Health and Human Services Committee, March 17, 2026
Re: SF 4395- Case Management Services for People with Disabilities
As a state agency, Minnesota Council on Disability serves as a liaison between Minnesotans with disabilities and their elected officials, advising on disability policy matters across employment, housing, public services, public accommodations, and education.
Today, we are writing in support of SF 4395, which aims to improve the quality of case management services for people with disabilities. The bill includes important provisions related to oversight, competitive contracting, a legislative workgroup, and a rate study.
We also note that the bill proposes a transition away from a contract-based system to one administered directly by counties by July 1, 2029. While we understand the intent of this shift, we have concerns about implementation—particularly whether counties will have sufficient workforce capacity to take this on without creating service delays or disruptions.
Case management has long been a priority for the disability community. Frequent turnover and inconsistent training can lead to service disruptions and make it difficult for individuals and families to effectively navigate available supports. Strengthening this system is both necessary and timely.
At the same time, case management is the front door to services. Changes at this level are felt immediately. As this bill moves forward, it will be critical to ensure that reforms improve the system without creating unintended disruptions.
MCD encourages several key considerations and practical implementation steps:
- Protect continuity of care, ensuring individuals do not experience service gaps during transitions. This could include requiring transition plans, advance notice to service recipients, and phased implementation timelines.
- Support the workforce, ensuring counties have sufficient capacity prior to implementation. This may include conducting a workforce analysis, aligning timelines with hiring capacity, and monitoring caseload expectations.
- Preserve person-centered choice, including access to preferred providers and services.
- Ensure equitable access, particularly in rural communities and culturally specific populations.
MCD looks forward to working with the author and committee to strengthen the bill in these areas.
Thank you for your consideration
Joel Runnels, PhD
Legislative Affairs Director
Minnesota Council on Disability
Joel.Runnels@state.mn.us