1st Engrossment - 90th Legislature (2017 - 2018) Posted on 03/02/2017 04:19pm
Engrossments | ||
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Introduction | Posted on 02/06/2017 | |
1st Engrossment | Posted on 03/02/2017 |
A bill for an act
relating to health; modifying the health professional loan forgiveness program and
the employee scholarship program; appropriating money; amending Minnesota
Statutes 2016, sections 144.1501, subdivision 2; 256R.37; repealing Minnesota
Rules, part 4658.1360.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2016, section 144.1501, subdivision 2, is amended to read:
(a) A health professional education loan forgiveness
program account is established. The commissioner of health shall use money from the
account to establish a loan forgiveness program:
(1) for medical residents and mental health professionals agreeing to practice in designated
rural areas or underserved urban communities or specializing in the area of pediatric
psychiatry;
(2) for midlevel practitioners agreeing to practice in designated rural areas or to teach
at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary program
at the undergraduate level or the equivalent at the graduate level;
(3) for nurses who agree to practice in a Minnesota nursing home; an intermediate care
facility for persons with developmental disability; deleted text begin ordeleted text end a hospital if the hospital owns and
operates a Minnesota nursing home and a minimum of 50 percent of the hours worked by
the nurse is in the nursing home; new text begin or a housing with services establishment as defined in
section 144D.01, subdivision 4; or a home care provider as defined in section 144A.43,
subdivision 4; new text end or agree to teach at least 12 credit hours, or 720 hours per year in the nursing
field in a postsecondary program at the undergraduate level or the equivalent at the graduate
level;
(4) for other health care technicians agreeing to teach at least 12 credit hours, or 720
hours per year in their designated field in a postsecondary program at the undergraduate
level or the equivalent at the graduate level. The commissioner, in consultation with the
Healthcare Education-Industry Partnership, shall determine the health care fields where the
need is the greatest, including, but not limited to, respiratory therapy, clinical laboratory
technology, radiologic technology, and surgical technology;
(5) for pharmacists, advanced dental therapists, dental therapists, and public health nurses
who agree to practice in designated rural areas; and
(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient
encounters to state public program enrollees or patients receiving sliding fee schedule
discounts through a formal sliding fee schedule meeting the standards established by the
United States Department of Health and Human Services under Code of Federal Regulations,
title 42, section 51, chapter 303.
(b) Appropriations made to the account do not cancel and are available until expended,
except that at the end of each biennium, any remaining balance in the account that is not
committed by contract and not needed to fulfill existing commitments shall cancel to the
fund.
Minnesota Statutes 2016, section 256R.37, is amended to read:
(a) For the 27-month period beginning October 1, 2015, through December 31, 2017,
the commissioner shall allow a scholarship per diem of up to 25 cents for each nursing
facility with no scholarship per diem that is requesting a scholarship per diem to be added
to the external fixed payment rate to be used:
(1) for employee scholarships that satisfy the following requirements:
(i) scholarships are available to all employees who work an average of at least ten hours
per week at the facility except the administrator, and to reimburse student loan expenses
for newly hired deleted text begin and recently graduateddeleted text end registered nurses and licensed practical nurses, and
training expenses for nursing assistants as specified in section 144A.611, subdivisions 2
and 4, who are newly hired deleted text begin and have graduated within the last 12 monthsdeleted text end ; and
(ii) the course of study is expected to lead to career advancement with the facility or in
long-term care, including medical care interpreter services and social work; and
(2) to provide job-related training in English as a second language.
(b) All facilities may annually request a rate adjustment under this section by submitting
information to the commissioner on a schedule and in a form supplied by the commissioner.
The commissioner shall allow a scholarship payment rate equal to the reported and allowable
costs divided by resident days.
(c) In calculating the per diem under paragraph (b), the commissioner shall allow costs
related to tuition, direct educational expenses, and reasonable costs as defined by the
commissioner for child care costs and transportation expenses related to direct educational
expenses.
(d) The rate increase under this section is an optional rate add-on that the facility must
request from the commissioner in a manner prescribed by the commissioner. The rate
increase must be used for scholarships as specified in this section.
(e) For instances in which a rate adjustment will be 15 cents or greater, nursing facilities
that close beds during a rate year may request to have their scholarship adjustment under
paragraph (b) recalculated by the commissioner for the remainder of the rate year to reflect
the reduction in resident days compared to the cost report year.
new text begin
$....... in fiscal year 2018 and $....... in fiscal year 2019 are appropriated from the general
fund to the commissioner of health for the home and community-based services employee
scholarship program under Minnesota Statutes, section 144.1503. The commissioner may
use up to $50,000 of the annual appropriation for administration.
new text end
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The revisor shall fix cross-references to repealed Minnesota Rules, part 4658.1360,
wherever it appears in Minnesota Statutes and Minnesota Rules.
new text end
new text begin
Minnesota Rules, part 4658.1360,
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new text begin
is repealed.
new text end
Repealed Minnesota Rule: H0804-1
The director of nursing services may delegate medication administration to unlicensed personnel according to Minnesota Statutes, sections 148.171, subdivision 15, and 148.262, subdivision 7.
Unlicensed nursing personnel who administer medications in a nursing home must:
have completed a standardized medication administration training program for unlicensed personnel in nursing homes which is offered through a Minnesota postsecondary educational institution that includes, at a minimum, instruction on the following:
documentation after administration of the date, time, dosage, and method of administration of all medications, or the reason for not administering the medication as ordered, and the signature of the nurse or authorized person who administered and observed the same; and
A nursing home must keep written documentation verifying completion of the required course by all unlicensed nursing personnel administering medications.
A person who completes the required training course, and has been delegated the responsibility, may administer medication, whether oral, suppository, eye drops, ear drops, inhalant, or topical, if:
in the case of pro re nata (PRN) medications, the administration of the medication is authorized by a nurse or reported to a nurse within a time period that is specified by nursing home policy prior to the administration.