportive housing programs. It remains to be
seen if Congress will allow this to happen. However, this budget proposal does serve as a first
offer in a negotiation over spending limits and priorities that will run through this coming
summer.
Read on to see President Obama's proposed budget in relation to serving people with mental
illnesses.
Bill Summaries
House
HF 994 (Hertaus; Dehn, R.; Newberger; Considine and Newton) (Companion to SF 773)
Referred to the Committee on Public Safety and Crime Prevention Policy and Finance. Changes
possession for cocaine, heroin, and methamphetamine to be equivalent with other narcotic
drugs. Repeals mandatory sentencing requirements. Appropriates money to the commissioner
of corrections for substance abuse and mental health treatment programs, offender education
programs, and crime victim services.
HF 999 (Quam and Lucero) Referred to the Committee on Civil Law and Data Practices.
Classifies law enforcement body camera data that is collected in a space where the subject
has a reasonable expectation of privacy as private data. It may only be shared or
disseminated pursuant to court order.
HF 1009 (Hamilton; Mack; Murphy, E.; Halverson; Baker and Clark) (Companion to SF
998)Referred to the Committee on Health and Human Services Reform. Sets minimum
reimbursement rates for medical assistance that guarantee a base level rate for public health
nurse home visits. Appropriates money for planning and start-up grants to community health
boards and tribal nations not currently providing the nurse-family partnership program, as
well as expansion grants for communities with existing nurse-family partnership programs.
HF 1011 (Albright; Mack; Franson; Fischer; Schultz; McDonald; Lohmer; Gruenhagen; Backer;
Zerwas; Schoen; Schomacker and Dean, M.) (Companion to SF 453) Referred to the
Committee on Health and Human Services Reform. Expands medical assistance
reimbursement to physician assistants providing medication management and evaluation and
management services to outpatient settings. To do this they added that the physician
assistant must complete at least 2,000 hours of clinical experience that includes mental health
evaluation and treatment. NAMI Minnesota is opposed to this bill. NAMI and others
proposed language that would have required more mental health training consistent with
other mental health professionals but it was rejected by the PA organization.
HF 1012 (Dean, M.; Dehn, R. and Lohmer) (Companion to SF 1012) Referred to the
Committee on Health and Human Services Reform. Requires community-based settings where
people are on a waiver to meet requirements in the final home and community-based services
regulations, and those of the federally approved transition plan for each waiver. The
exceptions to the previous limit of no more than 25% of a building could be people on a
waiver will expire in 2019.
HF 1024 (Davnie; Erickson; Ward and Clark) (Companion to SF 1188) Referred to the
Committee on Education Innovation Policy. Appropriates $750,000 to provide training and
technical assistance to schools to reduce the use of seclusions and restraint on students and
to reimburse school districts for the costs of hiring experts to provide training in reducing the
use of seclusion and restraints for students with complex needs. This is a NAMI bill.
HF 1035 (Johnson, C) (Companion to SF 962) Referred to the Committee on Health and
Human Services Finance. Appropriates $10.4 million to be spent on increased staffing levels,
renovations, and improvements for the Minnesota Security Hospital in St. Peter.
HF 1087 (Atkins; Murphy, E.; Clark; Zerwas; Davids; Mullery; Hornstein; Lillie and Ward)
(Companion to SF 1071) Referred to the Committee on Health and Human Services Reform.
Creates a Violence Against Health Care Workers Act. Directs the commissioner of heath to
develop a violence prevention database for workers to input information regarding acts of
violence or abuse and if they had asked for additional staff or security. Allows an employee to
go directly to law enforcement.
HF 1088 (O'Neill; Ward; Johnson, B.; Schoen and Theis) Referred to the Committee on
Finance. Creates patient care zones within hospitals, hospices or nursing homes and within
300 feet or one city block of one. Makes it a crime to sell drugs within these zones. Also
requires consecutive sentences for inmates receiving treatment in a hospital, hospice or
nursing home if they assault someone within a patient care zone. Penalties are increased for
crimes within a patient care zone including assault, possession of a dangerous weapon, or
making terroristic threats.
HF 1145 (Dean, M.; Zerwas; Dehn, R.; Lohmer; Anderson, S. and Slocum) (Companion to SF
1208) Referred to the Committee on Health and Human Services Reform. Appropriates
$300,000 in FY 2016-2017 for matching grants to nonprofit organizations to provide chemical
dependency prevention programs in secondary schools.
HF 1153 (Mullery and Slocum) Referred to the Committee on Education Innovation Policy.
Requires family home visiting programs to offer education services on prenatal development
of brain function and development in youth. Adds that home visitors must receive specific
training in early brain development.
HF 1155 (Zerwas and Hoppe) (Companion to SF 1078) Referred to the Committee on Health
and Human Services Reform. Allows mental health records to be disclosed in order to
coordinate services to an individual or family.
HF 1180 (O'Neill; Zerwas; Hilstrom; Newberger; Schoen; Ward and Slocum) (Companion to
SF 1013) Referred to the Committee on Public Safety and Crime Prevention Policy and
Finance. Appropriates $1 million over FY 2016-2017 to the trial courts to expand specialty
courts to each county in the state.
HF 1201 (Schomacker; Barrett; Schultz; Backer and Schoen) (Companion to SF 1152)
Referred to the Committee on Health and Human Services Finance. Appropriates $3 million to
expand the text message suicide prevention program. The program must provide a suicide
prevention counseling text service designed to connect individuals with crisis counselors,
provide emergency information, and make referrals to local resources within the community.
School and community based training must also be provided to encourage use of the program.
NAMI Minnesota supports this bill.
HF 1209 (Barrett; Fischer; Johnson, C.; Yarusso; Baker; Ward and Slocum) Referred to the
Committee on Education Innovation Policy. Adds evidence-based suicide prevention training to
the current continuing education requirements for teachers. Adds de-escalation and suicide
prevention to the deadly force training for police officers. Adds a new program to provide
evidence-based suicide prevention and intervention to a variety of professionals including
public school nurses, teachers, coaches, and police officers. Adds postvention training.
Requires the commissioner of health in consultation with stakeholders to improve the
timeliness, usefulness and quality of suicide-related data. Appropriates $300,000 in FY 20162017 for suicide prevention training, $3 million for text message suicide prevention services,
and $45,000 for youth mental health first aid training. NAMI Minnesota supports this bill
and worked closely with the author.
HF 1211 (Peterson; Norton; Mack; Halverson; Dean, M. and Newton) (Companion to SF 1062)
Referred to the Committee on Health and Human Services Reform. Addresses the problem of
counties underspending on the waivers, requires training for county staff on rate setting for
waiver recipients.
HF 1213 (Dean, M.) Referred to the Committee on Health and Human Services Reform.
Requires anyone participating in workforce development and employment training programs to
undergo drug testing as a condition of eligibility. Persons who receive positive results must
participate in a chemical dependency treatment program as a condition of continuing
eligibility.
HF 1216 (Poppe; Hamilton; Anderson, P. and Bly) Referred to the Committee on Agriculture
Finance. Appropriates $168,000 over FY 2016-2017 for statewide mental health counseling to
support farm families and business operators. The funding would be administered to the Board
of Trustees of Minnesota State Colleges and Universities, and South Central College would
serve as the fiscal agent.
HF 1233 (Christensen; Erickson and Mariani) (Companion to SF 1001) Referred to the
Committee on Education Innovation Policy. Prohibits suspensions for students in
prekindergarten through grade 3. Allows parents to withdraw a child from school as an
alternative to expulsion. Proposes that schools find alternatives to pupil suspension including
restorative consequences, in-school suspensions, positive behavior interventions, or mental
health crisis services. Also requires immediate notification of parents when any child is
removed from a classroom, school building, or school grounds by a police officer. NAMI
supports this bill.
HF 1237 (Christensen; Erickson and Mariani) (Companion to SF 1002) Referred to the
Committee on Education Innovation Policy. Requires paraprofessionals to have training
address the disability specific and behavior needs of each student to whom the
paraprofessional is providing direct support.
HF 1246 (Mack; Schomacker; Schoen; Backer; Schultz; Barrett; Norton; Poppe; Dean, M.;
Swedzinski; Quam; Gunther and Albright) (Companion to SF 981) Referred to the Committee
on Health and Human Services Reform. The "Minnesota Telemedicine Act" requires health
plans to include coverage for telemedicine in the same manner as an in-person visit or
consultation, and prohibits exclusions for services solely because they are provided via
telemedicine. Makes the same requirement under Medical Assistance. NAMI Minnesota
supports this bill.
HF 1252 (Hamilton; Murphy, E.; Gunther and Loeffler) (Companion to SF 643) Referred to the
Committee on Health and Human Services Reform. Requires the commissioner to establish a
program that provides health care coverage to low-income uninsured children and adults who
are not citizens and have critical health care needs.
HF 1271 (Quam, Allen, Mack, Loeffler and Dean, M.) Referred to the Committee on Health and
Human Services Reform. (Companion to SF 928) Amends the eligibility requirements for group
residential housing (GRH) payments, allowing payments to continue to be made six months
after a person becomes employed. The person may retain countable income up to an
additional $230 per month.
Senate
SF 1001 (Hoffman; Johnson; Pratt; Wiger and Housley) (Companion to HF 1233) Referred to
the Committee on Education. Prohibits suspensions for students in prekindergarten through
grade 3. Allows parents to withdraw a child from school as an alternative to expulsion.
Proposes that schools find alternatives to pupil suspension including restorative consequences,
in-school suspensions, positive behavior interventions, or mental health crisis services. Also
requires immediate notification of parents when any child is removed from a classroom, school
building, or school grounds by a police officer. NAMI supports this bill.
SF 1002 (Hoffman; Johnson; Torres Ray and Wiger) (Companion to HF 1237) Referred to the
Committee on Education. Requires paraprofessionals to have training address the disability
specific and behavior needs of each student to whom the paraprofessional is providing direct
support.
SF 1006 (Tomassoni; Metzen; Sheran and Lourey) Referred to the Committee on Finance.
Appropriates an additional $5 million over the next biennium to fund programs that provide
employment support services for persons with mental illness. More than half of the money is
explicitly designated for expansions to areas of the state without existing programs. This is a
NAMI bill.
SF 1012 (Hayden) (Companion to HF 1012) Referred to the Committee on Health, Human
Services and Housing. Requires community-based settings where people are on a waiver to
meet requirements in the final home and community-based services regulations, and those of
the federally approved transition plan for each waiver. The exceptions to the previous limit of
no more than 25% of a building could be people on a waiver will expire in 2019.
SF 1013 (Goodwin; Eaton; and Hall) (Companion to HF 1180) Referred to the Committee on
Finance. Appropriates $1 million over FY 2016-2017 to trial courts to expand specialty courts
to each county in the state.
SF 1014 (Jensen; Carlson; Kent; Rosen and Nelson) (Companion to HF 1092) Referred to the
Committee on Judiciary. Specifies that tenants can prematurely terminate a lease if the tenant
has been found by a medical professional to require assistance with activities of daily living
due to medical reasons or disability, to have reduced self-sufficiency due to a mental illness,
or to need to move to a medical care facility. Two months' notice must be given by the tenant
or the tenant's authorized representative. NAMI supports this bill.
SF 1062 (Hoffman, Rosen, and Eken) Referred to the Committee on Health, Human Services
and Housing. (Companion to HF 1211) Addresses the problem of counties underspending on
the waivers. Requires training for county staff on rate setting for waiver recipients.
SF 1071 (Wiger, Eaton, Dibble, and Goodwin) (Companion to HF 1087) Referred to the
Committee on Health, Human Services, and Housing. Creates a Violence Against Health Care
Workers Act. Directs the commissioner of heath to develop a violence prevention database for
workers to input information regarding acts of violence or abuse and if they had asked for
additional staff or security. Allows an employee to go directly to law enforcement.
SF 1078 (Champion; Goodwin and Lourey) (Companion to HF 1155) Referred to the
Committee on the Judiciary. Allows mental health records to be disclosed in order to
coordinate services to an individual or family.
SF 1150 (Schmit and Hoffman) Referred to the Committee on Health, Human Services and
Housing. Companion to HF 1246) (The "Minnesota Telemedicine Act" requires health plans to
include coverage for telemedicine in the same manner as an in-person visit or consultation,
and prohibits exclusions for services solely because they are provided via telemedicine. Makes
the same requirement under Medical Assistance. NAMI Minnesota supports this bill.
SF 1152 (Hayden) (Companion to HF 1201) Referred to the Committee on Health, Human
Services and Housing. Appropriates $3 million for a grant to a nonprofit organization to
expand the statewide text message suicide prevention program. The program must provide a
suicide prevention counseling text service designed to connect individuals with crisis
counselors, provide emergency information, and make referrals to local resources within the
community. School and community based training must also be provided to encourage use of
the program. NAMI Minnesota supports this bill.
SF 1187 (Clausen) Referred to the Committee on Commerce. Requires health plans to pay for
treatment and services provided by a clinical trainee to the extent that the services are within
the scope of practice of that person. Requires that denial of payment claims that concern the
appropriateness, quality, or utilization of mental health services "be made by, under the
direction of, or subject to the review of a licensed mental health professional." This is a
NAMI bill.
SF 1188 (Torres Ray and Clausen) (Companion to HF 1024) Referred to the Committee on
Finance. Appropriates $750,000 to provide training and technical assistance to schools to
reduce the use of seclusions and restraint on students and to reimburse school districts for the
costs of hiring experts to provide training in reducing the use of seclusion and restraints for
students with complex needs. This is a NAMI bill.
SF 1202 (Hayden and Pappas) (Companion to HF 979) Referred to the Committee on Health,
Human Services and Housing.Creates a task force to study the impact of adverse childhood
experiences (ACES) and to identify preventive and trauma-informed policy and practices.
SF 1204 (Hayden) (Companion to HF 892) Referred to the Committee on Health, Human
Services and Housing. A resolution for the use of current science on childhood brain
development, adverse childhood experiences, and toxic stress to prevent child abuse and
neglect before it starts and ensure the well-being of all Minnesota children.
SF 1208 (Rosen and Nelson) (Companion to HF 1145) Referred to the Committee on Finance).
Appropriates $300,000 in matching grants to provide chemical dependency prevention
programs in secondary schools. Applicants must demonstrate that they have sufficient funds
to match the grant provided.
SF 1213 (Marty; Dibble; Lourey; Franzen and Sheran) Referred to the Committee on Health,
Human Services and Housing. The "Protection for Conversion Therapy Act" prohibits mental
health practitioners or mental health professionals from engaging in conversion therapy with
clients under 18 years of age or with vulnerable adults. Conversion therapy is defined as any
practice intended to change an individual's sexual orientation or intended to discourage a
transition from one gender to another. NAMI Minnesota supports this bill.
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