MN HF3264

Requires home health aides to ensure recipients get to medical appointments identified in written care plans and limits home health aide visits to one per day per recipient.

Defines "extended personal care assistance services" to cover services exceeding state plan limits for participants who need periodic assistance during the week or additional services beyond state plan assessments to ensure safety, health, and welfare in their homes.

Establishes assessment criteria for complex health-related needs (tube feedings, wounds, parenteral therapy, respiratory interventions, catheter maintenance, bowel programs, neurological interventions, and congenital/acquired diseases) and behavioral needs (requiring assistance four or more times weekly with specific behaviors).

Requires personal care assistants to be at least 18 years old (with exceptions for 16-17 year-olds with additional supervision), complete standardized training including first aid and child maltreatment components, and be limited to 310 hours per month of service regardless of number of recipients or agencies.

Modifies personal care assistance choice option by requiring written agreements between the choice agency and recipient/responsible party, establishing that 72.5 percent of medical assistance revenue must fund employee wages and benefits, and allowing supervisory visits to alternate between phone/internet and in-person after 180 days of service.