The Minnesota Department of Health (MDH) created the Small Assisted Living Licensure Workgroup to develop a new licensing category for small ALFs. This new license must account for health and safety requirements and the practical realities of operating small ALFs that predominantly serve individuals receiving customized living services under the federally approved definitions for brain injury, community access for disability inclusion, and elderly waiver plans. MDH is required to develop draft legislative language for this new license category and submit the legislation to the legislature by Jan. 1, 2028.