House Health and Human Services Reform Committee  3/14/17

House Health and Human Services Reform Committee 3/14/17


.>>ALL RIGHT. WE DON’T HAVE QUORUM YET BUT WE WILL GET STARTED. WELCOME TO THE HOUSE HEALTH AND HUMAN SERVICES REFORM COMMITTEE. REPRESENTATIVE BAHR PLEASE COME DOWN AND MOVE THAT HOUSE FILE 1188 BILL REFERRED TO THE HEALTH AND HOSPITAL COMMITTEE. OFFICIALLY WE HAVE — ACTUALLY NOW WE HAVE QUORUM SO I WILL CALL THE MEETING OFFICIALLY TO ORDER. REPRESENTATIVE KRESHA MOVES MINUTES FROM THE MEETING. ARE THERE ADDITIONS CORRECTIONS OR CHANGES MADE TO THE MINUTES? SEEING NONE ALL SIGNIFY BY SAYING AYE. OPPOSED SAME SIGN. THE MINUTES ARE ADOPTED. REPRESENTATIVE KRESHA MOVES FROM THE MINUTES FROM MARCH 9; 2017 BE ADOPTED. ARE THERE ANY CORRECTIONS DELETIONS OR CHANGES TO THE MINUTES. SEEING NONE ALL IN FAVOR OF ADOPTING THE MINUTES ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN. THE MINUTES ARE ADOPTED FOR MARCH 9 AND MOVE THAT HOUSE FILE 1188 BE REFERRED TO HEALTH AND HUMAN SERVICES FINANCE. REPRESENTATIVE BAHR WE HAVE THE BILL IN FRONT OF US. I UNDERSTAND YOU HAVE A AMENDMENT.>>YES MR. CHAIR.>>ALL RIGHT. I WILL MOVE THE AMENDMENT AND IN THE FORM YOU WOULD LIKE IT. ANY QUESTIONS ON THE AMENDMENT? ALL IN FAVOR SAY AYE. ANY OPPOSED? SEEING NONE MR. BAHR.>>THANK YOU MR. CHAIR. THIS THE FIRST TIME I AM IN THE COMMITTEE AND I BROUGHT THE TREAT FOCUS TREAT FOCUS YOU WILL HELP ME AND THIS IS HOW COUNTIES ARE PURSED FOR THE HEALTHLESS SHELTERS AND I WOULD LIKE TO TURN IT OVER TO THE TESTIFIER.>>THANK YOU. PLEASE STATE YOUR NAME FOR THE COMMITTEE.>>I AM [INAUDIBLE] WITH THE COUNTY’S BEHAVIORAL HEALTH. REPRESENTATIVE REPRESENTATIVE BAHR; MR. MR.; COMMITTEE MEMBERS. TO GIVE YOU A LITTLE BACKGROUND ON THIS GROUP RESIDENTIAL HOUSING IS AUTHORIZED ON AN INDIVIDUAL BASIS BY APPLYING FOR CASH ASSISTANCE WITH COUNTY ECONOMIC ASSISTANT DEPARTMENTS. IT’S HOMELESS SHELTERS TO RELY ON GROUP RESIDENTIAL HOUSING FOR THE ADULTS STAYING ON THE SHELTER. THE ONLY SHELTER IN ANOKA COUNTY USES THE FUND FOR THE EXPENDITURE FOR THE FACILITY. DURING THE FISCAL YEAR ’16 ANOKA COUNTY ECONOMIC ASSISTANCE DEPARTMENT PROCESSED HUNDREDS OF TRANSACTIONS FOR HOUSING AT THE SHELTER AND TOTAL OF $371;000. NEW YORK NEW YORK COUNT — ANOKA EMPLOYS — (LOW AUDIO) IF APPROVED THIS BILL WILL ALLOW THE DEPARTMENT OF HUMAN SERVICES TO MAKE A COST NEUTRAL SERVICE OF GROUP RESIDENTIAL HOUSING BED FUNDING TO COUNTY HUMAN SERVICE AGENCIES WITH EXISTING SHELTERS. THE FUNDING WILL BE ALLOCATED ANNUALLY PERCENTAGE IN THE ROOM AND BOARD RATE. COUNTIES CAN OPT IN OR CHOOSE TO CONTINUE USING INDIVIDUAL CLIENT ELIGIBILITY FOR GROUP RESIDENTIAL HOUSING PAYMENTS AT THEIR SHELTER. FOR THOSE COUNTIES THAT OPT IN A BIENNIUM PLAN WILL BE NEED TO BE SUBMITTED TO THE COMMISSIONER OF DHS BEFORE TRANSFER OF FUNDS OCCUR. THE COMMISSIONER OR COUNTY MAY RETURN BEDS TO THE GROUP RESIDENTIAL HOUSING FUND WITH 180 DAYS NOTICE INCLUDING FINANCIAL ECSILLIATION. THE OUTCOMES WE BELIEVE WILL INCREASE FINANCIAL SUSTAINABILITY FOR THE EMERGENCY SHELTERS WHO RELY ON THIS FUNDING AND THE ADMINISTRATIVE SIMPLIFICATION WILL DECREASE COSTS ASSOCIATED WITH THE MANAGEMENT OF GRH FOR EMERGENCY SHELTERS AND COUNTIES. THANK YOU FOR THIS OPPORTUNITY.>>THANK YOU. REPRESENTATIVE DO YOU HAVE ANY OTHER TESTIFIERS?>>NO MR. CHAIR.>>ANY QUESTIONS? SEEING NONE IS THERE ANYONE ELSE TO TESTIFY ON HOUSE FILE 1188? SEEING NONE FINAL QUESTIONS FROM MEMBERS? REPRESENTATIVE LIEBLING.>>THANK YOU MR. MR. AND GOOD MORNING SO IS THERE ANYBODY THAT YOU’RE AWARE OF THAT IS OPPOSED TO THIS?>>NO; I’M NOT.>>REPRESENTATIVE LIEBLING.>>THAT’S ALL.>>ANYTHING ELSE?>>NO MR. CHAIR.>>SEEING NONE I WILL MOVE THIS AND — HEALTH AND SERVICE FINANCE. THANK YOU.>>THANK YOU.>>NEXT UP WE HAVE REPRESENTATIVE PIERSON AND HOUSE FILE 1384 BE REFERRED TO HEALTH AND FINANCE. WE HAVE THE BILL READY.>>THANK YOU MR. CHAIR; MEMBERS OF THE COMITTEE. THIS ADDRESSES REALLY BASICALLY DISPARITY IN SOME OF THE FUNDING IN WHAT WE DO FOR SPECIFIC PROGRAMS DEALING WITH ADDICTIONS IN THE STATE OF MINNESOTA PARTICULARLY IN OLMSTEAD COUNTY WE HAVE AN DEALT AND TEEN CHALLENGED FACILITY THAT HAS A DIFFERENT REIMBURSEMENT RATE THAT OTHER SIMILAR FACILITIES HAVE THROUGHOUT THE STATE OF MINNESOTA. I THINK THAT THE KEY ELEMENTS THEY WANT TO POINT OUT BEFORE I TURN IT OVER TO THE TESTIFIER. I WILL LEARN FROM CAL AND KEEP MY EXTENTS BRIEF AND THEY HAVE SHOWN THE CHALLENGES IN THE STATE AND MAKE SURE THAT THE RESOURCES ARE OFFERED IN GREATER MINNESOTA AND INCREASED ACCESS FOR WOMEN THROUGHOUT THE STATE OF MINNESOTA. AND SO I HAVE TIM WALSH HERE AND TWO TEEN AND ADULT CHALLENGED CLIENTS ARE HERE TO TELL YOU MORE ABOUT WHAT THIS SUPPLEMENTAL RATE COULD MEAN FOR THEM FOR SECURING MORE LONG-TERM FUNDING TO SUCCESSFULLY GET PEOPLE THROUGH ADDICTION PROGRAMS.>>ALL RIGHT. WELCOME TO THE COMMITTEE. IF YOU COULD STATE YOUR NAME TO THE COMMITTEE AND PRESENT YOUR TESTIMONY.>>YES MR. CHAIR. I AM TIM WALSH. THANK YOU MEMBERS OF THE COMITTEE. THE 104 BEDS THAT WE ARE GOING TO HAVE AS OF OCTOBER IN ROCHESTER WILL SERVE MEN AND WOMEN. IT’S LONG-TERM RESIDENTIAL HOUSING WHICH SUPPORTS AND TREATMENT. AS WE LOOK AT ALL THE RESEARCH OF WHAT WORKS TO BREAK THE BONDS OF ADDICTION AND ALSO TO ELECTRONICS FORM THEIR LIVES WE FIND THAT LONGER IS BETTER AND JUST HOUSING BY ITSELF IS NOT GOING TO DO IT THAT OUR CLIENTS BECAUSE OF THEIR MULTIPLE DISABILITIES AND LIFE ISSUES THEY REQUIRE THAT LONG-TERM AND THEY NEED NUMEROUS SUPPORTS AND TREEPTS. WE HAVE DONE STUDIES THROUGH THE WILDER FOUNDATION; A NUMBER OF STUDIES ON OUR SERVICES AND FIND THAT THE EFFECTIVENESS RATE IS 74 TO 76% IN A SIX MONTH FOLLOW UP OF OUR GRADUATES. WE ALSO FIND THAT IN OUR RESEARCH THAT OUR PROGRAMS HELP TO IMPROVE THE TRANSITION FOR CIVIL SUFFICIENCY AND TRANSITION WHICH IS THE GOALS OF THE PROGRAM. AS YOU LOOK AT THE WHOLE MENU OF SERVICES PROVIDED THROUGH GROUP RESIDENTIAL HOUSING SERVICES ACROSS THE STATE WE PROVIDE ALMOST ALL OF THOSE SERVICES; SO NOT JUST THE FOUR MINIMUM REQUIRED FOR THE EXCEPTION RATE BUT ALL OF THE SUPPORT AND TREATMENT SERVICES THAT ARE PROVIDED AT FACILITIES ACROSS THE STATE. TO BE IN PERSPECTIVE OUR REQUEST ONE MONTH AT THE HIGHEST RATE CHEMICAL DEPENDENCY TREATMENT PROGRAM IN THE STATE PAYS FOR A WHOLE YEAR AT MINNESOTA ADULT AND TEEN CHALLENGE. THE FUNDS PAY FOR LESS THAN HALF OF OUR COSTS. THE REST COME FROM DONORS AND OTHER FUNDS AND WE ARE LESS COSTLY THAN A PRISON BED FOR ONE YEAR IN MINNESOTA STATE PRISON SO THAT’S WHY WE’RE HOPING FOR THE SUPPORT TODAY ON HOUSE FILE 1384 AND THE RESIDENTS TELL THE STORY BETTER THAN I DO.>>THANK YOU WELCOME TO THE COMMITTEE. PLEASE STATE YOUR MY NAME IS NAME LINDSEY FRENCH AND GOOD MORNING AND I AM 30 YEARS OLD AND STRUGGLING WITH ADDICTION FOR 12 YEARS AND I HAD A SCHOLARSHIP FOR HOCKEY AND I DECIDED TO DRINK THAT AWAY AND THE DOWNWARD SPIRAL FOR ME AND I STARTED GETTING HARDER DRUGS AND GOT A DIKTDD AND COMMITTED CRIMES AND ENDED UP IN PRISON FOR FOUR TIMES AND THAT WAS THE JOURNEY FOR THE LAST SIX YEARS I HAVE BEEN IN AND OUT OF TREATMENT CENTERS AND JAILS. IT TOOK A TOLL ON ME AND TWO YEARS AGO I GOT ADDICTIONS TO HEROIN AND TOOK MY SOUL FOR ME. I HAVE A FIVE YEAR OLD DAUGHTER AND I HAVE LONG-TERM PROGRAMS AND NEED A LONG-TERM CENTER AND BEEN TO MANY CENTERS AND OUTPATIENTS AND NOTHING CLICKD AND I NEEDED THE STRUCTURE FOR A LONG PERIOD OF TIME AND I ENTERED TEEN CHALLENGE LAST YEAR AND I GRADUATE IN JUNE AND IT’S LIKE BEEN A TOTAL LIKE EYE OPENER FOR ME. I LEARNED TO FIND MY PURPOSE IN LIFE. I HAVE TEN MONTHS OF SOBRIETY AND EIGHT YEARS SINCE I HAVE BEEN THAT SOBER AND I CAN THINK CLEARLY AND MOTIVATION AND DRIVE. I DON’T HAVE TO BE FEAR DRIVEN OF MY PAST AND THANK YOU FOR LISTENING TO ME AND HAVE A GOOD DAY.>>THANK YOU FOR BEING HERE AND SHARING YOUR STORY AND THE EFFECTIVENESS OF THE PROGRAMS AND DO IT WITH SUCH CONFIDENCE. I APPRECIATE THAT. WELCOME TO THE COMMITTEE. IF YOU COULD STATE YOUR NAME FOR THE RECORD AND PRESENT YOUR TESTIMONY.>>I AM ALSO FROM ROCHESTER. I HAVE BEEN LIKE LINDSEY TO OVER 12 TREATMENTS. I SUFFERBEEN ADDICTED TO METHAMPHETAMINE AND HEROIN FOR OVER 15 YEARS. I THINK THAT IF THERE WAS A PROGRAM LIKE DOWN IN ROCHESTER IF THERE WAS SOONER I THINK MY LIFE WOULD HAVE CHANGED A LOT SOONER. I ENTERED THE PROGRAM LAST APRIL. UP IN MINNEAPOLIS HERE AND IT’S COMPLETELY CHANGED MY LIFE. THE TWO YEARS PRIOR TO COMING TO TEEN CHALLENGE I WAS USING HEROIN EVERY DAY; AND DOWN IN ROCHESTER AND THERE WAS A COUPLE OF SOBER HOUSES DOWN THERE THAT WERE FUNDED BY GRH BUT NO ONE THERE WAS SOBER AND I ACTUALLY LOST MY BOYFRIEND TO HEROIN OVER DOSE ALMOST A YEAR AGO; AND THAT WAS WHEN I REALIZED THAT LIKE I CAN’T DO THIS ANYMORE AND I NEEDED SOMETHING LONG-TERM BECAUSE THE 30 DAY TREATMENTS I HAD BEEN TO PRIOR DIDN’T EVEN BIN TO SCRATCH THE SURFACE IN CHANGING MY LIFE AND MY PROBLEMS SO THANK YOU.>>ALL RIGHT. THANK YOU FOR BEING HERE THIS MORNING AND SHARING YOUR STORY. IS THERE ANY QUESTIONS FOR THESE TESTIFIERS? SEEING NONE IS THERE ANYONE THAT WISHES TO TESTIFY FROM THE AUDIENCE ON HOUSE FILE 1384? SEEING NONE FINAL QUESTIONS FOR THE BILL AUTHOR? FINAL WORD REPRESENTATIVE PIERSON.>>THANK YOU FOR YOUR CONSIDERATION MR. CHAIR.>>WITH THAT I WILL RENEW MY MOTION THAT HOUSE FILE 1384 BE REFERRED TO HEALTH AND HUMAN FINANCE. ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN. HOUSE FILE 1384 IS REFERRED. THANK YOU REPRESENTATIVE PIERSON. IS REPRESENTATIVE METSA HERE? YES. THANK YOU. REPRESENTATIVE METSA I WILL MOVE THAT HOUSE FILE 885 BE REFERRED TO HEALTH AND HUMAN SERVICES FINANCE. WE HAVE THE BILL IN FRONT OF US REPRESENTATIVE METSA. WHETHER YOU’RE READY PLEASE PRESENT YOUR BILL.>>THANK YOU MR. CHAIR. WE DID BRING A COUPLE OF THINGS FOR THE COMMITTEE MEMBERS HERE IF I COULD GET THE COMMITTEE ADMINISTRATIVE STAFF TO GET THESE OUT. I DIDN’T MEAN YOU REPRESENTATIVE DEAN. ECIG THANK YOU MR. CHAIR. THAT JUST SHOWS THAT RANGERS SIG TOGETHER.>>>>[LAUGHTER] I AM ACTUALLY VERY HONORED TO BE HERE PRESENTING THIS BILL. WE HAVE BEEN MEETING WITH PROGRAMS THAT SHELLY WHO WILL TESTIFY HERE SHORTLY PUT TOGETHER ON HER OWN WITH HER OWN FINANCES; AND IT’S A PLACE CALLED KATHRYN’S HOUSE AND WE HAVE SEEN OVER THE COURSE OF A FEW YEARS HERE MANY OF THE PROGRAMS DISSIPATE AND THIS IS SOMEONE THAT TOOK THE INITIATIVE; TOOK A PROBLEM; AND BUILT A SOLUTION ON HER OWN AND SO I THINK HER WORD AND OUR TESTIFIER CINDY WILL SPEAK FAR BETTER THAN MINE BUT WE’RE BASICALLY IN THE BILL ASKING THE COUNTY TO FUND THIS PROGRAM BECAUSE IT DOESN’T MEET THE QUALIFICATIONS THEY THINK AFTER YOU HEAR THE SERVICES YOU SEE WHY WE’RE ASKING FOR THIS SMALL CHANGE IN THE ACTUAL LANGUAGE.>>ALL RIGHT. WELCOME TO THE COMMITTEE. IF YOU COULD PLEASE STATE YOUR NAME FOR THE RECORD AND PRESENT YOUR TESTIMONY.>>THANK YOU. MY NAME IS SHELLY HOLMES AND I AM FROM ELLIS MINNESOTA. I STARTED A BOARD AND LODGE WITH SUPPORTIVE SERVICES FOR WOMEN ONLY. I NAMED IT AFTER MY GRANDMA KATHRYN. IT’S CALLED KATHRYN’S HOUSE. IT’S THE FIRST TIME IN THE HISTORY OF THE IRON RANGE THERE HAVE BEEN WOMEN ONLY HOUSING. NOT TO MENTION WITH SUPPORTIVE SERVICES. WE PASSED AROUND A FLIER THAT KIND OF JUST GAVE MORE OF A BREAK DOWN AS TO HOW I FEEL THAT WE’RE DIFFERENT FROM OTHER TYPICAL BOARD AND LODGES PARTICULARLY IN ST. LOUIS COUNTY AND MAYBE STATEWIDE; BUT MY COMPANY IS CALLED LOTUS CORPORATION AND I CREATED A PROGRAM CALLED THE LOTUS STRATEGY AND IT’S FOR A LONG-TERM WRAPAROUND SERVICES WHERE WE INCLUDE THE KEY PERSON OR PEOPLE IN THE RESIDENT’S LIFE; AND WE MEET ONCE A MONTH WITH THEM SO ON AN ONGOING BASIS AND WHERE WE’RE DIFFERENT IS THE TYPICAL BOARD AND LODGE SUPPORTED BY GRH AND REQUIRED FOUR HOURS OF NURSING. WE HAVE TWO FULL TIME NURSES AND RNS AND LVNS AND THERE ARE HEALTH ISSUES AND HELP C; FEMALE ISSUES AND CHRONIC PAIN ET CETERA AND WE TRY TO ADDRESS ALL OF THAT. THAT IS VERY COSTLY. WE HAVE A 32 YEAR PSYCHOLOGIST ON STAFF. WE TRY TO WORK ON — EVERY DAY WE HAVE GROUPS ON LIFE AND PARENTING SKILLS. I HAVE A BUILDING RIGHT NEXT TO KATHRYN’S HOUSE THEY RENOVATED THAT HAS A FURNISHED APARTMENT UP STAIRS AND THAT WAS DESIGNED FOR THE WOMEN TO BE ABLE TO HAVE SUPERVISED VISIT AND COOK AND PLAY GAMES AND HAVE ACTIVITIES AND STAY OVERNIGHT AND WITH THEIR CHILDREN AND FAM THREES HAVE A SECOND CHANCE TO MAYBE PUT THE FAMILY BACK TOGETHER BECAUSE THE CHILDREN OUT OF FOSTER CARE AND IF IT’S THE RIGHT DECISION; AND THROUGHOUT THE PROCESS OF THE LIFE SKILLS AND THE PARENTING SKILLS AND THE PSYCHOLOGY AND EVERYTHING WE COULD DETERMINE THAT IS THE RIGHT THING FOR THE CHILDREN. I AM A FIRM BELIEVER IN THAT BUT WE STRUGGLED WITH TRANSPORTATION ON THE IRON RANGE AND SO I HAVE PURCHASED VANS AND I HAVE DRIVERS AND WE’RE OFF AND RUNNING TO THE HORSE FARM FOR EQUINE THERAPY AND GARDENING AND AS MANY ACTIVITIES WE CAN DO AND TAKING THEM FOR JOB INTERVIEWS TO ENCOURAGE FOR EMPLOYMENT TO MOVE ON. I DON’T FEEL THAT THIS WAS A GOAL TO BUILD A HOME AND TRY TO KEEP IT FULL WITH THE SAME PEOPLE. THE IDEA WAS TO MENTOR WOMEN TO BE STRONG INDEPENDENT WOMEN AND MOVE ON INTO INDEPENDENT HOUSING WITH EMPLOYMENT AND HAVING THEIR CHILDREN BACK; AND BE POSITIVE ROLE MODEL IN OUR COMMUNITY; SO JUST A REAL QUICK IN KATHRYN’S HOUSE I HAVE SOME DEMOGRAPHICS. THE AVERAGE — WE’VE HAD 113 RESIDENTS SINCE WE OPENED AUGUST 8; 2015; AND OF THOSE 19 IS THE YOUNGEST. 60 IS THE OLDEST. OF THE 113 THERE WERE 94 HAD CHILDREN IN FOSTER CARE. THAT’S HUGE. 44 WERE NOT — DIDN’T HAVE LEGAL ISSUES AROUND PROBATION BUT 69 WERE IN THE LEGAL SYSTEM; PROBATION; YOU NAME; AND WE’RE RUNNING THEM CONTINUALLY TO COURT POINTS AND ALL OF THE DIFFERENT THINGS THEY NEED TO HAVE. THE AVERAGE STAY HAS BEEN AROUND THREE MONTH WHEN IS WE AVERAGED OUT THE WHOLE THING. WE DID HAVE 21 STAYED LESS THAN 15 DAYS. THEY WERE ADDICTION ISSUES AND CAME IN THE DOOR AND NOT IN THE RIGHT FRAME OF MIND THAT THEY WERE READY TO MAKE THE COMMITMENT; BUT OF THE 113 THERE WERE 111 HAVE MENTAL HEALTH ISSUES. 103 CHEMICAL DEPENDENCY ISSUES. THOSE ARE LARGE NUMBERS AND IN OUR AREAS WE HAVE NON-PROFITS; OUTPATIENTS; AND THIS HOUSING SETTING — OF COURSE I PUT ALL MY OWN MONEY AND TIME AND PASSION AND I FIRMLY BELIEVE IT WAS MY LAWSUIT US STRATEGY THE LONGER THE TERM WE CAN EITHER KEEP THEM IN KATHRYN’S HOUSE AND THEN INTO INDEPENDENT HOUSING BUT WE HAVE AN OPEN DOOR HOUSING AND THEY COME BACK AND DURING THE DAY. WE MANAGE THEIR MEDS. I DON’T GET ANY MONEY FOR THAT BUT IT’S BEEN A SUCCESS. HERE ONE RIGHT HERE; CINDY BROWN; AND WE MANAGE THEIR MEDS. THEY COME BACK ON A DAILY BASIS; DO GROUPS; ACTIVITIES IN THE HOME; GO TO THE HOUSE FARM; DO THE DIFFERENT THINGS AND GET THE MEDS AND GO HOME TO INDEPENDENT HOUSING AND I BELIEVE AFTER A CERTAIN AMOUNT OF TIME THAT TOO WILL BE THEY CAN START TO BE WELL AND SECURE ENOUGH TO MANAGE THEIR MEDS AND TAKE EACH OF THE STEPS ON THEIR WAY SO I APPRECIATE YOU ALL LISTENING AND IF THERE’S ANY QUESTIONS. THERE HAVE BEEN POLITICIANS THAT HAVE TAKEN THE TIME INCLUDING LIEUTENANT GOVERNOR SMITH THAT VISITED THE HOME AND YOU’RE ALL WELCOME AT ANY POINT IF YOU EVER VISIT THE IRON RANGE. CINDY BROWN IS A FORMER RESIDENT. SHE CAME US TO HOMELESS; AND SHE’S NOW EMPLOYEE OF BLUE CROSS AND NICE ENOUGH TO GIVE HER THE DAY OFF FOR THE SENATE HEARING TODAY AND CINDY HAS HER CHILDREN BACK IN LIFE AND VISITS AND I WILL LET HER SPEAK.>>ALL RIGHT. THANK YOU FOR YOUR TESTIMONY THIS MORNING AND FOR THE WORK YOU’RE DOING UP ON THE RANGE THERE. MS. BROWN WELCOME TO THE COMMITTEE. IF YOU COULD PLEASE STATE YOUR NAME FOR THE COMMITTEE AND TELL US YOUR SUCCESS STORY.>>MY NAME IS CINDY BROWN AND THANK YOU COMMITTEE MEMBERS. LAST JULY I FOUND MYSELF HOMELESS. I HAD NO SAFE PLACE TO GO. EVERY FRIEND I KNEW ON THE IRON RANGE WERE USING FRIENDS. I HAD NO PLACE TO GO. IF I DIDN’T FIND SHELLY’S HOUSE. I’M A VETERAN. I WAS A FORMER MARINE AND MAXI IN DULUTH TOLD ME ABOUT KATHRYN’S HOUSE AND GOT A REFERRAL TO STAY. WHEN I SHOWED UP I HAD A CLOTHES BASKET AND SUITCASE OF CLOTHES AND ALL I HAD LEFT TO MY NAME. ADDICTION TOOK A TOLL ON MY LIFE. IF I DIDN’T GO TO CATHERINE’S HOUSE THAT DAY I WOULD BED DEAD. I KNOW IT FOR A FACT OF THE IRAN RANGE IS NOT A SAFE PLACE WITH NO PLACE TO GO. YES; THERE ARE SHELTERS BUT NO WOMEN ONLY PLACES. IT’S A SAFE SOBER HOUSE. IT’S A HOME; NOT A FACILITY. WHEN I FIRST WALKED IN THE DOORS I ACTUALLY FELT AT HOME THAT I WAS GOING TO BE SAFE THAT NOTHING WAS GOING TO HAPPEN TO ME. THROUGH SHELLY’S KINDNESS AND THE SERVICES SHE OFFERS I GO TO THERAPY WITH THE THERAPIST STEVE. HE’S EXCELLENT. I FOUND A JOB AT BLUE CROSS AND A REP FOR THEM. HI TWO PROMOTIONS AND A RAISE. I’M A SUCCESS STORY. I AM ONE OF THE RARE SUCCESSES THAT HAVE SUCCEEDED. I AM ALSO IN A PHASE TWO PHASE WHICH WHERE I AM IN INDEPENDENT LIVING THROUGH SHELLY IN ONE OF HER APARTMENTS AND BECAUSE OF THE FACILITY I AM MYSELF AGAIN. DURING ADDICTION A PERSON LOSING THEMSELVES AND THEY DON’T REMEMBER WHO THEY ARE OR THEY DON’T REMEMBER HOW TO BE A PERSON BUT THROUGH HER FACILITY I REMEMBERED WHO I WAS; MY EDUCATION. I HAVE A DEGREE IN CRIMINAL JUSTICE AND INDUSTRIAL ENGINEERING. I FORGOTTEN HOW TO SPELL BIG WORDS. I HAD FORGOTTEN EVERYTHING BUT THROUGH THE HEALING; THROUGH THERAPY AND JUST TIME I’VE ACTUALLY BECOME MYSELF AGAIN. I ACTUALLY CONSIDER MYSELF BETTER BECAUSE NOW I DON’T HAVE TO WORRY IF I’M GOING TO BE SAFE OR WHAT I AM GOING TO EAT. NOW WHAT I EARN AT MY JOB I CAN SPEND ON GROCERIES; CLOTHING; WHATEVER I LIKE. I’M A HUMAN AGAIN AND DURING ADDICTION A PERSON DOESN’T FEEL THEY’RE HUMAN. THEY FEEL LESS THAN HUMAN AND SO MANY WOMEN ON THE IRON RANGE DON’T KNOW OF KATHRYN’S HOUSE. THEY HAVE NO PLACE. THEY DON’T KNOW WHERE TO GO AND DON’T FEEL SAFE AND TURN BACK TO THE USING FRIENDS AND A LOT ARE OVERDOSING AND DYING. IF THEY CAN GET THE FINANCE THEY NEED AND EXTEND THEIR SERVICES SO MANY WOMEN ON THE IRON RANGE WILL BE SAVED LIKE I HAVE BEEN BEFORE AND I OWE MY LIFE TO SHELLY AND I AM INTERNALLY GRATEFUL FOR THE HELP SHE HAS GIVEN ME AND I’M NOT ASHAMED OF WHAT MY LIFE WAS. I LIKE TO TELL PEOPLE — I TELL MY WORK; MY BOSSES AND THEY LET ME OFF TODAY AND I PROBABLY PROUDLY TELL MY STORY AND WE CAN GET THE FINANCING FOR HER HOME. THANK YOU.>>THANK YOU MS. BROWN FOR SHARING THE STORY WITH US . IT’S QUITE A LIFE CHANGE YOU HAD THERE. WE HAVE A COUPLE OF QUESTIONS FOR THE TWO OF YOU THIS MORNING. REPRESENTATIVE BAKER.>>THANK YOU MR. CHAIR. AGAIN CONGRATULATIONS MS. BROWN ON YOUR RECOVERY.>>THANK YOU.>>YOUR JOURNEY. YOU WERE THERE FOR A REASON AND YOU’RE PAYING IT FORWARD NOW.>>YES.>>THANK YOU FOR THAT. AND AGAIN THANK YOU FOR OPENING THE HOME. THERE ISN’T ENOUGH OF THESE ON THE IRON RANGE. I KNOW THAT. DID YOU SAY WHY YOU OPENED IT UP IN THE FIRST PLACE? I AM WONDERING IF I COULD HAVE THAT STORY AND THERE IS A REASON FOR THAT AND I THINK THE COMMITTEE SHOULD HEAR THAT TOO?>>MS. HOLMES.>>WELL; I AM SELF EMPLOYED AND TRUCKING COMPANY AND CONTRACTOR AND MY FAMILY IS IN THE BUSINESS AND I HAD ISSUES FOR 29 YEARS OF KEEPING PEOPLE EMPLOYED AND ADDICTION AND DYSFUNCTION AND I WAS GOING TO START A WORK RELEASE PROGRAM WHEN I GOT TO A CERTAINTY POINT SO WHAT I DID — THE COUNTY WAS IN NEED OF — WE DISCUSSED THE WOMEN ONLY AND AFTER MY RESEARCH AND TRYING TO FIGURE EVERYTHING OUT I THOUGHT THAT WOULD BE THE BEST STEPPING TO START WITH. I ALREADY OWNED THE BUILDING SO I HAVE A 8600 SQUARE FEET BUILDING THAT I RENOVATED TO LOOK LIKE A HOME AND PUT A LOT OF EFFORT IN IT. IF YOU GO TO THE WEBSITE YOU CAN SEE THE PICTURES AND EVERYTHING. HOMEMADE QUALITY QUILTS ON EVERY BED AND A LOT OF EFFORT. I HAVE A SON WITH ADDICTION ISSUES FOR A LONG TIME AND THROUGHOUT THE RESEARCH I FOUND THAT COULDN’T TRY TO SAVE HIM OR — SO I PUT ALL MY EFFORT INTO TRYING TO HELP WOMEN AND OTHER FAMILIES AND CREATED THIS PROGRAM AND SUPPORT ITCH SERVICES SO THAT THERE WOULD BE SERVICES FOR THE TIME WHEN MY SON WAS READY TO HELP AND SAVE HIMSELF WHICH BY THE WAY HE IS SOBER AND DOING VERY WELL; AND OTHER PEOPLE THAT I HAVE HELPED SO I GUESS — I AM VERY BLESSED. I HAVE BEEN A HARD WORKING FARM GIRL FROM NORTHERN MINNESOTA. ALL I KNOW IS HOW TO WORK AND I WANTED TO GIVE BACK AND DO SOMETHING FOR MY COMMUNITY.>>REPRESENTATIVE BAKER.>>THANK YOU MR. CHAIR. THANK YOU SO MUCH FOR THAT AND THANK YOU FOR WHAT YOU DO. YOU’RE TRULY A HERO. YOU’RE LIFE SAVING. I AM ALSO SOMEONE INVOLVED IN ADDICTION RECOVERY SERVICES AND OUT IN WILLMAR IN THE AREA WE SUPPORT SOBER HOMES AND WE ALL HAVE A STORY OF ADDICTION AND THANK YOU SO MUCH. REPRESENTATIVE METSA THANK YOU FOR BRINGING THEM HERE TODAY.>>ANY OTHER QUESTIONS? REPRESENTATIVE MURPHY.>>THANK YOU MR. CHAIR. NOT A QUESTION BUT A COMMENT FOR YOU. I HAD A CHANCE TO VISIT KRIGHT RIN’S PLACE AND AS YOU DESCRIBE IT IT IS A PLACE WHERE YOU FEEL AT HOME AND AS YOU DESCRIBED AND SEPARATE BEDROOMS FOR PEOPLE BUT WHAT I REMEMBER THE MOST YOUR DETERMINATION TO MAKE A PLACE THAT WAS SAFE FOR PEOPLE; BUT ALSO THAT YOU HAD VERY HIGH EXPECTATIONS FOR THE WOMEN COMING THERE. YOU HAD — I DON’T WANT THE PRAISE TOUGH LOVE BUT YOU HAD THAT ATTITUDE AND YOU’RE WELCOME AS LONG AS YOU FOLLOW THE RULES HERE AND I REMEMBER THE PAIRING OF YOUR DESIRE TO SEE THE PEOPLE COMING THROUGH THE DOORS SUCCEED; AND YOUR HIGH EXPECTATIONS FOR THEM AND YOUR DETERMINATION THAT THEY DO IT RIGHT; AND I THINK THAT’S WHY YOU’RE SO SUCCESSFUL AND I AM GLAD YOU’RE BEFORE THE COMMITTEE TODAY. THANK YOU FOR TELLING THE STORY AND DOING WHAT YOU’RE DOING.>>THANK YOU REPRESENTATIVE MURPHY. REPRESENTATIVE KIEL KEEL.>>THANK YOU MR. CHAIR. I TOO WANT TO EXPRESS MY THANKS FOR REPRESENTATIVE METSA FOR BRINGING IT FORWARD BUT YOUR DEDICATION. NOT ENOUGH OF THAT IS AVAILABLE FOR PEOPLE AND WE CERTAINLY WANT TO SEE SUCCESS. I AM CURIOUS THE COUNSELORS THAT — ARE THEY ON STAFF JUST FOR YOUR FACILITY OR DO THEY LIVE IN THE AREA? AND HOW — ARE YOU ABLE TO HIRE ENOUGH PEOPLE TO HELP; COUNSELORS?>>MS. HOLMES.>>YES; THANK YOU FOR ASKING THE QUESTIONS. THEY ARE LOCAL. I WAS ABLE TO HIRE STEVEN TAYLOR; A 32 YEAR PSYCHOLOGIST THAT BELIEVED IN MY MISSION. I AM BIG ON WHAT I CALL MY MISSION AND HE BELIEVED IN MY RURAL FARM SETTING AND USING THE HORSES AND THE ANIMALS AND THE DIFFERENT THINGS AND TEACHING THEM TO COOK. I LOVE TO FEED EVERYBODY SO YEAH IT WASN’T HARD. I HAD ACTUALLY A LOT OF PEOPLE. I WAS HIRING FOUR AT ONE TIME AND HAD 47 APPLY FROM RESIDENT AIDS TO PSYCHOLOGISTS BECAUSE I REALLY — WHAT I FOUND AND I WAS SIMPLY AMAZED IS THAT THEY WANTED SOMETHING FRESH; SOMETHING NEW AND BELIEVED IN MY MISSION OF WHAT I WAS TRYING TO DO AND A LOT TOLD ME THEY LIKED THERE WAS ONE PERSON RUNNING IT; NOT A HUGE BOARD; NOT A NON-PROFIT. THEY FIGURED I WAS GOING TO BE AROUND AND PUT EFFORT INTO IT BECAUSE I SPENT ALL OF MY MONEY. THERE WASN’T GRANT MONEY OR ANYTHING ELSE. THE RESIDENT AIDS AS WE CALL THEM; THE RESIDENT COUNSELORS; THE DAY TO DAY STAFFING — I’M NOT GOING TO SAY IT’S NOT CHALLENGING THERE. THERE ARE MANY WAITING. AS SOON AS ONE GOES THERE ARE TWO; THREE THAT WANT TO COME AND THEY WANT TO BE PART OF HELPING WOMEN. IT’S FINDING THE RIGHT WOMEN TO BE RESIDENT COUNSELORS THAT HAS BEEN CHALLENGING FOR ME BUT I HAVE — I’M NOT A LICENSED PERSON IN THAT. I AM FROM THE TRUCKING INDUSTRY. CAN I TELL YOU ABOUT CAD ENGINES SO I NEEDED TO GO OUT AND HIRE THE BEST AND SO I DID. I RESEARCHED AND I INTERVIEWED AND I PUT TOGETHER A LOT OF — I HAVE STAFF THAT ARE DEGREES IN PSYCHOLOGY; SOCIAL WORK; L EDCS AND THEY ADVISED ME ALONG THE WAY I THINK VERY WELL AND I PAY THEM WELL AND THEY PUT A LOT OF EFFORT INTO HELPING ME REALLY BUILD THIS INTO WHAT IT WAS BECAUSE I HAD AN IDEA. I WROTE MY MISSION OUT BUT I DIDN’T KNOW THE RULES; REGULATIONS; AND COMPLIANCE PART OF IT; SO I NEEDED TO HIRE FOR THAT.>>REPRESENTATIVE KIEL KEEL.>>THANK YOU MR. CHAIR.>>REPRESENTATIVE.>>THANK YOU MR. CHAIR. AND ALSO TO REPRESENTATIVE METSA AND THE TESTIFIERS AND THERE WERE SEVERAL THINGS THAT STAND OUT TO ME AND I HOPE WE’RE PAYING ATTENTION TO WHAT IS WORKING AND YOU SAID EQUINE THERAPY. I HAVE BEEN WORKING WITH DIFFERENT GROUPS AND WORKING ON SEX TRAFFICKING AND GETTING WOMEN OUT OF THE LIFE AND ONE OF THE THINGS WE’RE LOOK AT DOING IN MY AREA IN ST. CLOUD IS IT CREATING A HOME AND CALLED [INAUDIBLE] HOUSE AND INCLUDES EQUINES AND THAT RELATIONSHIP BUT IT’S ALSO CREATING HOMES. IT’S BRINGING BACK THE NORMAL THINGS THAT A PERSON NEEDS TO GET THROUGH ADDICTION AND WE’RE PUTTING THEM BACK ON THE FARM. WE TALKED ABOUT ALL THIS METRO STUFF AND THE TECHNOLOGY AND THE CLINICS AND I AM THINKING WHAT WE’RE SEEING; WHAT IS WORKING IS PUTTING THEM BACK ON THE FARM. GETTING CONNECTED WITH 88NESS AND NATURE AND TALKING ABOUT ANIMALS AND I HOPE WE’RE PAYING ATTENTION TO THIS BECAUSE I THINK THIS IS HUGE AND WE’RE MISSING THE BOAT ON THIS ONE. I THINK WE SHOULD BE LOOKING AT FOLKS THAT ARE INTERESTED IN DOING THIS OUTSIDE IN THE COUNTRY. I MEAN EXACTLY — [INAUDIBLE] METROPOLIS AND YOU SEE THE COMMUNITY COMING FORWARD AND GREATER FOR THE SMALLER RURAL AREAS AND DOING GREAT WORK BUT ALSO AS A BUSINESS PERSON SEE THIS IS WHAT PRIVATE BUSINESS PEOPLE DO. THEY HAVE A PROBLEM. YOU HAVE A PROBLEM. BASICALLY GETTING PEOPLE TO WORK FOR YOU AND TO HAVE HOUSING AND THINGS YOU AND YOU TAKE CARE OF IT; AND I JUST CAN’T CONGRATULATE YOU ENOUGH FOR WHAT YOU HAVE DONE; BUT I HOPE WE’RE PAYING ATTENTION TO THIS THAT WE’RE LOOK AT SOME OF THE COMPONENTS WE HAVE SEEN A COUPLE TIMES OVER AND THIS WORKS. IF WE’RE LOOKING AT MODELS THAT WORK AND IN A WAY TAKE A STEP BACKWARD; NOT NECESSARILY DO WE NEED THE CLINICS AND THE STERILE ENVIRONMENTS AND I THINK WE’RE SEEING THAT IN OTHER AVENUES TOO BUT WE NEED TO GET IT BACK TO A MORE NORMAL ENVIRONMENT SO I THANK YOU. I THINK WE HAVE A LOT OF LESSONS TO LEARN FROM WHAT YOU HAVE DONE AND I HOPE WE’RE PAYING ATTENTION TO WHAT WE’RE SEEING HERE AND THANK YOU SO MUCH FOR BRINGING THIS FORWARD REPRESENTATIVE METSA. I AM GLAD YOU’RE HERE TODAY.>>THANK YOU. REPRESENTATIVE KRESHA. EXCUSE ME. ARE THERE ANY OTHER QUESTIONS FROM THE MEMBERS FOR THE TESTIFIERS? REPRESENTATIVE LIEBLING.>>YEAH; THANK YOU MR. CHAIR. AND THANK YOU VERY MUCH FOR BEING HERE. REPRESENTATIVE REPRESENTATIVE METSA. MY QUESTION IS MAYBE MORE TO STAFF. I WAS TRYING TO LOOK AND SEE — I KIND OF REMEMBER THE LEGISLATIVE AUDITOR DID A REPORT; SOME EVALUATION ABOUT GROUP RESIDENTIAL HOUSING AND BECAUSE WE HAVE TODAY SEVERAL BILLS ON GROUP RESIDENTIAL HOUSING AND I ALWAYS WONDER ABOUT — YOU KNOW COMING TO THE LEGISLATURE HAVING TO FIND A LEGISLATOR AND DO A BILL AND COME HERE AND DO THIS WHOLE PROCESS YOU KNOW THIS IS AN ISSUE OF COURSE ADDICTION AND TREATMENT AND WHETHER GETTING PEOPLE WHAT THEY NEED TO REMEMBER. THIS IS JUST A HUGE STATEWIDE ISSUE AND I KNOW THE MEMBERS OF THIS COMMITTEE WE’RE VERY PASSIONATE ABOUT DOING THAT AND MAKING SURE IT WORKS. WE KNOW WE HAVE A HUGE PROBLEM AND I THINK ALL OF US REALLY WANT TO SUPPORT DIFFERENT MODELS SO THAT INDIVIDUALS FIND WHAT THEY NEED TO RECOVER AND THESE KINDS OF GREAT PROGRAMS BUT AS A MATTER OF SORT OF AFTER OVERARCHING POLICY FOR THE STATE I JUST WONDER WHY WE HAVE A SYSTEM WHERE WE’RE MAKING PEOPLE COME TO THE LEGISLATURE YOU KNOW AND DO THESE KINDS OF ONE OFF WE NEED HELP TO KEEP OUR PROGRAM GOING KINDS — YOU KNOW; WHY ARE WE PUTTING YOU IN THAT SITUATION? SO IT’S NOT REALLY A QUESTION FOR YOU BUT MORE FOR STAFF OR ANY OF THE OTHER MEMBERS KNOW IF THE OFFICE OF THE LEGISLATIVE AUDITOR HAS DONE SOMETHING ON THIS TO GIVE US AN OVERVIEW? BECAUSE I AM LOOKING AT ALL THESE MATERIALS I WILL TRYING TO FIGURE OUT WHY DOE WE PAY THIS ONE THIS MUCH AND THIS ONE THIS MUCH? HOW DO WE GET OUR ARMS AROUND THIS? BECAUSE THIS IS AN AREA — OF COURSE THIS IS THE POLICY COMMITTEE; NOT THE FINANCE COMMITTEE; BUT WE HAVE LIMITED DOLLARS AND WE WANT TO MAKE SURE THAT WE SPREAD THEM APPROPRIATELY TO MAKE SURE WE MAKE THE ABSOLUTE BEST USE OF EVERY DOLLAR SO MAYBE CAN STAFF RESPOND? I COULDN’T FIND ANYTHING QUICKLY ON THE WEBSITE.>>MS. PUNELLY.>>MR. CHAIR; MEMBERS I’M NOT SURE IF THE LEGISLATIVE AUDITOR HAS DONE SOMETHING ON GROUP RESIDENTIAL HOUSING RECENTLY. I AM NOT THINKING OF ANYTHING OFF THE TOP OF MY HEAD BUT I CAN GO BACK AND CHECK.>>REPRESENTATIVE LIEBLING.>>THANK YOU MR. CHAIR. THANK YOU. I THINK IT WOULD BE HELPFUL FOR US BECAUSE IT’S POLICY MAKERS WE WANT TO MAKE SURE THAT WE — A; THAT WE DON’T MAKE PEOPLE COME HAND AND HAND AND GREAT PROGRAMS TO HAVE THE FUNDING TO ACTUALLY STAY AFLOAT AND ON THE OTHER HAND WE WANT TO MAKE SURE THAT WE HAVE THE PROGRAMS THAT WE NEED WHERE WE NEED THEM AND USING THE DOLLARS IN THE MOST EFFECTIVE WAY SO I HOPE WE CAN FIND OUT ABOUT THIS AND MAYBE AS THE BILLS MOVE FORWARD TO THE FINANCE COMMITTEE HAVE A LITTLE MORE OVERALL STRUCTURE TO TRY TO UNDERSTAND WHAT WE’RE DOING BETTER OVERALL. THANKS.>>ANY OTHER QUESTIONS FOR REPRESENTATIVE METSA OR THE TESTIFIERS? IS THERE ANYONE ELSE IN THE AUDIENCE WHO WISHES TO TESTIFY ON HOUSE FILE 885? FINAL WORD REPRESENTATIVE METSA.>>WELL THANK YOU MR. CHAIR AND MEMBERS FOR THE CONSIDERATION AND COMMENTS TODAY. I APPRECIATE IT. LIKE I SAID IN MY OPENING STATEMENT I THINK THIS PROGRAM SPEAKS FOR ITSELF AND WITHOUT THE DEDICATION FROM SHELL AND HE DRIVE WITH THAT PERSONAL STORY AND THANK YOU BOTH FOR SHARING YOURS.>>>>IT’S AN HONOR HERE REPRESENTING ISSUES LIKE THIS. THIS IS WHERE WE WATCH THE PARTISAN DIVIDE AND MY MIND DISAPPEAR AND LOOK FOR WHERE THE RUBBER MEETS THE ROAD AND HOPE AS WE MOVE FORWARD THAT WE WILL CONTINUE TO GROW IN MY COMMUNITY BECAUSE I KNOW IT WILL STAY THE SAME. RIGHT NOW CURRENTLY AS IT IS. BUT RIGHT NOW IF WE CAN ACCESS THE FUNDING WE CAN MOVE IN A DIFFERENT WAY AND THIS ACTUALLY STARTED FOUR YEARS AGO MEMBERS AND WE’RE LOOKING FOR DIFFERENT CREATIVE WAYS TO FIGURE OUT HOW TO FINANCE IT AND FINALLY CAME TO TERMS I THINK WE NEED TO ACCESS SOME OF THE SAME MONEY THAT OTHER PROGRAMS ARE BECAUSE WE GOT ONE THAT IS WORKING. SO WITH THAT THANK YOU FOR YOUR TIME AND CONSIDERATION AND I AM LOOK FORWARD TO ANSWERING ANY OTHER QUESTIONS FOR THOSE ON THE FINANCE COMMITTEE.>>ALL RIGHT. WITH THAT I WILL RENEW MY MOTION THAT HOUSE FILE 885 BE REFERRED TO HEALTH AND FINANCE. ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN. HOUSE FILE EIGHT REFER IS REFERRED. THANK YOU REPRESENTATIVE METSA FOR THE BILL THIS MORNING. OKAY. NEXT UP WE WILL BRING UP HOUSE FILE 1522; REPRESENTATIVE ALLEN AND I WILL — REPRESENTATIVE ALLEN MOVES THAT HOUSE FILE 1522 BE REFERRED TO HEALTH AND HUMAN SERVICES FINANCE. WE HAVE THE BILL IN FRONT OF US REPRESENTATIVE ALLEN. TO YOUR BILL.>>THANK YOU MR. CHAIR; MEMBERS. THIS BILL IS TO INCREASE THE NUMBER OF BEDS UNDER THE CURRENT MORATORIUM ON DEVELOPMENT OF GROUP RESIDENTIAL HOUSING BEDS FROM 190 TO 226 FOR SUPPORTIVE HOUSING UNITS FOR HOMELESS ADULTS WITH MENTAL ILLNESS; HISTORY OF SUBSTANCE ABUSE OR HIV/AIDS IN THE COUNTIES LISTED AND I HAVE TESTIFIERS HERE TODAY MR. CHAIR.>>ALL RIGHT. WELCOME TO THE COMMITTEE AND STATE YOUR NAME FOR THE RECORD AND PRESENT YOUR TESTIMONY.>>MY NAME IS CHUCK PETERSON AND SERVE WITH CLAIRE HOUSING AND LOCATED IN MINNEAPOLIS. WE’RE A 501(C)(3) AND ENSURE THAT ALL PEOPLE WITH HIV HAVE SUPPORTIVE HOUSING AND THE OUTCOMES THEY NEED. WE SERVE 200 PEOPLE EVERY YEAR AND OUR PROGRAMS INCLUDE 24/7 CARE AND FOUR FOSTER CARE SETTINGS AND HOME CARE SETTING SUPPORTING 35 INDIVIDUALS AND THEIR OWN APARTMENTS AND AN INDEPENDENT LIVING PROGRAM WHICH LEADS OVER 40 SCATTERED SITE HOUSING PROGRAMS HERE IN MINNESOTA. HAVING A SAFE AND AFFORDABLE PLACE TO LIVE IS IMPORTANT IN QUALITY OF LIFE BUT UNFORTUNATELY WE CONTINUE TO SEE VERY LOW INCOME PEOPLE LIVING WITH CHRONIC ILLNESSES LIKE HIV CHOOSING BETWEEN RENT; FOOD AND MEDICINE. HAVING STABLE HOUSING; CLEAN WATER AND FOOD MAKES A DRAMATICALLY EASE EASIER TO MAINTAIN ONE’S HEALTH AND MANAGE THE MEDICATIONS AND STAY HEALTHY. HOUSING TRULY EMPOWERS PEOPLE TO TAKE CONTROL OF THEIR LIFE AND HEALTH CARE AND FUTURE. THIS IS ESPECIALLY TRUE FOR THESE PEOPLE. WE KNOW THAT STABLE HOUSING WORKS AND WE SEE IT EVERY DAY IN THE WORK AT CLAIRE HOUSING. WE SEE STRONG HEALTH OUTCOMES INCLUDING 87% OF OUR RESIDENTS ACHIEVING UNDEACTABLE VIAL LOADS COMPARED TO 63% LIVING IN HIV IN MINNESOTA AND 35% LIVING WITH IT IN THE UNITED STATES UNITED STATES AND HAVE THE RESIDENTS MAINTAIN 12 MONTHS AND AVERAGE LENGTH OF STAY THREE AND A HALF YEARS AND SECURE THEIR OWN STABLE HOUSING ON THEIR OWN AND WE SEE HOW IT’S HELPING MANY RESIDENTS TURN AROUND AND PAYING IT FORWARD AND SHARE WITH OTHERS THE KNOWLEDGE AND HOPE AND CONFIDENCE THEY GAIN BY BEING HOUSED. GROUP RESIDENTIAL HOUSING IS A LIFE LINE FOR RESIDENTS AND THE STRUCTURES DOESN’T ALWAYS PROVIDE THE LADDERS OUT OF POVERTY AS WE HOPE AND TO LIVE INDEPENDENTLY. THERE ARE THREE THINGS THAT LIMIT IT. FIRST IT WAS DESIGNED TO BE USED IN A GROUP SETTING AND SOMEONE TOOK CARE OF THE BASIC NEEDS AND CONTROLLED THE FUNDING AND NOT DESIGNED FOR INDEPENDENT LIVING SOMETHING WE KNOW IS A KEY TOWARDS SELF SUFFICIENCY. SECOND RENTAL SUBSIDIES HAVE STAG NAIDD AND SUPPORTS ARE INCREASINGLY DIFFICULT TO ATTAIN FOR THOSE VERY LOW INCOME AND PROVIDERS LACK THE TOOLS AND SUPPORTS TO HELP THESE PEOPLE TRANSITION INTO INDEPENDENT LIVING SETTINGS AND THIRD AN INDIVIDUAL HAS TO GIVE UP ALL BUT $97 OF THEIR INCOME TO GAIN ACCESS TO GRH SUPPORTS. THIS LIMITS CHOICE. IT LIMITS A PERSON’S ABILITY TO MOVE OUT OF POVERTY AND AGAIN OFTEN RESULTS IN MAKING CHOICE BETWEEN FOOD AND MEDICAL ATTENTION AND NECESSARYRITIES OF LIFE. CLAIRE HOUSING IS PROPOSING TO TAKE THE PROJECT TO SCALE AND RAISING THE CAP BY 36 UNITS. THIS HAS BEEN A VERY SUCCESSFUL PROJECT AND INSTRUCTED IN THE FUNDING TO BE MORE LIKE RENTAL ASSISTANCE AND PAY 30% OF THE INCOME TOWARDS RENT AND IMPROVE LONG-TERM HOW LONGING STABILITY. WE BELIEVE IT’S A AS A RESULT OF THIS SMALL TECHNICAL CHANGE WE WILL EXPERIENCE HIGHER SUCCESS RATES AND INDEPENDENCE AND COSTS AS A RESULT OF BEING HOMELESS. CLAIRE HOUSE FILE FILE 1244 AND I WANT TO THANK YOU FOR BEING US TODAY. I AM HAPPY TO ANYMORE ANY QUESTIONS THAT YOU HAVE.>>ALL RIGHT. THERE QUESTIONS FOR REPRESENTATIVE PETERSON? REPRESENTATIVE LIEBLING.>>THANK YOU MR. CHAIR AND REPRESENTATIVE PETERSON AND I APPRECIATE YOU BEING HERE. I’M NOT SURE IF YOU’RE THE RIGHT PERSON TO ANSWER THE QUESTION AND AGAIN I AM LOOKING AT THE BILL SO THIS IS AN EXCEPTION TO THE MORATORIUM ON DEVELOPMENT OF GROUP RESIDENTIAL HOUSING SO I AM WONDERING IF YOU OR STAFF COULD GIVE US A LITTLE BACKGROUND OF WHY WE HAVE A MORATORIUM IN THE FIRST PLACE THAT FORCES YOU TO COME HERE AND ASK FOR AN EXCEPTION TO THE MORATORIUM?>>MR. PETERSON.>>I WILL DEFER TO DHS STAFF IF THEY’RE ABLE TO RESPOND TO THAT QUESTION?>>ALL RIGHT S THERE SOMEONE FROM THE DEPARTMENT THAT CAN MAKE THEIR WAY DOWN? WELCOME TO THE COMMITTEE. IF YOU COULD PLEASE STATE YOUR NAME FOR THE RECORD AND STATE YOUR TESTIMONY.>>MR. CHAIR; MEMBERS MY NAME IS CHRISTINE DAVIS FROM THE HOUSING AND SUPPORT DIVISION. THE MORATORIUM ON THE DEVELOPMENT OF SUPPLEMENTAL SERVICES FOR GRH HAS BEEN IN EXISTENCE SINCE THE BEGINNING OF THE GROUP RESIDENTIAL HOUSING RESIDENTIAL ACT IN THE 90’S AND WAS RESULT OF CONTAINING COSTS.>>REPRESENTATIVE LIEBLING.>>WELL THANK YOU MR. CHAIR. THAT’S NOT TOO SURPRISING I GUESS; BUT SO HOW’S THAT GOING? [LAUGHTER]>>MS. DAVIS.>>MR. CHAIR; REPRESENTATIVE LIEBLING WE RECOGNIZE A LOT OF REQUESTS FOR ADDITIONAL FUNDING AS A RESULT OF HAVING THE MORATORIUM SO WE SEE YOU FREQUENTLY.>>REPRESENTATIVE LIEBLING.>>THANK YOU. SO DO YOU HAVE ANY GUIDANCE FOR US? I MEAN HOW ARE WE SUPPOSED TO — YOU KNOW; WHAT STANDARD ARE WE SUPPOSED TO USE? I AM ASSUMING — I MEAN IT SOUNDS GREAT WHAT HE IS PRESENTING AND WE ALL WANT TO SAY SURE AND JUST PASS THE BILL ALONG. THAT’S WHAT WE DO HERE SEEMS MOST OF THE TIME; BUT HOW WE TO EVALUATE THESE REQUESTS? DO YOU HAVE SUGGESTIONS?>>MS. DAVIS.>>MR. CHAIR; REPRESENTATIVE; THE DEPARTMENT HAS CONDUCTED TWO STUDIES ON THE SUPPLEMENTAL SERVICE STRUCTURE THAT WE HAVE IN GROUP RESIDENTIAL HOUSING AND SO WE DO HAVE RECOMMENDATIONS WITH CONVERSATIONS THAT WE’VE HAD WITH STAKEHOLDERS ACROSS THE STATE ABOUT WHAT COULD WE — IF WE WERE DO TO SOMETHING DIFFERENTLY WHAT WOULD WE DO? AND RECOGNIZING THAT INDIVIDUALS HAVE DIFFERENT NEEDS SO HAVING A STRUCTURE THAT WOULD SUPPORT PEOPLE’S NEEDS IN DIFFERENT SETTINGS AT DIFFERENT LEVELS OF CARE IS SOMETHING THAT WOULD BE BENEFICIAL TO ADDRESS THOSE NEEDS AND SO WE CAN SHARE THE REPORT WITH YOU. THE MOST RECENT ONE WAS IN DECEMBER 2016.>>REPRESENTATIVE LIEBLING.>>THANK YOU MR. CHAIR. I THINK THAT WOULD BE HELP. . I JUST FIND IT REALLY TOUGH — I DON’T KNOW YOU KNOW; THERE’S A LOT OF PERSON TIME THAT COMES AND SITS AROUND THIS TABLE AND THIS ISN’T JUST REALLY TO YOU; BUT JUST SORT OF TO THE COMMITTEE. WE SPEND A LOT OF OUR LIFE ENERGY HERE TRYING TO DO THE BEST WORK WE CAN FOR THE STATE AND OFTEN IT JUST FEELS LIKE WE DON’T HAVE ANY CONTEXT FOR THE DECISIONS WE’RE TRYING TO MAKE HERE; AND SO HERE HEARING A BUNCH OF BILLS ON GROUP RESIDENTIAL HOUSING AND IT WOULD BE HELPFUL I THINK AND THIS IS MAYBE MORE TO THE CHAIR YOU KNOW TO KIND OF GIVE US AS A COMMITTEE SOME CONTEXT SO WE CAN MAKE THE BEST DECISIONS AND NOT JUST SAY “YEAH; YOU’RE IN FRONT OF THE COMMITTEE AND WE LIKE WHAT YOU’RE SAYING AND SAY YES TO EVERYTHING” AND WE WISH WE COULD SAY YES TO THE PEOPLE THAT MAKE PRESENTATIONS BUT WE NEED HELP AND WE ACTUALLY HAVE TO CHOICE AND MAKE PRIORITIES. THANK YOU.>>THANK YOU REPRESENTATIVE LIEBLING. ANY OTHER QUESTIONS FOR THE TESTIFIERS? SEEING NONE ANYONE ELSE TO TESTIFY ON HOUSE FILE 1522? SEEING NONE FINAL WORD REPRESENTATIVE ALLEN.>>NOTHING FURTHER MR. CHAIR. I APPRECIATE YOUR CONSIDERATION OF THE BILL.>>ALL RIGHT. WITH THAT REPRESENTATIVE ALLEN RENEWS THE MOTION THAT HOUSE FILE 1522 BE REFERRED. ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN MOTION REPREVAILS. THANK YOU REPRESENTATIVE ALLEN. NEXT MEMBERS WE WILL GO OUT OF ORDER AND TAKE UP HOUSE FILE 919 AND REPRESENTATIVE PETERSON REFERRED TO THE GENERAL REGISTER AND I UNDERSTAND THERE IS A A1 AMENDMENT REPRESENTATIVE PETERSON.>>THAT IS CORRECT MR. CHAIR.>>REPRESENTATIVE PETERSON MOVES A1 TO THE AMENDMENT.>>THE AMENDMENT JUST CONTINUES FAMILY ACCESS TO OTHER ESSENTIAL SERVICES AND THIS IS OUR FIRST COMMITTEE STOP SO WE’RE GETTING THE BILL IN THE ORDER WE LIKE.>>ALL RIGHT. ANY QUESTIONS ON THE A1 AMENDMENT? ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN. THE AMENDMENT IS ADOPTED. ADOPTED REPRESENTATIVE PETERSON TO YOUR BILL.>>THANK YOU MR. CHAIR. THIS IS A BILL RELATED TO THE AUTISM EARLY INTENSIVE INTERVENTION BENEFIT PROVISIONS FOR CHILDREN WITH AUTISM DISORDERS AND BASICALLY THIS BILL IS TO ESTABLISH STANDARDS FOR CHILDREN WITH AUTISM OR RELATED CONDITIONS. THE DEPARTMENT HAS BEEN WORKING WITH PROVIDERS AND FAMILIES AND OTHERS IF OVER A YEAR TO CRAFT THIS LEGISLATION. THE GOAL OF THIS BILL IS TO INCREASE ACCESS TO SERVICES FOR THESE CHILDREN AND THEIR FAMILIES AND I DO HAVE A TESTIFIER HERE THAT CAN GO OVER A LITTLE MORE OF THE BILL AND I HAVE THE DEPARTMENT AVAILABLE FOR QUESTIONS.>>ALL RIGHT. WELCOME TO THE COMMITTEE. IF YOU COULD PLEASE STATE YOUR NAME FOR THE RECORD AND PRESENT YOUR TESTIMONY.>>THANK YOU MR. CHAIR. MY NAME IS ALEX AND WITH THE DEPARTMENT OF HUMAN SERVICES AND I AM VERY PLEASE TODZ BE WITH YOU TODAY TALKING ABOUT A BILL THAT WE SPENT TIME WITH MANY STAKEHOLDERS TO GET INTO SHAPE THAT REALLY HELP CHILDREN WITH AUTISM IN MINNESOTA AND THANK YOU TO REPRESENTATIVE PETERSON FOR AUTHORING THIS BILL. EDBI AND EARLY FOR SHORT BECAUSE THIS INTERVENTION IS KIND OF A LONG NAME BUT THIS IS A VERY UNIQUE BENEFIT. WE ARE MAKING THIS AVAILABLE TO CHILDREN ACTUALLY ALL THE WAY UP TO AGE 21 WHO HAVE AUTISM OR RELATED CONDITION TO BE ABLE TO OFFER UNIQUE SET OF SERVICES THAT IS NOT JUST A ONE SET OF SERVICE IN MINNESOTA BUT WE’RE TAKING A UNIQUE APPROACH AND WE ARE ALLOWING CLINICIANS THROUGH A COMPREHENSIVE ASSESSMENT TO DETERMINE WHAT IS THE BEST SERVICE FOR THESE CHILDREN AND DOCUMENT PROGRESS AND WE’RE GOING TO BE ABLE TO LEARN A LOT OVER TIME ABOUT WHAT INTERVENTIONS WORK BEST AND HOW. THE ORIGINAL LANGUAGE — EXCUSE ME; THE ORIGINAL LEGISLATION WAS PASSED IN 2013. WE RECEIVED FEDERAL APPROVAL IN 2015 AND THIS BILL IS BRINGING CHANGE TOTSZ CHANGES TO THE PROGRAM TO MAKE SURE IT’S AVAILABLE. WE WANT TO UPDATE ELIGIBILITY CRITERIA. AS WE NEGOTIATED WITH THE FEDERAL GOVERNMENT FOR THIS BILL THERE WERE SOME CHANGES INCLUDING EXTENDING THE ELIGIBILITY TO AGE 21 WHICH IS CONSISTENT WITH THE SPECIAL EDUCATION TYPE PERIOD THAT STUDENTS CAN BE IN SCHOOL AND ADDS RELATED CONDITIONS SO FOR EXAMPLE A CHILD WITH FETAL ALCOHOL SYNDROME BUT BENEFIT FROM TREATMENTS THAT CAN RECEIVE THAT AS WELL. IT PROVIDES PROVIDERS STANDARDS TO MAKE IT CLEAR IN LAW WHO IS ABLE TO PROVIDE THE SERVICES AND THIS IS IMPORTANT BECAUSE ACTUALLY WHAT WE HAVE IN OUR FEDERAL AGREEMENT WITH CMS IS HIGHER AND MANY PROVIDERS AREN’T ABLE TO MEET IT SO WE SPENT TIME WITH PROVIDERS ABLE TO DESCRIBE MAWE’RE LOOKING FOR AND MAKING IT MORE PRACTICAL. IT CREATES PROTECTIONS FOR CHILDREN AND FAMILIES AND RETAINS AND REQUIRES RECIPIENT RIGHTS SUCH AS VERY INJURY REPORTS; COPIES OF THE TREATMENT PLAN; THINGS THAT ARE IMPORTANT F OR FAMILIES. IN THE BILL IT LISTS THE TREATMENTS APPROVED BY THE PROGRAM; THE RANGE OF BENEFITS THAT A CLINICIAN CAN CONSIDER AND SETS UP A PROCESS SO AS WE LEARN MORE AND EMERGING TECHNOLOGIES WE CAN INCORPORATE THEM INTO THE BENEFIT AND LASTLY AND PERHAPS MOST IMPORTANTLY IT ALLOWS TO HAVE EXCEPTIONS TO PROVIDER STANDARDS AND SOME OF THE ENROLLMENT PROCESS — [INAUDIBLE] PROVIDER SHORTAGE AND I AM SURE YOU HEARD FROM MANY TESTIMONY DURING THIS SESSION THAT MANY PARTS OF THE STATE IT’S DIFFICULT TO HIRE PEOPLE WITH THE QUALIFICATIONS THAT WE NEED SO THIS WOULD ALLOW US TO SAY WHERE THERE’S A SHORTAGE; HAVE EXEMPTIONS SO WE CAN PROVIDE ALTERNATIVE STANDARDS OR REQUIREMENTS WHILE WE BUILD UP THE CAPACITY. WE’RE ABLE TO DO SOME OF THIS WITH THE USE OF A STAKEHOLDER GROUP SO WE CAN WORKING WITH EXPERIENCED PEOPLE AND FAMILIES AND REGISTERED IN THE STATE PROCESS AND HAVING THE FIRST MEETING AT THE END OF THE MONTH SO WE’RE READY TO GET TO WORK AND MAKE THE CHANGES TO THIS PROGRAM. I AM HAPPY TO ANSWER ANY QUESTIONS THAT YOU MIGHT HAVE.>>THANK YOU FOR YOUR TESTIMONY THIS MORNING. ARE THERE ANY QUESTIONS FOR THE TESTIFIER? REPRESENTATIVE LIEBLING.>>THANK YOU MR. CHAIRMAN. THANK YOU VERY MUCH. AND I KNOW THIS IS A PRODUCT OF A LOT OF WORK; AND I REALLY APPRECIATE THAT THAT WE’VE COME A LONG WAY ON SOME OF THE STUFF. I WAS JUST THINK GOING THE PARENTS WHO CAME BEFORE US SOMEWHAT RECENTLY; MAYBE IN THE FINANCE COMMITTEE BUT THE PARENT WHO IS ARE PAYING THE EXTRA FEES TO BE ABLE TO HAVE THE MEDICAID PACKAGES OF SERVICES. I AM ASSUMING THAT THESE SERVICES ARE ONE OF THE THINGS EVEN IF WE NOT — I HOPE WE CAN REDUCE THE FEES THE PARENTS ARE PAYING BUT THIS ENHANCES WHAT THEY GET FOR THE FEES. AM I CORRECT IN THINKING THAT?>>MR. CHAIR; REPRESENTATIVE YES THIS IS A BENEFIT THAT ONCE THEY’RE ON MEDICAL ASSISTANCE OR THROUGH THAT PROGRAM THEY CAN RECEIVE THE BENEFIT.>>THANK YOU.>>ANY OTHER QUESTIONS FOR THE TESTIFIER? SEEING NONE THE COMMITTEE THANKS FOR YOU THIS MORNING. ANYONE ELSE TO TESTIFY ON HOUSE FILE 919? SEEING NONE FINAL QUESTIONS FROM MEMBERS? FINAL WORD REPRESENTATIVE PETERSON.>>THANK YOU MR. CHAIR; MEMBERS FOR YOUR SUPPORT.>>WITH THAT REPRESENTATIVE PETERSON RENEWS HER NOTION THAT HOUSE FILE 919 AS AMENDED REFERRED TO THE GENERAL REGISTER. ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN. THE BILL FORWARDS TO THE COMMITTEE. WE’LL GO BACK AND WE WILL GO TO HOUSE FILE 1445 AND REPRESENTATIVE LOHMER REFERS TO HOUSE FINANCE. WE HAVE THE BILL IN FRONT OF US. REPRESENTATIVE LOHMER TO YOUR BILL.>>THANK YOU MR. CHAIR AND MEMBERS SO HOUSE FILE 1445 PROPOSES TO EXPAND AND IMPROVE OUR CONSUMER DIRECTED COMMUNITY SUPPORT PROGRAMS SO MINNESOTANS WITH DISABILITIES WITH MEET THEIR HOUSING AND EMPLOYMENT GOALS. CURRENTLY 5;000 INDIVIDUALS ON WAIVER PROGRAMS ARE UTILIZING CDC FS. THOSE INDIVIDUALS RECEIVABLE BUDGET; DEVELOP A SUPPORT PLAN APPROVED BY THE COUNTY;S; ARE HELD ACCOUNTABLE WORKING WITH THE FISCAL SUPPORT ENTITY AND HAVE GREATER FLEXIBILITY IN DEVELOPING THEIR CUSTOMIZED SERVICE AND SUPPORT. INDIVIDUALS ON CDC S PRESS A HIGH LEVEL OF SATISFACTION WITH THEIR SERVICES. HOWEVER THERE ARE SOME BARRIERS THAT EXIST IN THE PROGRAM THAT CREATE SOME DISINCENTIVES FOR INDIVIDUALS CONSIDERING UTILIZING THIS. HOUSE FILE 1445 WILL ADDRESS THAT AND MORE WILL HAVE CONTROL OVER THE RESOURCES AVAILABLE TO THEM SO TESTIFYING IN SUPPORT OF THE BILL ARE DEBRA BAILEY AND STEVE LARSON WITH ARK MINNESOTA.>>WELCOME TO THE COMMITTEE AND PLEASE STATE YOUR NAME AND PRESENT YOUR TESTIMONY.>>MR. CHAIRMAN MY NAME IS DEBRA BAILEY AND LIVE IN SHASTA AND ON THIS WAIVER. I AM SUPPORT OF THIS HOUSE FILE FOR (LOW AUDIO). I WOULD LIKE MORE CHOICES AND CONTROL O VER MY CARE AND SERVICES. I HAVE A TRAUMATIC BRAIN INJURY AS A RESULT A CAR ACCIDENT. IT WAS ANOTHER DAY ON THE WAY TO WORK IN JANUARY 2012 WHEN I LOST CONTROL OF MY CAR AFTER HITTING ICE. I SPENT THE NEXT YEAR RELEARNING HOW TO WALK; TALK AND USE A KNIFE AND FOLK; TIE MY SHOE; READ A BOOK AND DO EVERYTHING ELSE IN LIFE. I STILL LIVE WITH SIGNIFICANT IMPAIRMENTS AND VISUAL PROCESSING; PLANNING AND DECISION MAKING AND ENERGY MANAGEMENT AS WELL AS SOME OTHER DEFICITS. THERE’S A NUMBER OF REASONS WHY I SUPPORT THIS AND I WOULD LIKE TO SHARE THOSE WITH YOU. WHILE I DO WANT MORE CHOICES I’M NOT ABLE TO TAKE ON MORE RESPONSIBILITY FOR OVERALL MANAGEMENT OF MY SERVICES. I DON’T WANT TO BE SOLELY RESPONSIBLE FOR APPLYING AND FINDING CAREGIVERS. BY I BELIEVE I COULD GET SOME SERVICES AND SUPPLIES AT A LOWER COST I AM CONCERNED ABOUT THE BUDGET REDUCTION I WOULD FACE. UNDER CURRENT LAW I WOULD TAKE A 30% REDUCTION IN THE BUDGET TO GET ON THIS PROGRAM. I BELIEVE THIS APPROACH DISCOURAGES INDEPENDENCE AND ENCOURAGES PAERNALLISM. I WOULD LIKE A BETTER UNDERSTANDING OF MY RIGHTS AND OPTIONS UNDER THE PROGRAM. WHENEVER I EXPRESSED THIS DESIRE I HAVE BEEN ASKED TO SPECIFY A PROBLEM TO ADDRESS OR THIS PROGRAM IS NOT APPROPRIATE FOR YOUR SITUATION. WITH THE HELP OF A SUPPORT PLANNER I THINK THIS WOULD BE APPROPRIATE FOR MY SITUATION. I WOULD LIKE MORE CONTROL IN CHOOSING CAREGIVERS IN WHOM I WORK WELL AND EASIER WAY TO ADDRESS ISSUES WITH CAREGIVERS AND MORE FLEXIBILITY IN SCHEDULING CAREGIVERS. I WOULD LIKE THE FLEXIBILITY TO ARRANGE CHANGES DIRECTLY WITH THE CAREGIVERS WHEN HOLIDAYS OR OTHER CONFLICTS OCCUR OR AVERAGE A OUTING OR ACTIVITY AND ENCOURAGE MORE COMMUNICATION BETWEEN MY CAREGIVERS. CURRENTLY IT’S NOT PERMITTED DUE TO PRIVACY CONCERNS AND COMPANY POLICY. I WOULD LIKE TO SHARE TWO SPECIFIC EXAMPLES OF ISSUES I HAD WITH CAREGIVERS. MY NFD LIVING SKILLS WORKER WHO TYPICALLY COMES TWICE A WEEK AND UNABLE TO COME FOR 11 WEEKS LAST YEAR BECAUSE A LAPSE IN THE COMPANY’S LICENSE AND A DISRUPTION IN MY LIFE AND COULD HAVE BEEN AVOIDED HAD IT BEEN ON [INAUDIBLE]. I HAVE WEEKLY SKILLED NURSING VISITS AMONG OTHER THINGS. THE NURSE HELPS MANAGE THE CHRONIC CONDITIONS. CONSISTENCY IS VERY IMPORTANT TO ME. DURING A RECENT SEVEN MONTH PERIOD I WORKED WITH EIGHT DIFFERENT NURSES. I NEED MORE CONSISTENT CARE IN ORDER TO BE SUCCESSFUL. WHEN I COMPLAINED TO THE COMPANY THEY PROMISED THEY WOULD IMPROVE THE CONSISTENCY. THEY DIDN’T. I EVENTUALLY ASKED MY CASE MANAGER FOR HELP TO CHANGE PROVIDERS IN ORDER TO RESOLVE THE SITUATION. THIS IS ANOTHER CHALLENGE THEY BELIEVE COULD HAVE BEEN AVOIDED BY USING THIS. STUDIES HAVE DOCUMENTED A HIGH LEVEL OF SATISFACTION WITH INDIVIDUALS ON THIS PROGRAM AND STAFF TURNOVER IS REDUCED BECAUSE MORE BUDGET GOES TO HIGHER WAGES TO STAFF SO I AM ASKING THAT YOU PLEASE PASS THIS HOUSE FILE SO INDIVIDUALS LIKE ME CAN HAVE GREATER CONTROL OVER SERVICES AND SUPPORTS. THANK YOU.>>THANK YOU MS. BAILEY FOR YOUR TESTIMONY THIS MORNING. MR. LARSEN WELCOME TO THE COMMITTEE.>>I AM STEVE LARSEN WITH ARK MINNESOTA AND ALSO HERE ON BEHALF OF THE CONSORTIUM OF CITIZENS WITH DISABILITIES AND HOUSE FILE 1445 IS ONE OF THE THREE PRIORITY BILLS THAT THE CONSORTIUM WITH CITIZENS WITH DISABILITIES IS WORKING ON THIS YEAR. AS WAS STATED THERE R 5;000 PEOPLE ON CONSUMER DISTRICTED COMMUNITY SUPPORT BUT THERE ARE BARRIERS THERE SUCH AS THE 30% DISCOUNT THAT DEBRA REFERRED TO THAT PREVENTS OTHERS FROM GETTING ON THE PROGRAM. INDIVIDUALS THAT GRADUATE FROM HIGH SCHOOL OR TURN 21 AND WANT ADDITIONAL RESOURCES TO HELP WITH THE INDIVIDUALIZED EMPLOYMENT OR HOUSING NEEDS HAVE LIMITED OPTIONS TO GET INCREASES IN THEIR BUDGET. LAST YEAR WE PASSED A 20% INCREASE FOR EMPLOYMENT — INDIVIDUALIZED EMPLOYMENT BUT THAT DOESN’T APPLY TO HOUSING AND OTHER NEEDS THAT INDIVIDUALS NEED AND THAT’S WHY WE’RE HERE TODAY. THIS IS A PACKAGE PIECE OF LEGISLATION BECAUSE IT GOES ALONG WITH THE MSA HOUSING ASSISTANCE THAT YOU HAVE REVIEWED. IT GOES ALONG WITH EMPLOYMENT SERVICES THAT YOU WILL BE HEARING LATER THIS MORNING IN THIS COMMITTEE AND IT ALSO GOES ALONG WITH OUR BEST LIFE ALLIANCE LEGISLATION AND HEARD IN REPRESENTATIVE DEAN’S COMMITTEE THIS AFTERNOON BECAUSE THERE NEEDS A HUNDRED SOLUTIONS TO DIRECT THIS WORK FORCE CRISIS AND GIVING A WAGE INCREASE AS THE LEGISLATION CALLS FOR IS ONE WAY. ANOTHER WAY IS UTILIZE INDIVIDUALS TO HELP SUPPORT PERSONS WITH DISABILITIES THROUGH CONSUMER DIRECTED COMMUNITY SUPPORTS THAT WOULDN’T NORMALLY BE A SUPPORT PERSON FOR A PERSON WITH DISABILITIES BUT THIS OPTION PROVIDES MANY OPPORTUNITIES FOR UTILIZING INFORMAL SUPPORTS HIRING THE NEIGHBOR; WORKING WITH RELATIVES; THOSE TYPES OF THINGS THAT ARE NOT NECESSARILY AVAILABLE IN THE FORMALIZED SYSTEM SO WE’RE VERY EXCITED IF THE SUPPORT CHANGES IN THIS AND INSTEAD OF 5;000 THERE SHOULD BE 10;000 OR 15;000 PEOPLE ON THE WAIVER PROGRAMS TAKING ADVANTAGE OF THIS IF WE CAN BREAK DOWN THE BARRIERS. THERE ARE THREE COMPONENTS IN THE BILL THAT ADDRESS THE PROBLEMS THAT EXIST THT CONSUMER DIRECTED PROGRAM. ONE THE FIRST PART OF THE BILL CALLED FOR INCREASING FUNDING FOR THOSE INDIVIDUALS THAT ARE IN SOME OF THE INSTITUTIONS SUCH AS ANOKA OR ST. PETER OR CRISIS BEDS AND CAN’T FIND PLACEMENTS IN THE COMMUNITY SO BY LOOKING AT THIS AS A SOLUTION TO THAT WE THINK WE COULD GET INDIVIDUALS OUT OF THOSE PLACEMENTS QUICKER THAN WE CURRENTLY ARE. WE ARE LOOKING AT EXPANDING THE EXCEPTION PROCESS FOR THIS PROGRAM FOR INDIVIDUALS IN THEIR PLANS DESIRE TO PURSUE INDIVIDUALIZED HOUSING; INDIVIDUALIZED EMPLOYMENT OR A POSITIVE SUPPORT INTERVENTION PROGRAM AND SO THIS WOULD ALLOW US AN EXCEPTIONS PROCESS SO THEY COULD HAVE 30% MORE IN THE INDIVIDUALIZED BUDGET THAT THEY HAVE; AND FINALLY WE’RE LOOKING AT DEVELOPING A NEW BUDGET FWEE GEE THAT WILL ADDRESS MANY OF THESE ISSUES AND SO THIS WOULD BE MULTI-YEAR PROCESS IN MOVING FORWARD WITH THE REPORT TO THE LEGISLATURE ON HOW WE CAN BETTER DEVELOP A BUDGETING PROCESS THAT WORKS MORE EFFECTIVELY FOR ALL THE INDIVIDUAL ON THE WAIVER PROGRAMS. THANK YOU FOR THIS OPPORTUNITY TO TALK ABOUT THE CONSUMER DIRECTED COMMUNITY SUPPORTS AND WITH THE OPPORTUNITY TO ADDRESS THESE IMPROVEMENTS.>>ALL RIGHT THANK YOU MR. LARSEN AND MS. BAILEY FOR TESTIMONY THIS MORNING. ANY QUESTIONS FOR OUR TESTIFIERS? SEEING NONE IS THERE ANYONE IN THE AUDIENCE THAT WISHES TO TESTIFY ON HOUSE FILE 1445? FINAL CALL FOR QUESTIONS. FINAL WORD REPRESENTATIVE LOHMER.>>IT’S A GREAT BILL. THANK YOU FOR YOUR REPORT.>>WITH THAT REPRESENTATIVE LOHMER RENEWS THE MOTION FOR HOUSE FILE 1445 REFERRED TO HEALTH SERVICE AND FINANCE. ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN. THE MOTION IS RENEWED AND THE BILL WILL GO TO THAT COMMITTEE. THANK YOU REPRESENTATIVE LOHMER. NEXT UP MEMBERS WE HAVE HOUSE FILE 1386. REPRESENTATIVE ALBRIGHT. AS HE MAKES HIS WAY FORWARD REPRESENTATIVE ALBRIGHT WANTS THIS MOVED TO HEALTH AND HUMAN SERVICES FINANCE. TO YOUR BILL REPRESENTATIVE ALBRIGHT.>>THANK YOU MR. CHAIR AND MEMBERS. HOUSE FILE 1386 IS WITH REGARD TO HOUSING AND I HAVE A TESTIFIER WITH ME; AND IN LIGHT OF THE TIME THAT WE HAVE I WILL MAKE MY REMARKS BRIEF SO MY TESTIFIER CAN EXPLAIN THE BILL. SO MEMBERS WE LIVE IN AN REER ERA OF UNPRECEDENTED CHANGE IN THE INDUSTRY AND BOTH COMMUNITY AND HOME SERVICES WITH THE OLMSTEAD PLAN AND WORK FORCE AND OPPORTUNITY ACT TO — 245D LICENSING AS WELL AS WORK FORCE CRISIS. ONE OF THE BIGGEST CHANGES IS THE DWRS DISABILITY WAIVER RATE SYSTEM WHICH WAS ENACTED IN 2014. THANKFULLY THE LEGISLATURE PUT A FIVE YEAR BANNING IN PLACE AND A TIMELINE TO WORK OUT THE BUGS AND PROVIDE AN ADJUSTMENT PERIOD AND UNDER THIS THE RATE COULDN’T GO UP OR DOWN BY A CERTAIN PERCENTAGE AND NOW WE’RE IN THE FOURTH YEAR OF THE FIVE YEAR ADJUSTMENT PERIOD AND FEW OF THE BUGS HAVE BEEN WORKED OUT. THE RATE FORMULA IS SERIOUSLY FLAWEDDED. THE GOAL IS TO ENSURE THAT ACCESS TO QUALITY SERVICES CONTINUES UNINTERRUPTED FOR PEOPLE SERVED AS WE WORK THROUGH THE MORASS OF UNPRECEDENT THE CHANGE AND THE EMPHASIS THE PEOPLE BE PROTECTED AND SERVED AND FOR DAY RECIPIENTS GETTING GETS OF 5%. I WILL TURNOVER THE REMAINDER OF MY TIME TO MR. WEAVER WHO IS THE TESTIFIER THIS MORNING.>>THANK YOU REPRESENTATIVE ALBRIGHT. WE HEARD EVERY WORD THERE. IF YOU COULD STATE YOUR NAME FOR THE RECORD AND PRESENT YOUR TESTIMONY.>>HELLO MR. CHAIR. WE SERVE ABOUT 190 ADULTS WITH DEVELOPMENTAL DISABILITIES IN ANOKA COUNTY AND 54% OF THE PEOPLE WE SERVE WORK IN JOBS IN THE COMMUNITY. WE ALSO SERVE A NUMBER OF HIGH NEEDS PEOPLE; PEOPLE WHO ARE NON AMBULATORY; NONVERBAL AND NEED ASSISTANCE WITH BASIC DAILY FUNCTIONS. 51 OF THE CLIENTS THAT WE SERVE HAVE BEEN WITH US FOR 25 YEARS OR LONGER. WE HAVE BEEN AROUND FOR 50 YEARS. AS REPRESENTATIVE BLIGHT BLIGHT INDICATED THIS IS A TIME FOR UNPRECEDENTED CHANGE IN THE INDUSTRY. IN ADDITION TO THE CHANGES HE IDENTIFIED ON THE POLICY SIDE WE’RE IN A TIME WHEN DHS IS CARVING OUT THE EMPLOYMENT SERVICES AND WE WILL SETTING NEW RATES FOR THOSE AND WE LEARNED THAT THE NON EMPLOYMENT SERVICES WE PROVIDE ARE CARVED OUT AND NEW RATES ARE SET FOR THOSE SO THERE IS A TON OF UNCERTAINTY IN THIS INDUSTRY RIGHT NOW AND IN LIGHT OF THAT WE HAVE BEEN HAVING MEETINGS FOR THE LAST COUPLE OF YEARS WITH THE PARENTS AND FAMILIES OF THE PEOPLE WE SERVE AND I CAN’T TELL YOU ENOUGH HOW MUCH FRUSTRATION AND ANGER AND CONFUSION THERE IS AND PEOPLE ARE FRIGHTENED ABOUT THE FUTURE OF SERVICES FOR THEIR LOVED ONES. BUT THE BIGGEST CHALLENGE WE FACE IS THE NEW RATE SYSTEM FOR — AND REPRESENTATIVE ALBRIGHT INDICATED THAT SYSTEM IS FLAWED. IT IS. DHS’S OWN REPORT INDICATES THAT 63% OF SERVICE RECIPIENTS WILL SEE RATE CUTS AROUND THIS NEW SYSTEM. FOR THE PEOPLE WE SERVE AT ACHIEVE AND AVERAGE WILL GET A 34% CUT AND WE’RE IN THE FOURTH YEAR OF A FIVE YEAR BANNING PERIOD. THANK GOODNESS THE LUTHER PUT THAT IN PLACE TO WORK OUT THE BUGS BUT WE’RE IN THE FOURTH YEAR AND THE BUGS STILL EXIST. WHAT WE’RE DOING HERE IS PROVIDING A SOFTER LANDING FOR THE PEOPLE HURT THE MOST IN THIS SYSTEM. THE WAY IT’S LOOKING NOW UNDER CURRENT LAW IF YOU’RE EXPERIENCING A 34% CUT AFTER THE FIVE YEAR BANNING PERIOD YOU WILL HAVE LOST 4% SO ON JANUARY 1 OF 2019 YOU WILL SEE ANOTHER 30% CUT WHICH IS JUST NOT SUSTAINABLE; SO WHAT THIS BILL DOES IS FOR THOSE WHO ARE LOSING MORE THAN 5% OF THEIR RATES WHEN YOU GET TO THAT CLIP IN 2019 INSTEAD OF SEEING 30% CUT YOU WILL CONTINUE TO LOSE 1% A YEAR UNTIL YOU GET TO THAT NEW RATE SO AGAIN IT’S ESSENTIALLY A PARACHUTE FOR THOSE GETTING HURT THE WORSE. WE KNOW THAT EVERYBODY IS STEPPING OUT OF THE PLANE; AND WE KNOW THAT THEY’RE GOING TO HIT THE GROUND SOONER OR LATER. WE’RE TRYING TO GIVE THEM MORE TIME IN THE AIR AND SOFTER LANDING WHEN THAT HAPPENS AND PHASE IN THE CUT OVER A LONGER PERIOD OF TIME. THIS AGAIN PROVIDES A SAFETY NET AND SOME STABILITY FOR PEOPLE WITH DISABILITIES WHO THROUGH NO FAULT OF THEIR OWN ARE EXPERIENCING SIGNIFICANT — AGAIN GREATER THAN 5% CUTS. IT ENSURES THAT INDIVIDUALS WITH THE BIGGEST CUTS CONTINUE TO HAVE ACCESS TO THE SERVICES THEY CHOOSE AND BRING SIMPLICITY TO A COMPLEX ENVIRONMENT. IT’S A COMMONLY USED GRANDFATHERING CONCEPT. IT HELPS THE RATE LOSERS WITHOUT TAKING AWAY FROM THE RATE WINNERS. IF THE FORMULA IS ADJUSTED AND OTHER LEGISLATION THAT WILL DO THAT AND REDUCE THE NUMBER OF THOSE LOSING 5% AND REDUCE THE PEOPLE THAT NEED THE PROTECTION BUT THERE IS STILL GOING TO BE SOME. IT CREATES A STRONG INCENTIVE FOR PROVIDERS FOR HIGH QUALITY SERVICES AND KEEP THEM IN THE PROGRAM AND MOVE THE STATE TOWARDS THE GOAL AND UNIFORM RATES AND A MUCH LESS DISRUPTED MANNER. WE’RE NOT ASKING TO INCREASE ANY RATES OR NEW MONEY. WE’RE ASKING TO SLOW DOWN THE REDUCTION IN THEIR RATES AND FINALLY I WOULD ALSO ADD THAT THIS PROPOSAL IS BEING SUPPORTED BY THE MINNESOTA FAMILY AND ADVOCATES COALITION AND A STATEWIDE NETWORK OF FAMILIES AND PARENTS OF PEOPLE THAT WE SERVE. WITH THEY WOULD BE HAPPY TO TAKE ANY QUESTIONS.>>ALL RIGHT. THANK YOU FOR YOUR TESTIMONY THIS MORNING. ANY QUESTIONS FOR MR. WEAVER. REPRESENTATIVE LIEBLING.>>THANK YOU MR. CHAIR AND MR. WEAVER. YOU KNOW THIS REALLY ISN’T SO MUCH A COMMENT TO YOU BUT I WAS REALLY INTERESTED IN YOUR USE OF METAPHOR ABOUT STEPPING OUT OF THE PLANE AND IT REMINDED MY THAT ALL OUR STATE I THINK RATHER STEPPING OUT WHICH IMS THERE IS A VOLUNTARY ACTION INVOLVED WE’RE GOING TO BE PUSHED OUT OF THE PLANE. THE WHOLE STATE IS PUSHED OUT OF THE PLANE WITH REGARD TO MEDICAID AND PUSHED OUT BY REPUBLICANS IN CONGRESS AND THE ADMINISTRATION; AND I JUST HOPE THAT WE ALL HAVE SOME KIND OF A PARACHUTE. THIS IS SERIOUS. WHAT YOU’RE DESCRIBING WHICH IS HAPPENING NOW UNDER CURRENT LAW I JUST HAVE A FEELING THAT WE AIN’T SEE NOTHING YET SO I HOPE WE CAN FIND PARACHUTES. THANK YOU.>>ANY OTHER QUESTIONS? REPRESENTATIVE MURPHY.>>THANK YOU MR. CHAIR AND PROBABLY MORE A COMMENT FOR REPRESENTATIVE ALBRIGHT AND FOR MR. WEAVER. AS I UNDERSTAND THIS IN VERY SIMPLE TERMS WHAT WE’RE HOPING TO TO DO IS SPREAD OUT THE IMPACT OF WHAT HAS BEEN A REDUCTION IN RATES OVER TIME SO WE WANT TO STRETCH THAT DURATION OUT; MAKE IT A LITTLE EASIER SO FOR US WHEN WE GET TO FINANCE AND TO THE NEXT COMMITTEE WE’RE GOING TO HAVE TO CONSIDER THAT IN TERMS OF THE UPCOMING BUDGET AND THEN THE TAILS AND WE’RE GOING TO HAVE A DEVIL OF A JOB IN THAT COMMITTEE TRYING TO BALANCE THE REQUESTS THAT ARE COMING IN ESPECIALLY WHEN WHAT WE EXPECT TO SEE IS A FAIRLY SIGNIFICANT TAX CUT TARGET AS WELL; SO I JUST AM GOING TO URGE YOU IF THIS IS IMPORTANT TO CONTINUE PUT PRESSURE ON THE LEADERSHIP OF THE BODY BECAUSE THEY’RE THE ONES THAT WILL MAKE THOSE DECISIONS ABOUT WHERE WE SPEND OUR SCARCE RESOURCES IF WE PUT THEM INTO THINGS LIKE THIS OR TAX CUTS. I THINK YOU’RE MAKING A STRONG ARGUMENT FOR EVENING OUT THE IMPACT ON WHAT THIS WOULD BE A RATE REDUCTION FOR PEOPLE WITH DISABILITIES WHO ARE COUNTING ON US; BUT WE’RE GOING TO NEED YOUR HELP TO MAKE THAT CASE UP IN THE LEADERSHIP CORNER BECAUSE I DON’T THINK I CAN SUCCESSFULLY MAKE IT ON MY OWN.>>THANK YOU REPRESENTATIVE MURNY. WE WILL BE THERE.>>THANK YOU.>>THANK YOU REPRESENTATIVE LIEBLING AND MURPHY. ANYONE ELSE TO TESTIFY ON HOUSE FILE 1386? ANY QUESTIONS FOR THE AUTHOR? FINAL WORD REPRESENTATIVE ALBRIGHT.>>THANK YOU FOR YOUR CONSIDERATION MEMBERS.>>WITH THAT REPRESENTATIVE ALBRIGHT REFER THIS BILL TO FINANCE. ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN. THE MOTION IS RENEWED AND HOUSE FILE IS REFERRED TO FINANCE. THANK YOU REPRESENTATIVE ALBRIGHT. NEXT WE WILL SKIP ORDER A LITTLE BIT. HOUSE FILE 1239. REPRESENTATIVE ALBRIGHT JUST ONE MORE INTO THE PILE. HOUSE FILE 1239 AND REPRESENTATIVE ALBRIGHT MOVES THIS BILL IS REREFERRED TO THE BILL OF HEALTH AND HUMAN SERVICES FINANCE. AND MEMBERS IT’S MY INTENT TO RECESS IN ABOUT TEN MINUTES TO MAKE SURE WAY TO THE FLOOR. REPRESENTATIVE ALBRIGHT WE HAVE THE BILL IN FRONT OF US. TO YOUR BILL.>>THANK YOU MR. CHAIR AND MEMBERS. HOUSE FILE 1239 ESTABLISHES THROUGH NEW EMPLOYMENT SERVICES THAT MINNESOTANS WITH DISABILITIES CAN ACCESS THROUGH THE WAIVERS THAT ARE AVAILABLE IN MINNESOTA. IN HOUSE HEALTH AND HUMAN SERVICES REFORM COMMITTEE AS WELL AS VARIOUS SETTINGS ACROSS THE STATE THERE ARE IMPORTANT CONVERSATIONS TAKING PLACE AS WE AS A STATE CAN ADDRESS CURRENT IDENTIFIED BARRIERS WITH MINNESOTANS WITH DISABILITIES AND LIVING LIVES BASED ON THEIR OWN CHOICES HOW THEY LIVE AND LEARN AND WORK AND PLAY. THIS BILL MOVES THE STATE TOWARDS THE GOAL AND ESTABLISHES SUPPORT SERVICES THAT THEY COULD ACCESS AS THEY WORK TO FIND AND KEEP COMMUNITY EMPLOYMENT. I HAVE WITH ME TWO TESTIFIERS TO SPEAK BRIEFLY ABOUT THE IMPORTANCE OF THIS BILL. THANK YOU MR. CHAIR.>>THANK YOU REPRESENTATIVE ALBRIGHT. WELCOME TO THE COMMUNITY AND STATE YOUR NAME FOR THE RECORD AND APPLICANT YOUR TESTIMONY.>>CHAIR SCHOMACKER AND MEMBERS OF THE COMITTEE I AM LYNN AND PRESIDENT OF RISE; AN ORGANIZATION THAT PROVIDES COMMUNITY INCLUSION AND EMPLOYMENT SERVICES SERVING NEARLY 3;000 PEOPLE WITH A VARIETY OF DIFFERENT ABILITIES THROUGHOUT THE TWIN CITIES IN MINNESOTA. I AM HERE TODAY TO TESTIFY BRIEFLY IN SUPPORT OF HOUSE FILE 1239 ON BEHALF OF RISE AND ON BEHALF OF OUR BROADER EMPLOYMENT PROVIDERS ASSOCIATION. AS YOU’RE AWARE FROM THE OLMSTEAD PLAN TO THE NEW FEDERAL RULES AND WHAT SERVICES WILL LOOK LIKE IN THE FUTURE AND WHAT THE PATH YOUNG PEOPLE WILL TAKE AS THEY LEAVE SCHOOL AND ENTER THE WORK FORCE THERE ARE INITIATIVES AS A STATE TO HAVE INCREASED FLEXIBILITY AND OPTIONS FOR MINNESOTANS WITH DISABILITIES AND PURSUE MEANINGFUL LIVES IN OUR COMMUNITY. THIS BILL REPRESENTS A CONCRETE STEP FORWARD BY THE SHARED GOAL AND POLICY AND INFRASTRUCTURE NECESSARY TO CREATE A SUPPORT THAT MINNESOTANS WITH DISABILITIES CAN ACCESS TO [INAUDIBLE] COMMUNITY BASED EMPLOYMENT OPPORTUNITIES. THEY WILL HELP THE YOUTH TO BYPASS SERVICES IN THE FUTURE THAT CAN OFTEN BE DIFFICULT TO ACCESS. THE EMPLOYMENT SERVICES ESTABLISHED IN THE BILL ARE AS FOLLOWS. THE FIRST IS EMPLOYMENT EXPLORATION SERVICES WHICH ARE COMMUNITY BASED SERVICES THAT INTRODUCE A PERSON TO COMPETITIVE EMPLOYMENT OPPORTUNITIES IN THEIR COMMUNITY THROUGH INDIVIDUALIZED EDUCATIONAL ACTIVITIES.>>; LEARNING ACTIVITIES AND WORK SUPPORT SERVICE AND THE SECOND IS EMPLOYMENT SERVICES AND ACTIVELY SUPPORT A PERSON TO ACHIEVE PAID EMPLOYMENT IN THEIR COMMUNITY. EMPLOYMENT DEVELOPMENT ASSISTS PEOPLE GETTING PAID EMPLOYMENT; BEING GOING SELF EMPLOYED OR ESTABLISHING A MICRO ENTERPRISE BUSINESS WITHIN THE COMMUNITY. THE THIRD SERVICE IS EMPLOYMENT FORREST SERVICES AND SERVICES AND MAINING EMPLOYMENT AND SECTIONS OF THE BILL SHOW HOW.>>>>ESSENTIALLY THIS IS A SECTION OF THE BILL THAT CLARIFIES THAT THE NEW EMPLOYMENT SERVICES WILL NOT BE PROVIDED AS A COMPONENT OF TRAINING AND REHABILITATION AND BILLED SEPARATELY IN THE FUTURE. THIS MAKES TECHNICAL CHANGES FOR THE PROVISION OF THE SERVICES AND [INAUDIBLE]. SECTIONS NINE; 10; 11 OUTLINE THE SERVICES AND [INAUDIBLE] OR THE DISABILITY WAIVER RATE SYSTEM AND THE 12 AND FINAL SECTION OF THE BILL INSTRUCTS THE STATE TO SEEK NECESSARY FEDERAL APPROVAL AND PROCEED WITH CREATING THE THREE NEW SERVICES. WE KNOW THAT THE STATE LEGISLATURE IS FACED WITH DIFFICULT DECISIONS THIS SESSION HOW TO USE LIMITED STATE FUNDS IN A MORE COST EFFECTIVE AND IMPACTFUL WAY. WE HOPE YOU VIEW THIS PIECE OF LEGISLATION AS A VERY IMPORTANT AND TANGIBLE STEP THAT YOU CAN MAKE TO MOVE OUR STATE FORWARD. WE ASK THAT YOU SUPPORT THESE SERVICES WHICH WILL SUPPORT MINNESOTANS WITH DISABILITIES TO HAVE MEANINGFUL AND MORE INDEPENDENT LIVES IN OUR COMMUNITIES BASED ON THEIR OWN CHOICES ABOUT WHERE THEY LIVE AND WORK AND PLACE. THANK YOU FOR THE OPPORTUNITY TO TESTIFY TODAY.>>THANK YOU FOR THE TESTIMONY THIS MORNING. IF YOU COULD STATE YOUR NAME FOR THE RECORD.>>SURE. I AM HERE TO TESTIFY ON BEHALF OF THE MINNESOTA INTERER COUNTY ASSOCIATION IN SUPPORT OF THE CREATION OF THESE EMPLOYMENT SERVICES. THE NEW SERVICES WILL MAKE INDIVIDUALIZED INTEGRATED EMPLOYMENT ACCESSIBLE FOR FAR GREATER NUMBER OF PEOPLE WITH SIGNIFICANT DISAIJTS IN MINNESOTA WHO WANT TO WORK. THE NEW SERVICES WILL ENSURE WE’RE MEETING THE REQUIREMENTS OF THE [INAUDIBLE] SETTING RULE; THE [INAUDIBLE] ADA; THE MINNESOTA OLMSTEAD PLAN AND THE EMPLOYMENT FIRST POLICY WHICH ARE FEDERAL AND STATE LEVEL DIRECTIVES MANDATE FIGURE THEY WANT TO WORK IN THESE SETTING WE NEED SERVICE SUPPORTS TO DO SO. THE MINNESOTA OFFICE OF THE LEGISLATIVE AUDITOR RELEASED A REPORT ON THE FINANCIAL OVERSIGHT OF COMMUNITY BASED SERVICES. THE REPORT NOTES THAT MINNESOTA NEEDS TO IMPROVE OUR ABILITY — I’M SORRY. I AM READING THIS FOR ANDREA. IMPROVE THE ABILITY TO SUPPORT PEOPLE WITH DISABILITIES TO LIVE AND WORK IN INTEGRATED SETTINGS AND MINNESOTA IS SIGNIFICANTLY LACKING IN PROVIDING INTEGRATED EMPLOYMENT SERVICE CURRENTLY. WHAT WE HERE EVERY DAY IN THE STATE PEOPLE WANT TO WORK IN INTEGRATED SETTINGS. IN DAKOTA COUNTY I AM PERSONALLY MEETING WITH ALL STUDENTS AS LEAVING THE SCHOOL SYSTEM IN JUNE THAT HAVE SIGNIFICANT DISABILITIES. SO FAR I MET WITH 34 FAMILIES. 33 ARE PLANNING FOR INTEGRATED EMPLOYMENT. THIS IS AN INCREDIBLE SEA CHANGE FROM WHAT WE EXPERIENCED IN PREVIOUS YEARS BUT HEAR FROM THE FAMILIES IT’S DIFFICULT TO AND COMPLICATED TO ACCESS THE SERVICES AND SUPPORT OF THE EMPLOYMENT GOALS SO WE HAVE SERVICES AVAILABLE THAT ARE WORK FOR EXAMPLE A SMALL PORTION MUCH PEOPLE WITH DISABILITIES; 13%; WHO ARE ACCESSING VOCATIONAL OR DAY SERVICES IN MINNESOTA. THERE ARE SEVERAL PILOT PROJECTS WE’RE RUNNING IN THE COUNTY TO IMPROVE OUTCOMES FOR PEOPLE WITH DISABILITIES. THE MORE WE FOCUS ON INFORMED CHOICE; THE KEY WORD IN THIS AND LET THEM KNOW INTEGRATED EMPLOYMENT IS SOMETHING THEY CAN CHOOSE WHEN WE TALK ABOUT WHAT EMPLOYMENT LOOKS LIKE IN THEIR LIVES AND HOW BENEFITS ARE IMPACTED AND HOW WE SEE HOW THEY’RE CHOOSING THIS OVER SEGREGATED WORK AND FINDING MORE PEOPLE THAT WANT TO WORK THAN CURRENTLY WORKING TODAY. A PILOT IN 2016 WAS IN CONJUNCTION WITH THE STATE VOCATIONAL REHABILITATION SERVICES AND THE [INAUDIBLE] LARGEST CENTER IN THE STATE OF MINNESOTA. IT WAS CALLED WAY TO; WO. THE CONCEPT IF WE GOT PEOPLE GOOD INFORMATION; GOOD INFORMATION ABOUT INTEGRATED EMPLOYMENT AND WE MADE THOSE SERVICES AVAILABLE TO ANYONE THAT WANTED TO PURSUE THAT ROUTE AN ASTONISHING 125 PEOPLE WITHIN THAT CENTER OR 58% OF THOSE SERVED IN EAGON CHOOSE TO PURSUE INTEGRATED EMPLOYMENT OF THE NATIONAL SURVEY THAT ASKED PEOPLE ACROSS THE STATE WHETHER OR NOT THEY WANTED INTEGRATED EMPLOYMENT SHOWED THAT 58% OF PEOPLE WANTED TO MOVE TO INTEGRATE THE EMPLOYMENT. INTERESTINGLY IN THE WAY TO WORK PILOT WE STARTED TO SEE COST SAVINGS ONCE PEOPLE GO TO WORK. IN CONCLUSION OF NEARLY 60% AND THAT WILL GROW AS THEY GO TO WORK OF PEOPLE CURRENTLY WANT EMPLOYMENT AND EMPLOYMENT SERVICES AND SUPPORTS WE NEED TO DESIGN A SYSTEM THAT REALLY WORKS FOR THEM AS WELL. THE NEW SERVICES CREATED CLEAR PATH TO MOVE THEM FROM SCHOOL OR [INAUDIBLE] TO EMPLOYMENT AND BREAKING DOWN THE PROCESS AND SERVICE COMPONENTS TO DO SO AND ENSURING A INFORMED DECISION PROCESS AND SYSTEM CAPABILITY TO BUILD THE SERVICES AND ENSURE EQUITABLE DELIVERY SYSTEM AND ALL PEOPLE CAN GET THEIR NEEDS MET IN A WAY THAT MAKES SENSE FOR THEM. THANK YOU.>>THANK YOU FOR YOUR TESTIMONY THIS MORNING. ARE THERE ANY QUESTIONS FOR THE TESTIFIERS? SEEING NONE THE COMMITTEE THANKS FOR YOUR TESTIMONY THIS MORNING. ANYONE ELSE WISHES TO TESTIFY ON HOUSE FILE 1239? SEEING NONE QUESTIONS FOR MEMBERS FOR THE BILL AUTHOR? FINAL WORD REPRESENTATIVE ALBRIGHT.>>THANK YOU MR. CHAIR.>>WITH THAT REPRESENTATIVE ALBRIGHT RENEWS HIS MOTION THAT IS REFERRED TO HEALTH AND HUMAN SERVICES FINANCE. ALL IN FAVOR SAY AYE. OPPOSED SAME SIGN OF THE MOTION PREVAILS AND REFERRED TO HEALTH AND HUMAN SERVICES FINANCE. THANK YOU REPRESENTATIVE ALBRIGHT. AND WITH THAT WE WILL STAND IN RECESS UNTIL 6:00 P.M. TONIGHT IN ROOM 200. WE WILL SEE YOU THEN. [GAVEL]