The Work

What Senator Lieske fought for — and why it matters.

Across the session, Bill Lieske met with providers, families, guardians, and individuals with disabilities to understand what Minnesota’s rate changes were doing on the ground. Here is where he focused.

Protecting Choice and the Olmstead Promise

Minnesota’s Olmstead commitment is the promise that people with disabilities can choose to live in the most integrated, community-based setting that works for them — not be pushed into institutions. Family Residential Services (FRS) are a cornerstone of that promise: a person lives in a real home, with a family who supports them around the clock.

Senator Lieske has worked to defend that choice, warning that rate cuts which force homes to close don’t save money — they push people into more restrictive, more expensive settings, sometimes out of state and away from their families.

Holding Government Accountable

The Department of Human Services’ “Revalidate 2026” initiative was meant to strengthen oversight and root out fraud — goals providers support. But as covered by Access Press and MPR News, legitimate providers with no history of fraud were swept into disenrollments, terminations, and interrupted payments.

Senator Lieske pressed for transparency and for protections so that good-faith providers are not cut off by an overly broad administrative process.

Saving Taxpayer Dollars Through Cost-Effective Family Models

FRS providers follow the same 245D licensing and HCBS standards as larger corporate programs, but are reimbursed at far lower assumptions. When a family home closes, the individual often moves to a corporate or institutional placement that costs the state significantly more for the same person and the same needs.

That is the heart of Senator Lieske’s argument: the current flat-rate structure isn’t cutting costs, it’s shifting them — to higher-cost, more restrictive settings.

The rate-restoration amendment he authored

  • Tiers 3, 4 and 5: increase FRS rates by 20%
  • Tier 6: increase by 30%
  • Children in tiers 1–3: add $50 per day
  • Children in tiers 4–6: add $100 per day
  • Life-sharing services: 10% above the matching FRS rate

A Difficult Vote: Why He Opposed the Omnibus Bill

Senator Lieske fought to get FRS rate relief into the human services budget. But the end-of-session agreement still paired that relief with hundreds of millions of dollars in cuts to human services — so when the final package came to the floor, he could not vote yes.

Examples providers shared with Senator Lieske

41%one resident’s daily rate cut under the flat-rate structure (from $431 to $254 a day)
$553/daywhat the state pays for the same person in a corporate (CRS) setting
~69%reduction reported for another placement, with no change in the person’s needs
$600k+projected yearly cost if one child is sent to an out-of-state institution instead of a family home

Figures are individual examples reported by providers to Senator Lieske, not statewide averages. Identifying details of the people served have been removed.