MN HF1664

Creates a long-term services and supports trust fund financed through new payroll taxes (employer and employee), self-employment tax, and investment income tax on Minnesota residents, with tax rates to be determined.

Establishes an eligible beneficiary program providing up to 365 lifetime benefit units (maximum $100 per unit, adjusted annually) to individuals age 18+ who became disabled after age 18 and worked at least 500 hours paying the long-term care tax over 10 years or 3 years within the last 6 years.

Approves 23 categories of long-term services and supports including home care, assisted living, adult day services, dementia supports, respite care, and training for long-term care workers, with both licensed providers and qualified independent providers (family, friends, neighbors) eligible to deliver services.

Creates a 16-member Long-Term Services and Supports Advisory Council including legislators, service providers, workers, advocates, beneficiaries, and state agency representatives to advise on program administration and solvency.

Requires the Commissioner of Human Services to conduct biennial actuarial audits beginning January 1, 2025, report to legislature starting December 1, 2027, and apply for federal Medicaid demonstration waiver by January 1, 2022 to share in savings from reduced long-term care costs.