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HF 822

1st Engrossment - 90th Legislature (2017 - 2018) Posted on 05/08/2018 10:12am

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - 1st Engrossment

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A bill for an act
relating to health licensing; modifying the Minnesota Athletic Trainers Act;
amending Minnesota Statutes 2016, sections 148.7802, subdivisions 2, 3, 6, 9;
148.7803; 148.7804; 148.7805, subdivisions 1, 3; 148.7806; 148.7808, subdivision
1; 148.7809, subdivisions 1, 2, 4; 148.7810, subdivisions 1, 3; 148.7811; 148.7812,
subdivisions 1, 2, 4; 148.7813, subdivision 5; 148.7815; repealing Minnesota
Statutes 2016, sections 148.7808, subdivisions 3, 4, 5; 148.7812, subdivisions 3,
5.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2016, section 148.7802, subdivision 2, is amended to read:


Subd. 2.

Approved continuing education program.

"Approved continuing education
program" means a continuing education program that meets the deleted text begincontinuing educationdeleted text endnew text begin
maintenance of competence
new text end requirements in section 148.7812 and is approved by the board.

Sec. 2.

Minnesota Statutes 2016, section 148.7802, subdivision 3, is amended to read:


Subd. 3.

Approved education program.

"Approved education program" means deleted text begina
university, college, or other postsecondary
deleted text endnew text begin annew text end education program deleted text beginof athletic trainingdeleted text endnew text begin offered
by an accredited university, college, or other postsecondary institution
new text end that, at the time the
student completes the program, deleted text beginis approved or accredited by a nationally recognized
accreditation agency for athletic training education programs approved by the board.
deleted text endnew text begin the
student is eligible to attain national certification as an athletic trainer from the Board of
Certification for the Athletic Trainer or its recognized successor.
new text end

Sec. 3.

Minnesota Statutes 2016, section 148.7802, subdivision 6, is amended to read:


Subd. 6.

Athletic trainer.

"Athletic trainer" means a person who engages in athletic
training under section 148.7806 and is deleted text beginregistereddeleted text endnew text begin licensednew text end under section 148.7808.

Sec. 4.

Minnesota Statutes 2016, section 148.7802, subdivision 9, is amended to read:


Subd. 9.

Credentialing examination.

"Credentialing examination" means an examination
administered by the Board of Certificationdeleted text begin,deleted text endnew text begin for the Athletic Trainernew text end or deleted text beginthe board'sdeleted text endnew text begin itsnew text end
recognized successordeleted text begin, for credentialing as an athletic trainer, or an examination for
credentialing offered by a national testing service that is approved by the board
deleted text end.

Sec. 5.

Minnesota Statutes 2016, section 148.7803, is amended to read:


148.7803 deleted text beginDESIGNATION OF ATHLETIC TRAINERdeleted text endnew text begin PROHIBITED PRACTICE
OR USE OF TITLES; PENALTY
new text end.

Subdivision 1.

Designation.

new text begin(a) new text endA person shall not use in connection with the person's
name new text beginor in any form of advertising, professional literature, or billing that relates to the
person's occupation or profession as an athletic trainer,
new text endthe words or letters registered athletic
trainer; licensed athletic trainer; Minnesota registered athletic trainer; athletic trainer; AT;
new text begin LAT; new text endATR; or any words, letters, abbreviations, or insignia indicating or implying that the
person is an athletic trainer, without deleted text begina certificate of registrationdeleted text endnew text begin being licensednew text end as an athletic
trainer deleted text beginissueddeleted text end under sections deleted text begin148.7808 to 148.7810deleted text endnew text begin 148.7801 to 148.7815new text end. deleted text beginA student attending
a college or university athletic training program must be identified as an "athletic training
student."
deleted text end

new text begin (b) Any person who is exempt from licensure under subdivision 3 must not use any of
the titles identified in paragraph (a), or any description stating or implying that they are
engaged in the practice of athletic training or that they are licensed to engage in the practice
of athletic training.
new text end

Subd. 2.

Penalty.

A person who violates this section is guilty of a misdemeanor and
subject to section 214.11.

new text begin Subd. 3. new text end

new text begin License required. new text end

new text begin No person shall engage in athletic training without first
being licensed under sections 148.7801 to 148.7815. A person engages in athletic training
if the person performs or offers to perform athletic training as defined in section 148.7806.
new text end

new text begin Subd. 4. new text end

new text begin Exceptions. new text end

new text begin (a) Nothing in sections 148.7801 to 148.7815 shall be construed
to prohibit the practice of any profession or occupation licensed or registered by the state
or to perform any act that falls within the scope of practice of the licensed or registered
profession or occupation.
new text end

new text begin (b) Nothing in sections 148.7801 to 148.7815 shall be construed to require an athletic
trainer license for:
new text end

new text begin (1) a student engaged in athletic training as part of an accredited athletic training program
if the student is under the direct supervision of a licensed athletic trainer and is identified
as an "athletic training student;" or
new text end

new text begin (2) an athletic trainer as a member of the United States armed forces while performing
duties incident to duty.
new text end

Sec. 6.

Minnesota Statutes 2016, section 148.7804, is amended to read:


148.7804 POWERS OF THE BOARD.

The board, acting under the advice of the Athletic Trainers Advisory Council, shall issue
all deleted text beginregistrationsdeleted text endnew text begin licensesnew text end and shall exercise the following powers and duties:

(1) adopt rules necessary to implement sections 148.7801 to 148.7815;

(2) prescribe deleted text beginregistrationdeleted text endnew text begin licensenew text end application forms, deleted text begincertificate of registrationdeleted text endnew text begin licensenew text end
forms, protocol forms, and other necessary forms;

(3) approve a deleted text beginregistrationdeleted text endnew text begin licensurenew text end examination;

(4) keep a complete record of deleted text beginregistereddeleted text endnew text begin licensednew text end athletic trainers, prepare a current
official listing of the names and addresses of deleted text beginregistereddeleted text endnew text begin licensednew text end athletic trainers, and make
a copy of the list available to any person requesting it upon payment of a copying fee
established by the board;

(5) keep a permanent record of all its proceedings; and

(6) establish the duties of, and employ, clerical personnel.

Sec. 7.

Minnesota Statutes 2016, section 148.7805, subdivision 1, is amended to read:


Subdivision 1.

Membership.

The Athletic Trainers Advisory Council is created and is
composed of eight members appointed by the board. The advisory council consists of:

(1) two public members as defined in section 214.02;

(2) three members who are deleted text beginregistereddeleted text endnew text begin licensednew text end athletic trainers, one being both a licensed
physical therapist and deleted text beginregistereddeleted text endnew text begin licensednew text end athletic trainer as submitted by the Minnesota
American Physical Therapy Association;

(3) two members who are medical physicians licensed by the state and have experience
with athletic training and sports medicine; and

(4) one member who is a doctor of chiropractic licensed by the state and has experience
with athletic training and sports injuries.

Sec. 8.

Minnesota Statutes 2016, section 148.7805, subdivision 3, is amended to read:


Subd. 3.

Duties.

The advisory council shall:

(1) advise the board regarding standards for athletic trainers;

(2) distribute information regarding athletic trainer standards;

(3) advise the board on enforcement of sections 148.7801 to 148.7815;

(4) review deleted text beginregistrationdeleted text endnew text begin license applicationsnew text end and deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal applications
and make recommendations to the board;

(5) review complaints in accordance with sections 214.10 and 214.13, subdivision 6;

(6) review investigation reports of complaints and recommend to the board whether
disciplinary action should be taken;

(7) advise the board regarding evaluation and treatment protocols;

(8) advise the board regarding approval of continuing education programs; and

(9) perform other duties authorized for advisory councils under chapter 214, as directed
by the board.

Sec. 9.

Minnesota Statutes 2016, section 148.7806, is amended to read:


148.7806 ATHLETIC TRAINING.

Athletic training by a deleted text beginregistereddeleted text endnew text begin licensednew text end athletic trainer under section 148.7808 includes
the activities described in paragraphs (a) to (e).

(a) An athletic trainer shall:

(1) prevent, recognize, and evaluate athletic injuries;

(2) give emergency care and first aid;

(3) manage and treat athletic injuries; and

(4) rehabilitate and physically recondition athletic injuries.

The athletic trainer may use modalities such as cold, heat, light, sound, electricity,
exercise, and mechanical devices for treatment and rehabilitation of athletic injuries to
athletes in the primary employment site.

(b) The primary physician shall establish evaluation and treatment protocols to be used
by the athletic trainer. The primary physician shall record the protocols on a form prescribed
by the board. The protocol form must be updated yearly at the athletic trainer's deleted text beginregistrationdeleted text endnew text begin
license
new text end renewal time and kept on file by the athletic trainer.

(c) At the primary employment site, except in a corporate setting, an athletic trainer may
evaluate and treat an athlete for an athletic injury not previously diagnosed for not more
than 30 days, or a period of time as designated by the primary physician on the protocol
form, from the date of the initial evaluation and treatment. Preventative care after resolution
of the injury is not considered treatment. This paragraph does not apply to a person who is
referred for treatment by a person licensed in this state to practice medicine as defined in
section 147.081, to practice chiropractic as defined in section 148.01, to practice podiatry
as defined in section 153.01, or to practice dentistry as defined in section 150A.05 and
whose license is in good standing.

(d) An athletic trainer may:

(1) organize and administer an athletic training program including, but not limited to,
educating and counseling athletes;

(2) monitor the signs, symptoms, general behavior, and general physical response of an
athlete to treatment and rehabilitation including, but not limited to, whether the signs,
symptoms, reactions, behavior, or general response show abnormal characteristics; and

(3) make suggestions to the primary physician or other treating provider for a modification
in the treatment and rehabilitation of an injured athlete based on the indicators in clause (2).

(e) In a clinical, corporate, and physical therapy setting, when the service provided is,
or is represented as being, physical therapy, an athletic trainer may work only under the
direct supervision of a physical therapist as defined in section 148.65.

Sec. 10.

Minnesota Statutes 2016, section 148.7808, subdivision 1, is amended to read:


Subdivision 1.

deleted text beginRegistrationdeleted text endnew text begin Licensurenew text end.

The board may issue deleted text begina certificate of registration
as
deleted text end an athletic trainer new text beginlicense new text endto applicants who meet the requirements under this section. An
applicant for deleted text beginregistrationdeleted text endnew text begin licensurenew text end as an athletic trainer shallnew text begin:
new text end

new text begin (1) new text endpay a fee under section 148.7815 deleted text beginanddeleted text endnew text begin;
new text end

new text begin (2)new text end file a written application on a form, provided by the board, that includes:

deleted text begin (1)deleted text end new text begin(i) new text endthe applicant's name, Social Security number, home address and telephone number,
business address and telephone number, and business setting;

deleted text begin (2)deleted text end new text begin(ii) new text endevidence satisfactory to the board of deleted text beginthe successful completion of an education
program approved by the board
deleted text endnew text begin current national credentialing as a certified athletic trainer
by the Board of Certification for the Athletic Trainer or its recognized successor
new text end;

deleted text begin (3)deleted text end new text begin(iii) new text endeducational background;

deleted text begin (4) proof of a baccalaureate or master's degree from an accredited college or university;
deleted text end

deleted text begin (5) credentials held in other jurisdictions;
deleted text end

new text begin (iv) credentials held in this state or in other jurisdictions;
new text end

deleted text begin (6)deleted text end new text begin(v) new text enda description of any deleted text beginotherdeleted text end jurisdiction's refusal to credential the applicant;

deleted text begin (7)deleted text end new text begin(vi) new text enda description of all professional disciplinary actions initiated against the applicant
in any deleted text beginotherdeleted text end jurisdiction;

deleted text begin (8)deleted text end new text begin(vii) new text endany history of drug or alcohol abuse, and any misdemeanor or felony conviction;

deleted text begin (9) evidence satisfactory to the board of a qualifying score on a credentialing examination;
deleted text end

deleted text begin (10)deleted text end new text begin(viii) new text endadditional information as requested by the board;

deleted text begin (11)deleted text end new text begin(ix) new text endthe applicant's signature on a statement that the information in the application
is true and correct to the best of the applicant's knowledge and belief; and

deleted text begin (12)deleted text end new text begin(x) new text endthe applicant's signature on a waiver authorizing the board to obtain access to
the applicant's records in this state or any other state in which the applicant has completed
an education program approved by the board deleted text beginordeleted text endnew text begin,new text end engaged in the practice of athletic trainingdeleted text begin.deleted text endnew text begin,
or held other professional credentials;
new text end

new text begin (3) if the applicant holds or has held a credential as an athletic trainer in another
jurisdiction, provide verification from the credentialing body in each jurisdiction that the
applicant holds or has held a credential for the practice of athletic training; and
new text end

new text begin (4) if the applicant holds or has held a credential as another health professional in this
state or another jurisdiction, provide verification from the credentialing body for that
profession that the applicant holds or has held a credential for the practice of that profession.
new text end

Sec. 11.

Minnesota Statutes 2016, section 148.7809, subdivision 1, is amended to read:


Subdivision 1.

Requirements for deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal.

deleted text beginA registered athletic
trainer shall apply to the board for a one-year extension of registration by paying a fee under
section 148.7815 and filing
deleted text end An new text beginathletic trainer license issued under section 148.7808 expires
annually. To renew a license, an athletic trainer shall pay a fee as required by section
148.7815 and complete a renewal
new text endapplication on a form provided by the board that includes:

(1) the athletic trainer's name, Minnesota athletic trainer deleted text beginregistrationdeleted text endnew text begin licensenew text end number,
home address and telephone number, business address and telephone number, and business
setting;

(2) work history for the past year, including the average number of hours worked per
week;

(3) a report of any change in status since initial deleted text beginregistrationdeleted text endnew text begin licensurenew text end or previous
deleted text begin registrationdeleted text endnew text begin licensenew text end renewal;

(4) evidence satisfactory to the board of having met the continuing education requirements
of section 148.7812;

(5) the athletic trainer's signature on a statement that a current copy of the protocol form
is on file at the athletic trainer's primary employment site; deleted text beginand
deleted text end

(6) deleted text beginadditional information as requested by the boarddeleted text endnew text begin any history of drug or alcohol abuse,
and any misdemeanor or felony conviction; and
new text end

new text begin (7) any disciplinary action on any credential held in this state or in another jurisdictionnew text end.

Sec. 12.

Minnesota Statutes 2016, section 148.7809, subdivision 2, is amended to read:


Subd. 2.

deleted text beginRegistrationdeleted text endnew text begin Licensenew text end renewal notice.

deleted text beginBefore June 1 of each year,deleted text end The board
shall new text beginannually new text endsend out a renewal notice to an athletic trainer's last known address on file
with the board. The notice shall include an application for deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal and
notice of the fees required for renewal. An athletic trainer who does not receive a renewal
notice must still meet the requirements for deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal under this section.

Sec. 13.

Minnesota Statutes 2016, section 148.7809, subdivision 4, is amended to read:


Subd. 4.

deleted text beginLapse of registration statusdeleted text endnew text begin Licensure following lapse of licensed status for
two years or less
new text end.

(a) deleted text beginExcept as provided in paragraph (b),deleted text end new text beginIn order to regain licensed status,
new text end an athletic trainer whose deleted text beginregistrationdeleted text endnew text begin licensenew text end has lapsed new text beginfor two years or less new text endmust:

(1) apply for deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal under deleted text beginthis sectiondeleted text endnew text begin subdivision 1new text end; deleted text beginand
deleted text end

deleted text begin (2) submit evidence satisfactory to the board from a licensed medical physician verifying
employment in athletic training for eight weeks every three years during the time of the
lapse in registration.
deleted text end

new text begin (2) document compliance with the continuing education requirements in section 148.7812
since the athletic trainer's initial licensure or last renewal; and
new text end

new text begin (3) submit the fees required by section 148.7815 for the period the athletic trainer was
not licensed, including the fee for late renewal.
new text end

(b) The board shall not renew, reissue, reinstate, or restore a deleted text beginregistrationdeleted text endnew text begin licensenew text end that has
lapsed after June 30, 1999, and has not been renewed within two annual renewal cycles
starting July 1, 2001. An athletic trainer whose deleted text beginregistrationdeleted text endnew text begin licensenew text end is canceled for nonrenewal
must obtain a new deleted text beginregistrationdeleted text endnew text begin licensenew text end by applying for deleted text beginregistrationdeleted text endnew text begin licensurenew text end and fulfilling
all requirements then in existence for an initial deleted text beginregistrationdeleted text endnew text begin licensenew text end.

Sec. 14.

Minnesota Statutes 2016, section 148.7810, subdivision 1, is amended to read:


Subdivision 1.

Verification of application information.

The board or advisory council,
with the approval of the board, may verify information provided by an applicant for
deleted text begin registrationdeleted text endnew text begin licensurenew text end under section 148.7808 and deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal under section
148.7809 to determine whether the information is accurate and complete.

Sec. 15.

Minnesota Statutes 2016, section 148.7810, subdivision 3, is amended to read:


Subd. 3.

Request for hearing by applicant denied deleted text beginregistrationdeleted text endnew text begin licensurenew text end.

An applicant
denied deleted text beginregistrationdeleted text endnew text begin licensurenew text end shall be notified of the determination, and the grounds for it,
and may request a hearing on the determination under Minnesota Rules, part 5615.0300,
by filing a written statement of issues with the board within 20 days after receipt of the
notice from the board. After the hearing, the board shall notify the applicant in writing of
its decision.

Sec. 16.

Minnesota Statutes 2016, section 148.7811, is amended to read:


148.7811 CHANGE OF ADDRESS.

A deleted text beginregistereddeleted text endnew text begin licensednew text end athletic trainer must notify the board, in writing, within 30 days
of a change of address.

Sec. 17.

Minnesota Statutes 2016, section 148.7812, subdivision 1, is amended to read:


Subdivision 1.

deleted text beginNumber of contact hours requireddeleted text endnew text begin Board of Certification for the
Athletic Trainer requirements
new text end.

An athletic trainer shall deleted text begincomplete during every three-year
period at least the equivalent of 60 contact hours of continuing professional postdegree
education in programs approved by the board.
deleted text endnew text begin meet the professional development
requirements of the Board of Certification for the Athletic Trainer in order to maintain
Board of Certification for the Athletic Trainer certification. These requirements may be met
through a board-approved continuing education program.
new text end

Sec. 18.

Minnesota Statutes 2016, section 148.7812, subdivision 2, is amended to read:


Subd. 2.

Approved programs.

The board shall approve a continuing education program
that has been approved for deleted text begincontinuing education creditdeleted text endnew text begin maintenance of competencenew text end by the
Board of Certificationdeleted text begin,deleted text endnew text begin for the Athletic Trainernew text end or deleted text beginthe board'sdeleted text endnew text begin itsnew text end recognized successor.

Sec. 19.

Minnesota Statutes 2016, section 148.7812, subdivision 4, is amended to read:


Subd. 4.

Verification of continuing education deleted text begincreditsdeleted text endnew text begin requirementsnew text end.

The board shall
periodically select a random sample of athletic trainers and require the athletic trainers to
show evidence to the board of having completed the continuing education requirements
attested to by the athletic trainer. Either the athletic trainer or state or national organizations
that maintain continuing education records may provide to the board documentation of
attendance at a continuing education program.

Sec. 20.

Minnesota Statutes 2016, section 148.7813, subdivision 5, is amended to read:


Subd. 5.

Discipline; reporting.

For the purposes of this chapter, deleted text beginregistereddeleted text endnew text begin licensednew text end
athletic trainers and applicants are subject to sections 147.091 to 147.162.

Sec. 21.

Minnesota Statutes 2016, section 148.7815, is amended to read:


148.7815 FEES.

Subdivision 1.

Fees.

The board shall establish fees as follows:

(1) application fee, $50;new text begin and
new text end

(2) annual deleted text beginregistrationdeleted text endnew text begin licensenew text end fee, $100deleted text begin;deleted text endnew text begin.
new text end

deleted text begin (3) temporary registration, $100; and
deleted text end

deleted text begin (4) temporary permit, $50.
deleted text end

Subd. 2.

Proration of fees.

The board may prorate the initial annual fee for deleted text beginregistrationdeleted text endnew text begin
licensure
new text end under section 148.7808. Athletic trainers deleted text beginregistereddeleted text endnew text begin licensednew text end under section 148.7808
are required to pay the full fee upon deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal.

Subd. 3.

Penalty for a late application for deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal.

The penalty
for late submission of a deleted text beginregistrationdeleted text endnew text begin licensenew text end renewal application under section 148.7809 is
$15.

Subd. 4.

Nonrefundable fees.

The fees in this section are nonrefundable.

Sec. 22. new text beginREVISOR'S INSTRUCTION.
new text end

new text begin In Minnesota Statutes and Minnesota Rules, the revisor of statutes shall change the term
"register" or "registration" to "license" or "licensure" or similar terms wherever they appear
in Minnesota Statutes and Minnesota Rules when referring to athletic trainers.
new text end

Sec. 23. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2016, sections 148.7808, subdivisions 3, 4, and 5; and 148.7812,
subdivisions 3 and 5,
new text end new text begin are repealed.
new text end

Sec. 24. new text beginEFFECTIVE DATE.
new text end

new text begin Sections 1 to 23 are effective July 1, 2018. Athletic trainers' registrations shall be
converted to licenses at the next renewal. For purposes of interpreting sections 1 to 23 after
July 1, 2018, but before a registration is converted to a license, a registration is equivalent
to a license.
new text end

APPENDIX

Repealed Minnesota Statutes: H0822-1

148.7808 REGISTRATION; REQUIREMENTS.

Subd. 3.

Registration by reciprocity.

(a) The board may register by reciprocity an applicant who:

(1) submits the application materials and fees required under subdivision 1, clauses (1) to (8) and (10) to (12);

(2) provides a verified copy of a current and unrestricted credential for the practice of athletic training in another jurisdiction that has credentialing requirements equivalent to or more stringent than the requirements under subdivision 1; and

(3) provides letters of verification from the credentialing body in each jurisdiction in which the applicant holds a credential. Each letter must include the applicant's name, date of birth, credential number, date of issuance of the credential, a statement regarding disciplinary actions taken against the applicant, and the terms under which the credential was issued.

(b) An applicant for registration by reciprocity who has applied for registration under subdivision 1 and meets the requirements of paragraph (a), clause (1), may apply to the board for temporary registration under subdivision 4.

Subd. 4.

Temporary registration.

(a) The board may issue a temporary registration as an athletic trainer to qualified applicants. A temporary registration is issued for 120 days. An athletic trainer with a temporary registration may qualify for full registration after submission of verified documentation that the athletic trainer has achieved a qualifying score on a credentialing examination within 120 days after the date of the temporary registration. A temporary registration may not be renewed.

(b) Except as provided in subdivision 3, paragraph (a), clause (1), an applicant for a temporary registration must submit the application materials and fees for registration required under subdivision 1, clauses (1) to (8) and (10) to (12).

(c) An athletic trainer with a temporary registration shall work only under the direct supervision of an athletic trainer registered under this section. No more than two athletic trainers with temporary registrations shall work under the direction of a registered athletic trainer.

Subd. 5.

Temporary permit.

The board may issue a temporary permit to practice as an athletic trainer to an applicant eligible for registration under this section if the application for registration is complete, all applicable requirements in this section have been met, and a nonrefundable fee set by the board has been paid. The permit remains valid only until the meeting of the board at which a decision is made on the athletic trainer's application for registration.

148.7812 CONTINUING EDUCATION REQUIREMENTS.

Subd. 3.

Approval of continuing education programs.

A continuing education program that has not been approved under subdivision 2 shall be approved by the board if:

(1) the program content directly relates to the practice of athletic training or sports medicine;

(2) each member of the program faculty shows expertise in the subject matter by holding a degree from an accredited education program, having verifiable experience in the field of athletic training or sports medicine, having special training in the subject area, or having experience teaching in the subject area;

(3) the program lasts at least one contact hour;

(4) there are specific written objectives describing the goals of the program for the participants; and

(5) the program sponsor maintains attendance records for four years.

Subd. 5.

Restriction on continuing education topics.

To meet the continuing education requirement in subdivision 1, an athletic trainer may have no more than ten hours of continuing education in the areas of management, risk management, personal growth, and educational techniques in a three-year reporting period.