HF 3839

2nd Engrossment - 81st Legislature (1999 - 2000) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act 
  1.2             relating to health; modifying provisions for 
  1.3             speech-language pathologists, audiologists, unlicensed 
  1.4             mental health practitioners, alcohol and drug 
  1.5             counselors, and hearing instrument dispensers; 
  1.6             requiring a study; extending a board; amending 
  1.7             Minnesota Statutes 1998, sections 148.512, subdivision 
  1.8             5; 148.515, subdivision 3; 148.517, by adding a 
  1.9             subdivision; 148.518, subdivision 2; 148.5193, 
  1.10            subdivisions 1, 2, 4, 6, and by adding a subdivision; 
  1.11            148.5196, subdivision 3; 148B.60, subdivision 3; 
  1.12            148B.68, subdivision 1; 148B.69, by adding a 
  1.13            subdivision; 148B.71, subdivision 1; 148C.01, 
  1.14            subdivisions 2, 7, 9, 10, and by adding a subdivision; 
  1.15            148C.03, subdivision 1; 148C.04, by adding 
  1.16            subdivisions; 148C.06, subdivisions 1 and 2; 148C.09, 
  1.17            subdivisions 1 and 1a; 148C.10, by adding a 
  1.18            subdivision; 148C.11, subdivision 1; 153A.13, 
  1.19            subdivision 9, and by adding subdivisions; 153A.14, 
  1.20            subdivisions 1, 2a, 2h, 4, 4a, and by adding 
  1.21            subdivisions; and 153A.15, subdivision 1; Laws 99, 
  1.22            chapter 223, article 2, section 81, as amended; 
  1.23            repealing Minnesota Statutes 1998, sections 148.5193, 
  1.24            subdivisions 3 and 5; and 148C.04, subdivision 5. 
  1.25  BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.26     Section 1.  Minnesota Statutes 1998, section 148.512, 
  1.27  subdivision 5, is amended to read: 
  1.28     Subd. 5.  [APPROVED CONTINUING EDUCATION SPONSOR.] 
  1.29  "Approved Continuing education sponsor" means an organization 
  1.30  that offers a learning experience designed to promote continuing 
  1.31  competency in the procedures and techniques of the practice of 
  1.32  speech-language pathology or audiology and that meets whose 
  1.33  activities meet the criteria in section 148.5193, subdivision 3, 
  1.34  or is a preapproved sponsor listed in section 148.5193, 
  1.35  subdivision 2. 
  2.1      Sec. 2.  Minnesota Statutes 1998, section 148.515, 
  2.2   subdivision 3, is amended to read: 
  2.3      Subd. 3.  [SUPERVISED CLINICAL TRAINING REQUIRED.] (a) An 
  2.4   applicant must complete at least 375 hours of supervised 
  2.5   clinical training as a student that meets the requirements of 
  2.6   paragraphs (b) to (f).  
  2.7      (b) The supervised clinical training must be provided by 
  2.8   the educational institution or by one of its cooperating 
  2.9   programs.  
  2.10     (c) The first 25 hours of the supervised clinical training 
  2.11  must be spent in clinical observation.  Those 25 hours must 
  2.12  concern the evaluation and treatment of children and adults with 
  2.13  disorders of speech, language, or hearing.  
  2.14     (d) All applicants must complete at least 350 hours of 
  2.15  supervised clinical training that concern the evaluation and 
  2.16  treatment of children and adults with disorders of speech, 
  2.17  language, and hearing.  At least 250 of the 350 hours must be at 
  2.18  the graduate level in the area in which registration is sought.  
  2.19  At least 50 hours must be spent in each of three types of 
  2.20  clinical settings including, but not limited to, university 
  2.21  clinics, hospitals, private clinics, and schools, including 
  2.22  secondary and elementary.  
  2.23     (e) An applicant seeking registration as a speech-language 
  2.24  pathologist must: 
  2.25     (1) obtain 250 of the 350 supervised hours in 
  2.26  speech-language pathology; 
  2.27     (2) complete a minimum of 20 hours of the 250 hours in each 
  2.28  of the following eight categories: 
  2.29     (i) evaluation:  speech disorders in children; 
  2.30     (ii) evaluation:  speech disorders in adults; 
  2.31     (iii) evaluation:  language disorders in children; 
  2.32     (iv) evaluation:  language disorders in adults; 
  2.33     (v) treatment:  speech disorders in children; 
  2.34     (vi) treatment:  speech disorders in adults; 
  2.35     (vii) treatment:  language disorders in children; and 
  2.36     (viii) treatment:  language disorders in adults; 
  3.1      (3) complete a minimum of 35 hours in audiology including:  
  3.2      (i) 15 hours in the evaluation or screening of individuals 
  3.3   with hearing disorders; and 
  3.4      (ii) 15 hours in habilitation or rehabilitation of 
  3.5   individuals with hearing impairment 20 of the 350 hours in 
  3.6   audiology; and 
  3.7      (4) obtain no more than 20 hours in the major professional 
  3.8   area that are in related disorders.  
  3.9      (f) An applicant seeking registration as an audiologist 
  3.10  must: 
  3.11     (1) obtain 250 of the 350 hours in audiology; 
  3.12     (2) complete a minimum of 40 hours in each of the following 
  3.13  four categories of the 250 hours in each of the first two of the 
  3.14  following categories, complete at least 80 hours in categories 
  3.15  (iii) and (iv), with at least ten hours in each of categories 
  3.16  (i) to (iv), and complete at least 20 hours in category (v): 
  3.17     (i) evaluation:  hearing in children; 
  3.18     (ii) evaluation:  hearing in adults; 
  3.19     (iii) selection and use:  amplification and assistive 
  3.20  devices for children; and 
  3.21     (iv) selection and use:  amplification and assistive 
  3.22  devices for adults; and 
  3.23     (v) treatment:  hearing disorders in children and adults; 
  3.24     (3) complete a minimum of 20 hours in the category of the 
  3.25  treatment of hearing disorders in children and adults; 
  3.26     (4) complete a minimum of 35 hours 20 of the 350 hours in 
  3.27  speech-language pathology unrelated to hearing impairment as 
  3.28  follows:  
  3.29     (i) 15 hours in evaluation or screening; and 
  3.30     (ii) 15 hours in treatment; and 
  3.31     (5) (4) obtain no more than 20 hours in the major 
  3.32  professional area that are in related disorders.  
  3.33     Sec. 3.  Minnesota Statutes 1998, section 148.517, is 
  3.34  amended by adding a subdivision to read: 
  3.35     Subd. 4.  [TEMPORARY REGISTRATION.] (a) The commissioner 
  3.36  shall issue temporary registration as a speech-language 
  4.1   pathologist, an audiologist, or both, to an applicant who has 
  4.2   applied for registration under this section and who: 
  4.3      (1) submits a signed and dated affidavit stating that the 
  4.4   applicant is not the subject of a disciplinary action or past 
  4.5   disciplinary action in this or another jurisdiction and is not 
  4.6   disqualified on the basis of section 148.5195, subdivision 3; 
  4.7   and 
  4.8      (2) either: 
  4.9      (i) provides a copy of a current credential as a 
  4.10  speech-language pathologist, an audiologist, or both, held in 
  4.11  the District of Columbia or a state or territory of the United 
  4.12  States; or 
  4.13     (ii) provides a copy of a current certificate of clinical 
  4.14  competence issued by the American Speech-Language-Hearing 
  4.15  Association or its equivalent. 
  4.16     (b) A temporary registration issued to a person under this 
  4.17  subdivision expires 90 days after it is issued or on the date 
  4.18  the commissioner grants or denies registration, whichever occurs 
  4.19  first.  
  4.20     (c) Upon application, a temporary registration shall be 
  4.21  renewed once to a person who is able to demonstrate good cause 
  4.22  for failure to meet the requirements for registration within the 
  4.23  initial temporary registration period and who is not the subject 
  4.24  of a disciplinary action or disqualified on the basis of section 
  4.25  148.5195, subdivision 3. 
  4.26     Sec. 4.  Minnesota Statutes 1998, section 148.518, 
  4.27  subdivision 2, is amended to read: 
  4.28     Subd. 2.  [LAPSE OF MORE THAN THREE YEARS.] For an 
  4.29  applicant whose registered status has lapsed for more than three 
  4.30  years, the applicant must:  
  4.31     (1) apply for registration renewal according to section 
  4.32  148.5191 and obtain a qualifying score on the examination 
  4.33  described in section 148.515, subdivision 5, within one year of 
  4.34  the application date for registration renewal; or 
  4.35     (2) apply for renewal according to section 148.5191, 
  4.36  provide evidence to the commissioner that the applicant holds a 
  5.1   current and unrestricted credential for the practice of 
  5.2   speech-language pathology from the Minnesota board of teaching 
  5.3   or for the practice of speech-language pathology or audiology in 
  5.4   another jurisdiction that has requirements equivalent to or 
  5.5   higher than those in effect for Minnesota and provide evidence 
  5.6   of compliance with Minnesota board of teaching or that 
  5.7   jurisdiction's continuing education requirements.; 
  5.8      (3) apply for renewal according to section 148.5191 and 
  5.9   submit documentation of having completed a combination of 
  5.10  speech-language pathology or audiology courses or a 
  5.11  speech-language pathology or audiology refresher program that 
  5.12  contains both a theoretical and clinical component preapproved 
  5.13  or approved by the commissioner.  Only courses completed within 
  5.14  one year preceding the date of the application or one year after 
  5.15  the date of the application will qualify for approval; or 
  5.16     (4) apply for renewal according to section 148.5191 and 
  5.17  submit proof of successful completion and verified documentation 
  5.18  of 160 hours of supervised practice approved by the 
  5.19  commissioner.  To participate in a supervised practice, the 
  5.20  applicant shall first apply and obtain temporary registration 
  5.21  according to section 148.5161. 
  5.22     Sec. 5.  Minnesota Statutes 1998, section 148.5193, 
  5.23  subdivision 1, is amended to read: 
  5.24     Subdivision 1.  [NUMBER OF CONTACT HOURS REQUIRED.] (a) An 
  5.25  applicant for registration renewal must meet the requirements 
  5.26  for continuing education according to paragraphs (b) to (e).  
  5.27     (b) An applicant for registration renewal as either a 
  5.28  speech-language pathologist or an audiologist must provide 
  5.29  evidence to the commissioner of a minimum of 30 contact hours of 
  5.30  continuing education offered by an approved a continuing 
  5.31  education sponsor within the two years immediately preceding 
  5.32  registration renewal.  A minimum of 20 contact hours of 
  5.33  continuing education must be directly related to the 
  5.34  registrant's area of registration.  Ten contact hours of 
  5.35  continuing education may be in areas generally related to the 
  5.36  registrant's area of registration.  
  6.1      (c) An applicant for registration renewal as both a 
  6.2   speech-language pathologist and an audiologist must attest to 
  6.3   and document completion of a minimum of 36 contact hours of 
  6.4   continuing education offered by an approved a continuing 
  6.5   education sponsor within the two years immediately preceding 
  6.6   registration renewal.  A minimum of 15 contact hours must be 
  6.7   received in the area of speech-language pathology and a minimum 
  6.8   of 15 contact hours must be received in the area of audiology.  
  6.9   Six contact hours of continuing education may be in areas 
  6.10  generally related to the registrant's areas of registration.  
  6.11     (d) If the registrant is licensed by the board of teaching: 
  6.12     (1) activities that are approved in the categories of 
  6.13  Minnesota Rules, part 8700.1000, subpart 3, items A and B, and 
  6.14  that relate to speech-language pathology, shall be considered: 
  6.15     (i) offered by an approved a sponsor of continuing 
  6.16  education; and 
  6.17     (ii) directly related to speech-language pathology; 
  6.18     (2) activities that are approved in the categories of 
  6.19  Minnesota Rules, part 8700.1000, subpart 3, shall be considered: 
  6.20     (i) offered by an approved a sponsor of continuing 
  6.21  education; and 
  6.22     (ii) generally related to speech-language pathology; and 
  6.23     (3) one clock hour as defined in Minnesota Rules, part 
  6.24  8700.1000, subpart 1, is equivalent to 1.2 contact hours of 
  6.25  continuing education.  
  6.26     (e) Contact hours cannot be accumulated in advance and 
  6.27  transferred to a future continuing education period.  
  6.28     Sec. 6.  Minnesota Statutes 1998, section 148.5193, 
  6.29  subdivision 2, is amended to read: 
  6.30     Subd. 2.  [PREAPPROVED CONTINUING EDUCATION PROVIDED BY 
  6.31  SPONSORS.] The commissioner will accept continuing 
  6.32  education approved or sponsored by the Minnesota department of 
  6.33  health, the Minnesota Speech-Language-Hearing Association, the 
  6.34  American Speech-Language-Hearing Association, the American 
  6.35  Academy of Audiology, the Minnesota Academy of Audiology, the 
  6.36  Academy of Rehabilitative Audiologists, the Acoustical Society 
  7.1   of America, Twin Cities Clinical Speech-Language Pathologists, 
  7.2   Minnesota Foundation for Acoustical Education and Research, or 
  7.3   universities accredited by the American Speech-Language-Hearing 
  7.4   Association.  provided by sponsors if the continuing education 
  7.5   activity meets the following standards:  
  7.6      (1) constitutes an organized program of learning; 
  7.7      (2) reasonably expects to advance the knowledge and skills 
  7.8   of the speech-language pathologist or audiologist; 
  7.9      (3) pertains to subjects that relate to the practice of 
  7.10  speech-language pathology or audiology; 
  7.11     (4) is conducted by individuals who have education, 
  7.12  training, and experience by reason of which said individuals 
  7.13  should be considered experts concerning the subject matter of 
  7.14  the activity; and 
  7.15     (5) is presented by a sponsor who has a mechanism to verify 
  7.16  participation and maintains attendance records for four years. 
  7.17     Sec. 7.  Minnesota Statutes 1998, section 148.5193, 
  7.18  subdivision 4, is amended to read: 
  7.19     Subd. 4.  [EARNING CONTINUING EDUCATION CONTACT HOURS 
  7.20  THROUGH CONTACT HOUR EQUIVALENTS.] (a) A registrant who teaches 
  7.21  continuing education courses may obtain contact hour equivalents 
  7.22  according to paragraphs (b) to (d). 
  7.23     (b) The sponsor of the course must be approved by the 
  7.24  commissioner meet the requirements of subdivision 2.  
  7.25     (c) A registrant may not obtain more than six contact hours 
  7.26  in any two-year continuing education period by teaching 
  7.27  continuing education courses.  
  7.28     (d) A registrant may obtain two contact hours for each hour 
  7.29  spent teaching a course if the course is sponsored by an 
  7.30  approved continuing education sponsor.  Contact hours may be 
  7.31  claimed only once for teaching the same course in any two-year 
  7.32  continuing education period.  
  7.33     Sec. 8.  Minnesota Statutes 1998, section 148.5193, 
  7.34  subdivision 6, is amended to read: 
  7.35     Subd. 6.  [EVIDENCE RECORDS OF ATTENDANCE.] (a) A 
  7.36  registrant must maintain for four years records of attending the 
  8.1   continuing education contact hours required for registration 
  8.2   renewal.  
  8.3      (b) An applicant for registration renewal must submit the 
  8.4   following information on a form provided by the commissioner:  
  8.5   the sponsoring organization, the dates of the course, the course 
  8.6   name, the number of contact hours completed, and the name and 
  8.7   signature of the registrant.  The form must be submitted with 
  8.8   the renewal application under section 148.5191, subdivision 1.  
  8.9      Sec. 9.  Minnesota Statutes 1998, section 148.5193, is 
  8.10  amended by adding a subdivision to read: 
  8.11     Subd. 6a.  [VERIFICATION OF ATTENDANCE.] An applicant for 
  8.12  registration renewal must submit verification of attendance as 
  8.13  follows: 
  8.14     (1) a certificate of attendance from the sponsor with the 
  8.15  continuing education course name, course date, and registrant's 
  8.16  name; 
  8.17     (2) a copy of a record of attendance from the sponsor of 
  8.18  the continuing education course; 
  8.19     (3) a signature of the presenter or a designee at the 
  8.20  continuing education activity on the continuing education report 
  8.21  form; 
  8.22     (4) a summary or outline of the educational content of an 
  8.23  audio or video educational activity if a designee is not 
  8.24  available to sign the continuing education report form; 
  8.25     (5) for self-study programs, a certificate of completion or 
  8.26  other documentation indicating that the individual has 
  8.27  demonstrated knowledge and has successfully completed the 
  8.28  program; and 
  8.29     (6) for attendance at a university, college, or vocational 
  8.30  course, an official transcript. 
  8.31     Sec. 10.  Minnesota Statutes 1998, section 148.5196, 
  8.32  subdivision 3, is amended to read: 
  8.33     Subd. 3.  [DUTIES.] The advisory council shall:  
  8.34     (1) advise the commissioner regarding speech-language 
  8.35  pathologist and audiologist registration standards; 
  8.36     (2) advise the commissioner on enforcement of sections 
  9.1   148.511 to 148.5196; 
  9.2      (3) provide for distribution of information regarding 
  9.3   speech-language pathologist and audiologist registration 
  9.4   standards; 
  9.5      (4) review applications and make recommendations to the 
  9.6   commissioner on granting or denying registration or registration 
  9.7   renewal; 
  9.8      (5) review reports of investigations relating to 
  9.9   individuals and make recommendations to the commissioner as to 
  9.10  whether registration should be denied or disciplinary action 
  9.11  taken against the individual; 
  9.12     (6) advise the commissioner regarding approval of 
  9.13  continuing education activities provided by sponsors using the 
  9.14  criteria in section 148.5193, subdivision 3 2; and 
  9.15     (7) perform other duties authorized for advisory councils 
  9.16  under chapter 214, or as directed by the commissioner. 
  9.17     Sec. 11.  Minnesota Statutes 1998, section 148B.60, 
  9.18  subdivision 3, is amended to read: 
  9.19     Subd. 3.  [UNLICENSED MENTAL HEALTH PRACTITIONER OR 
  9.20  PRACTITIONER.] "Unlicensed mental health practitioner" or 
  9.21  "practitioner" means a person who provides or purports to 
  9.22  provide, for remuneration, mental health services as defined in 
  9.23  subdivision 4.  It does not include persons licensed by the 
  9.24  board of medical practice under chapter 147 or registered by the 
  9.25  board of medical practice under chapter 147A; the board of 
  9.26  nursing under sections 148.171 to 148.285; the board of 
  9.27  psychology under sections 148.88 to 148.98; the board of social 
  9.28  work under sections 148B.18 to 148B.289; the board of marriage 
  9.29  and family therapy under sections 148B.29 to 148B.39; or another 
  9.30  licensing board if the person is practicing within the scope of 
  9.31  the license; or members of the clergy who are providing pastoral 
  9.32  services in the context of performing and fulfilling the 
  9.33  salaried duties and obligations required of a member of the 
  9.34  clergy by a religious congregation; American Indian medicine men 
  9.35  and women; licensed attorneys; probation officers; school 
  9.36  counselors employed by a school district while acting within the 
 10.1   scope of employment as school counselors; registered 
 10.2   occupational therapists; or occupational therapy assistants.  
 10.3   For the purposes of complaint investigation or disciplinary 
 10.4   action relating to an individual practitioner, the term includes:
 10.5      (1) persons employed by a program licensed by the 
 10.6   commissioner of human services who are acting as mental health 
 10.7   practitioners within the scope of their employment; 
 10.8      (2) persons employed by a program licensed by the 
 10.9   commissioner of human services who are providing chemical 
 10.10  dependency counseling services; persons who are providing 
 10.11  chemical dependency counseling services in private practice; and 
 10.12     (3) clergy who are providing mental health services that 
 10.13  are equivalent to those defined in subdivision 4. 
 10.14     Sec. 12.  Minnesota Statutes 1998, section 148B.68, 
 10.15  subdivision 1, is amended to read: 
 10.16     Subdivision 1.  [PROHIBITED CONDUCT.] The commissioner may 
 10.17  impose disciplinary action as described in section 148B.69 
 10.18  against any unlicensed mental health practitioner.  The 
 10.19  following conduct is prohibited and is grounds for disciplinary 
 10.20  action: 
 10.21     (a) Conviction of a crime, including a finding or verdict 
 10.22  of guilt, an admission of guilt, or a no contest plea, in any 
 10.23  court in Minnesota or any other jurisdiction in the United 
 10.24  States, reasonably related to the provision of mental health 
 10.25  services.  Conviction, as used in this subdivision, includes a 
 10.26  conviction of an offense which, if committed in this state, 
 10.27  would be deemed a felony or gross misdemeanor without regard to 
 10.28  its designation elsewhere, or a criminal proceeding where a 
 10.29  finding or verdict of guilty is made or returned but the 
 10.30  adjudication of guilt is either withheld or not entered. 
 10.31     (b) Conviction of crimes against persons.  For purposes of 
 10.32  this chapter, a crime against a person means violations of the 
 10.33  following:  sections 609.185; 609.19; 609.195; 609.20; 609.205; 
 10.34  609.21; 609.215; 609.221; 609.222; 609.223; 609.224; 609.2242; 
 10.35  609.23; 609.231; 609.2325; 609.233; 609.2335; 609.235; 609.24; 
 10.36  609.245; 609.25; 609.255; 609.26, subdivision 1, clause (1) or 
 11.1   (2); 609.265; 609.342; 609.343; 609.344; 609.345; 609.365; 
 11.2   609.498, subdivision 1; 609.50, clause (1); 609.561; 609.562; 
 11.3   609.595; and 609.72, subdivision 3. 
 11.4      (c) Failure to comply with the self-reporting requirements 
 11.5   of section 148B.63, subdivision 7. 
 11.6      (d) Engaging in sexual contact with a client or former 
 11.7   client as defined in section 148A.01, or engaging in contact 
 11.8   that may be reasonably interpreted by a client as sexual, or 
 11.9   engaging in any verbal behavior that is seductive or sexually 
 11.10  demeaning to the patient, or engaging in sexual exploitation of 
 11.11  a client or former client. 
 11.12     (e) Advertising that is false, fraudulent, deceptive, or 
 11.13  misleading. 
 11.14     (f) Conduct likely to deceive, defraud, or harm the public; 
 11.15  or demonstrating a willful or careless disregard for the health, 
 11.16  welfare, or safety of a client; or any other practice that may 
 11.17  create unnecessary danger to any client's life, health, or 
 11.18  safety, in any of which cases, proof of actual injury need not 
 11.19  be established. 
 11.20     (g) Adjudication as mentally incompetent, or as a person 
 11.21  who is dangerous to self, or adjudication pursuant to chapter 
 11.22  253B, as chemically dependent, mentally ill, mentally retarded, 
 11.23  mentally ill and dangerous to the public, or as a sexual 
 11.24  psychopathic personality or sexually dangerous person. 
 11.25     (h) Inability to provide mental health services with 
 11.26  reasonable safety to clients. 
 11.27     (i) The habitual overindulgence in the use of or the 
 11.28  dependence on intoxicating liquors. 
 11.29     (j) Improper or unauthorized personal or other use of any 
 11.30  legend drugs as defined in chapter 151, any chemicals as defined 
 11.31  in chapter 151, or any controlled substance as defined in 
 11.32  chapter 152. 
 11.33     (k) Revealing a communication from, or relating to, a 
 11.34  client except when otherwise required or permitted by law. 
 11.35     (l) Failure to comply with a client's request made under 
 11.36  section 144.335, or to furnish a client record or report 
 12.1   required by law. 
 12.2      (m) Splitting fees or promising to pay a portion of a fee 
 12.3   to any other professional other than for services rendered by 
 12.4   the other professional to the client. 
 12.5      (n) Engaging in abusive or fraudulent billing practices, 
 12.6   including violations of the federal Medicare and Medicaid laws 
 12.7   or state medical assistance laws. 
 12.8      (o) Failure to make reports as required by section 148B.63, 
 12.9   or cooperate with an investigation of the office. 
 12.10     (p) Obtaining money, property, or services from a client, 
 12.11  other than reasonable fees for services provided to the client, 
 12.12  through the use of undue influence, harassment, duress, 
 12.13  deception, or fraud. 
 12.14     (q) Undertaking or continuing a professional relationship 
 12.15  with a client in which the objectivity of the professional would 
 12.16  be impaired. 
 12.17     (r) Failure to provide the client with a copy of the client 
 12.18  bill of rights or violation of any provision of the client bill 
 12.19  of rights. 
 12.20     (s) Violating any order issued by the commissioner. 
 12.21     (t) Failure to comply with sections 148B.60 to 148B.71, and 
 12.22  the rules adopted under those sections. 
 12.23     (u) Failure to comply with any additional disciplinary 
 12.24  grounds established by the commissioner by rule. 
 12.25     (v) Revocation, suspension, restriction, limitation, or 
 12.26  other disciplinary action against the mental health 
 12.27  practitioner's license, certificate, registration, or right of 
 12.28  practice in this or another state or jurisdiction, for offenses 
 12.29  that would be subject to disciplinary action in this state, or 
 12.30  failure to report to the office of mental health practice that 
 12.31  charges regarding the practitioner's license, certificate, 
 12.32  registration, or right of practice have been brought in this or 
 12.33  another state or jurisdiction. 
 12.34     (w) Bartering for services with a client. 
 12.35     Sec. 13.  Minnesota Statutes 1998, section 148B.69, is 
 12.36  amended by adding a subdivision to read: 
 13.1      Subd. 7.  [RELEASE TO OBTAIN NONPUBLIC DATA.] An unlicensed 
 13.2   mental health practitioner who is the subject of an 
 13.3   investigation must sign a release authorizing the commissioner 
 13.4   to obtain criminal conviction data, reports about abuse or 
 13.5   neglect of clients, and other information pertaining to 
 13.6   investigations of violations of statutes or rules from the 
 13.7   bureau of criminal apprehension, the Federal Bureau of 
 13.8   Investigation, the department of human services, the office of 
 13.9   health facilities complaints, private certification 
 13.10  organizations, county social service agencies, the division of 
 13.11  driver and vehicle services in the department of public safety, 
 13.12  adult protection services, child protection services, and other 
 13.13  agencies that regulate provision of health care services.  After 
 13.14  the commissioner gives written notice to an individual who is 
 13.15  the subject of an investigation, the agencies shall assist the 
 13.16  commissioner with the investigation by giving the commissioner 
 13.17  the requested data. 
 13.18     Sec. 14.  Minnesota Statutes 1998, section 148B.71, 
 13.19  subdivision 1, is amended to read: 
 13.20     Subdivision 1.  [SCOPE.] All unlicensed mental health 
 13.21  practitioners, other than those providing services in a facility 
 13.22  regulated under section 144.651 or a government agency or 
 13.23  program licensed by the commissioner of health or the 
 13.24  commissioner of human services, shall provide to each client 
 13.25  prior to providing treatment a written copy of the mental health 
 13.26  client bill of rights.  A copy must also be posted in a 
 13.27  prominent location in the office of the mental health 
 13.28  practitioner.  Reasonable accommodations shall be made for those 
 13.29  clients who cannot read or who have communication impairments 
 13.30  and those who do not read or speak English.  The mental health 
 13.31  client bill of rights shall include the following: 
 13.32     (a) the name, title, business address, and telephone number 
 13.33  of the practitioner; 
 13.34     (b) the degrees, training, experience, or other 
 13.35  qualifications of the practitioner, followed by the following 
 13.36  statement in bold print: 
 14.1      "THE STATE OF MINNESOTA HAS NOT ADOPTED UNIFORM EDUCATIONAL 
 14.2   AND TRAINING STANDARDS FOR ALL MENTAL HEALTH PRACTITIONERS.  
 14.3   THIS STATEMENT OF CREDENTIALS IS FOR INFORMATION PURPOSES ONLY." 
 14.4      (c) the name, business address, and telephone number of the 
 14.5   practitioner's supervisor, if any; 
 14.6      (d) notice that a client has the right to file a complaint 
 14.7   with the practitioner's supervisor, if any, and the procedure 
 14.8   for filing complaints; 
 14.9      (e) the name, address, and telephone number of the office 
 14.10  of mental health practice and notice that a client may file 
 14.11  complaints with the office; 
 14.12     (f) the practitioner's fees per unit of service, the 
 14.13  practitioner's method of billing for such fees, the names of any 
 14.14  insurance companies that have agreed to reimburse the 
 14.15  practitioner, or health maintenance organizations with whom the 
 14.16  practitioner contracts to provide service, whether the 
 14.17  practitioner accepts Medicare, medical assistance, or general 
 14.18  assistance medical care, and whether the practitioner is willing 
 14.19  to accept partial payment, or to waive payment, and in what 
 14.20  circumstances; 
 14.21     (g) a statement that the client has a right to reasonable 
 14.22  notice of changes in services or charges; 
 14.23     (h) a brief summary, in plain language, of the theoretical 
 14.24  approach used by the practitioner in treating patients; 
 14.25     (i) notice that the client has a right to complete and 
 14.26  current information concerning the practitioner's assessment and 
 14.27  recommended course of treatment, including the expected duration 
 14.28  of treatment; 
 14.29     (j) a statement that clients may expect courteous treatment 
 14.30  and to be free from verbal, physical, or sexual abuse by the 
 14.31  practitioner; 
 14.32     (k) a statement that client records and transactions with 
 14.33  the practitioner are confidential, unless release of these 
 14.34  records is authorized in writing by the client, or otherwise 
 14.35  provided by law; 
 14.36     (l) a statement of the client's right to be allowed access 
 15.1   to records and written information from records in accordance 
 15.2   with section 144.335; 
 15.3      (m) a statement that other services may be available in the 
 15.4   community, including where information concerning services is 
 15.5   available; 
 15.6      (n) a statement that the client has the right to choose 
 15.7   freely among available practitioners, and to change 
 15.8   practitioners after services have begun, within the limits of 
 15.9   health insurance, medical assistance, or other health programs; 
 15.10     (o) a statement that the client has a right to coordinated 
 15.11  transfer when there will be a change in the provider of 
 15.12  services; 
 15.13     (p) a statement that the client may refuse services or 
 15.14  treatment, unless otherwise provided by law; and 
 15.15     (q) a statement that the client may assert the client's 
 15.16  rights without retaliation. 
 15.17     Sec. 15.  Minnesota Statutes 1998, section 148C.01, 
 15.18  subdivision 2, is amended to read: 
 15.19     Subd. 2.  [ALCOHOL AND DRUG COUNSELOR.] "Alcohol and drug 
 15.20  counselor" or "counselor" means a person who: 
 15.21     (1) uses, as a representation to the public, any title, 
 15.22  initials, or description of services incorporating the words 
 15.23  "alcohol and drug counselor"; 
 15.24     (2) offers to render professional alcohol and drug 
 15.25  counseling services relative to the abuse of or the dependency 
 15.26  on alcohol or other drugs to the general public or groups, 
 15.27  organizations, corporations, institutions, or government 
 15.28  agencies for compensation, implying that the person is licensed 
 15.29  and trained, experienced or expert in alcohol and drug 
 15.30  counseling; 
 15.31     (3) holds a valid license issued under sections 148C.01 to 
 15.32  148C.11 to engage in the practice of alcohol and drug 
 15.33  counseling; or 
 15.34     (4) is an applicant for an alcohol and drug counseling 
 15.35  license.  
 15.36     Sec. 16.  Minnesota Statutes 1998, section 148C.01, 
 16.1   subdivision 7, is amended to read: 
 16.2      Subd. 7.  [ACCREDITED SCHOOL OR EDUCATIONAL PROGRAM.] 
 16.3   "Accredited school or educational program" means a school of 
 16.4   alcohol and drug counseling, university, college, or other 
 16.5   post-secondary education program that offers no less than the 
 16.6   required number of education and practicum hours as described in 
 16.7   section 148C.04, subdivision 3, and the core functions as 
 16.8   defined in subdivision 9, and that, at the time the student 
 16.9   completes the program, is accredited by a regional accrediting 
 16.10  association whose standards are substantially equivalent to 
 16.11  those of the North Central Association of Colleges and 
 16.12  Post-Secondary Education Institutions or an accrediting 
 16.13  association that evaluates schools of alcohol and drug 
 16.14  counseling for inclusion of the education, practicum, and core 
 16.15  function standards in this chapter.  
 16.16     Sec. 17.  Minnesota Statutes 1998, section 148C.01, 
 16.17  subdivision 9, is amended to read: 
 16.18     Subd. 9.  [CORE FUNCTIONS.] "Core functions" means the 
 16.19  following services provided in alcohol and drug dependency 
 16.20  treatment:  
 16.21     (1) "Screening" means the process by which a client is 
 16.22  determined appropriate and eligible for admission to a 
 16.23  particular program. 
 16.24     (2) "Intake" means the administrative and initial 
 16.25  assessment procedures for admission to a program. 
 16.26     (3) "Orientation" means describing to the client the 
 16.27  general nature and goals of the program; rules governing client 
 16.28  conduct and infractions that can lead to disciplinary action or 
 16.29  discharge from the program; in a nonresidential program, the 
 16.30  hours during which services are available; treatment costs to be 
 16.31  borne by the client, if any; and client's rights. 
 16.32     (4) "Assessment" means those procedures by which a 
 16.33  counselor identifies and evaluates an individual's strengths, 
 16.34  weaknesses, problems, and needs for the development of the to 
 16.35  develop a treatment plan or make recommendations for level of 
 16.36  care placement. 
 17.1      (5) "Treatment planning" means the process by which the 
 17.2   counselor and the client identify and rank problems needing 
 17.3   resolution; establish agreed upon immediate and long-term goals; 
 17.4   and decide on a treatment process and the sources to be utilized.
 17.5      (6) "Counseling" means the utilization of special skills to 
 17.6   assist individuals, families, or groups in achieving objectives 
 17.7   through exploration of a problem and its ramifications; 
 17.8   examination of attitudes and feelings; consideration of 
 17.9   alternative solutions; and decision making. 
 17.10     (7) "Case management" means activities which bring 
 17.11  services, agencies, resources, or people together within a 
 17.12  planned framework of action toward the achievement of 
 17.13  established goals. 
 17.14     (8) "Crisis intervention" means those services which 
 17.15  respond to an alcohol or other drug user's needs during acute 
 17.16  emotional or physical distress. 
 17.17     (9) "Client education" means the provision of information 
 17.18  to clients who are receiving or seeking counseling concerning 
 17.19  alcohol and other drug abuse and the available services and 
 17.20  resources. 
 17.21     (10) "Referral" means identifying the needs of the client 
 17.22  which cannot be met by the counselor or agency and assisting the 
 17.23  client to utilize the support systems and available community 
 17.24  resources. 
 17.25     (11) "Reports and recordkeeping" means charting the results 
 17.26  of the assessment and treatment plan, writing reports, progress 
 17.27  notes, discharge summaries, and other client-related data. 
 17.28     (12) "Consultation with other professionals regarding 
 17.29  client treatment and services" means communicating with other 
 17.30  professionals in regard to client treatment and services to 
 17.31  assure comprehensive, quality care for the client. 
 17.32     Sec. 18.  Minnesota Statutes 1998, section 148C.01, 
 17.33  subdivision 10, is amended to read: 
 17.34     Subd. 10.  [PRACTICE OF ALCOHOL AND DRUG COUNSELING.] 
 17.35  "Practice of alcohol and drug counseling" means the observation, 
 17.36  description, evaluation, interpretation, and modification of 
 18.1   human behavior as it relates to the harmful or pathological use 
 18.2   or abuse of alcohol or other drugs by the application of the 
 18.3   core functions.  The practice of alcohol and drug counseling 
 18.4   includes, but is not limited to, the following activities, 
 18.5   regardless of whether the counselor receives compensation for 
 18.6   the activities: 
 18.7      (1) assisting clients who use alcohol or drugs, evaluating 
 18.8   that use, and recognizing dependency if it exists; 
 18.9      (2) assisting clients with alcohol or other drug problems 
 18.10  to gain insight and motivation aimed at resolving those 
 18.11  problems; 
 18.12     (3) providing experienced professional guidance, 
 18.13  assistance, and support for the client's efforts to develop and 
 18.14  maintain a responsible functional lifestyle; 
 18.15     (4) recognizing problems outside the scope of the 
 18.16  counselor's training, skill, or competence and referring the 
 18.17  client to other appropriate professional services; 
 18.18     (5) assessing the level of alcohol or other drug use 
 18.19  involvement; 
 18.20     (6) individual planning to prevent a return to harmful 
 18.21  alcohol or chemical use; 
 18.22     (7) alcohol and other drug abuse education for clients; 
 18.23     (8) consultation with other professionals; and 
 18.24     (9) gaining cultural competence through ongoing training 
 18.25  and education according to standards established by rule; and 
 18.26     (10) providing the above services, as needed, to family 
 18.27  members or others who are directly affected by someone using 
 18.28  alcohol or other drugs. 
 18.29     Sec. 19.  Minnesota Statutes 1998, section 148C.01, is 
 18.30  amended by adding a subdivision to read: 
 18.31     Subd. 18.  [PSYCHOMETRICALLY VALID AND 
 18.32  RELIABLE.] "Psychometrically valid and reliable" means developed 
 18.33  on the basis of role delineation, validation, reliability, 
 18.34  passing point, and sensitivity review factors, according to 
 18.35  generally accepted standards. 
 18.36     Sec. 20.  Minnesota Statutes 1998, section 148C.03, 
 19.1   subdivision 1, is amended to read: 
 19.2      Subdivision 1.  [GENERAL.] The commissioner shall, after 
 19.3   consultation with the advisory council or a committee 
 19.4   established by rule: 
 19.5      (a) adopt and enforce rules for licensure of alcohol and 
 19.6   drug counselors, including establishing standards and methods of 
 19.7   determining whether applicants and licensees are qualified under 
 19.8   section 148C.04.  The rules must provide for examinations and 
 19.9   establish standards for the regulation of professional conduct.  
 19.10  The rules must be designed to protect the public; 
 19.11     (b) develop and, at least twice a year, administer an 
 19.12  examination to assess applicants' knowledge and skills.  The 
 19.13  commissioner may contract for the administration of an 
 19.14  examination approved by the International Certification 
 19.15  Reciprocity Consortium/Alcohol and Other Drug Abuse 
 19.16  (ICRC/AODA) with an entity designated by the commissioner.  The 
 19.17  examinations must be psychometrically valid and reliable; must 
 19.18  be written and oral, with the oral examination based on a 
 19.19  written case presentation; must minimize cultural bias,; and 
 19.20  must be balanced in various theories relative to the practice of 
 19.21  alcohol and drug counseling; 
 19.22     (c) issue licenses to individuals qualified under sections 
 19.23  148C.01 to 148C.11; 
 19.24     (d) issue copies of the rules for licensure to all 
 19.25  applicants; 
 19.26     (e) adopt rules to establish and implement procedures, 
 19.27  including a standard disciplinary process and rules of 
 19.28  professional conduct; 
 19.29     (f) carry out disciplinary actions against licensees; 
 19.30     (g) establish, with the advice and recommendations of the 
 19.31  advisory council, written internal operating procedures for 
 19.32  receiving and investigating complaints and for taking 
 19.33  disciplinary actions as appropriate; 
 19.34     (h) educate the public about the existence and content of 
 19.35  the rules for alcohol and drug counselor licensing to enable 
 19.36  consumers to file complaints against licensees who may have 
 20.1   violated the rules; 
 20.2      (i) evaluate the rules in order to refine and improve the 
 20.3   methods used to enforce the commissioner's standards; 
 20.4      (j) set, collect, and adjust license fees for alcohol and 
 20.5   drug counselors so that the total fees collected will as closely 
 20.6   as possible equal anticipated expenditures during the biennium, 
 20.7   as provided in section 16A.1285; fees for initial and renewal 
 20.8   application and examinations; late fees for counselors who 
 20.9   submit license renewal applications after the renewal deadline; 
 20.10  and a surcharge fee.  The surcharge fee must include an amount 
 20.11  necessary to recover, over a five-year period, the 
 20.12  commissioner's direct expenditures for the adoption of the rules 
 20.13  providing for the licensure of alcohol and drug counselors.  All 
 20.14  fees received shall be deposited in the state treasury and 
 20.15  credited to the special revenue fund; and 
 20.16     (k) prepare reports on activities related to the licensure 
 20.17  of alcohol and drug counselors according to this subdivision by 
 20.18  October 1 of each even-numbered year.  Copies of the reports 
 20.19  shall be delivered to the legislature in accordance with section 
 20.20  3.195 and to the governor.  The reports shall contain the 
 20.21  following information on the commissioner's activities relating 
 20.22  to the licensure of alcohol and drug counselors, for the 
 20.23  two-year period ending the previous June 30: 
 20.24     (1) a general statement of the activities; 
 20.25     (2) the number of staff hours spent on the activities; 
 20.26     (3) the receipts and disbursements of funds; 
 20.27     (4) the names of advisory council members and their 
 20.28  addresses, occupations, and dates of appointment and 
 20.29  reappointment; 
 20.30     (5) the names and job classifications of employees; 
 20.31     (6) a brief summary of rules proposed or adopted during the 
 20.32  reporting period with appropriate citations to the State 
 20.33  Register and published rules; 
 20.34     (7) the number of persons having each type of license 
 20.35  issued by the commissioner as of June 30 in the year of the 
 20.36  report; 
 21.1      (8) the locations and dates of the administration of 
 21.2   examinations by the commissioner; 
 21.3      (9) the number of persons examined by the commissioner with 
 21.4   the persons subdivided into groups showing age categories, sex, 
 21.5   and states of residency; 
 21.6      (10) the number of persons licensed by the commissioner 
 21.7   after taking the examinations referred to in clause (8) with the 
 21.8   persons subdivided by age categories, sex, and states of 
 21.9   residency; 
 21.10     (11) the number of persons not licensed by the commissioner 
 21.11  after taking the examinations referred to in clause (8) with the 
 21.12  persons subdivided by age categories, sex, and states of 
 21.13  residency; 
 21.14     (12) the number of persons not taking the examinations 
 21.15  referred to in clause (8) who were licensed by the commissioner 
 21.16  or who were denied licensing, the reasons for the licensing or 
 21.17  denial, and the persons subdivided by age categories, sex, and 
 21.18  states of residency; 
 21.19     (13) the number of persons previously licensed by the 
 21.20  commissioner whose licenses were revoked, suspended, or 
 21.21  otherwise altered in status with brief statements of the reasons 
 21.22  for the revocation, suspension, or alteration; 
 21.23     (14) the number of written and oral complaints and other 
 21.24  communications received by the commissioner which allege or 
 21.25  imply a violation of a statute or rule which the commissioner is 
 21.26  empowered to enforce; 
 21.27     (15) a summary, by specific category, of the substance of 
 21.28  the complaints and communications referred to in clause (14) 
 21.29  and, for each specific category, the responses or dispositions; 
 21.30  and 
 21.31     (16) any other objective information which the commissioner 
 21.32  believes will be useful in reviewing the commissioner's 
 21.33  activities. 
 21.34     Sec. 21.  Minnesota Statutes 1998, section 148C.04, is 
 21.35  amended by adding a subdivision to read: 
 21.36     Subd. 6.  [TEMPORARY PRACTICE REQUIREMENTS.] (a) A person 
 22.1   may temporarily practice alcohol and drug counseling prior to 
 22.2   being licensed under this chapter if the person: 
 22.3      (1) either: 
 22.4      (i) meets the associate degree education and practicum 
 22.5   requirements of subdivision 3, clause (1); or 
 22.6      (ii) meets the bachelor's degree education and practicum 
 22.7   requirements of subdivision 4, clause (1), item (i); 
 22.8      (2) within 60 days of meeting the requirements of 
 22.9   subdivision 3, clause (1), or subdivision 4, clause (1), item 
 22.10  (i), requests, in writing, temporary practice status with the 
 22.11  commissioner on an application form according to section 
 22.12  148C.0351, which includes the nonrefundable license fee and an 
 22.13  affirmation by the person's supervisor, as defined in paragraph 
 22.14  (b), clause (1), and which is signed and dated by the person and 
 22.15  the person's supervisor; 
 22.16     (3) has not been disqualified to practice temporarily on 
 22.17  the basis of a background investigation under section 148C.09, 
 22.18  subdivision 1a; and 
 22.19     (4) has been notified in writing by the commissioner that 
 22.20  the person is qualified to practice under this subdivision. 
 22.21     (b) A person practicing under this subdivision: 
 22.22     (1) may practice only in a program licensed by the 
 22.23  department of human services and under the direct, on-site 
 22.24  supervision of a person who is licensed under this chapter and 
 22.25  employed in that licensed program; 
 22.26     (2) is subject to the rules of professional conduct set by 
 22.27  rule; 
 22.28     (3) is not subject to the continuing education requirements 
 22.29  of section 148C.05; and 
 22.30     (4) must be licensed according to this chapter within 12 
 22.31  months of meeting the requirements of subdivision 3, clause (1), 
 22.32  or subdivision 4, clause (1), item (i). 
 22.33     (c) Upon written request, the commissioner may extend a 
 22.34  person's temporary status if the person practices in a program 
 22.35  described in section 148C.11, subdivision 3, paragraph (b), 
 22.36  clause (2). 
 23.1      (d) A person practicing under this subdivision may not hold 
 23.2   himself or herself out to the public by any title or description 
 23.3   stating or implying that the person is licensed to engage in the 
 23.4   practice of alcohol and drug counseling. 
 23.5      Sec. 22.  Minnesota Statutes 1998, section 148C.04, is 
 23.6   amended by adding a subdivision to read: 
 23.7      Subd. 7.  [EFFECT AND SUSPENSION OF TEMPORARY 
 23.8   PRACTICE.] Approval of a person's application for temporary 
 23.9   practice creates no rights to or expectation of approval from 
 23.10  the commissioner for licensure as an alcohol and drug 
 23.11  counselor.  The commissioner may suspend or restrict a person's 
 23.12  temporary practice status according to section 148C.09. 
 23.13     Sec. 23.  Minnesota Statutes 1998, section 148C.06, 
 23.14  subdivision 1, is amended to read: 
 23.15     Subdivision 1.  [QUALIFICATIONS.] For two years from the 
 23.16  effective date of the rules authorized in section 148C.03, 
 23.17  subdivision 1, the commissioner shall issue a license to an 
 23.18  applicant if the applicant meets one of the following 
 23.19  qualifications:  
 23.20     (a) is credentialed as a certified chemical dependency 
 23.21  counselor (CCDC) or certified chemical dependency counselor 
 23.22  reciprocal (CCDCR) by the Institute for Chemical Dependency 
 23.23  Professionals of Minnesota, Inc.; graduates from an accredited 
 23.24  school or education program with a certificate of completion in 
 23.25  alcohol and drug counselor studies that includes a minimum of 
 23.26  270 clock hours of formal classroom education and 880 clock 
 23.27  hours of alcohol and drug counselor internship and passes both 
 23.28  the written and oral examinations according to this chapter; or 
 23.29  has 2,080 hours of supervised alcohol and drug counselor 
 23.30  experience, 270 clock hours of alcohol and drug counselor 
 23.31  training with a minimum of 60 hours of the training occurring 
 23.32  within the past five years, and 300 hours of alcohol and drug 
 23.33  counselor internship and successfully completes the examination 
 23.34  requirements in section 148C.04, subdivision 3, clauses (2) and 
 23.35  (3); 
 23.36     (b) has 6,000 hours of supervised alcohol and drug 
 24.1   counselor experience as defined by the core functions, 270 clock 
 24.2   hours of alcohol and drug counselor training with a minimum of 
 24.3   60 hours of this training occurring within the past five years, 
 24.4   300 hours of alcohol and drug counselor internship, and has 
 24.5   successfully completed the examination requirements in section 
 24.6   148C.04, subdivision 3, clauses (2) and (3); 
 24.7      (c) has 10,000 hours of supervised alcohol and drug 
 24.8   counselor experience as defined by the core functions, 270 clock 
 24.9   hours of alcohol and drug training with a minimum of 60 hours of 
 24.10  this training occurring within the past five years, and has 
 24.11  successfully completed the requirements in section 148C.04, 
 24.12  subdivision 3, clause (2) or (3), or is credentialed as a 
 24.13  certified chemical dependency practitioner (CCDP) by the 
 24.14  Institute for Chemical Dependency Professionals of Minnesota, 
 24.15  Inc.; or 
 24.16     (d) has 14,000 hours of supervised alcohol and drug 
 24.17  counselor experience as defined by the core functions and 270 
 24.18  clock hours of alcohol and drug training with a minimum of 60 
 24.19  hours of this training occurring within the past five years; or 
 24.20     (e) has met the special licensing criteria established 
 24.21  pursuant to section 148C.11.  
 24.22     Sec. 24.  Minnesota Statutes 1998, section 148C.06, 
 24.23  subdivision 2, is amended to read: 
 24.24     Subd. 2.  [DOCUMENTATION OF STATUS; CERTAIN APPLICANTS.] 
 24.25  (a) A licensure applications applicant under subdivision 1, 
 24.26  paragraphs (a) and (c), may document certified status by 
 24.27  submitting to the commissioner an original and current 
 24.28  certificate issued by an international certification and 
 24.29  reciprocity consortium board in this or another jurisdiction. 
 24.30     (b) A licensure applicant under subdivision 1, paragraphs 
 24.31  (b) and (c), must be deemed eligible for licensure within the 
 24.32  transition period, provided the applicant: 
 24.33     (1) made the application to the administrator of the exam 
 24.34  or exams required by the commissioner before January 28, 2000; 
 24.35     (2) passed the required examinations before January 28, 
 24.36  2001; and 
 25.1      (3) meets all other requirements for licensure under this 
 25.2   section. 
 25.3      Sec. 25.  Minnesota Statutes 1998, section 148C.09, 
 25.4   subdivision 1, is amended to read: 
 25.5      Subdivision 1.  [GROUNDS.] The commissioner may refuse to 
 25.6   grant a license to, or may suspend, revoke, or restrict the 
 25.7   license of an individual if the commissioner determines that a 
 25.8   licensee or applicant:  
 25.9      (1) is incompetent to engage in alcohol and drug counseling 
 25.10  practice or is found to be engaged in alcohol and drug 
 25.11  counseling practice in a manner harmful or dangerous to a client 
 25.12  or the public; 
 25.13     (2) has violated the rules of the commissioner or the 
 25.14  statutes the commissioner is empowered to enforce; or any law, 
 25.15  rule order, stipulation and consent order, agreement, or 
 25.16  settlement; 
 25.17     (3) has obtained or attempted to obtain a license or 
 25.18  license renewal by bribery or fraudulent misrepresentation; 
 25.19     (4) has knowingly made a false statement on the form 
 25.20  required to be submitted to the commissioner for licensing or 
 25.21  license renewal; 
 25.22     (5) has failed to obtain continuing education credits 
 25.23  required by the commissioner; 
 25.24     (6) has failed to demonstrate the qualifications or satisfy 
 25.25  the requirements for a license contained in this chapter or 
 25.26  rules of the commissioner.  The burden of proof shall be upon 
 25.27  the applicant to demonstrate qualifications or satisfaction of 
 25.28  requirements; 
 25.29     (7) has been convicted of a crime, including a finding or 
 25.30  verdict of guilt, an admission of guilt, or a no contest plea, 
 25.31  in any court in Minnesota or any other jurisdiction in the 
 25.32  United States, reasonably related to the provision of alcohol 
 25.33  and drug counseling services.  Conviction, as used in this 
 25.34  subdivision, includes conviction of an offense which, if 
 25.35  committed in this state, would be deemed a felony or gross 
 25.36  misdemeanor without regard to its designation elsewhere, or a 
 26.1   criminal proceeding where a finding or verdict of guilty is made 
 26.2   or returned but the adjudication of guilt is either withheld or 
 26.3   not entered; 
 26.4      (8) has been convicted of a crime against another person.  
 26.5   For purposes of this chapter, a crime against another person 
 26.6   means an offense listed in section 148B.68, subdivision 1, 
 26.7   paragraph (b); 
 26.8      (9) has failed to comply with the self-reporting 
 26.9   requirements of section 148C.095, subdivision 7; 
 26.10     (10) has engaged in sexual contact with a client, or a 
 26.11  former client, as defined in section 148A.01, or has engaged in 
 26.12  conduct that may be reasonably interpreted by a client as 
 26.13  sexual, or has engaged in any verbal behavior that is seductive 
 26.14  or sexually demeaning to the client, or has engaged in sexual 
 26.15  exploitation of a client or former client; 
 26.16     (11) has engaged in false, fraudulent, deceptive, or 
 26.17  misleading advertising; 
 26.18     (12) has engaged in conduct likely to deceive, defraud, or 
 26.19  harm the public; or has demonstrated a willful or careless 
 26.20  disregard for the health, welfare, or safety of a client; or any 
 26.21  other practice that may create unnecessary danger to any 
 26.22  client's life, health, or safety, in any of which cases, proof 
 26.23  of actual injury need not be established; 
 26.24     (13) has been adjudicated as mentally incompetent, or as a 
 26.25  person who has a psychopathic personality, or who is dangerous 
 26.26  to self, or has been adjudicated as chemically dependent, 
 26.27  mentally ill, mentally retarded, or mentally ill and dangerous 
 26.28  to the public pursuant to chapter 253B; 
 26.29     (14) is unable to provide alcohol and drug counseling 
 26.30  services with reasonable safety to clients; 
 26.31     (15) is has habitually overindulgent overindulged in the 
 26.32  use of or the dependence on alcohol within the past two years; 
 26.33     (16) has engaged in the improper or unauthorized personal 
 26.34  or other use of any legend drugs as defined in section 151.01, 
 26.35  any chemicals as defined in section 151.01, or any controlled 
 26.36  substance as defined in section 152.01 within the past two 
 27.1   years; 
 27.2      (17) reveals a communication from, or relating to, a client 
 27.3   except when required or permitted by law; 
 27.4      (18) fails to comply with a client's request for health 
 27.5   records made under section 144.335, or to furnish a client 
 27.6   record or report required by law; 
 27.7      (19) has engaged in fee splitting or promises to pay a 
 27.8   portion of a fee to any other professional other than for 
 27.9   services rendered by the other professional to the client; 
 27.10     (20) has engaged in abusive or fraudulent billing 
 27.11  practices, including violations of the federal Medicare and 
 27.12  Medicaid laws or state medical assistance laws; 
 27.13     (21) fails to make reports as required by section 148C.095, 
 27.14  or cooperate with an investigation of the commissioner; 
 27.15     (22) obtains money, property, or services from a client, 
 27.16  other than reasonable fees for services provided to the client, 
 27.17  through the use of undue influence, harassment, duress, 
 27.18  deception, or fraud; 
 27.19     (23) undertakes or continues a professional relationship 
 27.20  with a client in which the objectivity of the alcohol and drug 
 27.21  counselor may be impaired; 
 27.22     (24) engages in conduct that constitutes grounds for 
 27.23  discipline as established by the commissioner in rule; or 
 27.24     (25) engages in bartering for services with a client. 
 27.25     Sec. 26.  Minnesota Statutes 1998, section 148C.09, 
 27.26  subdivision 1a, is amended to read: 
 27.27     Subd. 1a.  [BACKGROUND INVESTIGATION.] The applicant must 
 27.28  sign a release authorizing the commissioner to obtain 
 27.29  information from the bureau of criminal apprehension, the 
 27.30  Federal Bureau of Investigation, the office of mental health 
 27.31  practice, the department of human services, the office of health 
 27.32  facilities complaints, and other agencies specified in the 
 27.33  rules.  After the commissioner has given written notice to an 
 27.34  individual who is the subject of a background investigation, the 
 27.35  agencies shall assist the commissioner with the investigation by 
 27.36  giving the commissioner criminal conviction data, reports about 
 28.1   abuse or neglect of clients substantiated maltreatment of minors 
 28.2   and vulnerable adults, and other information specified in the 
 28.3   rules.  The commissioner may contract with the commissioner of 
 28.4   human services to obtain criminal history data from the bureau 
 28.5   of criminal apprehension. 
 28.6      Sec. 27.  Minnesota Statutes 1998, section 148C.10, is 
 28.7   amended by adding a subdivision to read: 
 28.8      Subd. 1a.  [PRACTICE ALLOWED; CERTAIN INDIVIDUALS.] (a) 
 28.9   Notwithstanding subdivision 1, individuals may engage in alcohol 
 28.10  and drug counseling practice only until the commissioner issues 
 28.11  a license or denies the license application, whichever occurs 
 28.12  sooner, provided the individual satisfies clauses (1) to (4) or 
 28.13  clauses (1) to (3) and (5): 
 28.14     (1) employed as an alcohol and drug counselor before 
 28.15  January 28, 2000; 
 28.16     (2) under supervision of an alcohol and drug counselor who 
 28.17  is licensed under this chapter or employed in a program licensed 
 28.18  by the department of human services; 
 28.19     (3) has not applied and been rejected or denied a license 
 28.20  by the commissioner on any grounds under this chapter, other 
 28.21  than failure to satisfy examination requirements, or on the 
 28.22  basis of an investigation under chapter 148B; 
 28.23     (4) made application to the commissioner for a license as 
 28.24  an alcohol and drug counselor before January 28, 2000; and 
 28.25     (5) made application to the administrator of the exam or 
 28.26  exams required by the commissioner before January 28, 2000, 
 28.27  passes the examinations before January 28, 2001, and within 60 
 28.28  calendar days of passing the examinations makes application to 
 28.29  the commissioner for a license under this chapter. 
 28.30     (b) As used in this subdivision, supervision means 
 28.31  monitoring activities of and accepting legal liability for the 
 28.32  individual practicing without a license. 
 28.33     (c) Practice allowed under this subdivision creates no 
 28.34  rights or expectations of approval from the commissioner for 
 28.35  licensing as an alcohol and drug counselor.  The commissioner 
 28.36  may suspend or restrict practice under this subdivision as 
 29.1   authorized under section 148C.09. 
 29.2      Sec. 28.  Minnesota Statutes 1998, section 148C.11, 
 29.3   subdivision 1, is amended to read: 
 29.4      Subdivision 1.  [OTHER PROFESSIONALS.] Nothing in sections 
 29.5   148C.01 to 148C.10 shall prevent members of other professions or 
 29.6   occupations from performing functions for which they are 
 29.7   qualified or licensed.  This exception includes, but is not 
 29.8   limited to, licensed physicians, registered nurses, licensed 
 29.9   practical nurses, licensed psychological practitioners, members 
 29.10  of the clergy, American Indian medicine men and women, licensed 
 29.11  attorneys, probation officers, licensed marriage and family 
 29.12  therapists, licensed social workers, licensed professional 
 29.13  counselors, school counselors employed by a school district 
 29.14  while acting within the scope of employment as school 
 29.15  counselors, and registered occupational therapists or 
 29.16  occupational therapy assistants.  These persons must not, 
 29.17  however, use a title incorporating the words "alcohol and drug 
 29.18  counselor" or "licensed alcohol and drug counselor" or otherwise 
 29.19  hold themselves out to the public by any title or description 
 29.20  stating or implying that they are engaged in the practice of 
 29.21  alcohol and drug counseling, or that they are licensed to engage 
 29.22  in the practice of alcohol and drug counseling.  Persons engaged 
 29.23  in the practice of alcohol and drug counseling are not exempt 
 29.24  from the commissioner's jurisdiction solely by the use of one of 
 29.25  the above titles. 
 29.26     Sec. 29.  Minnesota Statutes 1998, section 153A.13, 
 29.27  subdivision 9, is amended to read: 
 29.28     Subd. 9.  [SUPERVISION.] "Supervision" means on-site 
 29.29  observing and monitoring activities of, and accepting 
 29.30  responsibility for, the hearing instrument dispensing activities 
 29.31  of a trainee. 
 29.32     Sec. 30.  Minnesota Statutes 1998, section 153A.13, is 
 29.33  amended by adding a subdivision to read: 
 29.34     Subd. 10.  [DIRECT SUPERVISION OR DIRECTLY 
 29.35  SUPERVISED.] "Direct supervision" or "directly supervised" means 
 29.36  the on-site and contemporaneous location of a supervisor and 
 30.1   trainee, when the supervisor observes the trainee engaging in 
 30.2   hearing instrument dispensing with a consumer. 
 30.3      Sec. 31.  Minnesota Statutes 1998, section 153A.13, is 
 30.4   amended by adding a subdivision to read: 
 30.5      Subd. 11.  [INDIRECT SUPERVISION OR INDIRECTLY 
 30.6   SUPERVISED.] "Indirect supervision" or "indirectly supervised" 
 30.7   means the remote and independent performance of hearing 
 30.8   instrument dispensing by a trainee when authorized under section 
 30.9   153A.14, subdivision 4a, paragraph (b). 
 30.10     Sec. 32.  Minnesota Statutes 1998, section 153A.14, 
 30.11  subdivision 1, is amended to read: 
 30.12     Subdivision 1.  [APPLICATION FOR CERTIFICATE.] An applicant 
 30.13  must: 
 30.14     (1) be 18 21 years of age or older; 
 30.15     (2) apply to the commissioner for a certificate to dispense 
 30.16  hearing instruments on application forms provided by the 
 30.17  commissioner; 
 30.18     (3) at a minimum, provide the applicant's name, social 
 30.19  security number, business address and phone number, employer, 
 30.20  and information about the applicant's education, training, and 
 30.21  experience in testing human hearing and fitting hearing 
 30.22  instruments; 
 30.23     (4) include with the application a statement that the 
 30.24  statements in the application are true and correct to the best 
 30.25  of the applicant's knowledge and belief; 
 30.26     (5) include with the application a written and signed 
 30.27  authorization that authorizes the commissioner to make inquiries 
 30.28  to appropriate regulatory agencies in this or any other state 
 30.29  where the applicant has sold hearing instruments; 
 30.30     (6) submit certification to the commissioner that the 
 30.31  applicant's audiometric equipment has been calibrated to meet 
 30.32  current ANSI standards within 12 months of the date of the 
 30.33  application; 
 30.34     (7) submit evidence of continuing education credits, if 
 30.35  required; and 
 30.36     (8) submit all fees as required under section 153A.17. 
 31.1      Sec. 33.  Minnesota Statutes 1998, section 153A.14, 
 31.2   subdivision 2a, is amended to read: 
 31.3      Subd. 2a.  [EXEMPTION FROM WRITTEN EXAMINATION 
 31.4   REQUIREMENT.] Persons completing the audiology registration 
 31.5   requirements of section 148.515 after January 1, 1996, are 
 31.6   exempt from the written examination requirements of subdivision 
 31.7   2h, paragraph (a), clause (1).  Minnesota registration or 
 31.8   American Speech-Language-Hearing Association certification as an 
 31.9   audiologist is not required but may be submitted as evidence 
 31.10  qualifying for exemption from the written examination if the 
 31.11  requirements are completed after January 1, 1996.  Persons 
 31.12  qualifying for written examination exemption must fulfill the 
 31.13  other credentialing requirements under subdivisions 1 and 2 
 31.14  before a certificate may be issued by the commissioner. 
 31.15     Sec. 34.  Minnesota Statutes 1998, section 153A.14, 
 31.16  subdivision 2h, is amended to read: 
 31.17     Subd. 2h.  [CERTIFICATION BY EXAMINATION.] An applicant 
 31.18  must achieve a passing score, as determined by the commissioner, 
 31.19  on an examination according to paragraphs (a) to (c). 
 31.20     (a) The examination must include, but is not limited to: 
 31.21     (1) A written examination approved by the commissioner 
 31.22  covering the following areas as they pertain to hearing 
 31.23  instrument selling: 
 31.24     (i) basic physics of sound; 
 31.25     (ii) the anatomy and physiology of the ear; 
 31.26     (iii) the function of hearing instruments; 
 31.27     (iv) the principles of hearing instrument selection; and 
 31.28     (v) state and federal laws, rules, and regulations. 
 31.29     (2) Practical tests of proficiency in the following 
 31.30  techniques as they pertain to hearing instrument selling: 
 31.31     (i) pure tone audiometry, including air conduction testing 
 31.32  and bone conduction testing; 
 31.33     (ii) live voice or recorded voice speech audiometry 
 31.34  including speech recognition (discrimination) testing, most 
 31.35  comfortable loudness level, and uncomfortable loudness 
 31.36  measurements of tolerance thresholds; 
 32.1      (iii) masking when indicated; 
 32.2      (iv) recording and evaluation of audiograms and speech 
 32.3   audiometry to determine proper selection and fitting of a 
 32.4   hearing instrument; 
 32.5      (v) taking ear mold impressions; and 
 32.6      (vi) using an otoscope for the visual observation of the 
 32.7   entire ear canal. 
 32.8      (b) The examination shall be administered by the 
 32.9   commissioner at least twice a year. 
 32.10     (c) An applicant must achieve a passing score on all 
 32.11  portions of the examination within a two-year period.  An 
 32.12  applicant who does not achieve a passing score on all portions 
 32.13  of the examination within a two-year period must retake the 
 32.14  entire examination and achieve a passing score on each portion 
 32.15  of the examination.  An applicant who does not apply for 
 32.16  certification within one year of successful completion of the 
 32.17  examination must retake the examination and achieve a passing 
 32.18  score on each portion of the examination.  An applicant may not 
 32.19  take any part of the examination more than three times in a 
 32.20  two-year period. 
 32.21     Sec. 35.  Minnesota Statutes 1998, section 153A.14, 
 32.22  subdivision 4, is amended to read: 
 32.23     Subd. 4.  [DISPENSING OF HEARING INSTRUMENTS WITHOUT 
 32.24  CERTIFICATE.] Except as provided in subdivision subdivisions 4a 
 32.25  and 4c, it is unlawful for any person not holding a valid 
 32.26  certificate to dispense a hearing instrument as defined in 
 32.27  section 153A.13, subdivision 3.  A person who dispenses a 
 32.28  hearing instrument without the certificate required by this 
 32.29  section is guilty of a gross misdemeanor.  
 32.30     Sec. 36.  Minnesota Statutes 1998, section 153A.14, 
 32.31  subdivision 4a, is amended to read: 
 32.32     Subd. 4a.  [TRAINEES.] (a) A person who is not certified 
 32.33  under this section may dispense hearing instruments as a trainee 
 32.34  for a period not to exceed 12 months if the person: 
 32.35     (1) submits an application on forms provided by the 
 32.36  commissioner; 
 33.1      (2) is under the supervision of a certified dispenser 
 33.2   meeting the requirements of this subdivision; and 
 33.3      (3) meets all requirements for certification except passage 
 33.4   of the examination required by this section. 
 33.5      (b) A certified hearing instrument dispenser may not 
 33.6   supervise more than two trainees at the same time and may not 
 33.7   directly supervise more than one trainee at a time.  The 
 33.8   certified dispenser is responsible for all actions or omissions 
 33.9   of a trainee in connection with the dispensing of hearing 
 33.10  instruments.  A certified dispenser may not supervise a trainee 
 33.11  if there are any commissioner, court, or other orders, currently 
 33.12  in effect or issued within the last five years, that were issued 
 33.13  with respect to an action or omission of a certified dispenser 
 33.14  or a trainee under the certified dispenser's supervision. 
 33.15     Trainees Until taking and passing the practical examination 
 33.16  testing the techniques described in subdivision 2h, paragraph 
 33.17  (a), clause (2), trainees must be directly supervised in all 
 33.18  areas described in subdivision 4b, and the activities tested by 
 33.19  the practical examination.  Two hundred hours of on-site 
 33.20  observations must be completed within the trainee period with a 
 33.21  minimum of 100 hours involving the supervisor, trainee, and a 
 33.22  consumer.  In addition Thereafter, trainees may dispense hearing 
 33.23  instruments under indirect supervision until expiration of the 
 33.24  trainee period.  Under indirect supervision, the trainee must 
 33.25  complete two monitored activities a week.  Monitored activities 
 33.26  may be executed by correspondence, telephone, or other 
 33.27  telephonic devices, and include, but are not limited to, 
 33.28  evaluation of audiograms, written reports, and contracts.  The 
 33.29  time spent in supervision must be recorded and the record 
 33.30  retained by the supervisor. 
 33.31     Sec. 37.  Minnesota Statutes 1998, section 153A.14, is 
 33.32  amended by adding a subdivision to read: 
 33.33     Subd. 4c.  [RECIPROCITY.] (a) A person applying for 
 33.34  certification as a hearing instrument dispenser under 
 33.35  subdivision 1 who has dispensed hearing instruments in another 
 33.36  jurisdiction may dispense hearing instruments as a trainee under 
 34.1   indirect supervision if the person: 
 34.2      (1) satisfies the provisions of subdivision 4a, paragraph 
 34.3   (a); 
 34.4      (2) submits a signed and dated affidavit stating that the 
 34.5   applicant is not the subject of a disciplinary action or past 
 34.6   disciplinary action in this or another jurisdiction and is not 
 34.7   disqualified on the basis of section 153A.15, subdivision 1; and 
 34.8      (3) provides a copy of a current credential as a hearing 
 34.9   instrument dispenser, an audiologist, or both, held in the 
 34.10  District of Columbia or a state or territory of the United 
 34.11  States. 
 34.12     (b) A person becoming a trainee under this subdivision who 
 34.13  fails to take and pass the practical examination described in 
 34.14  subdivision 2h, paragraph (a), clause (2), when next offered 
 34.15  must cease dispensing hearing instruments unless under direct 
 34.16  supervision. 
 34.17     Sec. 38.  Minnesota Statutes 1998, section 153A.14, is 
 34.18  amended by adding a subdivision to read: 
 34.19     Subd. 4d.  [EXPIRATION OF TRAINEE PERIOD.] The trainee 
 34.20  period automatically expires two months following notice of 
 34.21  passing all examination requirements of subdivision 2h. 
 34.22     Sec. 39.  Minnesota Statutes 1998, section 153A.15, 
 34.23  subdivision 1, is amended to read: 
 34.24     Subdivision 1.  [PROHIBITED ACTS.] The commissioner may 
 34.25  take enforcement action as provided under subdivision 2 against 
 34.26  a dispenser of hearing instruments for the following acts and 
 34.27  conduct: 
 34.28     (1) prescribing or otherwise recommending to a consumer or 
 34.29  potential consumer the use of a hearing instrument, unless the 
 34.30  prescription from a physician or recommendation from a hearing 
 34.31  instrument dispenser or audiologist is in writing, is based on 
 34.32  an audiogram that is delivered to the consumer or potential 
 34.33  consumer when the prescription or recommendation is made, and 
 34.34  bears the following information in all capital letters of 
 34.35  12-point or larger boldface type:  "THIS PRESCRIPTION OR 
 34.36  RECOMMENDATION MAY BE FILLED BY, AND HEARING INSTRUMENTS MAY BE 
 35.1   PURCHASED FROM, THE CERTIFIED DISPENSER OF YOUR CHOICE"; 
 35.2      (2) failing to give a copy of the audiogram, upon which the 
 35.3   prescription or recommendation is based, to the consumer when 
 35.4   there has been a charge for the audiogram and the consumer 
 35.5   requests a copy; 
 35.6      (3) dispensing a hearing instrument to a minor person 18 
 35.7   years or younger unless evaluated by an audiologist for hearing 
 35.8   evaluation and hearing aid evaluation; 
 35.9      (4) failing to provide the consumer rights brochure 
 35.10  required by section 153A.14, subdivision 9; 
 35.11     (4) (5) being disciplined through a revocation, suspension, 
 35.12  restriction, or limitation by another state for conduct subject 
 35.13  to action under this chapter; 
 35.14     (5) (6) presenting advertising that is false or misleading; 
 35.15     (6) (7) providing the commissioner with false or misleading 
 35.16  statements of credentials, training, or experience; 
 35.17     (7) (8) engaging in conduct likely to deceive, defraud, or 
 35.18  harm the public; or demonstrating a willful or careless 
 35.19  disregard for the health, welfare, or safety of a consumer; 
 35.20     (8) (9) splitting fees or promising to pay a portion of a 
 35.21  fee to any other professional other than a fee for services 
 35.22  rendered by the other professional to the client; 
 35.23     (9) (10) engaging in abusive or fraudulent billing 
 35.24  practices, including violations of federal Medicare and Medicaid 
 35.25  laws, Food and Drug Administration regulations, or state medical 
 35.26  assistance laws; 
 35.27     (10) (11) obtaining money, property, or services from a 
 35.28  consumer through the use of undue influence, high pressure sales 
 35.29  tactics, harassment, duress, deception, or fraud; 
 35.30     (11) (12) failing to comply with restrictions on sales of 
 35.31  hearing aids in sections 153A.14, subdivision 9, and 153A.19; 
 35.32     (12) (13) performing the services of a certified hearing 
 35.33  instrument dispenser in an incompetent or negligent manner; 
 35.34     (13) (14) failing to comply with the requirements of this 
 35.35  chapter as an employer, supervisor, or trainee; 
 35.36     (14) (15) failing to provide information in a timely manner 
 36.1   in response to a request by the commissioner, commissioner's 
 36.2   designee, or the advisory council; 
 36.3      (15) (16) being convicted within the past five years of 
 36.4   violating any laws of the United States, or any state or 
 36.5   territory of the United States, and the violation is a felony, 
 36.6   gross misdemeanor, or misdemeanor, an essential element of which 
 36.7   relates to hearing instrument dispensing, except as provided in 
 36.8   chapter 364; 
 36.9      (16) (17) failing to cooperate with the commissioner, the 
 36.10  commissioner's designee, or the advisory council in any 
 36.11  investigation; 
 36.12     (17) (18) failing to perform hearing instrument dispensing 
 36.13  with reasonable judgment, skill, or safety due to the use of 
 36.14  alcohol or drugs, or other physical or mental impairment; 
 36.15     (18) (19) failing to fully disclose actions taken against 
 36.16  the applicant or the applicant's legal authorization to dispense 
 36.17  hearing instruments in this or another state; 
 36.18     (19) (20) violating a state or federal court order or 
 36.19  judgment, including a conciliation court judgment, relating to 
 36.20  the activities of the applicant in hearing instrument 
 36.21  dispensing; 
 36.22     (20) (21) having been or being disciplined by the 
 36.23  commissioner of the department of health, or other authority, in 
 36.24  this or another jurisdiction, if any of the grounds for the 
 36.25  discipline are the same or substantially equivalent to those in 
 36.26  sections 153A.13 to 153A.19; 
 36.27     (21) (22) misrepresenting the purpose of hearing tests, or 
 36.28  in any way communicating that the hearing test or hearing test 
 36.29  protocol required by section 153A.14, subdivision 4b, is a 
 36.30  medical evaluation, a diagnostic hearing evaluation conducted by 
 36.31  an audiologist, or is other than a test to select a hearing 
 36.32  instrument, except that the hearing instrument dispenser can 
 36.33  determine the need for or recommend the consumer obtain a 
 36.34  medical evaluation consistent with requirements of the United 
 36.35  States Food and Drug Administration; 
 36.36     (22) (23) violating any of the provisions of sections 
 37.1   153A.13 to 153A.19; and 
 37.2      (23) (24) aiding or abetting another person in violating 
 37.3   any of the provisions of sections 153A.13 to 153A.19. 
 37.4      Sec. 40.  Laws 1999, chapter 223, article 2, section 81, as 
 37.5   amended by Laws 1999, chapter 249, section 12, is amended to 
 37.6   read: 
 37.7      Sec. 81.  [EFFECTIVE DATES.] 
 37.8      Section 48 is effective March 1, 2000. 
 37.9      Sections 59, 61, 62, 64, 65, and 79 are effective the day 
 37.10  following final enactment.  
 37.11     Section 67 is effective June 30, 1999. 
 37.12     Section 80, paragraph (a), is effective July 1, 1999. 
 37.13     Section 80, paragraphs paragraph (b) and (c), are is 
 37.14  effective July 1, 2000. 
 37.15     Section 80, paragraph (c), is effective July 1, 2001. 
 37.16     Sec. 41.  [EMPLOYEE HEALTH INSURANCE.] 
 37.17     The commissioner of health shall examine issues related to 
 37.18  rising health insurance costs and shall develop recommendations 
 37.19  for providing affordable health insurance to employees of 
 37.20  programs and facilities that serve the elderly and disabled.  In 
 37.21  developing these recommendations, the commissioner shall consult 
 37.22  with representatives of affected consumers and providers.  The 
 37.23  commissioner shall provide recommendations by January 15, 2001, 
 37.24  to the chairs of the house health and human services policy and 
 37.25  finance committees and the senate health and family security 
 37.26  committee and health and family security budget division. 
 37.27     Sec. 42.  [REPEALER.] 
 37.28     Minnesota Statutes 1998, sections 148.5193, subdivisions 3 
 37.29  and 5; and 148C.04, subdivision 5, are repealed. 
 37.30     Sec. 43.  [EFFECTIVE DATE.] 
 37.31     Sections 1 to 42 are effective the day following final 
 37.32  enactment.