Committee on Human Services Reform, September 21

>> I KNOW PEOPLE MONITOR THIS AT HOME AS WELL. WE’RE GOING TO SPEND TODAY TALKING ABOUT SOME HUMAN SERVICE MATTERS DATA ON CHILD CARE AND SO ON AND TO GIVE PEOPLE WHO WANT THE OVERVIEW OF WHERE WE ARE IN TERMS OF OUR WORK IN THE INTERIM, WE HAD A HEARING YESTERDAY ABOUT PCA FRAUD AND MN CHOICES AND DISABILITY SERVICES AND IT WAS VERY PRODUCTIVE. IF THOSE ARE YOUR TOPICS I S IS ADDRESSED TO GO BACK AND WATCH THE TAPE WAS A GOOD TWO HOURS THERE WAS GOOD TESTIMONY FROM THE DEPARTMENTS AND THE ZERO L.A.. WE’RE HEARING SOME MORE ABOUT FRAUD TODAY BUT ANYWAY WE’RE GOING TO FOLLOW THE FIRST WEEK OF NOVEMBER WITH ANOTHER PAIR OF HEARINGS TODAY SEVERAL SOME OF THE SAME TOPICS, THE INTENTION OF THE SPACING IS TO GIVE OPPORTUNITY FOR PEOPLE TO WORK ON THESE PROJECTS IN THE MEANTIME AND HAVE AN INTERIM PERSPECTIVE ESPECIALLY ON MN CHOICES WHERE WERE TRYING TO MAKE THEM THE VERY EXPENSIVE QUARTER BILLION DOLLARS PROJECT ACTUALLY BEAR FRUIT AND BE AS USEFUL AS IT CAN POSSIBLY BE. ON THE PCA SITE AT FIND WAYS WE CAN ACTUALLY PUT PRESSURE ON THE SYSTEM SO THE PEOPLE OR DOING IT IMPROPER THINGS WILL FILL GREAT STRESS AND STOP DOING THAT WILL BE KICKED OUT CANDLES WERE DOING ACTUALLY GOOD WORK ARE LEFT AS HARMLESS AS POSSIBLE. PART OF THAT MIGHT BE WHERE WE DRAW A LINE AT SOME LEVEL MAYBE 30 PERCENTILE AND DECIDE THAT’S AN ADEQUATE LEVEL FOR MINIMAL COMPLIANCE AND HOPEFULLY PEOPLE WILL DO BETTER BUT THEN FOR SURE PEOPLE WHO FALL BELOW THE LINE WOULD NEVER NO. IT IS ARE GOING TO BE SUBJECT TO GREAT SCRUTINY AND WILL BE DISINVITED. WITH THAT TODAY WE’RE GOING TO BE TALKING ABOUT DATA SHARING AND SENATOR RELPH BILL LOT OF WORK WITH SOME COUNTIES AND GIVEN THE POSSIBILITY OF WHAT COUNTIES TALKING INTERNALLY WORKING WITH THE SAME CLIENT ACROSS MANY DEPARTMENTS IN THE COUNTY AND THAT THE STATE IF NEED BE, WITH THE PERMISSION OF THE FAMILY THAT MUCH BETTER OUTCOMES CAN BE ACHIEVED AND EVEN AT LOWER COST. COMES OF THE MOST IMPORTANT AND COST IS HOW WE AFFORD TO DO THAT AND WE’RE GOING TO TALK ABOUT THAT TODAY MS. RADTKE IS HERE TO BRING US UP-TO-DATE ON LOOKING FOR TO THAT CONVERSATION WELCOME TO THE COMMITTEE >> GOOD MORNING MR. CHAIR AND SENATORS I’M STEPHANIE RADTKE I SERVE AS DEPUTY DIRECTOR FOR THE COMMUNITY SERVICES DIVISION WITHIN DAKOTA COUNTY. THANK YOU FOR THE OPPORTUNITY TO SHARE A LITTLE MORE ABOUT THE LEGISLATION THAT WAS RECENTLY PASSED AND I HOPE TODAY IS TO CONVEY THE IMPORTANCE AND IMPACT OF THIS LEGISLATION UNFORTUNATELY OUR POWER POINT PRESENTATION THE TECHNOLOGY WASN’T COOPERATING WITH US TODAY I HOPE EVERYONE THE HAND OUT OF MY SLIDES. I WOULD LIKE TO START BY FIRST ACKNOWLEDGING THE ROLE OF THE FOCUS 5 AND UNDER WORKING GROUP AND MAKING THE LEGISLATION HAPPEN I THINK THE WORK OF THIS GROUP PROVIDED SOME REAL WORLD CONTEXT, ALL OF A COMEDIC CONNECTIONS PEOPLE NEED TO MAKE AN ORDER FOR KIDS TO THRIVE. I WOULD LIKE TO THANK SENATOR ABELER AND HOFFMAN AND SENATOR RELPH FOR YOUR LEADERSHIP AND PROVIDING THE TIME AND SPACE FOR THOSE CRITICAL CONVERSATIONS AROUND SERVICE CORONATION AND THE PIECES THAT ARE NECESSARY TO WORKING ARM IN ARM WITH FAMILIES WITHOUT THAT CONTEXT AND BRINGING THIS CONVERSATION ABOUT DATA SHARING IN THE THE REAL WORLD, WE MAY NOT HAVE HAD THIS DISCUSSION AND MAY NOT HAVE THIS LEGISLATION SO THANK YOU. THE NEXT SLIDE IS GOING ON TO SLIDE #3 IS WHAT WE ARE CALLING THE SOCIAL DETERMINANTS OF HEALTH AND WELLNESS. AGAIN I APOLOGIZE FOR NOT HAVING THE PRESENTATION IS KIND OF LIKE OUR LITTLE FLOUR DIAGRAM AND THE KEY STRATEGY OF DAKOTA COUNTY IN BRINGING FORWARD THIS LEGISLATION AND TALKING ABOUT DATA SHARING IS TO PUT PEOPLE AND NOT PROGRAMS FIRST. TO RECOGNIZE THE PERSONAL LEVEL OF THOSE THINGS THAT A CHILD AN INDIVIDUAL OR FAMILY IS GOING TO NEED TO THRIVE AND MAINTAIN A POSITIVE FORWARD PATH IN LIFE RESEARCH A SHOWN WHEN PEOPLE THRIVE IN THESE AREAS AND AGAIN IF YOU LOOK ABOUT LABELS WE’RE TALKING ABOUT THINGS LIKE SAFETY FOOD AND NUTRITION, HEALTH AND WELL-BEING, BOTH

AREN’T JUST PROGRAMS THOSE ARE KEY ELEMENTS OF LIFE WE ALL NEED TO MOVE FORWARD AND WHEN WE TALK ABOUT SHARING DATA ON AND COORDINATING SERVICES AND CONNECTING THE DOTS IT REALLY IS ABOUT CONNECTING THE DOTS AND ALL THESE NEEDS THAT PEOPLE HAVE IN ORDER TO SUCCEED AT THAT HIGHER NON PROGRAM LEVEL AND GOING BACK TO THE WORK GROUP OF THE FOLKS IN THE UNDER FIVE WORKING GROUP SO WE TALKED ABOUT WE BROUGHT PEOPLE TOGETHER FROM ALL THESE ASPECTS OF A CHILD’S LIFE TO TALK ABOUT HOW DO WE BETTER CONNECT AT THE RIGHT STAGE IN LIFE TO SUPPORT THOSE OUTCOMES? MOVING ON TO THE NEXT SLIDE IS, >> THESE ARE AVAILABLE ON LINE ON THE COMMITTEE WEBSITE IF YOU WANT TO FOLLOW ALONG THEY ARE FOUND THEIR TECHNOLOGY DOESN’T ALWAYS SUPPORTERS THE OTHER TECHNOLOGY CAN MAKE UP FOR THAT ESPECIALLY THE COUNTY WAVE >> WHEN THE DOORS CLOSE WILL FIND A WINDOW THANK YOU SENATOR ABELER. MOVING ON TO THE NEXT SLIDE I WILL GIVE THE NUMBERS OF MY SLIDES AS WELL FOR ANYONE WHO IS FOLLOWING ALONG MOVING TO SLIDE #4 THIS DIAGRAM REPRESENTS OUR MODEL FOR WHOLE FAMILY IMMIGRATED SERVICE DELIVERY SYSTEM AND KIND OF CONCEPTUALLY THE PAST THE FAMILY STAKE AS THEY MOVE THROUGH THE HUMAN SERVICES SYSTEM AND REALLY AT THE COMMUNITY-BASED NOT JUST THE COUNTY BUT AS THEY’RE HAVING ISSUES AND NEEDS REACHING OUT AND MOVING THROUGH OUR SYSTEMS THE LEGISLATION RECENTLY PASSED FOCUSED ON PROVIDING THE TOOLS TO AS I CALL IT CONNECTING THE DOTS AND WHAT PEOPLE NEED OBTAINING THOSE SERVICES AND COORDINATING THE SERVICES IS THE CIRCLE OF PROP OF THE DIAGRAM ABOUT IDENTIFYING THE NEEDS AND MAKING THOSE ASSESSMENTS AND CONNECTING THE SERVICES. IT’S ABOUT HOW DO WE CONNECT PEOPLE ON THAT POPULATION LEVEL DATA ON, THE PROGRAMS THAT FOLKS ARE ON WHAT THOSE NEEDS AND AS WE THINK ABOUT FOOD, EDUCATION NEEDS, HEALTH NEEDS OF A FAMILY TRANSPORTATION NEEDS OF THE FAMILY IDENTIFYING THOSE IN NON PROGRAMMATIC WAYS IN CONNECTING THE DOTS I EMPHASIZE THAT BECAUSE WE REALLY DRAW A LINE IN THE MIDDLE OF THIS DIAGRAM IT’S NOT ABOUT THE DEEPER DIVE INTO PEOPLE’S PERSONAL HEALTH RECORDS OR OTHER THE CASE INFORMATION DELVE INTO THE DETAILS IT IS ABOUT THE CONNECTION TO SERVICES AND THE LEGISLATION WE PASSED IS PROVIDING A LITTLE MORE FLEXIBILITY ABOUT HOW DO WE WORK WITH FAMILIES AND CONNECT TO SERVICES? ALL THE OTHER VERY ROBUST DATA PRACTICES LAWS STILL APPLY STILL NOT HAVE BUT WE STILL HAVE ALL THE PROVISIONS OF THE MINNESOTA GOVERNMENT DATA PRACTICES ACT THAT REQUIRE THAT IN OUR PROFESSIONAL DUTIES WE USE THE MINIMUM NECESSARY TO CONNECT PEOPLE TO SERVICES, CERTAINLY THE MINNESOTA HEALTH RECORDS ACT AGAIN I WANT TO EMPHASIZE ALL OF THE ROBUST PROVISIONS RUN DATA PRACTICES THOSE STILL IN PLACE. WHAT THE LEGISLATION DOES DO MOVING ON TO SLIDE 5 IS IT DOES AND HIGH- LEVEL THREE KEY THINGS, IT MODERNIZES THE DEFINITION OF THE WELFARE SYSTEM WITHIN 13.46 AND ONCE THAT LEGISLATION IN THAT STATUTE DOES IS DESCRIBED HOW COUNTY AGENCIES HALT AS DEFINED BY THE WELFARE SYSTEM CAN USE DATA TO EFFECTIVELY RUN OUR PROGRAMS TO COORDINATE SERVICES AND ACHIEVE OUTCOMES. IT REALLY IS ABOUT THAT WITHIN THAT COUNTY FIRE WALL WHAT CAN WE DO AND HOW CAN USE DATA INTERNALLY TO SUPPORT FAMILIES. THE SECOND ITEM ON THE SECOND OBJECTIVE WE ACHIEVE WITH THIS LEGISLATION IS ENHANCING THE ABILITY TO COORDINATE WITH COUNTY CORRECTIONAL AGENCIES COUNTY CORRECTIONAL AGENCIES ARE OUTSIDE OF THE WELFARE SYSTEM, BUT THEY ARE WITHIN COUNTIES AND WE ARE INCREASINGLY RECOGNIZING THAT AS FOLKS COME IN THROUGH OUR JUSTICE DOORS IT’S JUST ANOTHER DOOR TO COMMITTEE AND HUMAN SERVICES BECAUSE ONCE PEOPLE PRESENT THEIR WE KNOW THIS WHOLE HOST OF NEEDS THAT WE NEED TO PROVIDE FOLKS IN ORDER TO GET THEM ON THE RIGHT PATH AND HOPEFULLY NOT RECIDIVATE AGAIN THE FOCUS GROUP FOR THE WORKING GROUP A KEY OBJECTIVE WE ACHIEVE IS ENHANCING THE ABILITY TO CORONATE OUR WORK WITH THE COMMITTEES AND COUNTIES WITH THE SCHOOLS AND I CAN SHARE A LITTLE MORE WHEN I DO A LITTLE DEEPER DIVE ON THIS AREA DAKOTA COUNTY HAS DONE A LOT OF WORK IN THE LAST COUPLE OF YEARS IN WORKING

WITH OUR SCHOOL DISTRICTS ON ACHIEVING OBJECTIVES FOR KIDS AGED 8 AND UNDER. AGAIN TO EMPHASIZE ALL OF THE OTHER DATA PRACTICES LAWS ARE STILL IN EFFECT THE MINNESOTA HEALTH RESTS RECORDS ACT FEDERAL HEALTH LAWS PROTECTING PEOPLE DIED DETAILED INFORMATION AROUND MENTAL HEALTH AND SUBSTANCE ABUSE IS DEFINITELY STILL IN PLAY >> AND I THINK AS MANY COUNTIES ARE USING THIS AS I’M HOPING WILL ADOPT THIS BUT DO NOTICE AS YOU GO FORWARD WITH THIS THERE SOME BARRIERS THE YOU FIND YOU CAN ONLY IT WORKS PRETTY GOOD EVERY ONE CAN TALK FREELY ONCE THE PEOPLE HAVE OPTED THEN? IS THERE A FEDERAL STUFF AND GETTING IN YOUR WAY AT ALL OR IS THAT NOT A PROBLEM? >> MR. CHAIR I THINK ONE OF THE ON AREAS WHERE WE NEED TO DO THE MOST I THINK ANALYSIS AND THINKING THROUGH WITH THE FEDERAL LAWS IS ALL THE REGULATIONS AROUND WHAT YOU CAN SHARE BY WAY OF MENTAL HEALTH AND CHEMICAL DEPENDENCY, THERE ARE MORE STRINGENT STANDARDS JUSTIFIABLY AROUND THAT. THOSE TOPICS WE KNOW AND I WILL GIVE THE EXAMPLE OF PEOPLE COMING IN THROUGH OUR JUSTICE SYSTEM THEY’RE OFTEN PRESENTING WITH A LOT OF MENTAL HEALTH AND SUBSTANCE-ABUSE ISSUES AND IDENTIFYING HOW DEEP WE CAN SHARE AND IS THAT DATE AND AT INTERMISSION WE ARE SHARING ACROSS THE SYSTEM GOING TO BE IMPACT FULL? THAT’S ONE OF OURS STICKIER AREAS >> NOT FOR NOW BUT LATER I’M INTERESTED IF PEOPLE CAN OPT OUT OF THAT PROTECTION AND SAY KNOW WHAT YOU TO KNOW MY WHOLE CASE BECAUSE IT’S GOING TO HELP YOU IS THE SHORT ANSWER IS THAT SOMETHING THEY CAN DO OR IT IS A FEDERAL LAW SO RESTRICTIVE THEY CAN’T WAIVE THAT PROTECTION? >> MR. CHAIR YES I THINK ONE OF THE KEY PIECES OF WORK I WILL TOUCH ON ALL THE LATER WE ARE WORKING ON IS WE THINK OF OPERATIONAL LIES IN THIS IS HOW WE CAN BE MORE SYSTEMATIC AND IMPACT WILL WITHHOLD CONSENT PROCESS BECAUSE WITH CONSENT PEOPLE CAN AGREE TO PROVIDE ITS INFORMED CONSENT IF THEY GET TO A LEVEL OF DETAIL WHAT IS, WE CAN SHARE INFORMATION BUT ARE WE MAKING SURE WERE MAKING INTENTIONAL WITH PROVIDING PEOPLE WITH THAT CHOICE TO PROVIDE CONSENT OF THE RIGHT TIME AND WE DO THAT VERY CONSISTENT ACROSS THE STATE I WOULD ADD I THINK THAT’S A BIG OPPORTUNITY FOR US IN THIS LEGISLATION GOING FORWARD IS TO BRING THIS INTO PRACTICE AND THINK WHERE SHOULD WE BE ASKING THESE QUESTIONS AND GETTING. THE GETTING >> I APPRECIATE THAT AND BESIDES BEING AN INTERESTING THING TO TALK ABOUT IN TODAY’S HEARING IS TO WORK TOWARD OPERATIONAL LIES IN THIS TOWARDS ALL COUNTIES THIS IS SUCH A IT AS IT SENATOR RALPH >> [INAUDIBLE]. . . [INAUDIBLE] . [INAUDIBLE]. . . FOR TRYING TO PROVIDE AN EARLY OPPORTUNITY TO PEOPLE WHEN THEY COME INTO THE SYSTEM MAY BE THE FIRST TIME THEY’VE BEEN TOUCHED BY THE JUSTICE OR CORRECTIONAL SYSTEM, TO GET IF THEY’RE EXHIBITING ANY SIGNS OF MENTAL ILLNESS TO GET CONSENT AND TRY TO GET THEM TO THE COUNTY AGENCIES THAT PROVIDE THEM THE SERVICE. THE REASON I BRING THIS UP IS IT SOUNDS LIKE THIS IS SOMETHING THAT WOULD INTEGRATE NICELY INTO WHAT YOU’RE TRYING TO DO SO I WANTED TO MAKE YOU AWARE OF IT AND NUMBER TWO I FEEL IT IS IMPORTANT TO CONTINUE WITH WHAT YOU’RE TRYING TO DO TO TRY TO INTEGRATE THOSE BECAUSE I THINK THE ORIGINAL FOCUS OF THE GROUP WAS THE 0-5 FOCUSED IT SEEMS A MODEL THE DAKOTA COUNTY BROUGHT FORWARD AS MUCH MORE UNIVERSAL APPLICATION AND TO TRY TO LOOK FORWARD A LITTLE AND SEE HOW THIS IS GOING TO INTEGRATE INTO A SYSTEM THAT COULD BE VERY USEFUL ALL THE WAY THROUGH THE TIME SOMEONE IS A SUBJECT OF THE WELFARE SYSTEM, SO AGAIN I THOUGHT AND A COMMENT AND QUESTION IF YOU HAD THE OPPORTUNITY TO WORK WITH THE LOCAL CORRECTIONS PEOPLE THE COUNTY JAIL THE CITY WHERE THEY’RE ACTUALLY, THE PRIMARY INPUT POINT IN TERMS OF GETTING SOME DATA SHARING GOING WITH FAT? >> MR. CHAIR AND SENATOR RELPH THANK YOU FOR THE QUESTION AND COMMENTS I COULD NOT AGREE MORE WITH WHAT YOU ARE SAYING AND WE HAVE DONE A LOT OF WORK WITHIN DAKOTA COUNTY AND OTHER COUNTIES AS WELL ACROSS THE STATE AND NATIONALLY THIS IS A BIG AREA OF OPPORTUNITY THIS LEGISLATION THAT WE PASSED THIS YEAR FOCUSED

ON WITHIN THE COUNTY AND DEFINING THE WELFARE SYSTEM TO REFLECT THE REALITY, WE KNOW OUR BIG PRESSURE POINT NOW WE’RE SERVING PEOPLE WITHIN THE COMMUNITY IS THE INTEGRATION WITH LAW-ENFORCEMENT WITH OUR CITIES WITH THE CORRECTIONAL AGENCIES OUTSIDE OF THE INTERNAL COUNTY CORRECTIONAL AGENCIES SO WE HAVE A LOT OF THOUGHTS AND IDEAS ABOUT THAT IN FACT WE HAD A TEAM FROM DAKOTA COUNTY JUST RECENTLY IN WASHINGTON INVOLVED IN THE DAY THE JUSTICE THE INITIATIVE AND TALKING ABOUT THIS VERY ISSUE OF HOW DO WE OPERATIONAL LIES OUT WE BETTER SHARE DATA AND THE KEY PIECE OF THIS THAT YOU MENTIONED SENATOR RELPH IS GETTING THE INFORMATION UPSTREAM THAT’S AN OPERATIVE GOAL AS WE TALK ABOUT IMPLEMENTING ALL OF THIS IS GETTING INFORMATION TO THE RIGHT PEOPLE EARLY UPSTREAM IT’S ABOUT A PRODUCTIVE LANDS AND NOW WE GET SERVICES AT THE RIGHT TIME? WE’RE VERY INTERESTED AND ARE INTERESTED IN CONTINUING TO LOOK AHEAD ISSUE LEGISLATIVELY THANK YOU. MOVING ON TO SLIDE 6 I’M GOING TO RUN THROUGH THESE VERY QUICKLY THIS IS AT A VERY HIGH LEVEL SOME OF THE BIG CHANGES WE MADE BY MODERNIZING THE DEFINITION OF WELFARE DATA ON, AND THE WELFARE SYSTEM HOW PREVIOUS TO JULY 1ST WE HAD A VERY NARROW DEFINITION OF THE WELFARE SYSTEM THAT REALLY INCLUDE PRIMARILY SOCIAL SERVICES SOME OF OUR MEANS TESTED PROGRAMS BUT SURELY DID NOT REFLECT HOW MOST COUNTY SERVICES ARE ALL OF US TODAY AND OF THE PEOPLE REALLY NEED TO CONNECT IN ORDER TO PROVIDE THE SERVICES. WE EXPANDED THE DEFINITION THAT WELFARE SYSTEM TO INCLUDE COUNTY BASED PUBLIC HEALTH AGENCIES, VETERANS SERVICES, AND COUNTY HOUSING AGENCY’S AGAIN IF YOU THINK BACK TO THOSE THIS IS SOCIAL DETERMINANTS OF HEALTH DIGRAM IT’S ABOUT THE EARLY CONNECTING THE DOTS AND SHARING INFORMATION APPROPRIATELY A FULL BLITZ OF INCLUDED ON THE SLIDE INCLUDE HOW WE CAN SHARE INFORMATION WITHIN THE WELFARE SYSTEM IT’S THE VERY HIGH LEVEL THERE’S A LOT OF THINGS WE CAN DO BUT AS WE TALK ABOUT OPERATIONAL RISING THIS LEGISLATION IS ABOUT CONNECTING THE DOTS IN IDENTIFYING WHERE WE CAN COORDINATE SERVICES BETTER BETWEEN FOR EXAMPLE COUNTY HOUSING AND SOCIAL SERVICES AND WHERE WE WERE ABLE TO SHARE THE DATA BEFORE AND I THINK GOING BACK TO YOUR QUESTION AND GOAL SENATOR ABELER ON OPERATIONAL LIES IN THIS ONE OF THE BIG LIFTS THAT WE HAVE BECAUSE WE HAVEN’T BEEN ABLE TO SHARE DATA WE HAD VERY SEPARATE SILOED DATA SYSTEMS AND OUR COORDINATION AND SERVICE DELIVERY IS VERY MUCH KIND OF MORE DOWNSTREAM AND AFTER THE FACT WITH A LOT OF FRANKLY FEAR TIME IN TALKING TO EACH OTHER IN ONE OF THE KEY THINGS WE’VE BEEN DOING IS SITTING DOWN AND TALKING ABOUT OUR PROCESSES AND SEEING WHERE CAN WE HAVE PROVIDES BETTER SERVICES TO FOLKS IF WE HAVE THESE CONVERSATIONS AND WHAT DATA POINTS TO WE NEED TO SHARE FURTHER UPSTREAM? THOSE CONVERSATIONS PRIOR TO THIS LEGISLATION WERE TAKING PLACE AND THERE’S THIS WHOLE OPERATIONAL ICING AND IDENTIFYING HOW DO WE INTERNALLY CHANGE OUR CULTURE EVEN AND THINK WE’RE PART OF THIS BROADER SYSTEM THAT NEEDS TO DO A BETTER JOB OF COORDINATING THOSE SERVICES AND CONNECTING THE DOTS. THE NEXT SLIDE ON SLIDE 7 IS ENHANCED COORDINATION WITH SCHOOLS AND WE ARE ACTIVELY WORKING ON A PROJECT CALLED OUR BIRTH TO AGE EIGHT PROJECT WHERE WE HAVE AGREEMENTS AND CONTRACTS WITH ALL THE SCHOOL DISTRICTS WITHIN DAKOTA COUNTY AND HOW CAN WE HELP KIDS ACHIEVE KEY EDUCATIONAL MILESTONES BY THE AGE OF EIGHT AND HERE TO WE’RE DOING A LOT OF WORK NOT WHO ARE THE PEOPLE HAVING THE CONVERSATIONS ONE OF THOSE KEY DATA ELEMENTS THAT WE NEED TO SHARE TO ACHIEVE THESE GOALS AND DO THE WORK AND HOW CAN WE STREAMLINE THE CONSENT PROCESS BECAUSE THE KEY PIECE OF THIS LEGISLATION IS ALL ABOUT CONSENT MAKING SURE WE’RE PROVIDING INFORMED CONSENT TO FAMILIES AND HOW WELL THESE PIECES FIT TOGETHER AND HOW THEY CAN FEEL LIKE THEY’RE IN THE DRIVER’S SEAT OF THIS PROCESS AS THE EDUCATE THEIR KIDS. THERE IS SOME KEY WORK HAPPENING THERE AND THE NEXT SLIDE ON PAGE 8 IS GETTING TO WHAT YOU WERE MENTIONING SENATOR RELPH THE ENHANCED COORDINATION WITH

COUNTY CORRECTIONAL AGENCIES THE LEGISLATION JUST PASSED IN 2017 IS ALLOWING US TO SHARE ITS LIMITED DATA BETWEEN THE COUNTY WELFARE SYSTEM AND OUR COUNTY CORRECTIONAL SYSTEM SO WERE NOT MOVING OUTSIDE TO LAW ENFORCEMENT OR THE JAILS OR ANYTHING YET BUT A TRULY JUST WITHIN THE COUNTY SYSTEM FOR PEOPLE WHO ARE NOW INTO ALSO ON PROBATION BUT ALSO MAY BE HAVE A MENTAL HEALTH CASE WORKER WHO ARE PRESENTING WITHIN NEEDS OUT WE BETTER CHORDATE WE KNOW WHEN FOLKS ARE COMING IN AND ARE ON PROBATION THIS IS ONE OF OUR FAVORITE SLIDES TO ILLUSTRATE THE CONCEPT YOU WERE MENTIONING SENATOR IS THEY MAY BE PRESENTING WITH A PARTICULAR CRIMINAL ACTIVITY BUT WE KNOW UNDERNEATH THE WATER UNDERNEATH THE ICEBERG THE PERSON WHO MAY BE IN OUR JUSTICE SYSTEM MAY HAVE ALL HOST OF LIFETIME OF TRAUMA AND A LIFE HISTORY THAT IS IMPACTING WHY THEY’RE IN THE JAIL SYSTEM AND IT COULD BE MENTAL-HEALTH IT COULD BE A NUMBER OF ISSUES SO HOW CAN WE CONNECT THE DOTS ON THOSE SERVICES? MOVING ON TO THE NEXT SLIDE HOW DO WE MAKE THIS WORK AND THIS IS GETTING TO GO QUESTION OF OPERATIONAL LIES IN THIS. WE’RE CONTINUING DOING THIS WORK AND ALL THIS AREA FOR A COUPLE OF YEARS BUT NOW WITH THE LEGISLATION AND THE ABILITY TO TAKE TO THE NEXT LEVEL ESTABLISHING ALL THOSE PROCESSES AND TOOLS TO COORDINATE THE SERVICES ACROSS THE AGENCIES THAT PREVIOUSLY HAVE NOT BEEN ABLE TO SHARE DATA ON AGAIN IT’S THOSE CONSENT PROCESS IS WHAT THE SCHOOLS, IT’S ADDING MORE FACE-TO-FACE CONVERSATIONS WITH LOCAL LAW ENFORCEMENT AND WHAT CAN AND CAN’T WE SHARE AND HOW WE BRING THAT CONSENT PROCESS IN, EVEN INTERNALLY WITHIN COUNTY OPERATIONS HOW CAN WE WERE WORKING ON AMENDING SOME OF OUR COUNTY DATA SYSTEMS TO REFLECT BASED ON JOB TITLE AND WHAT PEOPLE’S ROLES ARE WHAT THEY CAN AND CANNOT SEE IN ORDER TO DO THEIR JOBS. SOME SPECIFIC ACTION ITEMS THAT ARE HAPPENING IS UPDATING OUR TENNYSON WARNINGS TO REFLECT THESE CHANGES WE HAVE HAD A ROBUST COMPLIANCE PROGRAM AROUND DATA PRACTICES AND DATA MANAGEMENT AS WE MAKE THESE CHANGES I THINK TO MAINTAIN TRUST IN WHAT WE’RE DOING AND HOW WE USE PEOPLE’S DATA IT’S REALLY IMPORTANT WE CONTINUE TO WORK ON THIS COMPLIANCE PROGRAM AND ALL THE PROPER NOTICES AND CONSENTS SO WE’RE VERY CLEAR AND TRANSPARENT AND OUR USING PEOPLE’S INFORMATION TO PROVIDE SERVICES. WE’RE UPDATING ALL OF YOUR NOTICES, REFRESHING ALL OF OUR DATA PRACTICES A KIND OF TRAINING AND TOOLS TO STAFF SO ONE OF THE THINGS WE’RE DOING IS WE TALK ABOUT ACTUAL SERVICE OF EVERY AND WHAT PEOPLE CAN AND CANNOT DO AS AN EXAMPLE WERE PROVIDING WORKING ON A ONE-PAGE CHEAT SHEETS FOR STAFF SO AS YOU’RE WORKING OUTSIDE OF YOUR ORGANIZATIONAL UNITS AS YOU’RE WORKING WITH THE COUNTY HOUSING AGENCY HERE IS THE TYPE COORDINATION WE SHOULD BE DOING AND HERE’S THE DATA WE CAN BE SHARING AND WE CAN BE WORKING AT AND HERE’S HOW WE WORK WITH OUR CLIENTS. WE MAKE SURE THEY’RE GIVEN NOTICE AND ALL THE APPROPRIATE PIECES ARE IN PLACE SO PROVIDING STAFF OPPOSED TOOLS SO THEY CAN GO FORWARD AND DO THEIR WORK BECAUSE OF FRANKLY SOME CULTURE CHANGES ASSOCIATED WITH THIS AS WELL WITHIN OUR STAFF PROVIDING STAFF POST TOOLS. LASTLY I WANT TO SAY ESTABLISH I WOULD SAY REFRESHING OUR AUDIT AND OTHER DATA COMPLIANCE PROCESS SO WE TAKE VERY SERIOUSLY AS PROFESSIONALS CERTAINLY WITHIN THE COUNTY SYSTEM STATE SYSTEM ALONG WITH OTHER PROFESSIONALS WE WORK WITH OUR DUTY TO USE INFORMATION VERY WISELY TO THE BEST WE CAN TO ACHIEVE OUTCOMES AND IF PEOPLE MISUSE DATA AND HOW OUR WE TRACKING AND MAKING SURE WERE TAKING APPROPRIATE ACTION AS WELL. THOSE ARE A FEW OF THE THINGS WE’VE BEEN DOING IF A FEW PROJECTS IN OPERATION LIES IN THIS LEGISLATION AND I WILL CONCLUDE WITH MY LAST SLIDE OF SMILING HAPPY CHILDREN I THINK IT’S BEEN SO IMPORTANT TO PROVIDE THE CONTEXT OF WHY WE TALK ABOUT DATA SHARING AND THE IMPORTANCE OF IT THAT IT’S NOT ABOUT AND SOMETIMES HAS BEEN RAISED ABOUT CREATING EFFICIENCIES FOR US AND STREAMLINING AND MAKING THINGS EASIER FOR IN THIS CASE COUNTY WORKERS BUT REALLY HOW ARE WE DOING A BETTER JOB OF COORDINATING THOSE SERVICES? AND THEN IMPACTING KIDS AND HELPING THEM TO WRITE SO THANK YOU >> VERY GOOD THANK YOU MISS RADTKE YESTERDAY I WAS AT THE MACSA MEETING EARLY IN THE MORNING IT WAS A PANEL AND ANNOUNCED THEY HAD THREE GOALS

THEY WOULD BE WORKING ON FOR 2018 IN THE COUNTY FOLKS INTEGRATED SERVICES THEY’RE WEARING ABOUT FUNDING SUSTAINABILITY AND AN EQUITY. IT SEEMS TO ME THIS IS A PRETTY GOOD TOOL THAT SEEMS AS IF YOU TRY TO GET INTEGRATED SERVICES THIS IS A WAY TO START THAT AND ALSO THE MONEY’S GOING TO STRETCH A BIT FURTHER AND AS YOU TARGET PEOPLE WITH NEEDS IS GOING TO SOLVE THE EQUITY ISSUE I THINK BECAUSE THEN THEY WILL BE FOCUSING ON WHERE PEOPLE NEED HELP AND NOT WORKING WITH PEOPLE WHO DON’T NEED SO MUCH AND I’M EXCITED ABOUT WHAT THIS PAST TO DO AND SO FOLLOW UP WITH US AFTER SOME WAY WE CAN FACILITATE A DIALOGUE STATEWIDE THINK RUN TO SOMETHING, IN THE WORKGROUPS SOMEONE CALLED THIS BOLT AND CALL ME NAIVE BUT I THOUGHT TALKING TO EACH OTHER WHEN IN THE SAME BUILDING ABOUT THE PERSON EVERYONE’S WORKING ANYWAY OR WORKING WITH THAT’S BOLD OK THIS IS A BOLD THINGS SO YOU’RE VERY BOLD MISS RADTKE >> THANK YOU MR. CHAIR. MS RADTKE A COUPLE OF QUESTIONS TALKING ABOUT AND SENATOR ABELER GOING OPERATIONAL IN TERMS OF GETTING THIS OUT OF DAKOTA COUNTY AND ACROSS THE BOARD. AS YOU HAD CONVERSATIONS WITH OTHER COUNTIES ABOUT THE PROGRAM AND OUR OTHER COUNTIES STARTING TO GET ON BOARD OR WHAT’S HAPPENING THERE? >> THANK YOU MR. CHAIR AND SENATOR RALPH, YES WE’RE STARTING THOSE CONVERSATIONS I SHARED LAST MONTH AT THE MACSA MEETING WOULD SHARE THE DAKOTA COUNTY AND MYSELF WERE VERY INVOLVED WITH INTEGRATED SERVICE DELIVERY WORK THAT’S HAPPENING AT THE STATE AND I COMPLETELY AGREE THIS LEGISLATION IS KIND OF A PART OF THAT. I THINK IT’S GOING TO BE PUSHING BOUNDARIES ABOUT HOW WE’D REVIEW SERVICE DELIVERY EVEN OUTSIDE OF DHS WHEN WE TALK ABOUT THE NEED TO INTEGRATE IT WORK BETTER WITH CORRECTIONS AND WORK BETTER WITH PUBLIC HEALTH AND OTHER PIECES. WE HAVE HAD STARTED THOSE CONVERSATIONS AND GOING THROUGH WHAT DOES THIS LEGISLATION MEAN CERTAINLY AS WE CONSTRUCT OUR DATA SYSTEMS AND OTHER STATES AND HOW WE ALLOW ACCESS TO DATA, WE ALSO LAST MONTH THAT MACSA INTEGRATED SERVICE DELIVERY FORM A HALF WALK THROUGH THIS LEGISLATION WITH COUNTY SOCIAL SERVICE DIRECTORS AND STARTED TO DO ON EXERCISE ABOUT WHAT THIS MEANS FOR US FROM THAT PRACTICE LEVEL AND WE ARE COMBINING THAT INFORMATION AND BRINGING THAT FORWARD AS WE IMPLEMENT AND TALKED A LOT ABOUT THE OPPORTUNITIES WE HAVE TO WORK JOINTLY TO GATHER AS WE TALK ABOUT THINGS LIKE INCENSE, TOOLS FOR STAFF THOSE KIND OF THINGS WE REALLY WANT THIS TO BE UNIFORM STATEWIDE. THERE’S A LOT OF OPPORTUNITIES THERE TO WORK TOGETHER SO THE FOLKS WHO NEED TO CONNECT ARE BEGINNING TO CONNECT ON THIS >> THANK YOU MR. CHAIR. MS RADTKE, THE OTHER QUESTION I HAVE FIZZLED LITTLE TECHNICAL WHAT KIND OF I’M TRYING TO THINK OF THE BEST WAY TO PHRASE THIS CALL ARE WE ORGANIZING THIS DATA ON AND HOW IS IT GOING TO BE INTEGRATED ARE THE WE HAVE A SINGLE SOURCE OF TOPICAL AND NOT SURE I EXPRESS MYSELF WELL ONE OF THE MAJOR ISSUES TO RUN INTO IS DATA MANAGEMENT AND DATA ORGANIZATION AND ANALYSIS. I KNOW ONE OF THE KEY FACTORS THAT WAS SO ATTRACTIVE TO ME ABOUT YOUR PROGRAM WAS THE STOPPING POINTS THE ASSESSMENT POINT WHERE WE SAID OK WE HAVE SOMEONE IN THE SYSTEM ARE WE SUCCEEDING? AND HOW WE’RE GOING ORGANIZE THAT DATA TO BE ABLE TO DETERMINE THAT IN A UNIFORM FASHION WOULD ENABLE OPERATIONAL WAY GOING ACROSS THE STATE IN TERMS OF ALL THE COUNTIES. CAN YOU COMMENT ON THAT A LITTLE? >> MR. CHAIR AND SENATOR RELPH YES I CAN COMMENTS TO DO THAT SOME OF THAT I WOULD SAY AS WELL AS WE’RE GOING FORWARD WITH THE INTEGRATED SERVICE DELIVERY SYSTEM MODERNIZATION WORK THAT THE STATE IS WORKING ON. THE STATE WHEN I SAY THE STATE ITS DHS OPERATES WHAT WE CALL A SHARED MASTER INDEX, WHERE THE INTENT OF THAT WAS TO ALLOW FOR APPROPRIATE DATA SHARING AS DEFINED BY CHAPTER 13.46 IN THE WELFARE SYSTEM FOR PEOPLE TO KNOW SHARING A HIGHER LEVEL PROGRAMMATIC LEVEL WHAT IS HAPPENING WITH AN INDIVIDUAL OR

FAMILY IN ORDER TO BETTER PROVIDE SERVICES AND CHORDATE SERVICES DAKOTA COUNTY AS WELL AS I BELIEVE HENNEPIN COUNTY IN A MIGHT BE ONLY TOO PAT TO HAVE SOME DATA POLLS WITH A DECLINE INDEX WITHIN DAKOTA COUNTY. THAT IS PULLING THIS INFORMATION FROM THE SHARED MASTER INDEX AS WELL SO AS WE THINK SHORTER-TERM TO IMPLEMENT THIS LEGISLATION SOME OF THE WORK WE ARE DOING WITHIN DAKOTA COUNTY IS BASED ON THIS LEGISLATION AND REFRESHED DEFINITION OF WHO CAN SHARE WITHIN THE WELFARE SYSTEM LOOKING AT THE SYSTEM ACCESS AND DEFINING AND THIS IS WHAT I MEAN WHEN I TALK ABOUT DATA ACCESS BASED ON A USER’S ROLE WHAT THEIR JOB IS WHAT THE STATUTE SAYS THEY CAN SEE IN ORDER TO PROVIDE COORDINATED SERVICES AND CASE DELIBERATE AND ANY OTHER INFORMATION ABOUT A FAMILY THAT’S GOING TO HELP THEM DO THAT. THERE IS A LOT OF POLICY MANAGEMENT AT THAT OPERATIONAL LEVEL DOWN TO THE SPECIFIC DATA POINTS OF WHAT PEOPLE CAN AND CANNOT SEE AND MAKING SURE THE STAFF ARE PROPERLY TRAINED IN HOW WE USE A TOOL LIKE THE KIND INDEX IN ORDER TO DO THAT. AS WE’RE GOING FORWARD AT THE STATE LEVEL AND BUILDING AND MODERNIZING OUR SYSTEMS AND ONE OF THE GOALS HERE IS NOW WE HAVE ALL THESE SEPARATE HUMAN SERVICES SERVICES WE HAVE MACSA AND M I S DURING THE SEPARATE PROGRAM FOR TRYING TO BUILD AN INTEGRATED FRAMEWORK FOR THE FOUNDATIONAL UNDERPINNING OF THAT SYSTEM IS GOING TO MEAN TO BE THE REFRESHED SHARED MASTER INDEX WHO ARE ALL THE PEOPLE WE ARE SERVING? HOW ARE WE IDENTIFYING THEM AND HOW WE MAKE SURE THE RIGHT PEOPLE TO HAVE THE RIGHT LEVEL OF ACCESS TO THE DATA? SO WHOLE CLIENT DATA BASE OF FOLKS WHO ARE IN THE SYSTEM WILL NEED TO BE REFRESHED AS PART OF THIS WORK I HOPE THAT HELPS >> I THINK THAT’S A REALLY GOOD WORK ON THIS TOPIC AND AS THIS GOES FORWARD IF IT WOULD BE HELPFUL IF THE MACSA MEETING WAS JUST TODAY SC SOME OF THOSE FOLKS HERE TODAY MAYBE THERE WAS SOME KIND OF MEETING THAT WE COULD FACILITATE WITH THEM I THINK THIS IS REALLY AN OPPORTUNITY. MS. RADTKE THANK YOU. WE WILL MOVE ON. ON THAT CHEERY TOPIC NOW WERE GOING TO TALK ABOUT FRAUD AND GOING BACK TO THE FIRST TOPIC BUT MS. HANN IF YOU WOULD LIKE TO BRING YOUR CREW UP HERE AND SELL. JUST AS IN NO YESTERDAY WE DISCUSSED THIS WITH THE SENATE WE’RE ALL PRETTY MUCH AGAINST FRAUD SO THAT WAS THE UNIVERSAL THOUGHT ABOUT THAT. [LAUGHTER]. WE THOUGHT WAS BAD AND WERE GOING TO LEARN SOME MORE ABOUT THAT >> WHILE IT’S GETTING SET UP AUTOMATIC THIS WILL BE THE LAST MEETING ON FRAUD, AND THE PURPOSE OF THIS IS TO BRING US UP-TO-DATE ON WHAT IS HAPPENING OUT A BETTER STRENGTHEN THE HAND OF THE DEPARTMENT IF THEY NEED AT HOW TO HELP THEM FOCUS EFFORTS AND IN AN EFFORT TO DO THE LEAST AMOUNT OF HARM TO PEOPLE WHO DIDN’T DO ANYTHING WRONG. THE MAXIMUM AMOUNT OF INCONVENIENCE TO PEOPLE WHO AREN’T DOING THINGS WRONG THAT’S THE POINT OF THE HEARING NOW AND I THINK WE WILL REVISIT THIS IN NOVEMBER AND THEN SESSION WILL COME UP IN FEBRUARY. WE THINK ABOUT LAWMAKERS AS WE PASS LAWS THAT MAKES US FEEL GOOD SOMETIME THE LAWS WE PASS ARE NOT AS PRODUCTIVE AS WE THOUGHT BUT WE FELT BETTER WE WANT TO MAKE SURE WE’RE DOING GOOD THINGS AND DOING THE BEST THING. IT’S LIKE ON THE TV HOST FILLING TIME WAITING FOR THE AFFILIATE TO SWITCH OVER TO THE FOOTBALL GAME AND THE WHAT APPEARS WONDERFUL WE’VE HAD A WONDERFUL SHOPPING SEASON >> WELCOME TO THE COMMITTEE MISS M >> THANK YOU MR. CHAIR FOR THOSE OF YOU WHO WERE NOT HERE YESTERDAY AS REMIND I’M CAROLYN HAM I’M THE INSPECTOR GENERAL FOR THE DEPARTMENT OF HUMAN SERVICES. I REALLY APPRECIATE THE OPPORTUNITY TO COME AND TELL YOU ABOUT ALL THE GREAT WORK THAT WE ARE DOING IN THE ZERO I G AND CHISM ISANTI CHANCE FOR ME TO EXPLAIN WHAT WE DO SINCE I’VE

BEEN HERE SINCE MARCH AND YOU KNOW BY NOW I CAN SAY THIS THIS IS HOME OR FOR ME IF NOTHING ELSE I APPRECIATE YOU INDULGING ME >> THANK YOU VERY MUCH AND HAVE A GOOD DAY. [LAUGHTER] >> IT WAS OPERATOR ERROR NOT THE TECHNOLOGY. FIRST I WANT TO SAY SENATOR ABELER I COMPLETELY AGREE THAT I HOPE FRAUD IS A BIPARTISAN ISSUE, ALL OF US WANT TO MAKE SURE THE DOLLARS WE ARE SPENDING ARE GOING TO THE PEOPLE NEEDED AND PROPER WAY AND WE’RE NOT WASTING IT AND WE’RE NOT PAYING IT TO PEOPLE WHO AREN’T PROVIDING. PROVIDING I AGREE THIS IS A BIPARTISAN ISSUE AND I THINK WE CAN ALL WORK TOGETHER ON THIS. I JUST WANTED TO HAVE A REFRESHER THE INSPECTOR GENERAL HAS BEEN IN EXISTENCE SINCE 2011 WE NOW HAVE FOUR DIFFERENT DIVISIONS ONE OF WHICH IS THE LICENSING DIVISION YOU MAY BE HEARING FROM REGGIE WAGNER THIS AFTERNOON ON SOME OF THE CHILD CARE ISSUES BUT THAT’S WITHIN THE INSPECTOR GENERAL OFFICE WE HAVE THE BACKGROUND STUDIES OFFICE TO IN THE BACKGROUND CHECKS FOR THE VARIOUS FOLKS WORKING WITH OUR BALL RUBLE ADULTS AND CHILDREN. THEN WE HAVE THE FINANCIAL FRAUD AND ABUSE INVESTIGATION DIVISION WHICH WILL BE THE FOCUS OF TODAY’S TALK AND WE HAVE OUR ZERO I G LEGAL DIVISION WE HAVE A LOT OF ANY INSTANCE WHERE WE ARE TAKING THE BENEFIT AWAY OR IMPOSING SOMETHING ON A LICENSE THERE ARE DUE PROCESS REQUIREMENTS AND WE NEED TO BE ABLE TO YOU DEFEND WHAT IT IS WE’VE GONE. IF WE START WITH THE F F A I D A I’M WORKING ON A NEW NAME I THINK IT’S WAY TOO MOUTHY AND I’M WORKING ON IT IF YOU HAVE ANY IDEAS LET ME KNOW. WE HAVE A COUPLE OF AREAS POINTED HERE I WANT TO TALK ABOUT A COUPLE OF OTHER ONES AS WELL SO YOU’RE AWARE OF THE VARIOUS THINGS WE’RE DOING. ONE OF OUR CHARGES IS OUR UNIT LOOKING AT OUR PROVIDERS WERE BILLING IN THE MEDICAL ASSISTANCE SPACE AND MAKING SURE THEIR BILLING APPROPRIATELY ETC. AND WE ALSO HAVE OUR CHILD CARE FRAUD UNIT WHICH IS LOOKING AT THE CHILD- CARE ASSISTANCE THAT WE PROVIDE TO PEOPLE WHO ARE TRYING TO GET OUT ON THEIR OWN AND WE ARE LOOKING TO MAKE SURE THE MONEY THAT’S SPENT THERE IS SPENT APPROPRIATELY. WE ALSO HAVE A COUPLE OF OTHER AREAS WE SPECIFICALLY HAVE AN AREA THAT LOOKS AT FRAUD WITHIN THE MINNESOTA CARE PROGRAM THAT’S A MUCH SMALLER UNITS BUT WE DO HAVE THAT AS WELL. WE HAVE A KEY PIECE IS WE HAVE TO MONITOR WHAT THE MANAGED-CARE ORGANIZATIONS ARE DOING AS YOU ARE WELL AWARE OF MANY MANY OF THE FOLKS WITHIN MEDICAL ASSISTANCE ARE BEING SERVED BY OUR MANAGED-CARE ORGANIZATIONS AND IT’S THEIR RESPONSIBILITY TO BE DOING LOOKING FOR FRAUD WASTE AND ABUSE BUT IT’S OUR RESPONSIBILITY TO OVERSEE THAT TO MAKE SURE THEY’RE DOING A GOOD JOB. THAT IS ONE OF OUR MANDATES AND WE’RE STARTING THIS YEAR GOING OUT AND WE’RE ACTUALLY DOING AN INVENTORY ASSESSMENT TO MAKE SURE EACH MANAGED-CARE ORGANIZATION WHAT IS IT THAT IN PLACE WHAT CAN THEY BE DOING BETTER AND WE HOPE WILL BE GETTING MORE ROBUST RESPONSE FROM THEM IN RESPONSE TO THIS. WE ALSO HAVE OUR MEDICAID RESTRICTED A RECIPIENT PROGRAM WHICH IS TO HELP THOSE FOLKS WHO MAY BE STRUGGLING WITH DRUG ABUSE AND SUBSTANCE ABUSE TO GET THEM TO NOT BE ABLE TO DR. SHOP SO THEY’RE REQUIRED TO GO INTO ONE PRIMARY CARE PROVIDER WHO THEN MAKES SURE EACH OF WHAT MEDICARE THEY’RE SEEKING AS APPROPRIATE AND THE NUMBERS IN THOSE PROGRAMS HAVE GONE UP QUITE A BIT WE HAVE OVER 3000 PEOPLE IN THAT PROGRAM CURRENTLY. WE ALSO HAVE A PROVIDER SCREENING UNITS, WHAT THIS UNIT DOES IS TO ACTUALLY GO OUT AND PHYSICALLY VISIT EACH NEW PROVIDERS THAT COMES INTO THE MEDICAL ASSISTANCE PROGRAM THAT WAY WE CAN MAKE SURE THEY’RE NOT A STORE FRONT ACTUALLY EXIST BUT THEN ALSO MAKE SURE THEY UNDERSTAND SOME OF WHAT THE RESPONSIBILITIES ARE AND IF ARE SCREENERS GOT AND THEY THINK SOMETHING DOESN’T SEEM RIGHT HERE ANNOUNCING HAVE THE TECHNICAL EXPERTISE THEY DON’T SEEM TO KNOW WHAT’S GOING ON, MAYBE THEY GET THE SUSPICION THAT THERE SOMETHING WRONG THEN THEY CAN REFER BACK TO OUR UNIT

AND MAKE HIM TAKE A LOOK THE BILLINGS AND FOLLOW TO SEE IF THERE’S ANYTHING THAT SEEMS SUSPICIOUS. THE FINAL AREA AND WE DO MORE OVERSIGHT THAT ACTUAL INVESTIGATION IS IN THE RECIPIENT ELIGIBILITY FRAUD AREA. THE WAY OUR STAKE AND THAT IS WE PROVIDE GRANTS TO EACH OF THE COUNTIES TO FUND FRAUD INVESTIGATORS THAN THAT THEY ARE THE ONES WHO ACTUALLY INVESTIGATE RECIPIENT FRAUD PROVIDE TECHNICAL ASSISTANCE WE PROVIDE OVERSIGHT, BUT IT’S THE COUNTIES THAT DO THOSE INVESTIGATIONS. I WANTED TO HIT ON THIS POINT BECAUSE I KNOW WE TALKED ABOUT FRAUD BUT WHEN WE THINK ABOUT FROM A PROGRAM INTEGRITY SPECTRUM IF YOU THINK ABOUT IT THERE’S A LOT MORE INAPPROPRIATE PAYMENTS THAN JUST BROAD. FOR WHAT WE KNOW THAT IT’S YOU KNOW YOU’RE NOT PROVIDING THE SERVICE THE SERVICE IS NEEDED ITS INTENTIONAL AND THAT’S WHEN WE TRIED TO BRING IN THE CRIMINAL ASPECT. THERE’S AN AWFUL LOT OF OTHER BILLING THAT FALLS SHORT OF THAT AND WE THINK ABOUT ERROR WHICH IS OF COURSE WHAT IT SAYS. I DOUBLE BILLED FOR SOMETHING I DIDN’T REALIZE IT IT WAS AN INTENTIONAL BUT WE SHOULD BE CATCHING THAT IF WE SHOULD BE CATCHING THOSE IN GETTING THOSE PAYMENTS BACK THERE CAN BE WASTE WHICH TYPICALLY THE WAY I LOOK AT IT IT DOESN’T ADD TO OUR CLIENTS OVER ALL MEDICAL NEEDS, ITS TESTS BETTER ORDERED THAT REALLY ARE NECESSARY THAT DON’T HELP PROCESS. THEN WE HAVE ABUSE WHICH TO ME IS IN BETWEEN ITS TO A DEGREE THAT WE CAN’T SAY THIS IS JUST INADVERTENT WE CAN’T SAY IT’S PLAIN OLD MISTAKES WE MAY NOT BE ABLE TO PROVE THAT IT’S INTENTIONAL BUT IT’S TO A DEGREE WERE GOING TO CALL THE ABUSIVE. IT DOESN’T PARTICULARLY MATTER EXCEPT IN WHEN YOU GET TO A LEVEL OF PROOF OBVIOUSLY IF YOU’RE IN THE CRIMINAL COURTS YOU HALF BEYOND REASONABLE DOUBT IT WOULD IN THE ADMINISTERED A PROCESS THAT CAN BE CLEAR AND CONVINCING OR PREPONDERANT OF THE EVIDENCE THE POINT IS ALL OF THESE COULD BE INAPPROPRIATE AND PROBABLY SHOULD BE PAYING US BACK BUT WE DON’T USE THE SAME TOOL DEPENDING ON WHERE WE ARE ON THE SPECTRUM >> MISS M., I’M NOT PROVIDER I HAVE PAYER SYSTEM OF HEALTH CARE SIDE IT SEEMS MOST OF THE CARRIERS WOULD NOTICE IF WE DOUBLE BILLED THEY WOULD SAY WE ALREADY PAID BACK WITHIN EXAMPLE OF A PROVIDER THAT THE SOFTWARE THAT WOULD NOT PICK UP A DOUBLE BILLING FOR THE IDENTICAL THING? >> THANK YOU MR. CHAIR. AN EXAMPLE WHERE IT GETS A LITTLE MORE COMPLICATED I’M SORRY IF I GET TECHNICAL HERE BUT BASICALLY IF YOU THINK ABOUT MANY MEDICAL SERVICES THAT HAVE TWO COMPONENTS TO THEM THAT A PROFESSIONAL COMPONENT AND A TECHNICAL COMPONENT. IT’S TYPICALLY THE IDEA PROFESSIONAL COMPONENT IS THE PROVIDER ACTUALLY DO IN THE SERVICE AND TECHNICAL COMPONENT IS THE EQUIPMENT OFFICE ETC. ON YOU CAN BILL SEPARATELY FOR THOSE IN BILL ALL TOGETHER FOR THOSE WHAT YOU COULD HAVE YOU COULD HAVE A HOSPITAL BED BILLS FOR BOTH SAVILLE TECHNICAL AND PROFESSIONAL SERVICES AND YOU HAVE A PHYSICIAN BILLS PROFESSIONAL THEY DON’T KNOW THAT THEY HAVE DOUBLE BILLED BECAUSE THEY DON’T SUBMIT CLAIMS TOGETHER. THAT’S A SITUATION WHERE POTENTIALLY CERTAINLY THE PROVIDERS WOULDN’T CATCH IT THAT NO WAY TO KNOW SOMEONE ELSE HAS SUBMITTED A CLAIM. IT WOULD BE UP TO THE CLAIMS SOFTWARE TO CATCH THAT >> BUT THAT DOESN’T HAPPEN IN CHILD CARE LIKE THAT? THE COUNTIES KEEP TRACK OF THAT PRETTY WELL I THINK IT WOULD BE CARELESS IF IT SEEMS THAT THE PROBLEM WE. SHOULDN’T HAVE TO WE >> MR. CHAIR I AGREE IT HAS TO DO WITH THE COMPLEXITY OF THE HEALTH-CARE SYSTEM. WITH HEALTH CARE IF IT’S SO COMPLEX IN TERMS OF BUILDING THAT THOSE THINGS CAN HAPPEN I AGREE I WOULD HOPE IN THE CHILD CARE WORLD WHERE IT IS FAR MORE SIMPLE OF THE SPLITTING PROFESSIONAL AND TECHNICAL WHAT NOT WE WOULDN’T HAVE THOSE KINDS OF ISSUES TALKING ABOUT SPECIFICALLY OUR SERVICE UNIT SERVANTS AND INTEGRITY REVIEW SECTION, WE’RE REQUIRED BY THE FEDERAL GOVERNMENT TO HAVE SUCH A UNIT AND WERE REQUIRED TO WHENEVER WE DO FIND A CREDIBLE ALLEGATION OF FRAUD WERE REQUIRED TO REFER THAT TO THE ATTORNEY-GENERAL SOPHIST AND THEIR MEDICAID FRAUD

CONTROL UNIT. AS I SAID THIS IS WHETHER IT’S IN THE FEE-FOR- SERVICE OR IN THE MEDICARE SPACE THERE’S STILL THAT OBLIGATION. I TALKED ABOUT THIS A LITTLE YESTERDAY BUT TO LET YOU KNOW THE SIZE WE HAVE 16 INVESTIGATORS AND OUR SERVICE UNIT RIGHT NOW AND THE ANGST OF A LEGISLATURE WE HAVE 10 ADDITIONAL STAFF THAT WILL BE COMING ON, WE ARE HIRING SEVEN INVESTIGATORS WE’RE ALSO HIRING DATA ANALYSTS AND THIS WILL BE A THEME I WILL COME BACK TO A COUPLE OF DIFFERENT TIMES MAYBE IT’S A SYMPTOM OF COMING FROM AUTUMN BUT I THINK IT’S MORE JUST A REALIZATION OF WHERE WE NEED TO BE LOOKING AND THAT IS WE HAVE TO GET MUCH MORE PROACTIVE IN LOOKING AT OUR CLAIMS AND LOOKING AT OUR DATA AND IN DETERMINING WHERE THERE ARE SPIKES WHERE THERE ARE OUTLIERS AND I HAVEN’T POTENTIALLY INCREASING THE NUMBER OF DATA ANALYST SO WE CAN DO SOME REALLY FUNDAMENTAL WORK THAT NEEDS TO BE DONE SO WE CAN HAVING A BETTER SENSE OF WHAT’S HAPPENING IN SPENDING. I THINK >> HAVE YOU DONE THE HIRING OF THE ADDITIONAL INVESTIGATORS YOU WENT FROM NINE UP TO 16? ARE YOU AT 16 AND HAVEN’T ON THE TIRES YOUR GOING TO 23? >> THANK YOU MR. CHAIR AND SENATOR LOUREY, THOSE WILL BE ADDITIONAL WE HAVE POSTED THEM WE’VE ALREADY GOTTEN APPLICATIONS WE’RE HOPEFUL THAT WE’LL BE ABLE TO GET THOSE FOLKS IN QUICKLY. I WANTED TO TALK ABOUT THE KINDS OF ACTIONS WE CAN TAKE BECAUSE I THINK IT’S IMPORTANT TO REALIZE WE DON’T JUST HAMMER EVERYONE OKAY? AGAIN RECOGNIZING THERE’S A BROAD SPECTRUM OF THE INTENT OF THE MAGNITUDE OF WHAT NOT, WE DON’T HIT EVERYONE WITH THE SAME PUNISHMENT IF YOU WILL WE CAN SIMPLY ISSUE A WARNING LETTER TO LET THEM KNOW WE NOTICED THIS YOU SHOULD BE ON GUARD FOR THIS. WE CAN RECOVER AND OVERPAYMENTS, CAN ENTER INTO SETTLEMENT AGREEMENTS WHICH OFTEN WILL HAVE SOME CORRECTIVE ACTION ASPECT YOU AGREE THAT IN THE FUTURE YOU WILL PUT THESE BOTTLING SAFEGUARDS SO THIS WON’T HAPPEN AGAIN. CAN REFER TO OTHER STATE AGENCIES WE CAN REFER IT TO LAW ENFORCEMENT AS A SAY WE’RE REQUIRED TO REFER TO LAW-ENFORCEMENT IN THE MEDICAID SPACE IF REQUIRED TO REFER TO THE ATTORNEY-GENERAL OF AS WE CAN WITHHOLD PAYMENTS WHICH IS ONE OF OUR MORE DRASTIC REMEDIES WE CAN TERMINATE OR SUSPEND A PROVIDER FROM THE MEDICAL ASSISTANCE PROGRAM, AND WE CAN EXCLUDE A PROVIDER. ONE OF THE OTHER THINGS EVER GOT TO PUT ON HERE A GHOST YOUR POINT SENATOR RELPH YESTERDAY IN TERMS OF RECOVERIES IS FOR CERTAIN HIGH RISK PROVIDERS WE ACTUALLY RECRUIT REQUIRED TO POST A BOND AND IF IN THE EVENT WE FIND THIS PROVIDER HAS AN OVERPAYMENT AND MAKE A LOT OF BUSINESS THEY REFUSE TO PAY AS BACK WHAT NOT WE DO HAVE THE ABILITY TO GO AFTER THOSE SURE TO BONDS AND WE HAVE. THAT’S A TOOL WE MAY WANT TO LOOK AT EXPANDING TO SEE IF WE CAN’T USE THAT EVEN MORE >> SENATOR HOFFMAN >> THANK YOU MR. CHAIR I WANT TO GO BACK YOU MENTIONED ABOUT 7 1/2 MINUTES AGO THE SOFTWARE SHOULD CATCH ITS MEANING THERE’S A DATA PROVISION I’M NOT AN EXPERT IN DATA ALTHOUGH I DID STAY AT A HOTEL, SERIOUSLY YESTERDAY WE HEARD THE CONVERSATION ABOUT THE COLLABORATION BETWEEN DEPARTMENT OF HUMAN SERVICES AND MN.IT AND MN.IT ADMITTED THEY HAVE 600-700 I-T PEOPLE WORKING THERE AS YOU’RE LOOKING AT THIS CONVERSATION OF DATA DRIVING DATA AND DIVING DATA WHENEVER YOU’RE GOING TO FIND OUT IF SOFTWARE SUPPOSED TO BE ABLE TO CATCH THAT FIRST PHASE, WHAT’S YOUR RELATIONSHIP WITH MN.IT AND HOW WAS THIS INTEGRATED IN THE AGENCY THAT SHOULD BE HELPING OTHER AGENCIES PERFORM THE SOPHISTICATED I-T STUFF BECAUSE AND CONDITIONING MORE DATA PEOPLE WE STILL MIGHT HAVE THE SAME PROBLEM AND WE KEEP ADDING TO IT AND IT’S MORE QUESTION AND THE DISCOVERY PROCESS THAN ANYTHING ELSE >> THANK YOU MR. CHAIR AND SENATOR HOFFMAN, THAT’S AN EXCELLENT QUESTION AND I THINK WHAT WE HAVE TO LOOK AT THIS IN MY MIND IT’S BABY STEPS. RIGHT

NOW ANY EDITS THAT WOULD BE PUT INTO THE SYSTEM WOULD BE WITHIN THE PROVIDER ENROLLMENT AREA EXCUSE ME WITH IN HEALTH-CARE ADMINISTRATION THEY HAVE RESPONSIBILITY FOR ANY OF THE PREPAYMENT EDITS THAT GET PUT INTO PLACE. WHAT WE CAN PROVIDE IS AT LEAST AFTER THE FACT RUNNING THE DATA AT OURSELVES AND FINDING THOSE INSTANCES WHICH SOMETIMES CAN BE CAUGHT UP FRONT EXAMPLE I GAVE ITS DEPENDENT ON THE TWO CLAIMS BEING ABLE TO BE CONNECTED BUT AFTER THE FACT WE CAN COMMAND AND A SENSE AND SAY OKAY HERE’S AN ISSUE WITH IS AN OVERPAYMENT AND WE CAN’T DO THIS WE DON’T HAVE TO IF IT’S AFTER THE FACT WE CAN DO SOME OF THAT WE’RE ALSO CONSIDERING WHETHER WE NEED TO GET SOME OUTSIDE HELP WITH THAT. THERE ARE MANY MANY VENDORS OUT THERE THAT WOULD LOVE TO HELP US AND WE WILL BE ASSESSING THAT AS WELL >> SENATOR HOFFMAN >> I KNOW THE AGENCY THE MN.IT AGENCY WAS GREETED BY LEGISLATION TO HELP COLLABORATE OUR EFFORTS AND WHEN YOU SAY THERE ARE MANY MANY VENDORS OUT THERE THAT STILL NOT ANSWERING THE QUESTION ON YOUR COLLABORATIVE EFFORTS WITH MN.IT AND ON THAT SIDE IT SOUNDS TO ME LIKE YOUR DOING IT AS A STAND ALONE IN NOT GETTING THE SUPPORT FROM MN.IT DID NOT HEAR YOU RIGHT? >> I THINK PEOPLE THE WITNESS SHOULD FEEL FREE TO WRITE THE QUESTION. IT IS REALLY BAD JUST GIVEN US AND I WROTE. MS. M >> THANK YOU MR. CHAIR AND SENATOR HOFFMAN I APOLOGIZE FOR NOT ANSWERING YOUR QUESTION IT WAS NOT INTENTIONAL. WE’RE WORKING WITHIN MN.IT BUT AS YOU CORRECTLY POINTED OUT THERE ARE MANY PRIORITIES WITHIN THE AGENCY AND WE ALL HAVE TO WORK WITHIN THOSE PRIORITIES AND OUR LIMITATIONS SO IT’S NOT THAT WERE NOT WORKING WITH MN.IT WE ABSOLUTELY ARE, BUT THERE ARE A LOT OF PRIORITIES AND IT’S A MATTER OF FIGURING OUT WHAT’S THE MOST IMPORTANT ONE AND WE’RE GETTING SUPPORT ITS QUICKEN ONLY THE AGENCY AND MN.IT CAN ONLY DO SO MUCH AND HOW EASILY INTEGRATING SERVICES THE COUNTY SOME OF THAT STUFF IS ABSOLUTELY CRITICAL WE’RE WORKING ON SYSTEMS THAT ARE 30 YEARS OLD THOSE ARE GOING TO GET PRIORITIZED >> SENATOR HAYDEN >> THANK YOU MR. CHAIR I KNOW WERE DOING AN OF AN OVERVIEW THERE’S SOME SPECIFIC QUESTIONS ABOUT YOUR PROCESS. THE QUESTION WOULD BE WHAT’S THE PRIMARY WAY YOU GET INFORMATION TO MAKE YOU START AN INVESTIGATION OR START TO LOOK TO FIGURE OUT IF THERE’S FRAUD IF THAT’S QUESTION NO ONE? >> THANK YOU MR. CHAIR AND SENATOR HAYDEN THANKS TO THE SENATOR ABELER QUESTION YESTERDAY I HAVE SOME NUMBERS FOR YOU IF YOU WANT THOSE WE DO TRACK WITH A SOURCE OF OUR INTAKE IS. WHAT I CAN TELL YOU IS BASED ON LAST YEAR THAT THE MAJORITY OF OUR TIPS COMPLAINTS WHENEVER YOU WANT TO CALL THEM ACTUALLY COME FROM OTHER PROVIDERS. I THINK THAT’S QUITE INTERESTING >> THANK YOU MR. CHAIR AND MISS PAM SO TO GIVE OTHER PROVIDERS THAT, ISN’T TOO THAT IN LIKE WELFARE FRAUD ITS OTHER RECIPIENTS THAT NO THAT’S THEIR PRIMARY WAY. THE QUESTION IS IF YOU START HOW YOU FIGURE OUT TRENDS AND NEW TRENDS HELPED TO HELP YOU DECIDE WHERE YOU’RE GOING TO PROACTIVELY LOOK FOR FRAUD? MAYBE THE QUESTION IS DO LOOK PROACTIVELY LOOK FOR FRAUD AND THE TREND LINES HELP YOU TO DO THAT IN A CERTAIN GEOGRAPHIC AREA OR GROUP ETC.? >> THANK YOU MR. CHAIR AND SENATOR HAYDEN I WOULD LIKE TO SAY WE’RE DOING THAT ALREADY BUT WE REALLY AREN’T AT THIS POINT WE’VE BEEN PRIMARILY REACTIVE TAKING WHATEVER TIPS WE GET AND LOOKING INTO THEM. IT’S ABSOLUTE MY HOPE AND INTENTION THAT WE WILL GET TO THE PLACE WHERE WE’RE ABLE TO LOOK AT THE DATA AND THE SEAT LOOK FOR THOSE OUTLIERS AND THAT’S A BIG PART OF WHAT THIS EXPANSION WILL BE GETTING TO DO MORE THAT >> MR. CHAIR IN HIS HAND IT WOULD BE SAFE TO SAY YOU DON’T DO ANY TARGETING OF PROFILING OF PROVIDERS BY ANY PARTICULAR NATURE WHEN YOU GOT TO DO YOUR FRAUD INVESTIGATIONS? >> MR. CHAIR AND SENATOR HAYDEN THAT IS CORRECT >> THANK YOU >> SENATOR THAT WAS A VERY GOOD QUESTION. IT WAS NOT AS GOOD AS THE SENATOR HOFFMAN QUESTION BUT

A GOOD QUESTION. [LAUGHTER] THIS CAMP CONTINUE >> MR. CHAIR IS THIS GIVES YOU THE OVERVIEW FOR 2016 AGAIN WITHIN OUR SERVICE AREA AT WE OPEN ALMOST FIVE BRIEFCASES WE MADE 145 FRAUD REFERRALS THAT WOULD BE TO LAW ENFORCEMENT WE HAD 116 FOR LIGHTER TERMINATIONS OR SUSPENSIONS, WHICH PUT IN PLACE 70 PAYMENT WITHHOLDS WHEAT CLOSED UP 374, AND WE IDENTIFIED $27 MILLION IN OVERPAYMENTS AGAIN TO YOUR POINT SENATOR RELPH THAT’S IDENTIFIED AT NOT RECOVERED AND I APOLOGIZE I DON’T HAVE THE NUMBER FOR YOU YET WE WILL WORK ON THAT IT’S MORE DIFFICULT TO COMPUTER AGAIN TO SENATOR ABELER YOU HAD A QUESTION YESTERDAY AND HAVE THE ANSWERS WITH REGARD TO YOU WANTED TO KNOW THE TOTAL NUMBER OF TIPS AND WHAT PERCENTAGE OF THEM WERE SPECIFICALLY FOR PC ATE A, LAST YEAR WE HAD 1200 DIFFERENT KINDS OF IN TAKE ON TIPS AND ONE NOT AND 664 HAD TO DO WITH PCA CARE MORE THAN 50 PERCENT OF THE TIPS WE GOT WORD PCA RELATED >> THANK YOU >> THIS GOES THROUGH SOME OF THE COMMON SCHEMES BROAD TRENDS WE SEE WITH THEM THE ADDED SPACE UP COATING IF YOU’RE FAMILIAR WITH THAT IT’S SAYING HE DID ONCE SERVICE THAT’S MORE DIFFICULT THAN THE SERVICE YOU BACK TO BE RENDERED CITY GET MORE MONEY FOR THAT. IDENTITY THEFT WHETHER IT’S STEALING THE IDENTITY OF THE PROVIDER OR THE RECIPIENTS’, SIGNING WOULD MEAN THAT YOU GET SOMEONE EITHER THEY DON’T KNOW WHAT OR KNOWINGLY ” IN AND SIGNED UP HUNDREDS OF RECORD SAYING THIS HAPPENED AND IT REALLY HAPPEN. PCA SPECIFICALLY IF WE DON’T KNOW WHEN THE START TIME OF THE SERVICE WAS BEGUN AND WE CAN’T REALLY ASSESS WHETHER THEY WERE REALLY THERE FOR THE AMOUNT OF TIME THEY SAT HAVING UNCLE BUD STAFF PROVIDE SERVICES. COPYING AND PASTING DOCUMENTATION THIS IS A HUGE ISSUE IN THE ELECTRONIC MEDICAL RECORDS SPACE IS SO EASY NOW TO SIMPLY TAKE EVERYTHING FROM A PREVIOUS VISIT AND POP RIGHT INTO THE NEXT VISIT AND WHAT THAT CAN CREATE IT LOOKS LIKE YOU HAD A MUCH MORE THOROUGH OFFICE VISIT THEN YOU REALLY DID MAKE IT WAS A 10 MINUTE OFFICE VISIT BUT IT LOOKS LIKE YOU LOOKED AT EVERY SYSTEM AT EVERY SYSTEM OF THE PATIENT AND YOU CAN INFLATE IT THAT WAY IT’S A BIG ISSUE. YOU CAN BE FALSIFYING STAFF CREDENTIALS KICKBACKS WHETHER IT’S ON THE RECIPIENT SIDE OR BETWEEN PROVIDERS FOR REFERRALS THAT NEVER GOES AWAY UNFORTUNATELY I WISH IT DOES BUT IT DOES NOT PATTING TIMES AN EASY ONE TO UNDERSTAND, LACK OF SUPERVISION THAT’S A KEY ONE OFTENTIMES PEOPLE CAN’T BE PROVIDING SERVICES BUT THEIR RECORD HAVE SOME KIND OF SUPERVISION IF THAT’S NOT HAPPENING THAT WE REALLY DON’T KNOW THE QUALITY OF THE SERVICES THAT ARE BEING RENDERED. A COUPLE I DON’T KNOW I FORGOT PUT THEM ON OBVIOUSLY SERVICES NOT RENDERED IS PROBABLY NUMBER ONE THAT YOU SAY THAT HAPPENED AND IT DID NOT, THEN ALSO MEDICALLY UNNECESSARY SERVICES IS ALSO A BIG TREND THAT COMPLETES MY PRESENTATION ON THE MEDICAID FRAUD SPECIFICALLY IF THERE ARE ANY OTHER QUESTIONS OR I WILL MOVE TO CHILD CARE? THANK YOU MR CHAIR. AGAIN A LITTLE HISTORY, THE CHILD-CARE ASSISTANCE PROGRAM FRAUD INVESTIGATIONS WAS CREATED IT ESTABLISHED IN 2012 BASICALLY BECAUSE WE REALIZE THERE WAS A GAP WE DIDN’T HAVE ANY PARTICULAR AGENCY THAT WAS CHARGED WITH LOOKING AT FRAUD IN THE CHILD-CARE ASSISTANCE PROGRAM THAT’S WHY IT WAS CREATED IN 2014 WE WERE FULLY STAFFED, RIGHT NOW WE HAVE FOUR INVESTIGATORS AND I SHOULD OF AND WE ALSO AT CONTRACT WITH THE BCA WE HAVE TO BCA AGENTS WILL ALSO WORK WITH US TO PROVIDE THE ABILITY TO DO SEARCH WARRANTS AND THAT SORT OF THING. THERE ARE APPROXIMATELY 1000 CHILD- CARE PROVIDERS TO CONCEDE THAT A PRETTY SMALL STAFF HOWEVER WE WILL BE ADDING ADDITIONAL STAFF TO THAT AND AGAIN AS A VOTER NOT WE’RE GOING TO BE LOOKING AT DATA ANALYSTS THE INVESTIGATORS BECAUSE WE ANTICIPATE THERE WILL BE MORE HEARINGS OVER CHILD CARE OVERPAYMENTS ETC. WE’RE GOING TO NEED ADDITIONAL LEGAL STAFF FOR THAT >> MISS M. I’D JUST WANT TO THANK YOU FOR CALLING ALL THE NEW ACRONYMS. ALL THAT NEW SPATE

OF ACRONYMS THIS TCP I, AND ZERO Y G I GOT THAT ONE >> MR. CHAIR AHEAD AND USE THAT ONE MYSELF I DON’T THINK. I’VE WILL THINK >> WE HAVE A NEW WORLD WHERE WE DON’T HAVE QUITE ENOUGH ACRONYMS YOU’VE CONTRIBUTED TO THAT >> AGAIN LOOKING AT THE KINDS OF ACTIONS THAT THE UNIT CAN TAKE AGAIN IT’S VERY DEPENDENT ON THE DEGREE OF SEVERITY WHAT WE HAVE IN TERMS OF EVIDENCE. AGAIN WE CAN DO ISSUE WARNING LETTERS WE CAN RECOVER OVERPAYMENTS THE INTERESTING THING HERE IS ON LIKE IN MEDICAID FRAUD WHERE IF WE’RE SEEKING AN OVERPAYMENT FROM A MEDICAL PROVIDER, THE BURDEN OF PROOF FOR US IS SIMPLY A PROVINCE OF THE GOVERNMENT’S IN A CHILD CARE CASE WERE HELD TO A HIGHER STANDARD TO PROVIDERS WE BELIEVE THERE IS AN OVERPAYMENT AND THEY’RE GOING TO CHALLENGE THAT WE ACTUALLY HAVE TO SHOW ITS INAPPROPRIATE MIGHT CLEAR AND CONVINCING PROOF RATHER THAN THE PREPONDERANT OF EVIDENCE WHICH IS A DIFFERENCE. WE CAN ALSO TURN IT INTO SETTLEMENTS PAYMENT PLANS CORRECTIVE ACTION PLANS WE CAN REFER TO LAW- ENFORCEMENT AND WE DO HAVE THE ABILITY TO SUSPEND THE PROVIDERS ABILITY TO GET CHILD-CARE ASSISTANCE PAYMENTS >> SENATOR LOUREY >> THE DIFFERENCE IN THE BURDEN OF PROOF AND PREPONDERANT OF EVIDENCE IS THAT STATUTORILY DRIVEN BY THE MINNESOTA LEGISLATURE OR IS IT SOMETHING IN FEDERAL LAW THAT REQUIRES THE DIFFERENCE? >> THANK YOU MR. CHAIR SENATOR LOUREY, IT’S IN STATE STATUTE. I THOUGHT IT WOULD BE HELPFUL TO GIVE AN OVERALL SINCE WE’VE ONLY BEEN AROUND SINCE 2014 AND GIVE YOU THE OVERALL NUMBERS SO WE CAN 49 SIMILAR INVESTIGATIONS WE IDENTIFIED $382,000 IN OVERPAYMENTS 11 CENTERS HAVE BEEN CLOSED FOR FRAUD, WITH PAYMENTS STOPPED AND REFERRED TO ON FORSPENT. OF THOSE 11 CENTERS THEY HAD BEEN BUILDING $37,000,000.50 OF 11 HAVE RESULTED IN FELONY CONVICTIONS AND THE REMAINDER OF THE CASES ARE STILL IN PROCESS A SEARCH WARRANT HAD BEEN ISSUED AN INDICTMENT MAY HAVE BEEN ISSUED BUT IT’S NOT COMPLETED. WE HAVE $137,000 IN RESTITUTION FROM CRIMINAL CASES AND WE HAVE ALSO WHEN WERE TALKING ABOUT A CIVIL PROCESS WE HAVE ASSESSED EIGHT CENTERS WE’VE ASSESSED OVERPAYMENT DUE TO THE ATTENDANCE RECORDS NOT MATCHING WITH WHAT THEY BUILT. AGAIN THAT’S WHERE WE HAVE A DEGREE OF WE DON’T SHUT EVERYONE DOWN FOR FRAUD WE LOOK IF THERE IS A SMALL DISCREPANCY THAT WE ASSESS AN OVERPAYMENT AND DON’T SHUT YOU DOWN IF IT’S PERVASIVE IT’S OVER LONG TIMES THAN WE TAKE MORE SERIOUS ACTIONS AGAIN WE DON’T HAVE ONLY A HAMMER >> MISS M. IT SEEMS AS THOUGH IT’S HARD TO GET THE MONEY BACK SO THE BIGGEST TOOL YOU HAVE IS SAYING YOU’RE OUT OF BUSINESS AND TRY TO GET THE MONEY BUT THERE IS A PROBLEM GETTING? GETTING >> THANK YOU MR. CHAIR I WOULD SAY THAT’S CORRECT IT’S OFTEN TIMES DIFFICULT TO GET THE MONEY BACK IT’S NOT WE’RE GOING TO PUT THEM OUT OF BUSINESS AS A CHILD- CARE CENTER BUT WE WILL LIMIT THEIR ABILITY TO GET CHILD-CARE ASSISTANCE AND WITH MANY OF THESE PARTICULAR CENTERS WE’RE TALKING ABOUT THERE ARE 100 PERCENT WERE VERY CLOSE TO ONE HUNTER% FUNDED THROUGH CHILD- CARE ASSISTANCE PAYMENTS SO THAT ESSENTIALLY SHOTS THEM DOWN >> SO YOU FIND A PLACE THAT’S FRAUDULENT AND THEY’VE BEEN FRAUDULENT FOR AWHILE YOU HAVE THAT EVIDENCE THE HIGH BAR AND ALL YOU HAVE A MILLION DOLLARS AND IT NEVER GOING TO GET A HALF MILLION BECAUSE IT SPENT ON STAFF OR LUXURY CONDOMINIUMS WHAT EVER? >> SENATOR ABELER THIS IS OFTEN SOMETHING WE TALK ABOUT FROM THE VERY BEGINNING WHEN WE TALK A LOT PAVEMENT RECOVERY IS SO MUCH BETTER TO STOP THE MONEY FROM GOING OUT THE FIRST PLACE THAN HAVING TO TRY TO COLLECT BECAUSE ARE ALWAYS GOING TO HAVE A PROBLEM WITH THAT. WE WOULD HAVE SOME TOOLS TO TRY TO COLLECT BY THEY WOULD NOT BE ENOUGH TO BE MADE WHOLE AS IT MANY TIMES THE MONEY IS GONE >> SENATOR RELPH >> YOU HAVE INDICATED IN THE CASES HE WOULD SOMETIMES REQUIRE A BOND HAS THAT BEEN DONE WHERE WE HAVE HIGH RISK OR YOU’VE IDENTIFIED SOMEONE WHO OK MAYBE WE’RE NOT GOING TO TERMINATE YOU BUT THERE’S BEEN SOMETHING IN THE PAST AND IT CAN BE EMPLOYED THAT PROGRAM THERE? >> THANK YOU MR. CHAIR AND

SENATOR RELPH I’M GOING TO DO FOR TO MR. KOPPEL BUT I BELIEVE WE DON’T HAVE STATUTORY AUTHORITY TO DO THAT. HE WASN’T PAYING ATTENTION TO REQUIRE A A SURETY BOND? WE DON’T CURRENTLY HAVE STATUTORY AUTHORITY TO REQUIRE A STATUTORY BOND FOR RECIPIENTS OF CHILD CARE ASSISTANCE >> THANKS FOR ALMOST COMING FORWARD MR. KOPPEL. [LAUGHTER] >> BASICALLY IN TERMS OF WHAT DO WE SEE THE CHILD CARE AND WERE SPECIFICALLY TALKING ABOUT FRAUD? THESE ARE USUALLY FAIRLY LARGE CENTERS THERE TYPICALLY BUILDING BILLING THE CHILD CARE SINCE THE PROGRAM MORE THAN $1 MILLION A YEAR COLLUSION BETWEEN THE PARENTS AND THE CENTERS IS VERY COMMON THE PARENTS ARE ESSENTIALLY PAID A KICKBACK FOR EACH CHILD THEY BRING TO THE CHILD-CARE CENTER OR THEY DON’T EVEN BRING THEM TO THE TROUT CARE CENTER BUT THEY LET THEM BILL FOR THAT. EITHER ONE OF THOSE HAPPENS FREQUENTLY AND IN SOME CASES BECAUSE THE PARENTS WHO WOULD BE ELIGIBLE FOR THE CHILD-CARE ASSISTANCE HAVE TO SHOW THEY HAVE A JOB THE PROVIDERS WILL ACTUALLY HELP THEM TO ALSO BY THE FACT THAT THEY HAVE A JOB THEY MAY GIVE THEM PHONY PAY STUBS OR SOMETHING THAT WOULD ALLOW THEM TO APPEAR AS THOUGH THEY’RE EMPLOYED >> MISS THEM JUST TO CLARIFY, I THINK WILL TURN TO GET LARGE SCALE FRAUDULENT BILLING IS COMMON IN INDEPENDENT CENTERS THE YOU MEAN THAT IT IS FOR THE LARGE-SCALE FRAUD IT WOULD BE ONE OF THOSE PLACES BUT MOST OF THEM ARE FIND? BUT IN TERMS OF INCIDENCE IT’S NOT LIKE LICENSED HOME THEY’RE GOING TO SEE THIS GOING AND IT’S GOING TO BE THE CENTER AND A HANDFUL OF ONE FOR FRAUDULENT ARE OF THAT CATEGORY? >> THANK YOU MR. CHAIR FOR GIVING ME OUT OF THAT ONE THAT IS CORRECT I DID NOT MEAN TO IMPLY MOST CENTERS ARE FRAUDULENT AT ALL WHAT WE’RE TALKING ABOUT HERE IS THE CENTER’S THAT PRIMARILY IN OUR TOP BUILDERS IN THE CHILD-CARE ASSISTANCE PROGRAM AND NO CERTAINLY IT’S NOT WIDESPREAD ITS THE PARTICULAR WHEN WE LOOK AT CHILD-CARE CENTERS WE’VE LOOKED AT THIS HAS BEEN A CHARACTERISTIC IT’S OVER $1 MILLION >> AND THE PERCENTAGE OF OVER $1 MILLION IS IT A COUPLE? IS IT AS MANY AS 5%? >> MR. CHAIR I’M NOT SURE IT IS EXACTLY ANSWERING THE QUESTION THERE’S A VERY INTERESTING SPLIT BETWEEN THE NUMBER OF CENTERS THAT GET MORE THAN $1 MILLION FROM THE CHILD-CARE SYSTEM AND THE WANT TO GET LAST AND IT’S BASICALLY THERE’S 100 CENTERS GIVE OR TAKE THAT GET $1 MILLION OR MORE EACH YEAR END THAN 900 OTHER CENTERS THAT GET LESS THAN $98,000 SO IS A VERY STARK DIFFERENCE BETWEEN THE CENTERS THAT RELY 100 PERCENT ON THE CHAO CARE ASSISTANCE PROGRAM AND THEN THAT THE VAST MAJORITY OF WHICH THEY HAVE SOME CHILDREN WHO MAY BE ELIGIBLE BUT THAT’S NOT THEIR MAIN SOURCE OF INCOME. DID ANSWER THE QUESTION? >> SO THERE’S 100 BACK OVER $1 MILLION IS IT THREE OR FOUR IN THAT GROUP OR IS IT CAN? BILL METSA THE QUESTION YOU CAN ANSWER >> MR. CHAIR AND I DON’T KNOW THE ANSWER TO THAT >> OK THAT’S FINE BUT IT’S INTERESTING IS SOMETHING AS POLICYMAKERS WE TRY TO CRAFT IF THERE’S GOING TO BE FRAUD IT WOULD NOT SUSPECT THE 900 UNDER $1 MILLION IF YOU’RE LOOKING FOR FRAUD YOU’RE LOOKING AT THAT GROUP FIRST OK THANKS >> THAT’S CORRECT MR. CHAIR THANK YOU IN CONCLUSION WHAT I’M LOOKING FORWARD TO IN THE FUTURE IS WE’RE GOING TO MAKE GREAT USE OF THE ADDITIONAL POSITIONS YOU HAVE GIVEN US, ONE OF THE IDEAS ON MY TO DO LIST IS TO CREATE WHAT’S CALLED A PROVIDER SELF AUDIT AND WHAT THAT WOULD DO IS BASICALLY THE KINDS OF CLAIMS WE’RE TALKING ABOUT EARLIER CAREER AS ESSENTIALLY A DOUBLE BILL THE ENTITIES DIDN’T KNOW ABOUT IS WE WILL DO THE DATA MINING TO DETERMINE THE HOUSE WE WILL SEND THAT LIST TO THE PROVIDERS AND WILL ASK THEM TO DO THE AUDIT BECAUSE IT’S A HIGH PERCENTAGE LIKELIHOOD THAT WAS INCORRECT BILLING AND WILL PUT THE ONUS ON THEM TO MAKE SURE TO GO BACK IN MAY SURE THERE’S AN ERROR THAT THEY CAN GET BACK AND AGAIN THE NOTION HERE IS THEY HAVE AN OBLIGATION PROVIDERS HAVE AN OBLIGATION TO BE MAKING SURE THEIR CLAIMS ARE CORRECTLY PAID AND THESE WILL BE ONCE

BATTERS SUCH HIGH LIKELIHOOD OF A MARRIAGE THAT WILL ASK THEM TO LOOK AT AND DETERMINE WHETHER NOT THERE’S AN OVERPAYMENT THIS IS A COMMON MINISTATES HAVE THIS AND I THINK IT WILL ASSIST IN GETTING SOME OF THOSE ERRORS ON A SYSTEM >> SENATOR KIFFMEYER >> THANK YOU MR. CHAIR AND MISS M I APPRECIATE SOME OF STATISTICS IT’S NICE TO HEAR SOME OF THOSE THINGS AS WELL EVEN IF WE NEED TO AND ON OCCASION MY QUESTION IS IS GREAT WE DO SOME OF THE CATCHING, BUT ALSO AND YOU HAVE SUGGESTIONS ON PREVENTION? FOEHL PROCESS YOUR KIND OF BACKED THE END HERE IN THE CATCHING AND USING TIPS AND USING ANALYTICS IN DOING THAT BUT OBSOLETE WHAT COULD BE DONE THERE’S THE SURETY BOND THINK THAT MAY GIVE THEM A HEADS UP DON’T DO THIS, WHAT ELSE YOU THINK COULD BE DONE IN PREVENTION? >> MR. CHAIR AND SENATOR KIFFMEYER IF YOU’D GONE RIGHT TO MY LAST POINT. AS I SAID IDEALLY YOU STOP THESE PAYMENTS BEFORE THEY EVER GO OUT THAT IS WHERE PRIVATE PAYERS ARE GOING WHERE MANY STATES ARE GOING BY HAVE TO CRAWL BEFORE WE CAN WALK. IT’S CERTAINLY SOMETHING I WANT US TO LOOK AT AND IS SOMETHING THAT POTENTIALLY WE WOULD HAVE TO DO IT COULD BE AN OUTSIDE VENDOR THAT WOULD DO IT BUT AGAIN I WANT TO GET SOME THINGS IN PLACE AND SEE TO MAIN IT DEFINITELY WANT TO FOR EXAMPLE ONE EXAMPLE IS THEIR SYSTEMS OUT THERE WERE ESSENTIALLY A CLAIM, THEN AND THERE RISK SCORE AND THEY SAY BASED ON VARIOUS DATA POINTS ALGORITHMS WHAT NON THIS IS A HIGH RISK CLAIMED OR IT’S A LOW- RISK CLAIM AND THEN BECAUSE OF THAT THEY WOULD STOP THE HIGH RISK CLAIMS AND ASKED FOR RECORDS AND MADE SEE IS THIS A LEGITIMATE. THAT’S WHERE THE INDUSTRY HAS AND HOPEFULLY WE CAN GET THERE SOMEDAY >> THANK YOU MR. CHAIR THE OTHER QUESTION I HAVE FOR YOU ON THOSE THAT YOU HAVE WORKED WITH AND OF THOSE FIVE OR 11 THAT YOU’VE FOUND SIGNIFICANTLY, WAS IT SOMETHING THEY STARTED OUT OK AND MAYBE BECAUSE THE SYSTEM WAS SO LAX THAT THEY STARTED GOING INTO THIS IS SO EASY WE CAN COMMIT A LITTLE FRAUD AND THEN IT GOT MORE AND MORE, OR IS THIS SOMETHING THAT IN THE INCEPTION IT WAS SET UP TO COMMIT FRAUD? >> MR. CHAIR AND SENATOR KIFFMEYER I WAS GOING TO WRITE YOUR QUESTION BUT I WON’T DO THAT. [LAUGHTER]. I’M THINKING ABOUT IT BECAUSE THE PROBLEM FOR US IS TYPICALLY WE LOOKED AT A TIME FRAME AND ASSESS WHETHER THE BUILDINGS MATCH ACTUAL ATTENDANCE IT’S HARD FOR ME TO SAY WHETHER OR NOT THEY STARTED OUT THAT WAY BECAUSE WE TYPICALLY A TIME SPECIFIC I HESITATE TO SAY I DON’T KNOW WHETHER WHICH SCENARIO IT WAS >> THANK YOU MR. CHAIR THE REASON WHY I MENTION THAT PREVENTION IS VERY DIFFERENT ONE OF THEM IS WHEN YOU LICENSE THAT DUE DILIGENCE IS DONE TO MAKE SURE THE LICENSING IS APPROPRIATE THAT THEY HAVE ALL OF THOSE THINGS AS WERE OF WRITING OF THINGS AND THE OTHER ONE IS THEY PASS ALL THAT AND THEN LATER THE SYSTEM IS SO LOOSE IT’S TOO TEMPTING TO EASY TO SLIP INTO FRAUD. I THINK A SOLUTION VERY DIFFERENT DEPENDING ON THE ANSWER TO THAT IT MIGHT BE SOMETHING I KNOW YOU HAVE A BABY STEP IN GETTING STARTED BUT MAYBE IN SOME TIME BECAUSE THE SOLUTIONS ARE DIFFERENT >> MR. CHAIR AND SENATOR KIFFMEYER AND I AGREE WITH YOUR POINT I WOULD POINT OUT THAT LICENSING IS GOING TO BE LOOKING AT ONE SET OF ISSUES MAINLY HAVING TO DO WITH SAFETY AND ADEQUACY DO THEY HAVE POISE IS IT SAFE AT SETTER ON AND THAT’S NOT NECESSARILY GOING TO STOP THE ISSUE OF YOU MAY HAVE A PERFECTLY LOVELY CENTER THAT A SPARKLING CLEAN WITH ALL THE CLEANEST VOICE BUT IF NO CHILDREN ARE ACTUALLY IN THEIR YOU’RE COMMITTING FRAUD. I APPRECIATE WHAT YOU’RE SAYING I WILL CERTAINLY GIVE THEM A LOT OF THOUGHT IN TERMS OF WHAT KINDS OF THINGS COULD WE BE DOING I AGREE WE DON’T WANT THIS MONEY TO BE GOING OUT AND THE OTHER ISSUE WHICH IS THE FUNDAMENTAL ISSUE IS THESE CHILDREN ARE NOT GETTING THE CARE THAT WE ALL WANT THEM TO GATT IF THEY’RE NOT GOING TO THE CENTER OR THE CENTER REALLY ISN’T OPERATING PROPERLY BEEN IN NOT GETTING THE BENEFIT OF THAT SERVICE AND THE PARENTS MAY NOT BE GETTING THE BENEFIT OF THE WORK EXPERIENCE THAT WE’RE HOPING THEY WOULD GET. THAT IS THE BOTTOM LINE WHY WE’RE SO CONCERNED ABOUT THIS WE WANT THOSE CHILDREN TO GET THE

EDUCATION THAT THEY NEED SO THEY CAN ENTER SCHOOL AND BE READY TO GO AND I THINK WE ALL SHARE THAT COMMON GOAL AND WE’RE DOING WHAT WE CAN MAKE SURE IF THEY’RE IN THERE AND THEY’RE GETTING GOOD CARE FROM A LICENSING AND FROM THE PERSPECTIVE >> SENATOR KIFFMEYER OBLIGEE OF THE COMMITTEE THAT MAY DELVE INTO THIS TOPIC ONCE A WHILE I DON’T THINK THIS TOPIC IS DONE FOR THIS TIME ANY OTHER QUESTIONS? >> MAYBE I WILL PIGGYBACK A LITTLE ON WHAT SENATOR KIFFMEYER WAS TALKING ABOUT THEIR. IN DEVELOPMENT OF A PREPAYMENT REVIEW TO PREVENT AN INAPPROPRIATE PAYMENT FROM GOING OUT IS PREVENTION OF A SORT BUT IT’S SECONDARY I THINK ONE OF THE THINGS SENATOR KIFFMEYER WAS TRYING TO GET THAT WAS NOT HAVING A SITUATION WHERE THE PAINT IT WAS FILED TRYING TO MAKE SURE YOU HAVE LICENSING SCHEME AND THESE OTHER PRIMARY PREVENTION METHODS I HAD OF THAT AND YOU NEED TO THINK OF EACH OF THESE POINTS CAREFULLY AND MY ADVICE WOULD THE WELCOME AS REMOVE FORWARD >> THANK YOU I THINK THIS IS A PRODUCTIVE DISCUSSION BANKS MISS HIM. WE HAVE TO CITIZENS WHO WILL COME AND OFFER THE THOUGHTS MR. JUMALE AND MR. JAMAL I THINK HE IS IN THE HALLWAY. WELCOME TO THE COMMITTEE >> THANK YOU SENATOR TO ABELER AND COMMITTEE MEMBERS THIS IS A VERY IMPORTANT TOPIC AND I’M STOFLET JUMALE I WORK ON GOVERNMENT RELATIONS FOR THE MINNESOTA MINORITY CHILD CARE SEWS ISSUED A NEW ASSOCIATION OF ABOUT 70 + EAST AFRICAN OWNED CHILD-CARE CENTERS THROUGHOUT THE METRO AREA AND IN GREATER MINNESOTA. WE STRIVE TO PROVIDE HIGH QUALITY CHILD CARE SERVICES TO OUR CLIENTS THAT IS CULTURALLY APPROPRIATE WHILE KEEPING CHILD CARE ACCESS AFFORDABLE WE’RE WORKING WITH MANY OF OUR MEMBERS TO HELP THEM GET PARENT AWARE RATED ALL SO WE PROVIDER MEMBERS WITH UPDATES ON CHILD CARE POLICY TO MAKE SURE OUR MEMBERS ARE IN COMPLIANCE WITH STATE AND FEDERAL LAWS. LAST COUPLE MONTHS BACK TO THE WE BEEN WORKING WITH DHS ON A NUMBER OF ISSUES INCLUDING FRAUD AND OUR ASSOCIATION HAS A ZERO TOLERANCE FOR FRAUD SO WE’VE BEEN WORKING WITH DHS TO EDUCATE MEMBERS OF OUR COMMUNITY ON THE CONSEQUENCES OF FRAUD AND NOW IT IMPACTS THEIR CHILDREN’S EDUCATION. IN OUR OPINION EVERYONE WANTS TO ELIMINATE FRAUD IT’S CLEAR, AND MANY AGENCIES ARE WORKING COMING TOGETHER TO TALK ABOUT THIS AND ARE WORKING ON THIS HOWEVER THERE SEEMS TO BE ANY FORM OR COMMUNICATION AND COLLABORATION BETWEEN DHS AND ALL COUNTIES AND ALSO THE CHILD CARE COMMUNITY NEEDS TO BE PART OF THE DISCUSSIONS AS WELL AND WE NEED TO BE PARTNERS IN THIS EFFORT TO COMBAT FRAUD. IT’S OUR OPINION THAT IN THE PAST COUPLE OF SESSIONS THERE BEEN SOME REGULATIONS THAT A BEEN DIFFICULT PARTICULARLY FOR IMMIGRANT OWNED CHILD CARE CENTERS AND WE BELIEVE IF THE GOAL IS TO PREVENT CHILD CARE FRAUD SOME OF THESE LAWS HAVE PROVEN TO ACTUALLY NOT DO THAT BUT KIND OF BECOME A BURDEN TO SOME OF OUR MEMBERS. WE BELIEVE THE STATE CAN’T LEGISLATE ITS WAY OUT OF THIS ISSUE AND THIS NEEDS TO BE A COMMUNITY-BASED APPROACH TO WORK ON THE, I THANK YOU FOR HAVING THIS HEARING WE LOOK FORWARD TO WORKING WITH DHS IN THIS COMMITTEE IN COMBATING THIS ISSUE >> THANK YOU KNOW THIS BEEN A LOT OF DISCUSSION I APPRECIATE YOU WORKING IN A PRO-ACTIVE WAY I THINK THIS IS ONE OF THOSE UPSTREAM THINGS WE GET THE COMMUNITY TO HAVE A STANDARD AND A WAY OF DOING BUSINESS AND YOU TAKE A POSITION OF PANEL DISCUSSIONS ARE ONGOING MR KOPPEL HAS INVESTED A LOT OF TIME AND SOME OF THOSE DISCUSSIONS FIRSTHAND. ANY QUESTIONS FROM MEMBERS? SENATOR RELPH >> THANK YOU MR. CHAIR AND MR JUMALE, YOU MENTIONED FELT SOME LEGISLATION PASSED INORDINATELY OR DISPROPORTIONATELY AFFECTED MINORITIES CHILD-CARE CENTERS CAN YOU ELABORATE ON THAT A LITTLE? >> MR. CHAIR AND SENATOR RELPH, BASICALLY THERE BEEN SOME LEGISLATION IN PARTICULAR THERE’S AN EFFORT TO LIMIT THE ABILITY FOR CHILD CARE CENTERS TO HIRE THE PARENTS OF SOME OF THE CHILDREN WHO ARE BEING SERVED BY THE CHILD CARE CENTERS. IN THE SOMALI COMMUNITY

IN PARTICULAR SOME OF THE PEOPLE WORKING AT THESE CHILD- CARE CENTERS ARE SOME OF THE MOST UNEMPLOYABLE FOLKS IN OUR COMMUNITIES FOLKS WHO ARE IN NEW TO THE AD STATES WHO ARE CONNECTED TO THE COMMITTEE AND WHO HAVEN’T WORKED IN A FORMAL SETTING BEFORE OUR VISIT WERE NOT REFERRING TO THESE PEOPLE AS COMING FROM A PLACE OF DEFICIT WHERE THEY CAME FROM THE OR EMPLOYED WERE ABLE TO LIVE, BUT THEY DO WORK AT THESE CENTERS AND THERE’S BEEN AN EFFORT IN ORDER TO CRACK DOWN ON FRAUD TO LIMIT THE ABILITY FOR SOME CHILD-CARE CENTERS TO HIRE THESE PARENTS WHO ARE ACTUALLY DOING INTERESTING WORK FROM BEING COAXED TO DRIVERS TO BEING ASSISTANCE AND WE’RE WORKING WITH DHS TO CREATE A PIPELINE FOR SOME OF THESE PARENTS TO BECOME A CHILD-CARE PROFESSIONALS TO GET TRAINING AND TO ADVANCE THEIR CAREERS >> THE DISCUSSIONS WILL CONTINUE AND WE TALKED YESTERDAY ABOUT THE DEPARTMENT HAVING A GOOD YEAR I THINK THEY’RE DOING WHAT THEY CANNOT. I THINK THE IDEA ABOUT CERTAIN SIZES AND THE FRAUD ISSUES ARE MORE LIKELY TO BE THE CHALLENGE AND YOUR COMMITTEE AND A GOOD WORKERS THEY’RE OUT THERE ARE DOING THE RIGHT THING WE’RE GOING TO TURN THIS IN THE RIGHT DIRECTION IN KNOW I’M COMMITTED TO HELPING ON THAT. SENATOR KIFFMEYER >> THANK YOU MR. CHAIR AND THANK YOU MR. JUMALE FOR BEING HERE WE APPRECIATE YOUR COMMENTS. I THINK THE ONE THING I THINK IN HEARING YOUR COMMENTS AND COMMUNICATION AND THE RIGHT OF THOSE THINGS ARE IMPORTANT BUT ON THE GENERAL SUBJECT WE’RE DEALING WITH HERE IS WHAT THAT MEANS BILLING FOR CARE NOT GIVEN. THAT IS FRAUD AND BILLING FOR THE KIND OF CARE NOT GIVEN AND I THINK FOR YOUR COMMUNITY MOST WOULD UNDERSTAND THE DIFFERENCE BETWEEN THOSE TWO AND I THINK FOR YOU AND YOUR ORGANIZATION IS ONE OF THE BEST I THINK THE IDEA TO HELP YOU YOURSELVES HELPING EACH OTHER BY FORMING EACH OTHER AND GETTING TOGETHER AND THEN ALSO I NOTE DHS AND SOME OF THE OTHERS WOULD BE GLAD TO COME OUT AND HAVE REGULAR MONTHLY EDUCATIONAL SYSTEMS FOR YOU TO DO THAT BUT IN ANY BUSINESS IT’S ALWAYS THE DUTY OF THE BUSINESS TO BE INFORMED AND EDUCATED IF YOU’RE GOING TO START BACK AND HAVE THAT AND OTHERS A BIG DIFFERENCE BILL AND WHAT YOU’RE TALKING ABOUT IS LESS SO MUCH ABROAD THAN IN JUST KNOWING HOW TO DO IT RIGHT. I THINK IN THAT ORGANIZATION GROUP WILL BE HELPFUL TO YOU AND IT GIVES THEM A PLACE FOR DHS TO COMMUNICATE TO COLLABORATE AND WORK WITH YOU SO I COMMEND YOU IN REGARDS TO THAT >> MR. CHAIR YES AND SENATOR KIFFMEYER WE APPRECIATE THE WORK OF DHS AND MR. KOPPEL HAS COME OUT A NUMBER OF TIMES TO OUR MEMBER MEETINGS AND HAS PROVIDED UPDATES WE’RE THANKFUL FOR THAT AND WE LOOK FORWARD TO COLLABORATING WITH THEM THANK YOU >> ONE OF THE TOPICS WERE WORKED ON IS OUT THE CHILDREN OF STAFF COULD BE A CERTAIN SITE AND WERE CASTING ABOUT THE NUMBER CURRENTLY IS 25 WERE LOOKING FOR A DIFFERENT NUMBER LAST TIME AND AGAIN THE QUESTION IF YOU FOLLOW THE TWO DAYS OF TALKING ABOUT FRAUD CARE THERE SOME PEOPLE WHO ARE DOING THE WRONG THING AND WE WANNA MAKE SURE PEOPLE DOING THE RIGHT THING AREN’T LIMITED BY OUR EFFORT TO COURT AFTER THE OTHER PEOPLE. THAT’S THE CHALLENGE WITH ANY FORMULA OR NO. YOU COME UP WITH HAVE A FEELING WILL BE DISCUSSING THIS NUMBER AGAIN IN THE SPRING THANK YOU MR. JUMALE AND I DON’T SEE MR. OMAR THE MALL HERE IS A WILL MOVE ON TO OUR NEXT TOPIC THAT IS A FEDERAL COMPLIANCE AND THAT’S PROBABLY THE REASON FOR THE ATTENDANCE TODAY PEOPLE WANNA HEAR WHAT FEDERAL COMPLIANCE. I THINK THE PARKING PROBLEMS WILL BE RESOLVED AFTER WERE THROUGH WITH THIS TOPIC MISS WAGNER AND MR. KOPPEL AND WE HAVE SOME CITIZENS WHO WANT TO TESTIFY ABOUT THIS. OUR INTENTION IS TO SPEND SOMETHING IN A RAGE OF AN HOUR ON THIS TOPIC IF IT’S SHORT OF THAT’S FINE WE WANNA MAKE SURE WE GIVE IT PROPER ATTENTION AND LISTEN TO THE WITNESSES AS WELL WELCOME TO THE COMMITTEE >> PINKY MR. CHAIR I BELIEVE I WILL START >> DO YOU WANT ME TO ADVANCE THE SLIDES? >> THAT MAY BE THE SAFEST WAY TO

PROCEED >> THAT’S THE TEAM WORK WE HAVE GROWN TO LOVE >> WE WORK REALLY WELL TOGETHER. I’M JIM KOPPEL I’M THE ASSISTANT COMMISSIONER FOR CHILDREN AND FAMILY SERVICES. IF I COULD MAKE ONE COMMENT ON YOUR PREVIOUS TOPIC IS THAT THERE IS A LOT OF WORK TO DO IN THE SOMALI COMMUNITY WITH CHILD CARE CENTERS I’M VERY ENCOURAGED WITH THE MODEL THEY’VE STEPPED FORWARD WITH THE ASSOCIATION THE EFFORTS, WE REGULARLY IT’S OUR HOPE TO CONTINUE SETTING OUT A COMBINATION OF TRADING BUSINESS MODELS SHARED STAFF PROCESSES OF DIFFERENT IDEAS WHERE WE CAN GET THE HEALTHIEST HIGHEST QUALITY CHILD CARE CENTERS IN THE SOMALI COMMUNITY IN THE STATE. I THINK WE CAN DO THAT I THINK IT’S IMPORTANT AT THE SAME TIME TO RECOGNIZE WHERE THERE ARE FRAUDULENT CENTERS THAT CAN PULL AWAY FROM THE VERY GOOD CENTERS BECAUSE THEY CAN DO THINGS BETTER FRAUDULENT WE HAVE A DOUBLE CHALLENGE THEIR SOUL FROM NOT ONLY IN PACKS MONEY AND INTEGRITY OF THE PROGRAMS BUT ALSO IMPACTS THE GOOD CENTERS WHO MAY BE LOSING PEOPLE TO BAT CENTERS. I THROW THAT OUT THERE WE’RE ARE AWARE OF THAT WERE HAVING A REALLY GOOD CONSTRUCTIVE DISCUSSIONS AND LOOK FORWARD TO MANY MORE AND WERE GOING TO TAKE EVERY EFFORT POSSIBLE TO MAKE IT ALL WORK RIGHTS. I JUST WANTED TO ADD AT SOME OF THE PREVENTION SIDE SENATOR KIFFMEYER YOU MENTIONED THAT MAY ALSO INCLUDE A SPECIFIC STAFF PERSON WHO IS THE LIAISON TO DO MORE TRAINING AND GO REGULARLY INTO THE COMMITTEE TO EDUCATE PARENTS ABOUT THE IMPORTANCE OF HIGH QUALITY CHILD CARE AS WELL SO THE EXPECTATION THE PRODUCT MEETS THE EXPECTATION OF A PARENT. I’M PASSIONATE ABOUT THAT AND I WANTED TO BRING THAT UP AS PARTS OF THE FEDERAL COMPLIANCE >> MR. KOPPEL IT’S NOT AS INTERESTING AS FEDERAL COMPLIANCE BUT I ALSO WANTED TO COMMEND YOU ON HOW MANY HOURS YOU PUT INTO BEEN PUT IN LOTS OF HOURS AND VISITS A LOT OF COMMUNITY MEETINGS AND IF THERE’S AN EXAMPLE OF HOW TO TRY TO DO IT RIGHT YOU’VE BEEN A MODEL OF THAT >> THANK YOU MR. CHAIR. A FEDERAL COMPLIANCE AS YOU KNOW CHILD CARE BLOCK GRANT WAS SIGNED INTO LAW IN 2014. IT WAS SIGNED INTO LAW IN 2014 AND A BIPARTISAN MANNER IN CONGRESS THIS WAS THE FIRST TIME SINCE 1996 THE REAUTHORIZATION OCCURRED. THERE ARE A LOT OF UPDATES THE CHILD CARE DEVELOPMENT BLOCK GRANT IS OUR PRIMARY SOURCE OF FUNDING, AND HAS THREE BROAD GOALS PRIMARY GOAL IS TO PROMOTE ACCESS TO SUBSIDY FOR FAMILIES WITH LOW INCOMES AND INCREASING THE NUMBER OF THOSE CHILDREN IN HIGH QUALITY CHILD CARE SETTINGS IMPROVE THE QUALITY OF CHILD- CARE SERVICES AND PROGRAMS BY IMPLEMENTING OVERSIGHT STANDARDS WHICH ARE HEALTH AND SAFETY AND IMPROVING THE CHILD-CARE AND DEVELOPMENT OF CHILDREN. AND INFORMING PARENTS OF CHILD-CARE CHOICES AND PROVIDING EDUCATION INFORMATION TO HELP PARENTS MAKE THOSE INFORMED CHOICES. WHAT ARE THE CHANGES WE’RE TALKING ABOUT? WE HAVE OF, MY SHEETS ARE BACK TO BACK. WE HAVE 12-MONTH CONTINUOUS COVERAGE ELIGIBILITY WE HAVE CO-PAY IN FEES SETTER MORE STABLE, OVER THE 12 MONTHS WE HAVE EXTENDED ELIGIBILITY WHEN WORK OR SCHOOL ENDS AND WE HAVE REDUCED REPORTING REQUIREMENTS. BOWLS OF A BROAD CHANGES. THE 12 MONTH TIME OF ELIGIBILITY AND AUTHORIZATION BASICALLY MEANS NOW WE DO IT FOR SIX MONTHS AND THIS WOULD EXTEND THAT TO ONE YEAR WHAT WE’RE LOOKING AT TO THINK ABOUT IS AS WE TALK ABOUT THESE THINGS IT WAS MENTIONED EARLIER THE GOAL OF CHILD CARE IS TO PROVIDE

CHILDREN WITH A HEALTHY CHILD ELEMENT AND PREPARED FOR KINDERGARTEN STIMULATE THEIR BRAINS IF WE KNOW FROM ALL THE RESEARCH IS WHEN THE BRAIN IS DEVELOPING THE VAST MAJORITY AND STABILITY OF THE PROVIDERS STABILITY OF CHILD CARE IS VERY IMPORTANT. TO GO TO 12 MONTHS PROMISES A FAMILY WANTS YOUR DETERMINED ELIGIBLE YOU’RE GOING HAVE THE PREDICTABILITY OF CHILD CARE FOR 12 MONTHS WHICH WILL SUPPORT THEIR WORK AND ITS COIN TO BE STABILITY FOR THE CHILD IN THE 12 MONTHS SO IT’S A GREAT IMPROVEMENT. NEXT THE COPAYS WILL NOT INCREASE, THE COPAYS WILL NOT INCREASE DURING THE 12 MONTHS SO ONCE YOU ARE FOUND ELIGIBLE AND YOU HAVE A COPAYMENT DETERMINE IF IT’S $80 A MONTH OR $130 A MONTH, THAT WILL REMAIN CONSTANT FOR 12 MONTHS EVEN IF YOUR INCOME INCREASES DURING THE 12 MONTHS AS LONG AS IT DOESN’T INCREASE ABOVE THE FEDERAL GUIDELINES WHICH ARE WAY ABOVE OUR EXIT LEVEL. IT’S VERY UNLIKELY THAT ANYONE IS IN COME UNLESS THEY WIN THE LOTTERY WOULD BE GOING UP TO THAT. THE COPAYMENT CAN COME DOWN HOWEVER IF YOUR HOURS CHANGE IN YOUR MAKING LESS MONEY YOU’RE CO-PAY YOU CAN GO IN AND CO PAY CAN BE ADJUSTED DOWNWARD IT WILL NOT BE ADJUSTED UPWARD AGAIN THAT INCENTIVE OR DISINCENTIVE WE TALK ABOUT SOME TIMES OF TAKING A RAZOR DIFFERENT JOB THAT PAYS A LITTLE MORE IS NOT GOING TO IMPACT CHILD-CARE. THE MINIMUM ACTIVELY REQUIREMENTS ARE MORE FLEXIBLE AND MAINTAINS THAT THE AUTHORIZATION AS PARENTS ACTIVITIES FLUCTUATE. WHAT THIS IS BASICALLY SAYING IS IF YOUR HOURS ARE REDUCED DURING THIS TIME YOU’RE GOING TO CONTINUE TO HAVE THE SAME OUR ALLOCATION A LOT OF TIMES THEIR SEASONAL WORK OR THERE SOME KIND OF CHANGE IN YOUR HOURS WITH THERE’S A CONSTANT FOR THE CHILD THEY HAVE 30 HOURS IN CHILD-CARE THE BOARD OF 30 HOURS OF CHILD CARE THAT WEEK. YOU MAY BE IN BETWEEN JOBS RATHER THAN STOPPING OR ALLOWING A SPECIFIC TIME FOR JOB SEARCH YOU GO RIGHT INTO JOB SEARCH YOUR HOURS CONTINUE FOR THAT CHILD OR TRY TO DO IS SAY FOR 12 MONTHS THAT CHILD IS GOING TO HAVE THE CHILD CARE THEY NEED AND THAT PARENTS ARE GOING TO HAVE THE SUPPORT THEY NEED TO WORK TO TRANSITION TO ANOTHER JOB, SEARCH PERHAPS IN THE MIDDLE THAT FOUR DIFFERENT JOB BUT THE IDEA IS WE WANT TO HAVE AS MUCH FLEXIBILITY AS POSSIBLE IN THE SYSTEM SO THE CHILD REMAINS IN CHILD CARE IN THE 12 MONTHS. I MENTIONED THAT SOME SOME OTHER CRITERIA THE TEMPORARY CHANGES WILL NOT DISRUPT MEDICAL LEAVE THE SEASONAL WORKER OR TEMPORARY CHANGES THAT I JUST WENT THROUGH. SENATOR RELPH I’M SORRY IT LOOKED LIKE YOU’RE GOING ASK ME A QUESTION? >> THANK YOU MR. CHAIR. TOPPLE A QUICK QUESTION, WHEN THESE TEMPORARY CHANGES OCCUR, DOES THE AGENCY GET INVOLVED IN TRYING TO HELP THOSE INDIVIDUALS THROUGH REFERRING TO DEED OR SOME OTHER AGENCY THAT WOULD HELP THEM IN THEIR JOB SEARCH IF THE CHANGE IS SIGNIFICANT AND THEY’RE ACTUALLY TRYING TO LOOK FOR MORE WORK IS THERE SOME PROVISION THAT WOULD HELP WITH FAT? >> MR. CHAIR AND SENATOR RELPH I THINK IF WE GO BACK TO THE DAKOTA COUNTY TESTIMONY EARLIER TODAY THAT’S THE IDEAL SITUATION WHERE A VERY GOOD EXAMPLE OF WHERE YOU HAVE AN INTEGRATED SERVICES PROCESS THE CASE WORKER WORKING WITH THAT PARTICULAR FAMILY KNOWS THEY HAVE LOST EMPLOYMENT OR CUT BACK AND HOURS THERE WANT TO CHANGE JOBS, THERE’S A VEHICLE TO AN EMPLOYMENT COUNSELOR OR A ONE SERVICES ADDITIONAL TRAINING IT’S NOT SPECIFIC IN CHILD-CARE ASSISTANCE PROGRAM AGAIN THAT’S PART OF THE SILOED NATURE OF PROGRAMS. IT CAN BE ACCOMMODATED IN OTHER PLACES I THINK THIS EMPHASIZES YOUR EARLIER COMMENTS >> SENATOR HOFFMAN >> THANK YOU ASSISTANT COMMISSIONER KOPPEL I STEPPED OUT FOR A MOMENT I WANT TO COME BACK ON THE TEMPORARY CHANGES

PEACE WE NOW I THINK THE NUMBERS ARE STILL THERE UP 45 PERCENT OF THE PARTICIPANTS IN THE MFIP SIDE OF THAT ON THE CHILD CARE SIDE ESPECIALLY CHILD CARE BLOCK GRANTS THIS CAME BACK UP AND EARLY 2000’S WHEN THE TWO FOR ONE WAS LEFT ON THE TABLE I THINK YOU RUN A DIFFERENT AGENCY THEN THE. THERE WAS SOME CUTS ON THE STATE BUT THAT ALSO AFFECTED THE FEDERAL DOLLARS WHAT WE HAD SEEN IN THE NUMBERS I THINK ARE CONSISTENT TODAY AT 40-45 PERCENT OF THE PARTICIPANTS HAVE A DISABILITY OR CHILD WITH A DISABILITY AND GOING BACK TO THE WHOLE DISCUSSION OF MENTAL HEALTH AND CHILD CARE AND MENTAL HEALTH IN THE SYSTEM ITSELF I WANT TO FOCUS ON THE TEMPORARY CHANGES. WHEN SOMEONE IS HAVING A MOMENT WHERE THEY’RE GOING THROUGH SOME MEDICAL ISSUES OR SOME THINGS THAT ARE OCCURRING THAT YOU CAN’T CONTROL, IS THERE FLEXIBILITY WITHIN THE SYSTEM TO ASSURE THIS CASE MANAGER IS ABLE TO SAY WE’RE GOING TO TRY TO GET YOU TO HELP YOU NEED IS THERE SOMETHING THERE THAT EXISTS WE’RE NOT CUTTING SOME OF BECAUSE THEY MIGHT BE AT THAT MAN EXCITED THEIR LIFE OR DEPRESSIVE SIDE OF THEIR LIFE OR MAY OF GONE INTO SOME KIND OF RELAPSE OR SOMETHING CAN YOU EXPAND ON THAT? >> THAT IS THE MOST COMPLICATED QUESTION OF THE DAY >> THANK YOU SENATOR KIFFMEYER FOR SAYING THAT THERE EXISTS THERE SUCH AN AREA I LOVE IT >> MR. CHAIR AND SENATOR HOFFMAN WITHOUT WEIGHING IN ON THAT DEBATE YOUR QUESTION, I DIDN’T FULLY UNDERSTAND WHAT YOU MEANT THE PARENTS OF THE CHILD WHAT YOU MEANT THE CHILD THEMSELVES IF THERE WAS A BREAK IN EMPLOYMENT SAY BECAUSE THERE WAS A MENTAL HEALTH NEEDS OF THE PARENT AND THEREFORE THE CHANGE IN THEIR WORK HOURS ETC. AND WHAT WALT DAYS SOUGHT TREATMENT COULD BE CHEMICAL DEPENDENCY OR MENTAL HEALTH THAT WOULD BE A REFERRED TO THE MEDICAL LEAVE PEACE WHERE THEY TOUCH BASE WITH THE COUNTY AND THAT LEAVE THAT TIME WOULD BE COVERED SO THE CHILD CONTINUES THIS IS TALKING ABOUT THE CHILD SO THE CHILD WOULD CONTINUE IN CARE AND THE CARE WOULD CONTINUE TO BE COVERED THE SAME WHEN IT WAS FOR THOSE BREAKS. WHAT DOESN’T HAPPEN IN CHILD CARE WITHIN THE C-CAP PROGRAM IS THIS THE CHILD CARE PROVIDER WORK WITH THE PARENT TO SEEK TREATMENT OR CARE REFERRAL I DON’T THINK THAT’S WHAT YOU MEANT I WAS MORE TALKING ABOUT IN ASSURING THE FAMILY THE CHILD’S CARE REMAINS IN CHILD CARE DURING THESE BREAKS FOR LOTS OF REASONS >> THANK YOU MR. CHAIR AT THANK YOU MR. KOPPEL BECAUSE I KNOW WHEN THE EXAMPLE I GAVE ABOUT THE MONEY BEING LEFT ON THE TABLE THERE WERE PROGRAMS I KNOW IN RAMSEY COUNTY CHILD CARE THERE WAS LOOKING AT KIDS WITH SPECIAL HEALTH CARE NEEDS AND WAS A HUGE LOSS WHEN YOU SAW SOMETHING LIKE THAT AND WE HAVE A CHILD THAT PERHAPS MIGHT BE MEDICALLY FRAGILE AND IS GONE FOR A TIME MY CONCERN IS THERE ARE SOME SUPPORTS IN PLACE IF IS A TEMPORARY CHANGE IN THAT PERSON’S OR A CHILD’S LIFE THERE’S SOME SYSTEMIC SUPPORT FOR THAT INDIVIDUAL IT SOUNDS LIKE THE ANSWER IS YES IS THAT CORRECT? >> MR. CHAIR AND SETTER DROP IN GAS THE INTENT OF THIS WHOLE REAUTHORIZATION WHICH A THINK IS A BENEFICIAL NATIONWIDE IS TO PRIORITIZE THE FACT THE STABILITY OF CHILD CARE AND PREDICTABILITY OF CHILD CARE ARE TO THE MOST IMPORTANT INGREDIENTS SO THAT PARENTS AND NOT ONLY CAN HAVE WORK PREDICTABLE IN TERMS OF SUPPORT OF THE CHILD IN TERMS OF THEIR SUPPORT TO REALLY GREAT PIECES OF THIS FEDERAL LEGISLATION >> OK PLEASE CONTINUE >> IF ACTIVITY PERMANENTLY ENDS AND THAT FOR INSTANCE THE ELIGIBILITY IS NOT PREDETERMINED IN NOT ELIGIBLE, IF YOU HAVE LOST YOUR JOB AND YOU DON’T HAVE ANOTHER JOB YOU HAVE IF THE ACTIVITY AND YOU HAVE THREE MONTHS OF EXTENDED ELIGIBILITY IF NEW ACTIVITY DOESN’T MEET

REQUIREMENTS YOU CAN TELL YOU CHILD CARE UNTIL THE NEXT REDETERMINATION IF YOU ARE GOING TO SCHOOL OR GO PART TIME AND NOT FULL TIME AND MEETING HOURS AGAIN THAT WHAT THE THEME I KEEP RUNNING INTO EVERYONE TO THESE DETAILS WE WANT THE CHILD TO REMAIN IN CARE FOR 12 MONTHS IN THE CHILD CARE SETTING AND ONLY AT REDETERMINATION 12 MONTHS LATER UNLESS THERE’S A MAJOR BREAK WHICH IS THE THREE MONTHS TO GET THREE ADDITIONAL MONTHS IT COULD BE NINE MONTHS OR LOWER IF ACTIVITY PERMANENTLY ENDS WHAT EVER THAT ACTIVITY IS THAT’S GOT KNEW THE CHILD CARE TO BEGIN WITH THEN YOU WILL HAVE THREE MONTHS. ALL THE OTHER SITUATIONS PRETTY MUCH GO TO REDETERMINATION SO AFTER 12 MONTHS REDETERMINATION AND YOU’RE NO LONGER ELIGIBLE. AGAIN I’M GIVING YOU DETAILS OF WHAT WE ALREADY HAVE GONE OVER. ONE OTHER PIECE THERE’S A 21 DATE PAYMENT TIMELINE CURRENTLY OUR TIME FRAME IS 30 DAYS SO THIS BRINGS THE TIME TO PROVIDERS FOR BILLING TO RECEIVING PAYMENT IS NO LONGER THAN 21 DAYS. THERE ARE CHANGES THAT OCCUR AT VARIOUS STATES WHERE TALK ABOUT THE IMPLEMENTATION OF ALL THESE CHANGES YOU SEE THEM SEPTEMBER 25TH THAN OCTOBER 23RD AND DECEMBER 18TH OF THIS YEAR NOTICES WILL BE SENT OUT TO FAMILIES AND PROVIDERS LETTING THEM KNOW THESE CHANGES ARE BEING MADE AND THESE ARE THE TIME LINES FOR VARIOUS ONES I CAN TELL YOU EXACTLY WHICH ONES HAPPEN WHEN THE THEY’RE ALL FAIRLY CLOSE TOGETHER AS YOU CAN TELL THOUGH HAPPENED OVER THE NEXT SEVERAL MONTHS. TO BULLETS SINCE EVERY BEEN RELEASED ON THESE CHANGES. THERE ARE A FEW WE SPEND A LOT OF TIME ON THIS THE LAST COUPLE OF YEARS THERE HAVE BEEN SOME CHANGES MADE, ONE OF THE BIG ONES IS WHAT I JUST WENT OVER THE 12 MONTH ELIGIBILITY THE ONES WE STILL OUTSTANDING ARE MAXIMUM RATES, WE ARE MAXIMUM RATES ARE AT DETERMINED THAT THE 25TH PERCENTILE YOU’VE HEARD THAT NUMBER OF LOTS. NOT TO REHASH EVERYTHING YOU EVER HEARD 20 YEARS AGO OUR RATES WERE AT THE 75TH PERCENTILE IN MINNESOTA IN OTHER WORDS WE DID A SURVEY OF ALL THE PROVIDERS WITH 75% OF PROVIDERS RECEIVED THEIR CHARGES TODAY ITS ROUGHLY 25% SO THERE’S BEEN THIS DROP AND PRECIPITOUSLY DESPITE A DROP IN PROVIDERS AS WELL I’M NOT TIME YET ALL TOO PAYMENT BUT SPEAKING OF PAYMENT AND WE HAVEN’T MET THAT WE’VE LOST GROUND. WHAT THE FEDERAL REQUIREMENT IS IS WE UPDATE OUR RATES TO THE MOST RECENT SURVEY WE’RE PAYING THE 25TH PERCENTILE THAT’S BASED ON A 2011 SURVEY WE’RE REALLY LAG BEHIND EVEN WHAT THE RATES ARE WE’VE DONE IT 2016 SURVEY BUT THE FEDS ARE SAYING AND WHAT A LOT DEPENDS THAT WE UPDATE OUR RATES WE CAN KEEP THE MATCH THE 25TH PERCENTILE IF WE CHOOSE BUT WE UPDATE THEM TO THE MORE RECENT SURVEY SO THERE REFLECT THE MORE RECENT RATES AND THAT WAS A SIZABLE PRICE TAG AND IT DID NOT PASS LAST YEAR WASN’T INCLUDED BUT THAT IS ONE THAT WILL BE OUT OF COMPLIANCE AT ALL THIS COMPLIANCE IS BY ABOUT ONE YEAR FROM NOW. TALKING ABOUT THAT AND THE HOMELESS FAMILIES EXPEDITED APPLICATIONS UNFORTUNATELY THIS IS A PRIORITY OF THE LEGISLATION IS TO ACCOMMODATE HOMELESS FAMILIES TO EXPEDITE THE APPLICATION AND OF THE NEXT 90 DAYS GO BACK AND GET THE INFORMATION YOU NEED THAT WOULD GIVE YOU MORE COMPLETE PUBLICATION MORE COMPLETE PICTURE BUT TO GET THE CHILDREN IN RIGHT AWAY INTO CHILD-CARE THAT WOULD BE ANOTHER PIECE THAT DID NOT PASS LAST YEAR BUT WOULD BE REALLY IMPORTANT WITH THE COMPLIANCE >> THANK YOU >> I BELIEVE THAT CONCLUDES MY REMARKS IF THERE ARE ANY QUESTIONS WE WILL TAKE ABOUT OUR

MOVE TO THE HEALTH AND SAFETY AREA >> SENATOR KIFFMEYER >> MR. KOPPEL, THIS IS A LITTLE ON THE LICENSING AND PREVENTION SUGGESTIONS THAT WERE TALKED ABOUT BEFORE. MISS M. MENTIONED WHEN A LICENSE TO FOCUS ON THE PHYSICAL FACILITY ABSOLUTELY NO DOUBT ABOUT. ONE OF MY THOUGHTS WAS IF THE LICENSING COULD INCLUDE PAYMENT SYSTEMS AND OTHER WORDS YOUR NOTE GOING AFTER IT MAKE PAYMENTS AS WELL AND COULD YOU GIVE ME A LITTLE BIT OF YOUR THOUGHT INITIALLY ON LICENSING INCLUDING SOMETHING LIKE DO THEY HAVE A PAYMENTS SYSTEM IN PLACE TO THAT AUDITING IN PLACE TO HAVE SOMETHING IN PLACE AS PART OF A CONDITION OF INITIATING THEIR SERVICE? >> MR. CHAIR AND SENATOR KIFFMEYER, I’D LOVE TO ANSWER QUESTIONS HAVE LOTS OF VIEWS ON THIS BUT I DON’T HAVE ANY TECHNICAL EXPERTISE ON THIS AGAIN MISS M IS REALLY THE PERSON WHO WOULD IF WE ARE GOING TO CHANGE THOSE REQUIREMENTS PERHAPS MISS WAGNER CAN SPEAK TO THIS EFFORT OR TO CHASE THE RECORDS UP FRONT TO SAY TO YOU PHYSICALLY ARE YOU PHYSICALLY ABLE TO RUN YOUR BUSINESS WITH THE INFRASTRUCTURE YOU NEED? COULD POSSIBLE BE PART OF LICENSING I DON’T KNOW, WE’VE HAD A LOT OF DISCUSSIONS ABOUT THAT POINT THAT POINT IN TIME WHEN SOMEONE WANTS TO OPEN A BUSINESS AND WHAT KINDS OF THINGS TO MAKE SURE THEY HAVE AND KNOW ABOUT AND HAVE A RELATIONSHIP THERE GET OVER THE FOR SEVERAL MONTHS TO MAKE SURE IT REALLY GETS STARTED RIGHTS. I THINK THAT’S A LOT OF WHAT WE TALKED ABOUT IN THE MINNESOTA OF MINORITY BUSINESS ASSOCIATION IS HOW TO GET THE RIGHT THINGS IN PLACE HOW TO PUT A BUSINESS PLAN TO GATHER TO ASSURE SUCCESS THAT’S FOR THE CHILDREN THAT’S WHAT I’M CONCERNED ABOUT WE HAVE THIS AVAILABLE FOR CHILDREN AND GET THE BEST BUT I DON’T KNOW WHAT HARDSHIPS THAT WOULD PUT ON SOMEONE TO HAVE A BILLING SYSTEM, I WILL TURN TO MISS WAGNER TO ADD ANY COMMENTS >> MR. CHAIR AND SENATOR KIFFMEYER REGGIE WAGNER I OVERSEE THE LICENSING DIVISION I THINK SOME OF WHAT YOUR COMMENTS GO TO BROADLY THE DEPARTMENT IS CHARGED WITH ASSESSING THE COMPETENCY EVALUATING THE COMPETENCY OF A PROVIDER TO DELIVER THE SERVICE AND GENERALLY WE LOOK AT THE PHYSICAL PLANT WE LOOK THE STAFF QUALIFICATIONS THAT ARE PUT IN STATUTE OR RULE TO ENSURE WHEN WE ISSUE A LICENSE WE KNOW THAT THE RIGHT AMOUNT OF SAY FOR A CHILD-CARE CENTER FOR THE SQUARE FOOTAGE SPACE THAT HAVE THE RIGHT LEVEL OF QUALIFICATIONS WHETHER IT’S TEACHER THEY MAY NEED A MENTAL HEALTH PROFESSIONAL AND OTHER SERVICES, AS WE HAVE SEEN THAT MORE LICENSE HOLDERS AND THIS IS ACROSS ALL SAID IT WOULD BE JUST CHILD-CARE CENTERS TRYING TO COME IN AND ENGAGE IN A NEW SERVICE WILL HAVE BEEN VERY CHALLENGED AND ASK YOURSELVES MORE QUESTIONS ABOUT HOW WE EVALUATE THE BUSINESS COMPETENCY AND IT ISN’T ANYTHING THAT’S CURRENTLY ADDRESSED IN THE ROLE THERE ISN’T A STATUTORY REQUIREMENT THAT THEY UNDERTAKE PARTICULAR TYPE OF TRAINING WHAT WE HAVE LOOKED AT WHETHER WE WOULD DEVELOP THAT SORT OF COMPONENT AN OFFER THAT ON A VOLUNTEER BASIS OR ACTUALLY COME TO THE LEGISLATURE SAYING IN THE PERSONAL CARE ASSISTANT PROGRAM IS THE LEAST SOME FRAMEWORK FOR CERTAIN OWNERS AND BUILDING INDIVIDUALS TO GO THROUGH A FORMAL PROGRAM CALLED THE STEPS FOR SUCCESS WHAT THAT DOES ADDRESS IS HOW YOU BUILD AND WE’VE LOOKED AT BAT AS POTENTIALLY KIND OF FRAMEWORK FOR WHETHER ON A VOLUNTEER OR WHETHER WE WERE TO MAKE THAT A CONDITION OF GETTING A LICENSE AND HAVE CERTAIN KEY PEOPLE GO THROUGH A MORE FORMAL STRUCTURE THESE SETTINGS WHERE PROVIDERS CAN INTERFACE WITH SOME CENTERS OR FAMILY PROVIDERS MAY INTERFACE ONLY WITH PRIVATE FAMILIES THEY’RE NOT RECEIVING ANY ASSISTANCE AND THAT AS A MINIMUM OF THEIR OWN BILLING ISSUES THAT THEY DON’T UNDERSTAND THE NEED TO BE LOOKING AT WHETHER TAXES ONE OF THEIR LIABILITIES IF THEY HIRE PEOPLE, SO THE WHOLE SENSE OF BUSINESS COMPETENCY IS SOMETHING BOTH WITH SOME NEW EDITOR IN COMMUNITIES AND WITH MINNESOTA MINORITY CHILD CARE ASSOCIATION WE HAVE ALSO FROM A LICENSING SIDE ENGAGED IN THOSE CONVERSATIONS. I THINK YOU’RE TOUCHING ON THINGS WE HAVE BEGUN TO PUT MORE THOUGHT INTO AND

KNOW THAT WE DO GIVE A LOT OF TECHNICAL ASSISTANCE TO APPLICANTS AND THE QUESTION IS HOW CAN WE FORMALIZE THAT AND HOW COULD WE IN SURE WHEN THEY GET INTO PARTICULARLY A LICENSED SERVICE THAT THEY NEED TO BE BUILDING FOR PUBLIC FUNDS THAT WE ARE INSURING THEY UNDERSTAND WHETHER THE HAVE COMPUTER SYSTEMS OR SOFTWARE AT THAT LEVEL WE HAVEN’T GOT TO THAT BUT I APPRECIATE THOSE COMMENTS >> THANK YOU MR. CHAIR AND I APPRECIATE THOSE I DO NOT WANT TO GO INTO ANOTHER HUGE REGULATORY KIND OF SITUATION. I THINK IT’S MORE A MATTER OF IT’S NOT UNUSUAL TO DO THIS, TO PROVIDE AN OPPORTUNITY TO VOLUNTARILY TAKE TRAINING AND FOR YOU TO PROVIDE THAT. OTHER TIMES IT’S AS SIMPLE AS OF FREQUENTLY ASKED QUESTION FAQ CAN OFTEN START ALLOWABLE LEVEL WAY THOSE KINDS OF THINGS AND THAT’S WHERE IT THERE’S NO WAY I THINK THIS PARTICULAR AREA IT IS ALREADY HIGHLY REGULATED BY I SOMETIMES THINK BEYOND WHAT IS REALLY THE BEST INTEREST OF THE CHILD SOMETIMES BUT I DO THINK SOME VOLUNTARY OPPORTUNITIES FOR F A QUEUE WOULD BE A REASONABLE APPROACH FOR THE DEPARTMENT TO TAKE >> SENATOR HOFFMAN >> THANK YOU MR. CHAIR I WILL HOLD MY DEEP QUESTIONS UNTIL LATER BUT THE EXCELLENT QUESTION SENATOR KIFFMEYER BROUGHT FORWARD OPENED THE DISCUSSION I LOOK FOR TO SEEING WHAT REGGIE HAS TO SAY THERE’S SOME INCONSISTENCIES IN THE LICENSING OF HOW WE APPLY WHETHER DHS IS DOING IT OR THE COUNTIES TO LET I WILL HOLD ON TO THOSE >> THAT WAS AN EXCELLENT QUESTION MISS WAGNER. SENATOR RELPH IS THIS AN EXCELLENT QUESTION? >> NOTE IT’S A EXCELLENT COMMENT. [LAUGHTER]. JUST AN OBSERVATION HERE IT’S A DISCUSSION I THINK WE’RE GOING TO HAVE TO PURSUE DOWN ROAD IT SORT OF ALLUDED TO IN THE SENATOR KIFFMEYER COMMENTS PERSONA HAVE SOME DISQUIETING EXPERIENCE WITH CHILD CARE AND FINDING CHILD CARE PROVIDERS AND THE FACT WE DO HAVE A SHORTAGE AND ITS GROWING. PART OF THIS IN THIS REGULATORY AREA OF PART OF IT IS IN THE COMPENSATION AREA AND I WANNA MAKE A COMMENT I’M ENCOURAGED WE’RE LOOKING AT THIS BUT IT IS REACHING A CRISIS PROPORTION I’VE A STEPDAUGHTER WAS TWO CHILDREN SHE CAN’T FIND A DAY CARE FOR AND THIS IS NOT A GOOD SITUATION I JUST WANTED TO MAKE SURE WE GOT THIS ON RECORD >> MISS WAGNER THANK YOU THANK YOU MR. KOPPEL >> MR. CHAIR BASICALLY WHEN WE TALK ABOUT A FEDERAL COMPLIANCE AND WHAT PASSED THIS PAST SESSION IT FALLS UNDER FOUR BROAD CATEGORIES ANNUAL LICENSING INSPECTION TO, AND SIMMER EDUCATION HOW, AND SAFETY AT, ENHANCED BACK FROM STUDIES WILL TOUCH BRIEFLY ON EACH OF THOSE FOUR AREAS IN THE NEXT SET OF SLIDES. WHEN WE TALK ABOUT CHILD CARE WE HAVE THROUGH SEVERAL REAUTHORIZATION BEGUN TO TALK ABOUT FOUR DISTINCT GROUPS OF CHILD-CARE PROVIDERS. OUR LICENSED CHILD-CARE CENTERS OUR LICENSED FAMILY CHILD-CARE PROVIDERS AND THOSE SENATOR HOFFMAN ALLUDED TO ARE THE CORE OF THE LICENSING WORK UNDER DELEGATION FROM A LEGISLATURE IS DONE BY COUNTIES BUT THE STATE OVERSEES THAT WORK. THEN WE HAVE EXEMPTIONS FROM LICENSURE IN MINNESOTA DOES HAVE TO THINK APPROXIMATELY 27 EXEMPTIONS OF SERVICES THAT CAN BE PROVIDED THAT ALL REQUIRE A LICENSE APPROXIMATELY 13 OF THOSE INVOLVED THE CARE OF A CHILD IN SOME WAY SO THERE ARE EXEMPTIONS FOR WHEN SOMEONE ELSE IS LOOKING FOR A CHILD WE CONTINUE TO MAINTAIN SOME EXEMPTIONS BUT THESE LAST TWO GROUPS ARE IF A PROVIDER WE CALL THEM A LICENSED EXEMPT CENTER THOSE WOULD TEND TO BEAT SCHOOL BASED PROGRAMS GENERALLY OF FOUR OR AFTER- SCHOOL PROGRAM, OR LEGAL NON LICENSED PROVIDER THAT WOULD TEND TO BE ALMOST LIKE AN IN HOME SORT OF LOOKING LIKE A FAMILY PROVIDER BUT AFTER ONLY CARING FOR UP TO ONE UNRELATED FAMILY THEY’RE NOT REQUIRED AT A LICENSE. WE DIDN’T CHANGE ANY EXEMPTIONS FROM LICENSURE THAT EXIST BUT IF TO THOSE CATEGORIES ARE PARTICIPATING IN REGISTERED TO BE ELIGIBLE FOR C- CAP PAYMENTS BECAUSE THE FAMILY THEY’RE SERVING IS PARTICIPATING IN A SUBSIDY PROGRAM THAN THEY WOULD HAVE TO MEET SOME OF THESE ENHANCED REQUIREMENTS. WE SORT OF ARE LOOKING AT AS WE’RE SEEING MORE AND FOR GROUPS THERE’S A LOT OF SIMILARITY BUT AS ONE OF THE DISTINCTIONS BASED ON IF THEY CONTINUED TO FALL

INTO THAT LICENSED EXEMPT. ONE OF THE BIG CHANGES FROM THE REAUTHORIZATION IS STATES ARE NOW REQUIRED TO DO ANNUAL INSPECTIONS OF ANY LICENSED CERTIFIED OR REGULATED PROVIDER. ALTHOUGH BLOCK GRANT TALKED ABOUT C C D F THE C-CAP THE FEDERAL LANGUAGE PALATABLE PROVIDERS, WE DID NOT MAKE A DISTINCTION AROUND IF THE ALLIES AND CENTER OR LICENSE FAMILY PROVIDER PARTICIPATE IN THE C- CAP PROGRAM OR NOT WE WANTED ONE KIND OF SEAMLESS ROBUST SYSTEM SO THAT AS A FAMILY MAY MOVE THEIR SITUATION MAY CHANGE THE MAY GET A JOB IN ANOTHER PLACE THAT MIGHT REQUIRE THEM TO LOOK AT A DIFFERENT JOB CARE OPTION WE DIDN’T WANT THERE TO BE THIS KIND OF PATCHWORK OF POLICIES AS WE GO THROUGH SOME OF THIS THERE ARE SOME PLACES WHERE THE BLOCK GRANT DID SAY IT TO PARTICIPATE IN C-CAP BUT WE CHOSE TO MAKE THIS AN INTEGRATED APPROACH TO OUR LICENSE HOLDERS. FOR THE ANNUAL INSPECTIONS THAT’S VERY DIFFERENT THE COUNTIES GENERALLY DO THE LICENSING AND RULES ON A TWO YEAR CYCLE AND OF STATES WE HAVE STRIVED ALL WE HAVEN’T HAD ONE HUNTER% TO DO A NEW REINSPECTION OF CENTERS ON A TWO YEAR CYCLE THAN FOR BOTH THE COUNTIES AND THE STATE LICENSEE IS RESPONDING TO COMPLAINTS RESPONDING TO MALTREATMENT THAT APPEARS TO HAVE HAPPENED THOSE WILL ALWAYS BE PRIORITIZED AND WOULD HAVE AN ASSESSMENT AND OFTEN AN ON-SITE INSPECTION DONE. EVEN IF WE WEREN’T SEEING THE PROGRAM FOR FOR MONITORING WE WERE CERTAINLY TRIAGING AND RESPONDING TO COMPLAINTS AND MALTREATMENT ALLEGATIONS CAME OUT. THE OTHER BULLETS ARE TALKING ABOUT WHAT PROVIDERS WOULD BE TO HAVE BY AND LARGE FOR MANY OF THE CHANGES FOR LICENSED PROVIDERS WE DID NOT HAVE VERY MUCH NEW GROUND TO MAKE UP A MINUTE OR REGULATIONS WERE ALREADY COVERING THAT BUT THESE WERE STANDARDS THAT THEY ONE OF ALL STATES TO DO WE WERE ONE OF LESS THAN 10 STATES THAT WERE NOT DOING ANNUAL INSPECTIONS. THIS REQUIREMENT CERTAINLY WAS A BIGGER CHANGE FOR US AND FOR THE COUNTY’S AGAIN HAVING A BROAD CATEGORY OF SAFETY TOPICS THAT EACH STATE WOULD HAVE TO HAVE SOME ADDITIONAL TRAINING NOT STAFF WOULD BE TO HAVE EITHER BEFORE THERE WOULD BE LICENSED OR CERTIFIED AND THEN ON AN ONGOING BASIS. THE NEXT SLIDE SHOWS THE 10 CATEGORIES THE ONES THAT HAVE AN ASTERISK ARE THE PLACES WHERE WE HAD TO MAKE SOME OFTEN SMALLER CHANGES TO COME INTO COMPLIANCE I THINK FROM THE PROVIDER STANDPOINT WAS HELPFUL AS THERE WAS NOT THIS WHOLE NEW SET OF REGULATIONS THAT CAME IN THE CHANGES THAT WE HAD TO MAKE BY AND LARGE WERE MORE MINOR EMERGENCY PREPAREDNESS IS ONE WE DID HAVE TO MOVE WITH THE CURRENT REGULATIONS WERE A LITTLE FURTHER >> THANK YOU MR. CHAIR, REGGIE AS YOU’RE LOOKING AT THIS IS WHERE IT THERE’S SOME INCONSISTENCIES YOU LOOK AT HEALTH AND SAFETY TOPICS THE BUILDING AND PHYSICAL PART PUBLIC SAFETY HIGHLIGHT THEIR FOR EXAMPLE IN THE COMMUNITY I ASSERT THERE’S TONS OF IN HOME CHILD CARE PROVIDERS AND YET ONE SPECIFIC ONE MOVED TO A BRAND NEW HOUSE AND WAS BRINGING HER LICENSE WITH HER RIGHTS OF THE INSPECTOR CAME OUT AND SAT IN THE SPRING HOUSE YOU HAVE TO FINISH YOUR BASEMENT RIGHT SILLY ENOUGH TO BECAUSE IT BECAME A BUILDING AND PHYSICAL PREMISE SAFETY ESPECIALLY THE FIRE CODE SIDE MEETING SHEET ROCK COVER THE INSULATION YET I’VE BEEN TO OTHER PLACES WITHIN THE COMMUNITY AND ANECDOTALLY THOSE PLACES THAT HAD BEEN EXPOSED CONCRETE ON THE FLOOR EXPOSED CONCRETE ON A WALL EXPOSED RAFTERS THAT HAVE THE INSULATION HANGING YOU COULD SEE THE WIRES THERE, ON ONE HAND THE CITY INSPECTORS COME IN THIS PERSON WHO ANALYZES AND MOVING TO CHANGE IT ON THE OTHER HAND HERE IS THESE OTHER PROVIDERS I KNOW ARE COMPLETE VIOLATION OF IF THERE’S A FIRE IT’S NOT GOING TO MEET AT 10 SEC ENCODER THE PHYSICAN ” IT’S GOING TO BE A FLASH POINT BECAUSE THAT’S WHERE THE KIDS ARE THAT SCARES ME THAT SCARES’ ME THERE IS INCONSISTENCY THE. OTHER THINK THERE’S SOME INCONSISTENCY IS ON LICENSED CHILD-CARE PROVIDERS THE BETTER CENTER BASED SEEM TO HAVE A MORE STRICT CODE OF CONDUCT I GUESS IS THE WORD I CAN USE YOU CAN WORDSMITH ME BUT

I’M LOOKING IF THEY HAVE A TOILET THAT HAS LITTLE PIECE BROKEN OFF OR ANYTHING THAT WOULD BE THEY WOULD BE IN VIOLATION YET BE IN HOME ONE DOESN’T HAVE THAT SAME KIND OF STANDARD SO TO SPEAK. I’M TRYING TO SEE IS THERE ACROSS CONVERSATION WHAT YOU DOING TO SURE THERE IS ESPECIALLY ON THE PHYSICAL PUBLIC SAFETY SIDE I THINK WE WOULD HAVE LITTLE MORE OF A CONSISTENT APPROACH ON THAT AND YOU WOULD AGREE WOULD YOU NOT? >> MR. CHAIR SENATOR HOFFMAN EXCELLENT QUESTION. SENATOR HOFFMAN, THE ISSUE THAT YOU BRING UP RELATED TO AND CONSISTENCY IS AN IMPORTANT ONE THOUGHT IS A CHALLENGE BEFORE US IT’S A. CHALLENGE FOR US AS WE BEGIN TO BRING ON NEW STAFF BUT CERTAINLY WITHIN OUR COUNTY BASED DELEGATED SYSTEM THERE ARE APPROXIMATELY ABOUT ABOUT 100 AND LICENSES THROUGHOUT THE STATE AT THE COUNTY LEVEL OVERSEEING FAMILY CHAO CARE SOMETIMES THE OVERSEE MORE THAN ONE BECAUSE THE COUNTIES ARE ALSO DOING CHILD FOSTER CARE AND SOME OF THE ADULT FOSTER CARE WE HAVE BEEN HEARING VERY CLEARLY FOR SEVERAL YEARS I WILL ACKNOWLEDGE FOR SEVERAL YEARS WE HAVE NOT UNTIL THIS SESSION AND SOME OF THE STAFFING CAPACITY TO ENGAGE IN THAT WAY WITH OUR COUNTIES ON MORE TRAINING MORE CONSISTENT TRAINING, WE’RE LOOKING TO BUILD A MORE COUNTY PARTNERSHIP ACCOUNT MONITORING WERE GOING TO BE INTERACTING WITH THEM DIFFERENTLY AS AGO FORD THERE WERE SEVERAL BILLS LAST SESSION THAT HAD SOME TRAINING COMPONENTS IN THEM THOSE BILLS DID NOT GO FORWARD BUT WE’RE LOOKING AT IT I THINK SENATOR KIFFMEYER HAD A BILL WITH SOME PROVISIONS IN THEIR THERE WERE SOME VERY GOOD IDEAS OF COURSE AT THE TIME WE SAT WE WOULD NEED SOME RESOURCES WE BELIEVE WE HAVE SOME RESOURCES NOW FROM THE FEDERAL COMPLIANCE BILL THAT PASSED WITH OUR FISCAL NOTE BUDGET REQUEST IN THEIR THERE WERE ALREADY LOOKING AT HOW WE BUILD IN THOSE IDS THAT LEGISLATORS AND PROVIDERS HAD A RUN TRAINING. WE’RE VERY MUCH MOVING TOWARDS A MORE ROBUST TRADING SYSTEM WITH OUR COUNTY LICENSERS AND MORE OVERSIGHT CAPACITY TO DO THAT AND TO BE ENGAGED AND HAVE A MORE RESPONSIVE SYSTEM IF IT PROVIDERS AS WE’VE BEEN TALKING THIS IS NOT BEING CONSISTENT, I DON’T KNOW THIS GOING TO BE AN EASY ANSWER FOR THAT BUT I THINK WE’RE MOVING INTO A NEW FRAMEWORK WITH OUR COUNTIES AND HOPEFULLY TO BE ENGAGING PROVIDERS WE CAN GET TO A LEVEL AT WHICH THERE IS MORE TRAINING MORE CONSISTENCY AND MORE ABILITY TO RESPOND WHEN PEOPLE IDENTIFY THINGS >> SENATOR HOFFMAN >> THE VERY SHORT RESPONSE, DO YOU NEED FOR THE ANECDOTAL EXAMPLES THAT I KNOW WITHIN THE COMMUNITY WHERE THE BRAND NEW PROVIDER MOVING WAS TOLD SHE HAD TO SPEND THOUSANDS OF DOLLARS TO SHEETROCK CAN COVER YET THERE’S PROVIDERS THAT STILL HAVE WIDE OPEN IS THEIR LANGUAGE AND YOU NEED NEW STATUTORY LANGUAGE TO SURE THERE’S CONSISTENCY IN THAT PHYSICAL SAFETY CONCERN WE ALL HAVE FOR USE WITHIN THE HOME OR IS IT SOMETHING YOU CAN START TO ENFORCE NOW? >> MR. CHAIR AND SENATOR HOFFMAN I THINK WHAT I WOULD HAVE TO DO IS TAKE THIS BACK AND TALK WITH THE MANAGER IN THAT AREA AND IT’S A FAMILY PROVIDER THAT WOULD BE LOOKING AT WHAT OTHER REQUIREMENTS AND HOW ARE THOSE BEING APPLIED AT THE TIME OF CERTAINLY THE INITIAL LICENSING, I THINK IT CAN BE A CHALLENGE WHEN A LICENSOR CHANGES AND SUDDENLY SOMEONE HAPPENS AT THE TIME THERE WERE MOVING TO A NEW LOCATION AND THEY DO HAVE TO MEET THE FIRE STANDARDS THERE ARE THINGS IN A ROW BUT IF OTHER PROVIDERS ARE SAYING OUR BASEMENT LOOKS PRETTY MUCH THE SAME NO ONE’S DONE THAT I’M IN AGREEMENT THAT WOULD BE TROUBLING WE WOULD WANT TO KNOW THAT AND WANT TO FIGURE OUT HOW PARTICULAR IF THEY HAD BEEN LICENSED IN HAD THAT CONDITION THERE FOR A WHILE HOW WE ADDRESS THE HEALTH AND SAFETY AND HOW DO WE ACKNOWLEDGE MAYBE THAT COMMUNICATION WITH THE LICENSOR WASN’T AS HELPFUL WASN’T AS CLEAR SO I CAN’T SAY FOR SURE IF WE WOULD NEED LANGUAGE I THINK WILL MAKE A NOTE AND FOLLOW WITH YOUR NOT >> WHENEVER WITNESSES AT METZEN POPS ABOUT THAT AS WE GET INTO THE DISCUSSION. SENATOR KIFFMEYER >> I KNOW WE’RE RUNNING INTO I’VE SCHEDULED SOME THINGS WERE GOING TO TAKE THAT BREAK BETWEEN 12 AND ONE ARE WE GOING TO COME BACK? >> WE WEREN’T PLANNING TO BREAK TODAY I APOLOGIZE WE WERE JUST GOING TO GO THROUGH >> I DIDN’T REALIZE THAT

>> I APOLOGIZE. WE WERE LOOKING AT THE AMOUNT OF WORK WE THOUGHT WE COULD GET DONE IN THAT 1230 UP TO 1:00 WE’RE PROBABLY GOING TO GO PAST THAT >> YOU ARE ANTICIPATING 1:00? >> I THINK 1:00 IS A GOOD GUESS MY APOLOGIES. MISS WAGNER >> MR. CHAIR ALL MOVE QUICKLY THROUGH THE ISSUE TO HAVE THE SLIDES TO HELP ADDRESS THE STATE WIDE WICKET TO DO A STATEWIDE EMERGENCY PLAN ENGAGED A NUMBER OF STAKEHOLDERS IN THAT ALSO DEVELOP A TEMPLATE FOR PROVIDERS TO USE THAT WOULD MEET THE NEW FEDERAL REQUIREMENTS SO THEY COULD HAVE A CLEAR PATH TO BEING IN COMPLIANCE. SOME OF THE NEW TRAINING PROVIDERS TOO OFTEN MEET WORKING WITH FOLKS IN ASSISTANT COMMISSIONER KOPPEL AREA WORKING WITH CHILD CARE WHETHER ARE SOME FREE TRAINING THAT’S AVAILABLE TO INSURE COST IS NOT AN ISSUE TO COMING INTO COMPLIANCE AND ALSO BE AVAILABLE THROUGH JUNE OF 2018 I DON’T WANT TO SPEND A LOT OF TIME ON THE INDIVIDUAL TRAINING REQUIREMENTS I WANTED TO TALK ABOUT LICENSE EXAM CENTERS THOSE TEND TO BE SCHOOL BASED GROUPS EITHER RUN BY A SCHOOL DISTRICT OR PERHAPS BY A NONPROFIT OR YMCA AND A SCHOOL SETTING WE WORKED CLOSELY WITH STAKEHOLDERS TO SAY AS YOUR SERVING C-CAP FAMILIES AND THESE NEW REQUIREMENTS ARE COMING WHAT IS THE BEST WAY TO HELP GET YOU TO COME PLANTS AND THERE WERE VERY CLEAR THAT THEY DID NOT SEE THE TYPICAL CHILD CARE CENTER REGULATIONS GIVING THEM SO WE WORK CLOSELY WITH A SMALL GROUP OF REPRESENTATIVES PARTICULARLY FROM SOME SCHOOL DISTRICTS AND SOME NONPROFITS BOYS AND GIRLS CLUBS TO LOOK AT WHAT KIND OF REGULATORY SCHEME WOULD MEET MINIMUM FEDERAL REQUIREMENTS AND NOT GO AS MUCH BEYOND THAT AS WE COULD AVOID. I THINK WE CAME UP WHAT WE CALL CERTIFICATION ONLY F LICENSE EXEMPT CENTER IS PARTICIPATING IN C-CAP WE THINK IT’S A VERY NARROW GROUP OUR NUMBERS ARE ABOUT SIX OR 700, I THINK THEY APPRECIATED HOW MUCH WE TRIED TO WORK WITH THEM AT A BARE MINIMUM AND SAY GOOD IS GOOD ENOUGH. WE HAVE BEEN TRYING TO DO SOME ADDITIONAL OUT REACH WE HAD A BILL LAST SESSION IN 2016 THAT DIDN’T GET ACTIVE AND THEN WE GET IT THIS SESSION IN 2017 IT DOESN’T MEAN IT’S BEEN THE MOST KIND OF TRANSPARENT PROCESS WE DIDN’T GET A LOT OF COMMITTEE TIME THIS PAST SESSION TO GET INTO THE INS AND OUTS OF THAT BUT WE’VE BEEN TRYING TO DO SOME WEBINAR AS WE HAVE RESOURCES ON A WEBSITE. ONE OF THE CHANGES IS RELATED TO CONSUMER EDUCATION IT IS REQUIRING THE STATE HAVE A SINGLE USER FRIENDLY ACCESSIBLE WEB SITE WHERE INFORMATION IS AVAILABLE FOR FAMILIES AND PROVIDERS. THE WEBSITE THE STATE TASK IS. AWARE NOT ORD WE HAVE SOME LINKS TO LICENSING INFORMATION FROM THEIR WE ALSO HAVE OUR OWN LICENSING PAGE THAT WERE CONTINUING TO ADD MORE INFORMATION TO HOME. DO REQUIREMENT IN A FEDERAL BLOCK GRANT TO POST THE RESULTS OF A MONITORING AND INSPECTION VISITS WE DO THAT SLIDE SHOWS OUR CURRENT LICENSING INFORMATION LOOKUP SYSTEM WE’RE MAKING CHANGES TO THAT WE’VE BEEN HAVING MEETINGS WITH STAKEHOLDERS ABOUT WHAT THAT MIGHT LOOK LIKE TRYING TO SHOW THEM WITH SOME OTHER STATES HAVE GONE TALKING ABOUT POTENTIALLY AS TWO PHASES AS WE MOVE INTO SOME OF OUR OWN I-T WORK IN BUILDING OUT A NEW WEB SITE THERE WERE SOME GOOD DISCUSSIONS THIS PAST SESSION ON SOME BILLS THAT HELP TO INFORM OUR WORK AND GIVE US A LAUNCHING PLACE WITH STAKEHOLDERS SO WE’RE HOPEFUL AS WE GO FORWARD AND MEET THE FEDERAL COMPLIANCE WE’RE ENGAGING STAKEHOLDERS IN BUILDING SOMETHING THAT WE THINK IS MORE RESPONSIVE TO SOME OF THE CONCERNS THAT WE HAVE HAD RACED. FOR LICENSING SPECIFIC THE VERY LAST ALTHOUGH IT DOESN’T SHOW AS AN UNDERLYING BUT OUR WEB SITE LICENSING /CHILD-CARE THOSE RESOURCES WE HAVE OUT THERE THINGS THAT TAKE INFORMATION IN BOTH RULE TO ENROLL THE PROGRAMS AND PUTTING IT IN FRIENDLY AS YOU ALLUDED TO SENATOR KIFFMEYER FROM THE FAQ AND GOOD RESOURCES WERE MOVING IN THAT DIRECTION I PRITCHETT YOUR COMMENTS ABOUT EVEN THE FRONT AND WITH OUR APPLICANTS AND HOW WE CAN DO MORE OF THAT HIGH-LEVEL BACKRUB STUDIES WAS ANOTHER KEY COMPONENT RELATED TO THE BLOCK GRANT THERE IS A REQUIREMENT FOR ALL THIS IS FOR ALL NOT RELATED TO JUST IF YOU PARTICIPATE IN C-CAP THIS IS FOR ALL PROVIDERS DELIVERING CHILD CARE SERVICES TO HAVE A WACOUTA ENHANCED BACKGROUND STUDY WE HAVE A BACKGROUND STUDIES SYSTEM

IN PLACE ITS GOVERNED UNDER COURT TO 45 C HUMAN SERVICES BACKGROUND STUDY AT THE START REQUIRES THE FEDERAL NATIONAL BACKGROUND CHECK INCLUDING FBI CURRENTLY WE ONLY DO THAT UNDER LIMITED CIRCUMSTANCES FOR CHILD CARE IF WE HAD REASONABLE CAUSE TO THINK THEY MIGHT HAVE AND ALL STATE RECORD BY AND LARGE CURRENT PROVIDERS AND CENTERS ARE HAVING A STATE BASED BCA BACKGROUND CHECK WE DID MOVE TO A FINGER PRINT BACKGROUND CHECK BACK IN 2015 I BELIEVE THIS WOULD REQUIRE US TO INTERFACE THOSE WITH THE FBI AND OTHER NATIONAL REGISTRIES THERE’S A NEW COST FOR THAT IT IS $40 PLUS A SEPARATE THE FINGERPRINT FEE, WE KNOW THAT WILL BE CHALLENGING WE DON’T HAVE A LOT OF CONTROL OVER THAT WE HAVE TRIED TO ONLY PASS ON WHATEVER THE NEW COST OF DOING THAT THE STUDY IS BUT NOT TRIED TO GO BEYOND THAT. WE CERTAINLY HAVE HEARD FROM PROVIDERS YOU WILL PROBABLY CONTINUE TO HEAR THIS IS A PAIN POINT IF YOU WILL AND WE DON’T WANT TO MOVE AWAY FROM THAT WE DON’T HAVE A LOT OF OPTIONS AT THIS POINT ABOUT THAT. THIS SLIDE I WON’T SPEND A LOT OF TIME ON THIS TELLS YOU THE NEW COMPONENTS OF THE STUDY QUITE HONESTLY IT LOOKS A BRITISH LIKE AN ANIMAL STUDY IF YOU’RE FAMILIAR WITH MORE ENHANCED FBI STUDIES OUT OF HOME PLACEMENTS OR ADOPTIONS THERE ARE FEW PLACES IT GOES BEYOND THAT, BUT IT’S VERY SIMILAR TO THAT AND WE’RE DOING GOES NOW AND ALL STATES HAVE BEEN REQUIRED TO DO THOSE SINCE ABOUT 2007 I BELIEVE IT WILL BE A CHANGE FOR THE PROVIDERS BUT FOR THE STATE SYSTEM IS SIMILAR TO WHAT WE BEEN DOING >> THANKS I JUST HAVE A QUESTION ABOUT THE FIVE-YEAR PART IN THE PREVIOUS OFFICE OF INSPECTOR GENERAL THIS IS A LOT ONE-SHOT THING PEOPLE WORKING IN DIFFERENT DHS FACILITIES TO THIS ONE TIME AND BECAUSE OF THE FBI THINK IT’S GOING TO LIVE UP ITS SOMEONE ROBS A BANK OR SOMETHING. IS THIS THE SAME THING WHY YOU HAVE TO HAVE FIVE YEARS AND NOT DO IT ONCE AND BE DONE AND WAIT FOR TO COME BACK? >> THANK YOU MR. CHARREN MEMBERS THIS FIVE-YEAR PROVISION IS SPECIFIC TO THE CHILD CARE BLOCK GRANT. IT REQUIRES THE STUDY BE DONE AT LEAST ONCE EVERY FIVE YEARS IF THE STATE HAS BEEN PLACED WORKING WITH THE FANS WITH A CALL VERY SAME SORT OF LIKE THE RAP BACK WITH IS A CONTINUOUS LOOP BACK THEN THAN YOU COULD MEET THAT REQUIREMENT AND IT COULD TRULY BE OF ONE HANDGUN. THIS SORT OF THOSE WRINKLES ON THE THOUGHTS THAT COULD TRULY BE A ONE AND DONE WELL FIVE YEARS IS CERTAINLY A HELPFUL EXTENDED TIME FRAME WE ARE TRYING TO UNDERSTAND OR THE FEDERAL SYSTEMS WOULD BE THAT WOULD ALLOW THAT TO TRULY BE THAT ONE AND DON >> WE’RE NOT DOING RIGHT BACK NOW? >> TO CHAIR WE HAVE THAT WITH OUR STATE COURT INFORMATION SYSTEM. COMPLEXITIES OF THIS IS NOW INTERFACING WITH THE FBI AND NATIONAL DATA BASES IN THE CONTINUOUS LOOP BACK WHICH DOESN’T QUITE EXIST AT THIS TIME >> NONE OF YOUR 600 OR 700 I-T PEOPLE WITH MR. KLEIN SARI JUST KIDDING. IT WAS INTERESTING YESTERDAY ABOUT THAT. IT SEEMS IF WE CAN DO IT SUMMER ISSUE HERE AND NOT BURDEN PROVIDERS WITH ONE MORE THING ESPECIALLY AT THE LICENSED HOMES THERE ARE MANY THREE-MINUTE WAIT TO GO TO WHERE THAT TO GO THAT’S JUST MY FEEDBACK. AND THE CENTERS AS WELL THEY’RE CHALLENGED ITS TIME AWAY AND 40 TIMES WHATEVER THE NUMBER IS TURNS INTO MONEY >> THANK YOU MR. CHAIR. WAGNER QUESTION FOR YOU ON THE BACKGROUND STUDY REQUIREMENTS ONE OF THEM I’M SEEING HERE IS AN INDIVIDUAL AT LEAST 13 YEARS OR OLDER WHO RESIDES IN A LICENSED FAMILY CHILD CARE HOME OR LEGAL NON LICENSED CHILD-CARE PROGRAM THIS IS IN A HOME OBVIOUSLY THEY LIVE THERE THIS IS THEIR HOME. 13 YEARS OLD GOING THROUGH A BACKGROUND CHECK JUST BECAUSE THEY LIVE THERE? COULD YOU RESPOND TO FIRST THIS IS A FEDERAL OR STATE REQUIREMENTS AND SOME OF THE JUSTIFICATION FOR WHY YOU WOULD DO THAT? >> SENATOR AND ABELER SENATOR KIFFMEYER THE FEDERAL REQUIREMENT IS FOR 18 YEARS THE 13 YEARS IS HERE IS CURRENTLY IN STATE LAW. WE WENT IN TO THIS FEDERAL CONFORMITY TRYING TO MEET FEDERAL CONFORMITY BUT ALSO DID NOT CHANGE WHAT CURRENT BACKGROUND STUDY REQUIREMENTS ARE. THE 13 YEARS IS CURRENTLY

THERE, THE CHANGE WOULD BE OBVIOUSLY WITH THE NEW FEDERAL REQUIREMENT IT WOULD BE AN FBI STUDY THE CURRENT REQUIREMENTS ARE FOR HOUSEHOLD MEMBERS 13 AND ABOVE >> BUT THAT IS STATE LAW NOT FEDERAL REQUIREMENT AS A CONDITION OF GETTING FUNDING? >> MR. CHAIR IS SENATOR KIFFMEYER THAT A STATE LAW AS PART OF OUR HUMAN SERVICES BACKGROUND STUDIES REQUIREMENTS AS VAN STATE LAW FOR SOME TIME FOR ALL LICENSED FAMILY PROVIDERS >> THANK YOU ALL PUT ON THE RECORD, A COST TO ALL OF THAT IN YOUR FAMILY MEMBERS GOING THROUGH ALL OF THIS AND ALSO PUTS THEM INTO A CRIMINAL SYSTEM. SO IT SEEMS TO ME THIS IS SOMETHING TO MAYBE TAKE A LOOK AT THAT’S WHY I WAS TRYING TO GET WHAT’S THE JUSTIFICATION OF THE TIMES YOU FIND YOU’RE DOING THIS AND A 13 YEAR-OLD IS CRIMINAL OR DANGER TO THE CHILDREN FOR THE COST THAT’S INVOLVED >> MR. CHAIR AND SENATOR KIFFMEYER OF SOMEONE FROM A BACKGROUND STUDIES DIVISION WHO COULD PERHAPS MAKE CERTAIN EVERYTHING AM SAYING IS IN FACT ACCURATE AND CAN HOPEFULLY AMPLIFY SOME OF THAT >> MR. CHAIR AND MEMBERS I’M WITH THE DHS THE BACKGROUND STUDIES DIVISION SENATOR KIFFMEYER OF, WANT TO CLARIFY SOMETHING MISS WAGNER MENTIONED EARLIER THE UP BACKGROUND STUDIES FOR A 13-17 YEAR-OLD SON ARE DO NOT INCLUDE AN FBI CHECK THERE WOULD BE STATE BASED ONLY BUT IT WOULD INCLUDE FINGERPRINT BASED STUDIES SO THERE IS A SLIGHT DISTINCTION THERE BETWEEN THE STUDY FOR A 13-17 YEAR-OLD AS IT’S WRITTEN LAW NOW AND ANY HOUSEHOLD MEMBER 18 YEARS OF AGE AND OLDER. AS MISS WAGNER SAID IT CUT THE 13-17 YEAR-OLD REQUIREMENT HAS BEEN IN STATE LAW AND CONTINUES TO BE UNSTABLE ON THE FEDERAL REQUIREMENT IS A HOUSEHOLD MEMBER 18 YEARS OF AGE AND OLDER >> MR. HARDER SO THE FINGERPRINT PART IS NEW IS THAT THOSE CARRIED INTO THIS THAT’S A NEW FEATURE OF THIS AND WHEN YOU DO FINGERPRINT IS NOT AUTOMATICALLY PUT INTO THE FBI OR IS IT HELD ONLY IN THE STATE? >> MR. CHAIR, THE FINGERPRINTS FOR 13-17 YEAR OLDS ARE A NEW REQUIREMENT THERE IN ADDITION TO WHAT WAS PREVIOUSLY IN PLACE AND IN FACT ALL STUDIES FOR A LICENSE FAMILY CHILD CARE PROGRAMS AND LEGAL NON LICENSED PROGRAMS HAD PREVIOUSLY BEEN NAME AND DATE OF BIRTH BASED ” UNDER WHICH SOME OF THE BE FINGERPRINT BASED SO IT’S A NEW REQUIREMENT FOR EVERYONE IN THOSE HOME-BASED PROGRAMS. TERMS OF THE RETENTION OF THE FINGERPRINTS FOR ANY STATE BASED STUDY THE FINGERPRINTS ARE NOT RETAINED BY DHS OR THE BUREAU OF CRIMINAL APPREHENSION ONCE THE STUDY IS PROCESSED THOSE FINGERPRINTS ARE DESTROYED WE CAN’T KEEP THEM LEGALLY AND WE DON’T HAVE A SYSTEM TO KEEP THEM. STATE LAW REQUIRES WE DESTROY THOSE HOWEVER FOR FINGERPRINTS BETTER SENT TO THE FBI BY THE FBI HAS TOLD US THEY MAY RETAIN THOSE THEY MAY RETAIN THEM IF THEY DO RETAIN THEM THEY’VE TOLD US IT WOULD RETAIN THEM FOR THE PURPOSE OF COMPARISON WITH LATENT FINGERPRINTS SO FROM YOUR PRINTS LEFT AT CRIME SCENES THAT HAVE NOT BEEN SOLVED >> ONCE THEY GET THEM THEY DON’T GIVE THEM UP >> MR. CHAIR IS SENATOR KIFFMEYER OBVIOUSLY WHAT I WANT TO BE CERTAIN WE’RE CLEAR INTENT OF THE FINGERPRINTS I HEAR YOUR CONCERN ABOUT GOING INTO THE 13-17 AGE BUT ON FOR CHALET THERE INSTANCES WHERE THERE IS SEXUAL MISCONDUCT THAT HAPPENS EVEN AT THAT AGE AND TRYING TO GET TO THAT 13-17 IS OLD ANOTHER SETTING THEY’RE RUNNING A BUSINESS IT’S IN THEIR HOME IF OTHER FAMILY MEMBERS THAT THERE AND WE DO HAVE ON FORTUNATELY TIMES WHEN THERE IS SOME CRIMINAL PERPETRATING BY A TEENAGE FAMILY MEMBER IN THAT HOUSEHOLD WE HAVEN’T FOR YOUNGER PEOPLE UNFORTUNATELY IT’S NOT, AND IT’S NOT, METAL I DON’T MEAN TO IMPLY THAT BUT IT DOES HAPPEN AND WE HAVE TO HAVE SOME BALANCE FOR PEOPLE WERE IN HOMELIKE SETTING WHERE IT CAN BE MORE RELAXED AND PEOPLE ARE COMING AND GOING AND ACKNOWLEDGING THAT. WE HAVE TO FIND THAT BALANCE OF HEALTH AND SAFETY AND I BELIEVE THAT IS WHAT THE STATUTE IS TRYING TO DO FOR SEVERAL YEARS NOW AT THE STATE LEVEL AT THE 13-17 AGE >> AND VERY ENLIGHTENING DISCUSSION THANK YOU MR

HARDER. PLEASE GO AHEAD MISS WAGNER >> WE CAN SPEND SOME ADDITIONAL TIME IF PEOPLE WANT THERE’S A FEW OTHER PLACES THE FEDERAL LAW TRIES TO GET INTO THE DISQUALIFICATIONS AGAIN WE TRIED TO STAY VERY FOCUSED AT WHAT CHANGES WE WILL NEED AND OUR BACKGROUND STUDY TO MEET THE FEDERAL REQUIREMENT ONE OF THEM DOES HAVE TO DO WITH A NEW PERMANENT DISQUALIFICATION THAT WOULD APPLY ONLY WITHIN THE TROUT CARE PROVIDER. WOULD NECESSARILY A PACK SOME IF THERE WERE MOVING INTO A DIFFERENT PLACE THAT THEY WOULD STILL NEED A BACKGROUND STUDY >> CRIMES OF THOSE? >> WILL HAVE MR. HARDER ANSWER >> I’M ALWAYS INTERESTED IN THE PERMIT BARRING >> MR. CHAIR AND MEMBERS TO THE FEDERAL CHILD CARE BLOCK GRANT SPECIFICALLY DELINEATED NEW PERMANENT DISQUALIFICATION FOR CHILD-CARE PROGRAMS AND LEGISLATION THAT PASSED IN 2017 ADOPTED THOSE PERMANENT DISQUALIFICATION FOR CHILD CARE ONLY PROGRAMS. SOME OF THE DISQUALIFICATIONS WERE ALREADY AT THE FEDERAL LEVEL WERE ALREADY IN STATE LAWS AS A DISQUALIFICATION BUT NOT PERMANENT BARS FOR SELECT CRIMES THERE WERE ELEVATED TO PERMANENT BARS. EITHER THIS YEAR I COULD READ THROUGH ALL FOR EXAMPLE FOR EXAMPLE, A FELONY CONVICTION FOR ASSAULT IN THE THIRD FOURTH DEGREE WAS NOT A PERMANENT PART BUT WILL BE A PERMANENT BAR FOR CHILD CARE PROGRAMS, A FELONY CONVICTION FOR A PERSON IN THE SECOND THIRD DEGREE WAS NOT A PERMANENT PART BUT WILL BE A PERMANENT BAR FOR JAVA CARE PROGRAMS. ANY CONVICTION SUCH AS THE SOLE TO THE FIFTH DEGREE OR DOMESTIC ASSAULT WAS NOT A PERMANENT PART BUT WILL BE A PERMANENT PART FOR CHILD-CARE PROGRAMS >> ENTER THINK I’LL LEAVE IT AT BAT 516 QUESTIONS BUT I WOULD ASK NOW ANYONE ELSE ON THIS TOPIC? >> MR. CHAIR AND MEMBERS BACKROADS STUDIES ALONG WITH LICENSING DIVISION HAS BEEN DOING SOME OUT REACH SESSIONS GOING TO CONFERENCES AND PRESENTING ALSO GOING TO PROVIDER GROUPS ACROSS THE STATE WE ARE TRYING TO CONTINUE TO INFORM EVERYONE ABOUT WHAT THE CHANGES ARE. THERE IS NO OFFICIAL PRESS TO BE SOME SYSTEMS WORK BOND ON THE I-T CONVERSATIONS THERE ARE SOME SYSTEMS WORK THAT NEEDS TO BE DONE SO THE STATUTE ALLOWS THE COMMISSIONER TO DEVELOP AN IMPLEMENTATION PLAN FOR WHEN THESE NEW CHANGES AND STUDIES WOULD BE REQUIRED. WE INTEND TO BE VERY COMMUNICATING WITH PROVIDERS WOHLMAN ADVANCE BOOKING A CAPACITY FOR WHERE THEY WOULD GET FINGERPRINTS DONE TRYING TO BE VERY THOUGHTFUL AS WE GO TO ROLL THIS OUT >> ERIC A LOT OF PLACES WE CAN GET FINGERPRINTS DONE >> MR. CHAIR AGAIN PATRICK CARTER FROM DHS THERE’S A CURRENT STATE WIDE INFRASTRUCTURE NOW FOR FINGERPRINT COLLECTION FOR THE FINGERPRINT BASED STUDIES THAT DHS DOES RIGHT NOW WE DO FINGERPRINTS’ >> THE PRICES ARE THERE? >> IS ABOUT SEVEN YEARS OF THE FIVE LOCATIONS ACROSS THE STATE AS PART OF THE CHILD CARE CHANGES WE ESTIMATE ABOUT 120,000 CURRENT CHILD CARE PROVIDERS THAT WOULD NEED HAVE A BACKGROUND STUDY. WE’RE KIND OF RETHINKING HOW THE FINGER PRINT INFRASTRUCTURES . WORK ACROSS THE STATE UNDERSTANDING WERE GOING TO NEED DRASTIC MORE CAPACITY AND ITS PRIORITY FOR US TO MAKE SURE THEY ARE ACCESSIBLE A PROVIDER WILL HAVE TO DRIVE SEVERAL MILES ROUND- TRIP TO GET FINGERPRINTED THEY CAN GO TO THE COUNTY OFFICE AND GET FINGERPRINTED FOR EXAMPLE >> AND AS LONG FORSSMANN PLACES AS WELL MY HOPE IS YOU MEAN REALLY WELL, IN THE OVERSIGHT YOU’D DO AND WE’VE DISCUSSED SOME PEOPLE DON’T NEED ANY OVERSIGHT THEY’RE COMPLYING THEIR OWN MODELS AND HAVE TO DO ALL THIS BECAUSE SOME PEOPLE IN THIS BEHAVIOR AND AS DEKRUIF YOUR POLICIES AND IMPLEMENT THEM ALATAS STUFF CAME IN LATE AS PART OF A FINAL AGREEMENT SO I’M REMINDING YOU WILL HAVE ENOUGH PEOPLE PROVIDING CHILD CARE AS IT IS NOW AND MAKE REALLY HARD FOR A PERSON WHO’S REALLY A GOOD PERSON TO DO IT YOU’RE GOING TO GET LAST IN ORDER AND HAVE MORE IT’S A BALANCE AND WE WANT TO PROTECT BUT YOU ALSO HAVE TO ALLOW SERVICE SENATOR KIFFMEYER >> THANK YOU MR. CHAIR AND I APPRECIATE THAT FINAL, BECAUSE AS I WAS SITTING HERE THAT’S WHAT I WAS THINKING AS WELL. IN

A LITTLE BIT TOO RECENTLY AND THE SENSE THAT EVERY PASSENGER IS TREATED AS A POTENTIAL TERRORIST KILLER PROBLEM. YOU GO TO THE PROCESS BECAUSE HE TO FLY BUT IT’S REALLY OFFENSIVE TO BE LOOKED AT ASKANCE AND BEING WONDERED ABOUT YOUR BOTTLE OF WATER OR YORK 5 OUNCES OF HAIR SPRAY INSTEAD OF THE LEGALLY ALLOWED A 4 OUNCES TO GET ON A PLANE OR WHENEVER IT DOES. IS JUST THE GENERAL TONE OF LOOKING ASKANCE AND DEALING WITH FAT AND WE UNDERSTAND THERE’S THE 1 PERCENT BUT THE 99 PERCENT ARE PAYING FOR THAT AND LIVING UNDER THAT KIND OF A CLOUD ON A ROUTINE BASIS. I APPRECIATE YOUR COMMENTS AND I KNOW YOU DEAL WITH SOME OF THOSE THINGS BUT FOR REGULAR FOLKS IT JUST GETS TO THE REALLY OLD AUNT LIVING UNDER THAT. I THINK IT SHOULD BE KEPT IN MIND >> THAT’S WELL SAID I KNOW YOU KNOW THAT THAT’S THE BALANCE I THINK THIS IS PRODUCTIVE I PRITCHETT THE TESTIMONY IT’S VERY GOOD WORK. THREE MORE WITNESSES IS ONE OF THE ALL COME DOWN TOGETHER MS. SANFORD BHARTI WAHI AND MISS SEYDEL IF YOU WANT TO COME DOWN. THAT WILL SAVE US TRANSIT TIME. WE WILL GO AND ORDER THAT YOU ARE LISTED. I LIKE THE PANEL SO YOU’RE NOT LONELY >> THIS IS MORE LIKE A BIG DINNER CONVERSATION AND RAPPER FIRE SPEECHES HERE. THANK YOU MR. CHAIR ON CLARE SANFORD I REPRESENT THE MINNESOTA CHILD CARE ASSOCIATION A STATEWIDE ASSOCIATION OF ABOUT 250 LICENSED CHILD-CARE CENTERS IN MINNESOTA. FIRST I WOULD LIKE TO EXPRESS OUR GRATITUDE THE GRATITUDE OF THE KIDS CAN’T WAIT COALITION OF WHICH WE REMEMBER AND MANY OTHERS ON THE STEPS FORWARD FOR THE C-CAP LAST SESSION WE WERE THRILLED THAT MOST OF THE PACKAGE OF THE FAMILY FRIENDLY WILL CALL THE FAMILY FRIENDLY REFORMS FEDERALLY REQUIRED WERE PASSED IN ARE BEING IMPLEMENTED THIS FALL AND WINTER. THOSE OF THE THINGS YOU HEARD ABOUT FROM ASSISTANT COMMISSIONER KOPPEL THE 12 MONTH AUTHORIZATION AT A STABLE COPAYS THE STAY, THE CHILD CARE FOR ACTIVITIES CHILDREN WILL STABILIZE PARENTS WILL STABILIZE THESE ARE GREAT STEP FORWARD WE’RE GLAD THAT MINNESOTA IS COMING INTO COMPLIANCE WITH THOSE FEDERAL REGULATIONS. ALSO LIKE TO POINT OUT SOMETHING THAT HASN’T BEEN DIRECTLY MENTIONED I ALSO LIKE TO GIVE OUR THANKS TO THE LEGISLATURE ON THE DEVELOPMENT OF SOMETHING CALLED THE FIX IT TICKET IN CHILD CARE LICENSING WHICH PASSED LAST SESSION. WE DANCED AROUND I KNOW SENATOR HOFFMAN IS BROUGHT SOME OF THIS UP THE RELATIONSHIP BETWEEN LICENSERS AND PROGRAMS AND CONSISTENCY AMONG SETTINGS AND A FIXED PACKETS ARE SOMETHING WE HOPE WILL REALLY CONTINUE THE MOVE THE DHS THE PAST DHS HAS BEEN DONE TO MOVE TO MORE PARTNERSHIP ROLL WITH CHALKER PROVIDERS AND ONE THAT FEELS LESS PUNITIVE SO THICK PACKETS WILL ALLOW A CHALKER PROVIDERS INSTEAD OF GETTING A FULL VIOLATION OF THESE TO BE POSTED ON WALLS AND ALL THIS STUFF, IT’S A MINOR THING IT DOESN’T IMPACT HEALTH AND SAFETY BILL GET A TICKET TO GET THE BE ABLE TO FIX IT WITHIN 48 HOURS AND MOVE ON SO WE’RE VERY THANKFUL FOR THAT AND LOOK FORWARD TO CONTINUING TO WORK OF DHS AND WHAT QUALIFIES FOR A FIX IT TICKET. ALSO THANKS TO THE LEGISLATURE PAYING ATTENTION TO JOHN CARROLL LAST TWO YEARS THE LEGISLATURE SPENT A LOT OF TIME AND ENERGY ON THIS ISSUE THE OFFICE OF ALLEGIS SAID AUDITOR’S WORKING ON THIS ISSUE AS WE SPEAK AND ALL WHOLE LOT OF ATTENTION IS BEING PAID TO THE CRITICAL ROLE CHILD-CARE PLACE IN OUR STATE ECONOMY BEGAN. FIND A BUSINESS WITHOUT HELP WANTED SIGN ACROSS THE STATE OF MINNESOTA AND YOU CAN FIND PLENTY OF BUSINESS IS FEELING THE STRAIN OF NOT HAVING A CHILD CARE FOR THEIR WORKERS I THINK IT SPEAKS VOLUMES THE MINNESOTA CHAMBER OF COMMERCE FOR THE FIRST TIME LAST YEAR PUT CHILD- CARE ASSISTANCE IN ITS EDUCATION WORKFORCE PLATFORM IT WAS NOT SOMETHING A PREVIOUSLY ADVOCATED BECAUSE THEY’RE HEARING STATEWIDE FROM THEIR EMPLOYER MEMBERS SAYING WE CAN’T HIRE A CAN EXPAND THIS IS A REAL PROBLEM. IT’S ALSO GOOD TO KEEP THE FOCUS ON EARLY CHILDHOOD SOLUTIONS THAT ALLOWS PARENTS TO WORK THERE IS DATA THAT CAME OUT THIS WEEK FROM A NATIONAL SURVEY OF CHILDREN’S HEALTH WHICH FOUND

IN MINNESOTA IN 2016 OVER 30,000 PARENTS ALTERED THEIR EMPLOYMENT ARRANGEMENTS TO THEIR ECONOMIC DETRIMENT BECAUSE OF CHILD CARE ACCESS AND AFFORDABILITY CHALLENGES AS 30,000 PARENTS IN THE STATE OF MINNESOTA WHO LEFT THE WORK FORCE REDUCED THEIR PRODUCTIVITY TURNED DOWN PROMOTIONS RAISES BECAUSE OF HOW THE SYSTEM IS NOT WORKING FOR FAMILIES. YOU’RE GLAD CHILD CARE IS BEING VIEWED TO THE ECONOMIC PLANS AS WELL AS THE GENERATION SUPPORT THAT SUPPORTS THE WORK FORCE OF TODAY END OF TOMORROW NOW WE NEED TO FINISH THE JOB ON THE ASSISI D B G COMPLIANCE AS THE ASSISTANT COMMISSIONER KOPPEL STATED THE CHILD-CARE ASSISTANCE REIMBURSEMENT RATES ARE HUGE AND ARE STILL A REQUIREMENT WE DO SOMETHING WITH THEIR BIG TICKET ITEM BUT THEY’RE INCREDIBLY IMPORTANT AND WE NEED TO FINISH THE JOB OF COMING INTO COMPLIANCE WITH THOSE IN ADDITION TO THE HOMELESS EXPEDITED PROVISIONS MOBILITY AMONG COUNTIES MAKING THE PROGRAM WERE FOR THE REALITIES OF OUR WORKFORCE IS INCREDIBLY IMPORTANT. INCREASING THOSE PROVIDER RATES AS ITS CENTER DOOR WAS STILL HERE I MISSPOKE MYSELF LAST SESSION AND HE GOT UPSET BECAUSE I TREATED SOMETHING TO TIME HE WAS CHAIRING SOMETHING I SAID NO MSRS SAID THE WRONG YEAR I DIDN’T MEAN IT SO I WANTED TO PROMISE AND I WOULD EVER MISTAKE THAT YEAR AGAIN. AS YOU’VE HEARD CHILD-CARE REIMBURSEMENT RATES DID USED TO BE IN THE 7 1/5% WHICH IS WHAT THE FEDERAL LAW DOES NOT MANDATE BUT SAID IS THE STANDARD TO ENSURE ACCESS FOR FAMILIES OF LOW INCOMES AND IN 2003 THOSE RATES WERE SLASHED IN MINNESOTA AND IT’S SHAMEFUL WE KEEP TALKING ABOUT HOW NEED TO INCREASE QUALITY AND INCREASE EDUCATION AND TRAINING FOR PROVIDERS WHICH ARE GOOD THINGS BUT WE STILL ARE NOT ABLE IN MANY CASES TO PAY THEM A WAGE THAT ALLOWS THEM TO LIVE WITHOUT RELYING ON PUBLIC ASSISTANCE PROGRAMS AND C-CAP RATES ARE A BIG PART OF THAT. I WISH SENATOR RELPH WAS STILL HERE BECAUSE I’VE EXPERIENCED IN SARTELL RECENTLY IN HIS AREA WHERE I WAS IN A CHILD-CARE CENTER AND WAS A STAFF MEMBER WHO WAS IN TEARS SAYING I HAVE MY BACHELOR’S DEGREE AND MY PARENTS SAY WHY THE WORK IN CHILD CARE WHILE? IF YOU GO WORK SOMEWHERE ELSE YOU COULD MAKE SO MUCH FOR TO KEEP TELLING MY PARENTS THIS IS WHAT I WANT TO DO THIS WERE A KID HOME BUT LITERALLY THE (A QUICK TRIP ACROSS THE STREET AND ARE ADVERTISING STARTING WAGES MORE THAN I’M MAKING NOW IT ENACTED BEFORE THAT YOUR THAT HAVE THE SAME RESPONSIBILITIES I DO IT’S A REAL BURDEN ON PROVIDERS BOTH TO STAY IN THE FIELD AND INTO THE FIELD PROVIDERS CAN’T CHARGE MORE BECAUSE PARENTS CAN’T AFFORD MORE AND STAFF CANNOT MAKE LAST SO THESE REIMBURSEMENT RATES MATTER IS THE MATTER TO PARENTS WHO NEED CHOICES THEY MATTER TO A VERY DIVERSE AND OVERWHELMINGLY FEMALE WORK FORCE MUCH MORE DIVERSE THAN THE KATE 12 SYSTEM AND THE MATTER TO KIDS WHO DESERVE TO BE IN THE PROGRAMS THAT MEET THEIR FAMILY NEEDS FOR CULTURAL RESPONSIVENESS CALLED A LOCATION SCHEDULE AND ALL THOSE THINGS. I WILL SAY MUCH ABOUT FRAUD PREVENTION WE ALL HAVE DECIDED ONE LIKE FRAUD LIKE PREVENTING IT CONTINUE ON. I ALSO WANT TO MENTION THE POSITIVE SUPPORT TO RULE AS AN UNFINISHED BUSINESS FROM A SESSION. RISTAU BEEN IN EFFECT FOR OVER TWO YEARS AND WOULD INTO EFFECT IN AUGUST OF 2015 AND FOR THE LAST TWO SESSIONS THE CHILD-CARE ASSOCIATION HAS PRESENTED A BILL TO EXEMPT LICENSED CHILD-CARE PROVIDERS AND FAMILY AND A CENTER BASE FROM THE TRAINING REQUIREMENTS OF THIS AND NOT BECAUSE WERE EVIL PEOPLE AND WANT TO DO THAT THINGS TO CHILDREN WITH DISABILITIES IS BECAUSE WE FEARED NEGATIVE CONSEQUENCES THE TRAINING REQUIREMENTS ARE SO BURDENED SOME PORK WAS PROBABLY A VERY TINY SEGMENT OF THE POPULATION WE SERVE AND THE TRAINING DOESN’T MATCH WE DO IN EARLY CHILDHOOD AS MORE FOCUSED ON ADULTS. WE HAVE BEEN WORRIED THAT HAVING TO MEET THOSE REQUIREMENTS WOULD CAUSE A DECREASE IN ACCESS TO CHILD CARE SERVICES FOR CHILDREN WHO ALREADY FACE CERTAIN DISABILITIES AND ARE COVERED BY THIS RULE. WE’VE BEEN WORKING WITH DHS TO FIND WAYS TO MAKE THE RULE MAKES SENSE FOR CHILD CARE WILL GET TO BE SUCCESSFUL IT’S NOT FOR LACK OF TRYING ON BOTH SIDES THE PROVIDER SIDE AND DHS WE HAVE BEEN WORKING A LOT ON THE BILL IS TO DECIDE TO TRY AND FIND OTHER FLEXIBLE THESE ARE THE THINGS WE CAN DO TO MAKE THIS MAKE SENSE? ALREADY SEEING NEGATIVE CONSEQUENCES ARE SUFFICIENT A BOARD MEETING ON TUESDAY MORNING OF THIS WEEK AND FOR SEVERAL PROVIDERS OR THE SAD IF A PARENT COMES TO ME AND ASKED A QUESTION AND SAY THE CHILD IS COVERED BUT WILL WE SAY NO I’M SORRY WE CAN’T SERVE YOU. WE’RE SHUTTING THOSE FAMILIES HOW. BECAUSE WE CAN’T HAVE A LIABILITY OF ALL THE TRAINING THAT DOESN’T RELATE TO WHAT WE DO PROVIDERS ARE UPSET PARENTS ARE UPSET THE RULES INTENDED TO PROTECT CHILDREN WITH DISABILITIES BUT THE UNINTENDED CONSEQUENCES IS CAUSING THEM AND FAMILIES TO FACE THESE ADDITIONAL CHALLENGES AND LACK OF ACCESS LAUGHTER AND A BIPARTISAN AMENDMENT IN THIS

BODY SENATOR AND ABELER SENATOR HOFFMAN WHICH WOULD EXEMPT IT CHALKER PROVIDERS FROM THE RECORDS BUT ALSO ADD SOME ADDITIONAL LANGUAGE THAT MADE IT CLEAR THE CHALKER PROVIDERS COULD NOT DO CERTAIN THINGS WITH CHILDREN COVERED BY THE RULE. WE WANT TO REMOVE THE BURDEN FROM CHALKER PROVIDERS BUT ALSO MAKE VERY CLEAR TO PARENTS AND THE PUBLIC WE WOULD NOT DO CERTAIN THINGS IT RULED STRUNT BRABANT UNFORTUNATELY THAT DIDN’T PASS IN THE END. WE HAVE TO FINISH THE JOB ON RATES WE HAVE TO WORK ON THE SUPPORT RULES THANKS FOR FIXING TICKETS THANKS FOR FAMILY FEMIC REFORMS FOR C-CAP IT COULD BE BACK TO WORK >> THANKS BILL SANFORD THAT WILL IT CHANGE SET ME AND I DON’T KNOW WHERE I A LOT APPRECIATION FOR DHS AND I WANT KIDS TO BE SAFE AND WANT PEOPLE WITH SPECIAL NEEDS TO BE LOOKED AFTER, AND TREATED WE ALL KNOW BUT SOME THINGS ARE MADNESS I THOUGHT WE OF A GOOD SOLUTION AND A DUG-IN AND WILL REVISIT THAT HOT ” WE WILL LOSE MORE CHOWDER PROVIDERS OF THAT THAT’S THE POINT MADE IN THE LAST TWO DAYS. MAKE IT SENSIBLE MAKE REASONABLE AND OK SENATOR HOFFMAN WITH TO KEEP MOVING EKEN SEYDEL >> THE FIGHT TO SET UP ONE QUESTION. BACK IN 1974, COMMITMENT TO KEEP WORKING ON IT BECAUSE I KNOW THE INTENT OF WHY THE SETTLEMENT AGREEMENT OCCURRED IN THE CROSS SECTIONS THAT OCCUR BECAUSE OF U.S FEDERAL JUDGE HERE IS THE BEST U.S. FEDERAL JUDGE IN UNITED STATES I WILL SAY THAT BUT MY QUESTION TO YOU IS, YOU IF YOU LOOK OF A CHILD CARE SPACE, USE ARE WE TALKING ABOUT HERE THE POTENTIAL OF THE USE ARE WE TALKING ABOUT AFFECTED BY THAT AND THEN WILL GO WITH THAT AND KEEP WORKING ON WHAT WE NEED TO WORK ON >> TO CHAIR SENATOR HOFFMAN WE DON’T KNOW EXACTLY BUT WE THINK WE’VE BEEN TOLD UNIVERSE IS PROBABLY VERY SMALL AND WE’VE DONE SOME OF OUR INTERNAL SURVEYS CONGRESSIONAL PROCESS OF DOING THAT NOW ONE OF OUR LARGE MEMBER PROVIDERS. WE DELIBERATELY SURVEYED PARENTS OF CHILDREN WITH SPECIAL NEEDS AT CERTAIN PROVIDERS THAT THE SCHOOL DISTRICTS ACTUALLY REFER CHILDREN WITH HIRE NEEDS TO BECAUSE THEY’RE KNOWN AS PROVIDERS SETTER ABLE TO WORK WITH THESE CHILDREN AND FAMILIES VERY WELL AND WE THOUGHT AND WE DID THAT WE MIGHT FIND OK HANDFUL OF THE CHILDREN ARE COVERED BY DEPOSIT OF SUPPORT TO RULE SO FAR WE’VE ONLY DONE THIS FOR THE DISSENTERS NOT STATEWIDE ASSOCIATION WIDE, WHEN PARENTS WERE ACTUALLY ASKED WITH THE SPECIFIC LANGUAGE IN STATUTE ABOUT THAT QUALIFIES SOMEONE FOR THE POSITIVE SUPPORT THROAT MAN OF THE CHILDREN SO FAR THAT WE’VE ASKED WHO HAVE SIGNIFICANT SPECIAL NEEDS HAVE QUALIFIED FOR POSITIVE SUPPORT ROLE SO THAT MAKES US THINK EVEN MORE SO THIS IS A REALLY BIG IS A VERY SMALL UNIVERSE ESPECIALLY IN THE BIRTH THROUGH FIVE SPACE THESE ISSUES ARE OFTEN IDENTIFIED LATER IN LIFE BUT IT’S A VERY BIG RESPONSE TO A VERY TINY PROBLEM IF FEELS LIKE TAKEN BY THE ANTIBIOTICS FOR A SET LIKE THEY’RE I SAY ALL SORTS OF STUFF I KNOW [LAUGHTER] I TALKED ABOUT WAS ON THE LAST SESSION >> YOU I APPRECIATE THAT >> GOOD AFTERNOON CHAIR MEMBER ABELER IS OF A COMMITTEE I’M BHARTI WAHI EXECUTIVE DIRECTOR OF CHILDREN’S DEFENSE FUND MINNESOTA THANK YOU FOR THE OPPORTUNITY TO TESTIFY TODAY TO CONNECT WITH YOU BEFORE THE PRE SESSION ALSO STARTS. CHILLED AS DEFENSE FUND MINNESOTA HAS BEEN ALL LONGTIME PROPONENT OF AFFORDABLE AND ACCESSIBLE NURTURING AND RELEVANT HIGH- QUALITY CHILD CARE THAT’S BECAUSE WE BELIEVE IT’S A TO GENERATION APPROACH THAT HELPS PARENTS GET TO WORK AND HELPS BABIES IN KIDS DEVELOP IN A FUN AND SAFE ENVIRONMENT. CLEAR REFERENCE TO TODAY THE INFORMATION THAT WAS RELEASED ABOUT FROM A NATIONAL SURVEY AND CHILDREN’S HEALTH 30,000 MINNESOTANS HAVE TO MAKE REALLY DIFFICULT CHOICES ABOUT JOBS AND ABOUT WORK BASED ON THE AVAILABILITY OF CHILD CARE BOTH ITS AFFORDABILITY AND ACCESSIBILITY AND ON THE STATE IT’S CRITICAL WORKFORCE ISSUE AT A CRITICAL CHILD DEVELOPMENT ISSUE AND WE THINK WE’RE GRATEFUL TO YOUR TODAY TALKING ABOUT THIS AND HOW IMPORTANT THINK WE THE CHILD-CARE ASSISTANCE PROGRAM FOR C-CAP IS A LITTLE TO REDUCE THE COST TO HELP CHILD CARE FOR THOUSANDS OF HARD-WORKING LOW-INCOME FAMILIES ACROSS THE STATE IS AN

OPPORTUNITY THAT HELPS FAMILIES AFFORD CHILD CARE AND HELPS TO SUPPORT THE SYSTEM OF CHILD CARE OVER ALL IN WHICH MINIMUS PARTICIPATE. ON BEHALF OF THE CHILDREN’S DEFENSE FUND AND AS A MEMBER OF THE VOICES ADDRESSES COALITION AS WELL AS THE KIDS CAN’T WAIT COALITION WON A THANK YOU FOR PASSING THE FAMILY FRIENDLY PROVISIONS LAST SESSION BATTLE LINE THE PROGRAM WITH FEDERAL REQUIREMENTS AND NATIONAL BEST PRACTICES. WE ALSO KNOW AS REMOVING TO THE 28 TEAM THAT IS A DECISION THERE’S MORE TO BE DONE MANY FOLKS HAVE REFERENCE THAT I ALSO WANT TO THROW OUR SUPPORT ONTO ON FINISHED ELEMENTS OF THE FEDERAL FAMILY FRIENDLY PROVISIONS WE WOULD LIKE TO SEE DONE FIRST TO ONE MAKE SURE THOSE PROVISIONS SETTER RELATED TO HELPING AND SUPPORTING HOMELESS CHILDREN ARE PUT IN PLACE SO THEY CAN INCREASE THE CONNEXUS TO HIGH- QUALITY LEARNING OPPORTUNITIES EARLY BECAUSE WE THOSE KIDS NEED MORE THAN MOST AND ALSO HELPS STABILIZE THE FAMILY TO MOVE TO GREATER ECONOMIC STABILITY. ALSO WANT TO PUT IN A PLUG FOR THE INCREASED REIMBURSEMENT RATES I HAVE CRISSCROSSED THE STATE OF MINNESOTA THIS LAST FIVE MONTHS I’VE TALKED TO BUSINESS LEADERS IN DAWSON MINNESOTA AND I’VE TALKED TO CHILD-CARE PROVIDERS IN MOUNTAIN IRON AND THE CHALLENGE OF THE BUSINESS MODEL FOR CHILD-CARE PROVIDERS IS A SIGNIFICANT AROUND THE STATE PART OF THAT IS BECAUSE WE ARE NOT ABLE TO FUND THE SYSTEM APPROPRIATELY AND IT HAS RIPPLES ACROSS OUR COMMUNITY IMPACTS OUR BUSINESS COMMUNITY AND IMPACTS OTHER CHILD CARE PROVIDERS IMPACTS OTHER FAMILIES EVEN IF YOU DON’T RECEIVE C-CAP. CHILD CARE SYSTEM IS AN ECOSYSTEM AND WHEN YOU START AND YOU PART OF THAT ECOSYSTEM IT RIPPLES OUT TO ALL OF US WE WOULD ENCOURAGE YOU TO LOOK AT THE 75TH PERCENTILE AS A CRITICAL WAY TO THINK ABOUT REIMBURSEMENT AT A MINIMUM TO LOOK OF A FEDERAL REQUIREMENT THAT WOULD TIE THE RATE TO THE LAST BIENNIUM SURVEY. FINALLY I THINK I’D BE REMISS TO NOT TAKE THE OPPORTUNITY TO MAKE A PLUG FOR MORE FULLY FUNDING OUR C-CAP PROGRAM HERE IN THE STATE EVERY DAY BETWEEN FOUR AND 5000 FAMILIES WERE ELIGIBLE FOR THE PROGRAM ARE UNABLE TO TAKE ADVANTAGE OF ITS MANY MORE NEVER EVEN APPLY BECAUSE THEY KNOW VERY LITTLE CHANCE OF GETTING AT. IN A TIME WHEN WE SEE PEOPLE LEAVING THE FIELD AND WE SEE PEOPLE UNABLE TO WORK AND WE SEE I HEAR FROM BUSINESS LEADERS WHO ARE TELLING THEIR STAFF TO BRING A BASSINET TO WORK BECAUSE THEY KNOW THAT EMPLOYE IS STRUGGLING WITH CHILD CARE I THINK WE CAN DO BETTER AND SUPPORTING THIS C-CAP PROGRAM IS AN EFFORT IN MAKING OUR MORE ROBUST SYSTEM FOR STATE. IN CONCLUSION I THINK ITS COIN TO TAKE BOLD ACTION AND LEADERSHIP FOR ALL OF US PARTICULARLY YOU AND WE STAND READY TO WORK WITH OUR COLLEAGUES HERE AT THE STATE CAPITAL TO MAKE THAT HAPPEN THANK YOU >> THANK YOU VERY MUCH AND MISS SEYDEL JUST BECAUSE YOUR LAST DOESN’T MEAN YOU’RE THE LEAST IN IMPORTANCE WERE EAGER TO HEAR YOUR THOUGHTS. I THINK THIS CONVERSATION IS GOING TO SPILL OVER INTO OUR NOVEMBER TIME AS WELL PLEASE TELL ME WHAT’S ON YOUR MIND >> THANK YOU CHAIR AND ABELER SENATORS FOR BEING HERE AND TESTIFYING ON BEHALF OF THE MINNESOTA ASSOCIATION OF CHILD CARE PROFESSIONALS. A YEAR AGO I CAME HERE AND TESTIFIED IN FRONT OF THE TASK FORCE ON SEVERAL OCCASIONS AND WAS CHARGED WITH ADDRESSING THE CHILD-CARE SHORTAGE IN MINNESOTA. MYSELF AND MANY OF CHALKER PROVIDERS TESTIFIED ABOUT ENFORCEMENT INCONSISTENCIES AND FREQUENTLY CHANGING INTERPRETATIONS OF RULE IN STATUTE BY THE DEPARTMENT’S SERVICES REDUNDANT AND UNNECESSARY PAPERWORK OVERREGULATION AND LACK OF COMMUNICATION BY THE DHS TO FAMILY CHILD CARE PROVIDERS IT’S BEEN A YEAR AND I WISH I WAS HERE TO TELL YOU THINGS HAVE IMPROVED. UNFORTUNATELY THESE ISSUES HAVE CONTINUED TO WORSEN SINCE THE TESTIFIED LAST YEAR AND BASED ON THE MEMBERS DHS GAVE THE TASK FORCE WE LOST ALMOST A THOUSAND FAMILY CHILD CARE PROVIDERS SINCE THEN ON TOP OF THE THOUSANDS WE’VE LOST OVER THE LAST SEVEN YEARS. WE HAVE LOST 211 PROVIDERS JUST SINCE THE SESSION ENDED. ALTHOUGH DHS WAS REQUIRED BY LEGISLATION LAST YEAR TO COMMUNICATE CHANGES IN A TIMELY MANNER FAMILY CHILD CARE PROVIDERS ARE STILL WAITING FOR ANY COMMUNICATION ON THE SIGNIFICANT CHANGES THAT WERE MADE BEHIND CLOSED DOORS AND WITHOUT INPUT FROM FAMILY CHOWDER PROVIDERS LAST SESSION LAST YEAR WHEN MANY CHALKER PROVIDERS AND MYSELF TOOK TIME OFF TO TESTIFY BEFORE THE LEGISLATIVE TASK FORCE IN REGARDS TO THE STRUGGLES OF A LAST SEVEN YEARS WE WERE SO OPTIMISTIC POSITIVE CHANGES WOULD BE NAMED SO PROVIDERS WILL OPEN THEIR HEARTS AND HOMES TO MINNESOTA CHILDREN COULD REMAIN

IN BUSINESS AND MINNESOTA FAMILIES WOULD HAVE VIABLE ALL THE OPTIONS FOR CHILD-CARE. THE BIPARTISAN TASK FORCE RELEASED DOZENS OF COMMON SENSE RECOMMENDATIONS THAT COULD HAVE HAD AN ENORMOUS POSITIVE IMPACT SADLY ONLY A HANDFUL OF THESE RECOMMENDATIONS WERE EVEN INTRODUCED AND OUT OF THOSE VERY FEW WERE PASSED. INSTEAD A REFORM THAT MINNESOTA NEEDED TO ADDRESS THE GROWING CHILD CARE CRISIS MINNESOTA FAMILY CHILD- CARE PROVIDERS FOUND THEMSELVES WITH MORE REGULATION MORE UNNECESSARY PAPERWORK MORE HOOPS TO JUMP THROUGH A MORE TRAINING REQUIREMENTS THEN THEY HAD LAST YEAR WHEN THEY WERE HERE TELLING YOU LAWMAKERS IT WAS TOO MUCH IT’S WORSE IS NEARLY ALL OF THESE CHANGES WERE MADE AT THE END OF THE SESSION BEHIND CLOSED DOORS WITHOUT AN OPPORTUNITY FOR PUBLIC TESTIMONY OR INPUT. DHS SPOKE TODAY ABOUT THE IMPLEMENTATION OF THESE NEW RULES ONE CRITICAL PIECE OF INFORMATION THAT WAS LEFT OUT OF THEIR PRESENTATION IS THAT THE PEOPLE WERE AFFECTED BY THESE RULES AND REGULATIONS ARE STILL IN THE DARK. CHILD-CARE PROVIDERS HAVE RECEIVED NOTHING BY MAIL OR E-MAIL SINCE FEBRUARY OF 2017 AND SINCE MOST OF THESE NEW LAWS WERE PASSED AFTER THAT WITHOUT ANY PUBLIC HEARING OR DISCUSSION PROVIDERS STILL DON’T KNOW WHAT IS EXPECTED OF THEM ONE OF THE REGULATIONS REQUIRED PROVIDERS TO HAVE EMERGENCY PREPAREDNESS PLAN FILLED ON A FORM DEVELOPED BY THE COMMISSIONER BY SEPTEMBER 30TH OF THIS YEAR TO THIS DAY PROVIDERS DID NOT RECEIVE NOTIFICATION AND AS OF YESTERDAY WHEN I SPOKE MY LICENSOR IN ANOKA COUNTY HAVE NOT BEEN INFORMED BY DHS EITHER. NO ONE IS CERTAIN DHS AS TO WHAT IS REQUIRED AND WHAT FORMS TO BE USED JUST ABOUT EVERY PROVIDER IN MINNESOTA WILL BE OUT OF COMPLIANCE WITH THIS NEW REGULATION, THE 30TH OF THE MONTH. ANOTHER PROVISION THAT WAS PASSED BY AND CLOSED DOORS WITHOUT STAKE HOLDER INPUT OR PUBLIC HEARING WAS A NEW ENHANCED AKRON STUDY THIS INCLUDES FINGERPRINTS AND PHOTOGRAPHS AND THE CREATION OF A PERMANENT FBI FILE OR DATA WILL ABOVE AND BEYOND THE CRIMINAL HISTORY WILL BE COLLECTED AND PERMANENTLY STORED BY THE FBI. IN THE LEGISLATION DHS WAS ALLOWED TO RECLASSIFY OUR CHILDREN AS CHILD CARE STAFF PERSONS. THIS WOULD SUBJECT THEM TO THE BACKGROUND STUDY IT THIS CC D B G DOES NOT REQUIRE THIS THE FINAL RULEMAKING ON EXPANDED THIS TO ADULTS 18 YEARS OR OLDER WHO LIVE IN A RESIDENCE EXTENDING THIS TO OUR CHILDREN AS A VIOLATION OF THEIR PRIVACY AND THEIR BASIC RIGHTS OUR CRIMINAL-JUSTICE SYSTEM IS SUPPOSED TO GUARANTEE THEM THAT THEY WILL BE INNOCENT UNTIL PROVEN GUILTY IN THE RECORD WILL REMAIN FREE OF ACCUSATIONS. I’M SORRY THIS IS REALLY UPSETTING TO ME, THINK ABOUT DRAGGING YOUR 14 YEAR-OLD DAUGHTER TO A POLICE STATION TO BE FINGERPRINTED AND MUG SHOT BECAUSE SHE LIVES AT HOME AND IF ANYONE THINKS BY FINGERPRINTING A CHILD ITS COIN TO KEEP THEM FROM BEING AN ABUSER YOU’RE WRONG. THESE CHILDREN WERE ALREADY ABUSING IT WOULD BE IN THE SYSTEM AND THE PROVIDERS WOULD NOT HAVE A DAY CARE LICENSE THIS IS NOT GOING TO KEEP A CHILD FROM OF USING ITS COIN TO TORME THESE GOOD KIDS JUST AS YOU STATED EARLIER WE’RE TORMENTING THE 99% BECAUSE OF THE 1% AND THIS IS MY CHILD WERE TALKING ABOUT. I APOLOGIZE THING AS SERIOUS AND UNNECESSARY AND POTENTIALLY LIFE ALTERING AS THIS COULD NEVER BE DONE BEHIND CLOSED DOORS AND WITHOUT PUBLIC PARTICIPATION AND FEEDBACK WE’VE ALREADY HEARD FROM HUNDREDS OF CHILD-CARE PROVIDERS WHO WILL CLOSE THEIR BUSINESS IF THEIR CHILDREN ARE SUBJECTED TO THIS THERE’S NO REASON A STANDARD CRIMINAL BACKGROUND CHECK IS NOT SUFFICIENT FOR OUR CHILDREN. THE COST OF HER BACKGROUND STUDIES BY LEGISLATION WERE TO BE MORE NO MORE THAN $30 PER STUDY HOWEVER AS YOU HEARD DHS STATE THEY’RE CHARGING $40 PLUS AN UNDISCLOSED FINGERPRINTING FEE MOST OF THE CC D B G RECORDS WERE LIMITED TO CHALKER PROVIDERS TO CARE FOR CHILDREN ON C-CAP WHICH IS APPROXIMATELY ONE-THIRD OF A LYSES PROVIDERS IN MINNESOTA OF EVER DHS AND THE LEGISLATURE UNNECESSARILY EXPANDED THE REGULATIONS TO THOUSANDS AND THOUSANDS OF PROVIDERS WHO OWN THE CARE FOR PRIVATE PAY CLIENTS DHS HAS ALSO EXPANDED ON WHAT THE EXPECTATIONS OF THESE NEW REGULATIONS ARE TO THEIR OWN DISCRETION. WHEN DOES THIS BECOME AN ACCEPTABLE BUT NOT TO THE LEGISLATURE, THE MORE FAMILIES NEED TO RECEIVE NOTICE THEIR CHILD CARE PROVIDER IS CLOSING? MANY TAX PAYING WOMEN OWN SMALL BUSINESSES ARE GOING TO BE DRIVEN TO THE GROUND BEFORE THIS BIPARTISAN COMMON SENSE RECOMMENDATIONS ARE GOING TO BE GIVEN CONSIDERATION? AT ONE POINT IS A GOING TO BE ACCOUNTABILITY, PRIMARY PURPOSE FOR BEING HERE TODAY IS TO SHARE WITH YOU THE TROUBLING FEEDBACK WE RECEIVE FROM CHALKER PROVIDERS IN OUR STATE THEY DO NOT FEEL THE DHS OR THIS LEGISLATURE VALUES THEM ENOUGH FEEL THAT YOUR INPUT IS HEARD EVEN WHEN THE CLOSER BUSINESS FOR TODAY AND TRIED HERE TO TESTIFY IN FRONT OF YOU THEY’RE FRUSTRATED AT THEIR WORD ABOUT THEIR FUTURE AND HAVE LOST ALMOST ALL HOPE THAT ANYTHING

WILL BE DONE TO HELP THEM. WE WILL CONTINUE TO LOSE FAMILY CHILD-CARE PROVIDERS UNTIL THIS CRISIS IS ADDRESSED AND WITH EACH PROVIDED TO CLOSE THEIR DOORS MINNESOTA FAMILIES LOSE APPROXIMATELY 10 LICENSE PROVIDER CHOWDERS BOUGHT BATS MORE THAN 2100 SINCE THE LEGISLATURE ADJOURNED ON TOP OF THE THOUSANDS LOST SINCE 2011 YOU CANNOT BUILD CENTERS FASTER THAN OFFSET THE THREAT OF LOSS AND IF YOU COULD CENTER CARE COSTS THE FAMILY’S APPROXIMATELY TWO TIMES MORE THAN A HOME-BASED CARE. MANY FAMILIES CANNOT AFFORD CHILD CARE AS A THIS THIS HAS DROPPED PARENTS OF CHOICES AND IS FORCED MANY TO TURN TO ON LICENSED AND REGULATED CARE WHERE THE PROVIDER IS NOT RECORD AND EVEN THE MOST BASIC TRAINING AS CPR OR FIRST-AID THE ABUSIVE HEAD TRAUMA AND SAFE SLEEP PRACTICES WHICH WE KNOW HAS SAVED LIVES. YOU’RE NOT MAKING CHILDREN SAFER AND PLACING THEM AT GREATER RISK WHEN YOU DID WITH ALLIES AND TRAINED INSPECTED OPTIONS FOR CARE. THE LEGISLATURE WAS NOT READY TO ADDRESS THIS CRISIS LAST SESSION WE ARE WAITING AND WE NEED YOU MINNESOTA FAMILIES AND CHILDREN NEED YOU WE’RE A, FULLY PREPARED TO ROPER SLEEVES AND WORK TOGETHER WITH YOU TO REVERSE THE DECLINE OF LICENSE

FAMILY CHILD CARE IN MINNESOTA

>> I KNOW PEOPLE MONITOR THIS AT HOME AS WELL. WE’RE GOING TO SPEND TODAY TALKING ABOUT SOME HUMAN SERVICE MATTERS DATA ON CHILD CARE AND SO ON AND TO GIVE PEOPLE WHO WANT THE OVERVIEW OF WHERE WE ARE IN TERMS OF OUR WORK IN THE INTERIM, WE HAD A HEARING YESTERDAY ABOUT PCA FRAUD AND MN CHOICES AND DISABILITY SERVICES AND IT WAS VERY PRODUCTIVE. IF THOSE ARE YOUR TOPICS I S IS ADDRESSED TO GO BACK AND WATCH THE TAPE WAS A GOOD TWO HOURS THERE WAS GOOD TESTIMONY FROM THE DEPARTMENTS AND THE ZERO L.A.. WE’RE HEARING SOME MORE ABOUT FRAUD TODAY BUT ANYWAY WE’RE GOING TO FOLLOW THE FIRST WEEK OF NOVEMBER WITH ANOTHER PAIR OF HEARINGS TODAY SEVERAL SOME OF THE SAME TOPICS, THE INTENTION OF THE SPACING IS TO GIVE OPPORTUNITY FOR PEOPLE TO WORK ON THESE PROJECTS IN THE MEANTIME AND HAVE AN INTERIM PERSPECTIVE ESPECIALLY ON MN CHOICES WHERE WERE TRYING TO MAKE THEM THE VERY EXPENSIVE QUARTER BILLION DOLLARS PROJECT ACTUALLY BEAR FRUIT AND BE AS USEFUL AS IT CAN POSSIBLY BE. ON THE PCA SITE AT FIND WAYS WE CAN ACTUALLY PUT PRESSURE ON THE SYSTEM SO THE PEOPLE OR DOING IT IMPROPER THINGS WILL FILL GREAT STRESS AND STOP DOING THAT WILL BE KICKED OUT CANDLES WERE DOING ACTUALLY GOOD WORK ARE LEFT AS HARMLESS AS POSSIBLE. PART OF THAT MIGHT BE WHERE WE DRAW A LINE AT SOME LEVEL MAYBE 30 PERCENTILE AND DECIDE THAT’S AN ADEQUATE LEVEL FOR MINIMAL COMPLIANCE AND HOPEFULLY PEOPLE WILL DO BETTER BUT THEN FOR SURE PEOPLE WHO FALL BELOW THE LINE WOULD NEVER NO. IT IS ARE GOING TO BE SUBJECT TO GREAT SCRUTINY AND WILL BE DISINVITED. WITH THAT TODAY WE’RE GOING TO BE TALKING ABOUT DATA SHARING AND SENATOR RELPH BILL LOT OF WORK WITH SOME COUNTIES AND GIVEN THE POSSIBILITY OF WHAT COUNTIES TALKING INTERNALLY WORKING WITH THE SAME CLIENT ACROSS MANY DEPARTMENTS IN THE COUNTY AND THAT THE STATE IF NEED BE, WITH THE PERMISSION OF THE FAMILY THAT MUCH BETTER OUTCOMES CAN BE ACHIEVED AND EVEN AT LOWER COST. COMES OF THE MOST IMPORTANT AND COST IS HOW WE AFFORD TO DO THAT AND WE’RE GOING TO TALK ABOUT THAT TODAY MS. RADTKE IS HERE TO BRING US

UP-TO-DATE ON LOOKING FOR TO THAT CONVERSATION WELCOME TO THE COMMITTEE >> GOOD MORNING MR. CHAIR AND SENATORS I’M STEPHANIE RADTKE I SERVE AS DEPUTY DIRECTOR FOR THE COMMUNITY SERVICES DIVISION WITHIN DAKOTA COUNTY. THANK YOU FOR THE OPPORTUNITY TO SHARE A LITTLE MORE ABOUT THE LEGISLATION THAT WAS RECENTLY PASSED AND I HOPE TODAY IS TO CONVEY THE IMPORTANCE AND IMPACT OF THIS LEGISLATION UNFORTUNATELY OUR POWER POINT PRESENTATION THE TECHNOLOGY WASN’T COOPERATING WITH US TODAY I HOPE EVERYONE THE HAND OUT OF MY SLIDES. I WOULD LIKE TO START BY FIRST ACKNOWLEDGING THE ROLE OF THE FOCUS 5 AND UNDER WORKING GROUP AND MAKING THE LEGISLATION HAPPEN I THINK THE WORK OF THIS GROUP PROVIDED SOME REAL WORLD CONTEXT, ALL OF A COMEDIC CONNECTIONS PEOPLE NEED TO MAKE AN ORD