Federal
Activities:
TRO Extended on CDC’s Termination of Public
Health Grants: Last week, MDH
received notice of the termination of two CDC grants, and the intent to cancel
three more this week, the largest of which is the Public Health Infrastructure
Grant ($65 million). These terminations would cut local public health, tribal
health, funds to monitor and prevent HIV and STD inspections, and funding for
MDH employees. On February 12, a multistate lawsuit resulted in a 14-day
temporary restraining order, which, on Wednesday, was extended to March 12. MMB-Federal-Funds-Overview-Feb-2026_Senate-HHS
Wednesday, February
18, House Human Services:
- DHS
Presentation: DHS
provided an update of activities since the end of the 2025 legislative
session, including the splitting of the Department into now three separate
agencies: DHS, DCYF, and DCT. They also addressed their response to
federal changes and actions related to program integrity. Included in its
presentation was an update on the 2025 modifications to MnCHOICES.
CMS
Implementation Status:
- Attestation to no changes in needs or
services; pending
review and approval. Delayed effective date expected.
- Use of MnCHOICES certified assessors in
hospitals through contracts with counties: CMS approved EW amendments; waiting on
disability amendment approval before implementing. Delayed effective date
expected.
- Assessor qualifications, training,
certification; removal
of Bachelor’s degree requirement: CMS approved elderly waiver amendments;
waiting on disability amendment approval before implementing. Delayed
effective date expected.
- Verbal attestation or alternative to
replace required assessment signatures:
CMS DENIED THIS LANGUAGE IN THE EW AMENDMENT; THEREFORE, IT WILL NOT
BE IMPLEMENTED.
Note slides 8-13 of the DHS presentation regarding the federal approval process for
current waivers and State Plan Amendments (SPAs).
- Housing
Stabilization Services:
Legislators have started the process to codify into law the termination of
the state’s housing stabilization services program. DHS formally shut down
the program in October on the guidance of its Office of Inspector General
after a data analysis exposed large-scale fraud in the program. HF3379, sponsored by Rep. Joe
Schomacker (R-Luverne), would formally repeal the program in state
law. The committee approved the bill, as amended, on a voice vote and sent it to the
House Floor. Session Daily Link
Wednesday, February
18, House Children and Families Committee:
The committee
received updates from DCYF regarding the implementation of SSIS andelectronic
attendance,as well as a presentation regarding Child Care Regulation
Modernization. DCYF Presentation
- SSIS:
The Department is planning the
implementation of a new Child Welfare Information System (CWIS) to replace
SSIS.Jennifer Sommerfeld, DCYF Government Relations Director,
reported that they developed and submitted a planning document to the
federal government on November 18; it has been approved, which secures a
50% match for planning activities.
A
planning vendor has been selected to help develop the RFP and the
Implementation Advance Planning Document (IAPD). The IAPD is scheduled to be
submitted in May. Procurement and contracting for the CWIS vendor are expected
to begin in 2027.
- Child
Care Regulation Modernization: The
goals for new licensing standards are to simplify rules, increase
transparency for families, meet federal requirements, reduce business
burdens, and ensure child safety. The proposal is to move from two
separate rules to two statutory provisions: one for child care centers and
one for family child care.
Key changes for
both program types include:
o Strengthening attendance tracking;
o Increasing transparency with new notice
requirements for radon testing, presence of animals, and social media/image
sharing policies.
o Clarifying acceptable behavior guidance and
ensuring support for children with special needs.
Specific Changes for Family Child Care:
o Licensing classes will be streamlined, and
capacity will be increased for some larger program sizes to provide more
flexibility.
o Variance approval
for capacity will be moved from the county to the state level for uniform
application of rules.
o Training requirements will be made more clear.
o The rules for providing overnight care will be
clarified.
o Providers will be required to notify parents
if firearms are present in the home.
Child Care Regulation Modernization
Report to the Legislature January 2026
Thursday, February
19, Senate Housing:
The Senate
Housing Committee addressed SF3595 relating to supportive housing. David Dunn,
Olmsted Housing and Planning Director, testified in support of the bill,
reflecting on the success of several clients being housed at the “Frances.”
Wednesday,
February 18, Senate Human Services:
- DHS Presentation: DHS
again provided an update of activities since the end of the 2025
legislative session – this time in the Senate
Member
comments:
- Sen.
Glenn Gruenhagen (R-Glencoe) indicated that he has heard from his counties
regarding our ongoing technology problems. With counties at the tipping
point, he asked the Department why this has not been addressed.
DHS
responded that systems upgrades are needed, but that they are really expensive,
and ongoing sustainable funding is necessary.
- Sen.
Erin Maye-Quade (DFL-Apple Valley) reported that she is drafting
legislation that will call for a constitutional amendment which, if
passed, would allow the Legislature to bond for technology.
- Chair
Hoffman mentioned that he had heard that Rep. Paul Torkelson (R-Hanska) is
taking the lead in the House.
- Counties’
message is clearly being heard; we are optimistic that real progress can
be made this year.
Thursday,
February 19, Senate Human Services:
Federal Funding Update: In
her presentation, State Budget Director Ahna Minge illustrated several county
concerns regarding federal changes, including work requirements, state
penalties for eligibility errors, and lost federal funding for both
administering the SNAP program, as well as benefits.
In addition, CMS
has indicated the intent to withhold $515 million per quarter in future federal
funding, which they estimate will be the cost of the federal share of 14
Minnesota “high-risk services.” DHS has submitted an administrative appeal,
which is still pending. CMS has further indicated that it would undertake a
review of recent claims already reimbursed, which may result in a deferral of
additional federal funds.
County
Presentation: County
representatives were then given nearly 30 minutes to discuss the impacts we
face in light of the federal changes.
Hearing Link; county presentation begins at the 37 minute
mark
HR1-Impacts-on-Counties-HHS-Presentation-260218
Testimony came
from Matt Hilgart, AMC; Barb Dahl, Scott County Human Services; and Ramsey
County Commissioner Garrison McMurtrey. They focused on the direct federal cost
shifts, including both SNAP administrative costs, as well as the contribution
requirement for the benefit itself based on the state SNAP error rate. Also
discussed was the increased workload for work requirements and eligibility
changes for both SNAP and Medicaid. Finally, they spoke about the archaic
“green screen” technology that counties continue to wrestle with. Chair Melissa
Wiklund (DFL-Bloomington) commented that the committee would be spending
additional time on technology modernization in the future.
LPHA Testimony: Nick Kelley, Public Health Director for the
City of Bloomington, emphasized Minnesota as a leader and innovator in our
public health system. He thanked the committee for the significant investment
in 2023. He closed his comments by stating that the lack of federal support
threatens public health’s ability to complete its mission, including work
relating to WIC, immunizations, and home visiting.
Hearing Link; Nick Kelley presentation begins at the 1:32
minute mark
Thursday,
February 19, House Human Services:
Program Integrity
Efforts: Kristy Graume, Director of Government
Relations for DHS, updated the committee on program integrity. House_HS_Program_integrity_updates
Her presentation
focused on transparency, prevention, detection, and enforcement around fraud.
She addressed the action of bad actors within some programs, which has
ultimately resulted in hurting honest providers and patients alike.
Rep. Tom
Murphy (R-Underwood) and Rep. Brion Curran (DFL-White Bear Lake)
both lamented that no one within the Department has been fired as continued
instances of fraud were uncovered over the past year.
Co-Chair Rep. Mohamud Noor (DFL-Minneapolis) said more department
leaders will be available to answer committee member questions at a future
date. Session Daily Link
Bill
Introductions of Interest:
- HF3403 (Kozlowski)/SF3596 (Port) Onetime emergency rental assistance aid for counties established,
and money appropriated.
- HF3439 (Backer) Eligibility for medical
assistance and expedited disability determinations modified, review of
death master file required, and contract requirements for managed care
plans provided.
- HF3469 (Virnig) Appropriation availability for the Direct Care and Treatment
county correctional facility support pilot program extended.
- HF3546 (Schomacker) Program integrity
requirements for high-risk provider types under medical assistance
established, and report required.
- SF3618 (Maye Quade) County program aid increase to offset county costs associated with
federal Supplemental Nutrition Assistance Program (SNAP) changes.
- SF3671 (Gruenhagen)/HF3519 (Schomacker) Medical assistance coverage
stoppage when federal financial participation is temporarily withheld or
discontinued.
- SF3682 (Mohamed)/HF3454 (Hanson, J) Social work titles usage requirement modifications.
- SF3704 (Mann)/HF3453 (Hanson, J) Kratom possession legal age
establishment as 21 years of age or older.
- SF3711 (Mann)/HF3452 (Hanson, J) Kratom classified as a
Schedule II controlled substance