HF 3511

as introduced - 93rd Legislature (2023 - 2024) Posted on 02/12/2024 11:59am

A bill for an act
relating to health; establishing requirements for medication regimen reviews and
reviews of medication practices at assisted living facilities; modifying requirements
for resident records; requiring medication regimen review reports; amending
Minnesota Statutes 2022, sections 144G.43, subdivision 3; 144G.71, by adding
subdivisions.

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

Section 1.

Minnesota Statutes 2022, section 144G.43, subdivision 3, is amended to read:

Subd. 3.

Contents of resident record.

Contents of a resident record include the following
for each resident:

(1) identifying information, including the resident's name, date of birth, address, and
telephone number;

(2) the name, address, and telephone number of the resident's emergency contact, legal
representatives, and designated representative;

(3) names, addresses, and telephone numbers of the resident's health and medical service
providers, if known;

(4) health information, including medical history, allergies, and when the provider is
managing medications, treatments or therapies that require documentation, and other relevant
health records;

(5) the resident's advance directives, if any;

(6) copies of any health care directives, guardianships, powers of attorney, or
conservatorships;

(7) the facility's current and previous assessments deleted text begin and deleted text end new text begin , new text end service plans new text begin , and medication
regimen reviews new text end ;

(8) all records of communications pertinent to the resident's services;

(9) documentation of significant changes in the resident's status and actions taken in
response to the needs of the resident, including reporting to the appropriate supervisor or
health care professional;

(10) documentation of incidents involving the resident and actions taken in response to
the needs of the resident, including reporting to the appropriate supervisor or health care
professional;

(11) documentation that services have been provided as identified in the service plan;

(12) documentation that the resident has received and reviewed the assisted living bill
of rights;

(13) documentation of complaints received and any resolution;

(14) a discharge summary, including service termination notice and related
documentation, when applicable; and

(15) other documentation required under this chapter and relevant to the resident's
services or status.

Sec. 2.

Minnesota Statutes 2022, section 144G.71, is amended by adding a subdivision to
read:

new text begin Subd. 2a. new text end

new text begin Medication regimen review for residents requesting or receiving medication
management services. new text end

new text begin (a) An assisted living facility must have a pharmacist conduct
medication regimen reviews for each resident who requests or is receiving medication
management services at the facility. A medication regimen review must be conducted each
time the resident experiences a significant change in condition and at least quarterly.
new text end

new text begin (b) In a medication regimen review, the pharmacist must identify any current or potential
medication-related problems, including but not limited to:
new text end

new text begin (1) the lack of clinical indication for the use of a medication;
new text end

new text begin (2) the use of a subtherapeutic dose of a medication;
new text end

new text begin (3) a medication administered in an excessive dosage, including duplicate therapy;
new text end

new text begin (4) a medication administered for an excessive duration;
new text end

new text begin (5) an adverse reaction to medication; and
new text end

new text begin (6) any medication interactions.
new text end

new text begin (c) After a medication regimen review, the pharmacist conducting the review must
provide the facility's director of health services with a written report of findings from the
review and any medication-related problems. The director of health services must provide
the medication regimen review report to the resident's attending provider. The director of
health services and the resident's attending provider must sign the report and accept or reject
the report and any problems noted in the report by the attending provider's next visit to the
resident, or sooner if indicated by the pharmacist who conducted the review.
new text end

Sec. 3.

Minnesota Statutes 2022, section 144G.71, is amended by adding a subdivision to
read:

new text begin Subd. 2b. new text end

new text begin Medication regimen review for residents not requesting or receiving
medication management services. new text end

new text begin (a) An assisted living facility must offer a medication
regimen review to each resident who does not request or is not receiving medication
management services at the facility. A medication regimen review must be offered when
the resident is admitted to the facility and each time the resident experiences a significant
change in condition. The facility must document the resident's decision in the resident record.
new text end

new text begin (b) If a resident consents to a medication regimen review, the review must be conducted
according to subdivision 2a, paragraphs (b) and (c).
new text end

Sec. 4.

Minnesota Statutes 2022, section 144G.71, is amended by adding a subdivision to
read:

new text begin Subd. 24. new text end

new text begin Annual reviews of facility medication practices. new text end

new text begin At least annually, an assisted
living facility that provides medication management services must have a pharmacist or
nurse conduct an on-site review of the facility's medication storage, medication setup, and
medication administration practices. The pharmacist or nurse conducting the review must
provide the results of the review and any recommendations for improvements to the facility's
director of health services.
new text end