1st Engrossment - 82nd Legislature (2001 - 2002)
Posted on 12/15/2009 12:00 a.m.
1.1 A bill for an act 1.2 relating to public health; establishing the Minnesota 1.3 Emergency Health Powers Act; modifying provisions for 1.4 declaring national security and peacetime emergencies; 1.5 requiring reporting of certain health conditions; 1.6 authorizing special powers for the control of property 1.7 and protection of people; providing criminal 1.8 penalties; appropriating money; amending Minnesota 1.9 Statutes 2000, sections 12.03, by adding subdivisions; 1.10 12.09, subdivisions 1, 2; 12.21, subdivision 3; 12.31, 1.11 subdivision 2; 12.32; 12.34, subdivision 1; 12.42; 1.12 13.3805, subdivision 1; 13.82, by adding subdivisions; 1.13 144.99, subdivision 1; 145A.07, subdivision 1; 1.14 Minnesota Statutes 2001 Supplement, section 12.31, 1.15 subdivision 1; proposing coding for new law in 1.16 Minnesota Statutes, chapters 12; 145. 1.17 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.18 Section 1. [TITLE.] 1.19 Sections 1 to 47 may be cited as the "Minnesota Emergency 1.20 Health Powers Act." 1.21 Sec. 2. Minnesota Statutes 2000, section 12.03, is amended 1.22 by adding a subdivision to read: 1.23 Subd. 1c. [COMMUNICABLE DISEASE.] "Communicable disease" 1.24 means an infectious disease that can be transmitted from person 1.25 to person, animal to person, or insect to person. 1.26 Sec. 3. Minnesota Statutes 2000, section 12.03, is amended 1.27 by adding a subdivision to read: 1.28 Subd. 4d. [FACILITY.] "Facility" has the meaning given in 1.29 section 145.9805. 1.30 Sec. 4. Minnesota Statutes 2000, section 12.03, is amended 1.31 by adding a subdivision to read: 2.1 Subd. 5d. [INFECTIOUS DISEASE.] "Infectious disease" means 2.2 a disease caused by a living organism. An infectious disease 2.3 may or may not be transmissible from person to person, animal to 2.4 person, or insect to person. 2.5 Sec. 5. Minnesota Statutes 2000, section 12.03, is amended 2.6 by adding a subdivision to read: 2.7 Subd. 5e. [ISOLATION.] "Isolation" means separation, 2.8 during the period of communicability, of an infected person in a 2.9 place and under conditions so as to prevent direct or indirect 2.10 transmission of the infectious agent to others. 2.11 Sec. 6. Minnesota Statutes 2000, section 12.03, is amended 2.12 by adding a subdivision to read: 2.13 Subd. 6a. [PEACE OFFICER.] "Peace officer" means a peace 2.14 officer or part-time peace officer as defined under section 2.15 626.84, subdivision 1, paragraphs (c) and (f). 2.16 Sec. 7. Minnesota Statutes 2000, section 12.03, is amended 2.17 by adding a subdivision to read: 2.18 Subd. 9a. [PUBLIC HEALTH EMERGENCY.] "Public health 2.19 emergency" means the occurrence or imminent risk of a qualifying 2.20 health condition. 2.21 Sec. 8. Minnesota Statutes 2000, section 12.03, is amended 2.22 by adding a subdivision to read: 2.23 Subd. 9b. [QUALIFYING HEALTH CONDITION.] "Qualifying 2.24 health condition" has the meaning given in section 145.9805. 2.25 Sec. 9. Minnesota Statutes 2000, section 12.03, is amended 2.26 by adding a subdivision to read: 2.27 Subd. 9c. [QUARANTINE.] "Quarantine" means restriction, 2.28 during the period of communicability, of activities or travel of 2.29 an otherwise healthy person who likely has been exposed to a 2.30 communicable disease to prevent disease transmission during the 2.31 period of incubation in the event the person is infected. 2.32 Sec. 10. Minnesota Statutes 2000, section 12.03, is 2.33 amended by adding a subdivision to read: 2.34 Subd. 12. [SPECIMEN.] "Specimen" has the meaning given in 2.35 section 145.9805. 2.36 Sec. 11. Minnesota Statutes 2000, section 12.03, is 3.1 amended by adding a subdivision to read: 3.2 Subd. 13. [TEST.] "Test" has the meaning given in section 3.3 145.9805. 3.4 Sec. 12. Minnesota Statutes 2000, section 12.03, is 3.5 amended by adding a subdivision to read: 3.6 Subd. 14. [HEALTH CARE FACILITY.] "Health care facility" 3.7 means any entity of any kind that provides or is intended to 3.8 provide health services of any kind to a person. Health 3.9 services include, but are not limited to, medical treatment, 3.10 nursing care, rehabilitative services, or preventive care. 3.11 Health care facility also includes entities that provide 3.12 services to health care entities, including, but not limited to, 3.13 research facilities, pharmacies, laundry facilities, training 3.14 and lodging facilities, food service facilities, and 3.15 administrative offices. 3.16 Sec. 13. Minnesota Statutes 2000, section 12.03, is 3.17 amended by adding a subdivision to read: 3.18 Subd. 15. [HEALTH CARE PROVIDER.] "Health care provider" 3.19 has the meaning given in section 145.9805. 3.20 Sec. 14. Minnesota Statutes 2000, section 12.03, is 3.21 amended by adding a subdivision to read: 3.22 Subd. 16. [HEALTH CARE PROVIDER PERSONNEL.] "Health care 3.23 provider personnel" has the meaning given in section 145.9805. 3.24 Sec. 15. Minnesota Statutes 2000, section 12.09, 3.25 subdivision 1, is amended to read: 3.26 Subdivision 1. [COORDINATION.] The division shall 3.27 coordinate state agency preparedness for and emergency response 3.28 to all types of natural and other emergencies and disasters, 3.29 including discharges of oil and hazardous substances. The 3.30 division shall consult with the commissioner of health in 3.31 coordinating state agency preparedness for and emergency 3.32 response to public health emergencies. 3.33 Sec. 16. Minnesota Statutes 2000, section 12.09, 3.34 subdivision 2, is amended to read: 3.35 Subd. 2. [STATE EMERGENCY PLAN.] The division shall 3.36 develop and maintain a comprehensive state emergency operations 4.1 plan and emergency management program in accord with section 4.2 12.21, subdivision 3, clause (2), and ensure that other state 4.3 emergency plans that may be developed are coordinated and 4.4 consistent with the comprehensive state emergency operations 4.5 plan. The division shall consult with the commissioner of 4.6 health in developing and maintaining plans and programs under 4.7 this subdivision related to public health emergencies. 4.8 Sec. 17. Minnesota Statutes 2000, section 12.21, 4.9 subdivision 3, is amended to read: 4.10 Subd. 3. [SPECIFIC AUTHORITY.] In performing duties under 4.11 this chapter and to effect its policy and purpose, the governor 4.12 may: 4.13 (1) make, amend, and rescind the necessary orders and rules 4.14 to carry out the provisions of this chapter and section 216C.15 4.15 within the limits of the authority conferred by this section, 4.16 with due consideration of the plans of the federal government 4.17 and without complying with sections 14.001 to 14.69, but no 4.18 order or rule has the effect of law except as provided by 4.19 section 12.32; 4.20 (2) ensure that a comprehensive emergency operations plan 4.21 and emergency management program for this state are developed 4.22 and maintained, and are integrated into and coordinated with the 4.23 emergency plans of the federal government and of other states to 4.24 the fullest possible extent; 4.25 (3) in accordance with the emergency operations plan and 4.26 the emergency management program of this state, procure supplies 4.27and, equipment, and facilities and other real property, 4.28 institute training programs and public information programs, and 4.29 take all other preparatory steps, including the partial or full 4.30 activation of emergency management organizations in advance of 4.31 actual disaster to ensure the furnishing of adequately trained 4.32 and equipped forces of emergency management personnel in time of 4.33 need; 4.34 (4) make studies and surveys of the industries, resources, 4.35 and facilities in this state as may be necessary to ascertain 4.36 the capabilities of the state for emergency management and to 5.1 plan for the most efficient emergency use of those industries, 5.2 resources, and facilities; 5.3 (5) on behalf of this state, enter into mutual aid 5.4 arrangements or cooperative agreements with other states, tribal 5.5 authorities, andwithCanadian provinces, and coordinate mutual 5.6 aid plans between political subdivisions of this state; 5.7 (6) delegate administrative authority vested in the 5.8 governor under this chapter, except the power to make rules, and 5.9 provide for the subdelegation of that authority; 5.10 (7) cooperate with the president and the heads of the armed 5.11 forces, the emergency management agency of the United States and 5.12 other appropriate federal officers and agencies, and with the 5.13 officers and agencies of other states in matters pertaining to 5.14 the emergency management of the state and nation, including the 5.15 direction or control of: 5.16 (i) emergency preparedness drills and exercises; 5.17 (ii) warnings and signals for drills or actual emergencies 5.18 and the mechanical devices to be used in connection with them; 5.19 (iii) shutting off water mains, gas mains, electric power 5.20 connections and the suspension of all other utility services; 5.21 (iv) the conduct of persons in the state and the movement 5.22 and cessation of movement of pedestrians and vehicular traffic 5.23 during, prior, and subsequent to drills or actual emergencies; 5.24 (v) public meetings or gatherings; and 5.25 (vi) the evacuation, reception, and sheltering of persons; 5.26 (8) contribute to a political subdivision, within the 5.27 limits of the appropriation for that purpose, not more than 25 5.28 percent of the cost of acquiring organizational equipment that 5.29 meets standards established by the governor; 5.30 (9) formulate and execute, with the approval of the 5.31 executive council, plans and rules for the control of traffic in 5.32 order to provide for the rapid and safe movement over public 5.33 highways and streets of troops, vehicles of a military 5.34 nature, and materials for national defense and war or for use in 5.35 any war industry, for the conservation of critical materials, or 5.36 for emergency management purposes, and; coordinate the 6.1 activities of the departments or agencies of the state and its 6.2 political subdivisions concerned directly or indirectly with 6.3 public highways and streets, in a manner that will best 6.4 effectuate those plans; and prescribe routes, modes of 6.5 transportation, and destinations in connection with the 6.6 evacuation of people or the provision of emergency services; 6.7 (10) alter or adjust by executive order, without complying 6.8 with sections 14.01 to 14.69, the working hours, work days and 6.9 work week of, and annual and sick leave provisions and payroll 6.10 laws regarding all state employees in the executive branch as 6.11 the governor deems necessary to minimize the impact of the 6.12 disaster or emergency, conforming the alterations or adjustments 6.13 to existing state laws, rules, and collective bargaining 6.14 agreements to the extent practicable; 6.15 (11) authorize the commissioner of children, families, and 6.16 learning to alter school schedules, curtail school activities, 6.17 or order schools closed without affecting state aid to schools, 6.18 as defined in section 120A.05, subdivisions 9, 11, 13, and 17, 6.19 and including charter schools under section 124D.10, and 6.20 elementary schools enrolling prekindergarten pupils in district 6.21 programs; and 6.22 (12) transfer the direction, personnel, or functions of 6.23 state agencies to perform or facilitate response and recovery 6.24 programs. 6.25 Sec. 18. Minnesota Statutes 2001 Supplement, section 6.26 12.31, subdivision 1, is amended to read: 6.27 Subdivision 1. [DECLARATION OF NATIONAL SECURITY 6.28 EMERGENCY.] When information from the President of the United 6.29 States, the Federal Emergency Management Agency, the Department 6.30 of Defense, or the National Warning System indicates the 6.31 imminence of a national security emergency within the United 6.32 States, which means the several states, the District of 6.33 Columbia, and the Commonwealth of Puerto Rico, or the occurrence 6.34 within the state of Minnesota of a major disaster or public 6.35 health emergency from enemy sabotage or other hostile action, 6.36 the governor may, by proclamation, declare that a national 7.1 security emergency exists in all or any part of the state. If 7.2 the legislature is then in regular session or, if it is not, if 7.3 the governor concurrently with the proclamation declaring the 7.4 emergency issues a call convening immediately both houses of the 7.5 legislature, the governor may exercise for a period not to 7.6 exceed 30 days the powers and duties conferred and imposed by 7.7 sections 12.31 to 12.37. The lapse of these emergency powers 7.8 does not, as regards any act occurring or committed within the 7.9 30-day period, deprive any person, political subdivision, 7.10 municipal corporation, or body politic of any right to 7.11 compensation or reimbursement that it may have under this 7.12 chapter. 7.13 Sec. 19. Minnesota Statutes 2000, section 12.31, 7.14 subdivision 2, is amended to read: 7.15 Subd. 2. [DECLARATION OF PEACETIME EMERGENCY.] The 7.16 governor may declare a peacetime emergency. A peacetime 7.17 declaration of emergency may be declared only when an act of 7.18 nature, a technological failure or malfunction, a terrorist 7.19 incident, a public health emergency, an industrial accident, a 7.20 hazardous materials accident, or a civil disturbance endangers 7.21 life and property and local government resources are inadequate 7.22 to handle the situation.ItA peacetime emergency must not be 7.23 continued for more than five days unless extended by resolution 7.24 of the executive council up to 30 days. An order, or 7.25 proclamation declaring, continuing, or terminating an emergency 7.26 must be given prompt and general publicity and filed with the 7.27 secretary of state. 7.28 Sec. 20. Minnesota Statutes 2000, section 12.32, is 7.29 amended to read: 7.30 12.32 [GOVERNOR'S ORDERS AND RULES, EFFECT.] 7.31 Orders and rules promulgated by the governor under 7.32 authority of section 12.21, subdivision 3, clause (1), when 7.33 approved by the executive council and filed in the office of the 7.34 secretary of state, have, during a national security, peacetime, 7.35 or energy supply emergency, the full force and effect of law. 7.36 Rules and ordinances of any agency or political subdivision of 8.1 the state inconsistent with the provisions of this chapter or 8.2 with any order or rule having the force and effect of law issued 8.3 under the authority of this chapter, is suspended during the 8.4 period of time and to the extent that the emergency exists. 8.5 Sec. 21. Minnesota Statutes 2000, section 12.34, 8.6 subdivision 1, is amended to read: 8.7 Subdivision 1. [EMERGENCY POWERS.] When necessary to save 8.8 life, property, or the environment during a national security 8.9 emergency or a peacetime emergency declared due to a public 8.10 health emergency, the governor, the state director, or a member 8.11 of a class of members of a state or local emergency management 8.12 organization designated by the governor, may: 8.13 (1) require any person, except members of the federal or 8.14 state military forces and officers of the state or a political 8.15 subdivision, to perform services for emergency management 8.16 purposes as directed by any of the persons described above, and; 8.17 (2) commandeer, during a national security emergency,any 8.18 motor vehicle, tools, appliances, medical supplies, or other 8.19 personal property and any facilities or other real property; and 8.20 (3) control entrance to and exit from any stricken or 8.21 threatened public area, the movement of people in the area, and 8.22 the occupancy of premises in the area, if such action is 8.23 reasonable and necessary for emergency response. 8.24 Sec. 22. [12.356] [IMMUNITY.] 8.25 (a) The following have the same immunities provided by law 8.26 for the employees of the state: 8.27 (1) a person who owns or controls real estate or other 8.28 premises and who grants a license or privilege or otherwise 8.29 permits the designation or use of all or any part of the real 8.30 estate or premises for the purpose of sheltering persons during 8.31 a national security or peacetime emergency, together with that 8.32 person's successors in interest, if any; 8.33 (2) a person in the performance of a contract with and 8.34 under the direction of the state or its political subdivisions 8.35 under this chapter; and 8.36 (3) a person who renders assistance or advice at the 9.1 request or direction of the state or its political subdivisions 9.2 under this chapter. 9.3 (b) The immunities granted in this section do not apply to 9.4 a person whose act or omission caused, in whole or in part, an 9.5 emergency and who would otherwise be liable therefor. 9.6 Sec. 23. [12.375] [DECLARATION DUE TO PUBLIC HEALTH 9.7 EMERGENCY.] 9.8 Subdivision 1. [CONSULTATION REQUIRED.] Before declaring a 9.9 national security or peacetime emergency due to a public health 9.10 emergency, the governor shall consult with the commissioner of 9.11 health and may consult with additional public health experts and 9.12 other experts as needed. If the public health emergency is on 9.13 Indian lands, the governor shall consult with tribal authorities 9.14 before making such a declaration. Nothing in this section shall 9.15 be construed to limit the governor's authority to act without 9.16 such consultation when the situation calls for prompt and timely 9.17 action. 9.18 Subd. 2. [EFFECT OF DECLARATION.] A declaration of a 9.19 national security or peacetime emergency due to a public health 9.20 emergency invokes the necessary portions of the state emergency 9.21 operations plan developed pursuant to section 12.21, subdivision 9.22 3, relating to response and recovery aspects and may authorize 9.23 aid and assistance under the plan. 9.24 Sec. 24. [12.377] [EMERGENCY MEASURES CONCERNING DANGEROUS 9.25 FACILITIES AND MATERIALS.] 9.26 During a national security or peacetime emergency declared 9.27 due to a public health emergency, the commissioner of health may: 9.28 (1) for examination purposes, close or evacuate a facility 9.29 when the commissioner reasonably suspects that the facility may 9.30 endanger the public health. If, upon completion of the 9.31 examination, the commissioner determines that the facility is 9.32 safe to reopen, the commissioner shall provide appropriate 9.33 notice that the facility may be returned to normal use; 9.34 (2) close, direct and compel the evacuation of, or 9.35 decontaminate or cause to be decontaminated, any facility when 9.36 there is reasonable cause to believe the facility may endanger 10.1 the public health; 10.2 (3) decontaminate, cause to be decontaminated, or destroy 10.3 any material when there is reasonable cause to believe the 10.4 material may endanger the public health; and 10.5 (4) contain and secure any radioactive material that may 10.6 endanger the public health. 10.7 Sec. 25. [12.39] [SAFE DISPOSITION OF DEAD HUMAN BODIES.] 10.8 Subdivision 1. [POWERS FOR SAFE DISPOSITION.] 10.9 Notwithstanding chapter 149A, in connection with deaths related 10.10 to a public health emergency, the commissioner of health may: 10.11 (1) direct measures to provide for the safe disposition of 10.12 dead human bodies as may be reasonable and necessary for 10.13 emergency response. Measures may include, but are not limited 10.14 to, transportation, preparation, temporary mass burial and other 10.15 interment, disinterment, and cremation of dead human bodies. 10.16 Insofar as the emergency circumstances allow, the commissioner 10.17 shall respect the religious rites, cultural customs, family 10.18 wishes, and predeath directives of a decedent concerning final 10.19 disposition. The commissioner may limit visitations or funeral 10.20 ceremonies based on public health risks; 10.21 (2) consult with coroners and medical examiners, take 10.22 possession or control of any dead human body, and order an 10.23 autopsy of the body; 10.24 (3) request any business or facility authorized to embalm, 10.25 bury, cremate, inter, disinter, transport, or otherwise provide 10.26 for disposition of a dead human body under the laws of this 10.27 state to accept any dead human body or provide the use of its 10.28 business or facility if the actions are reasonable and necessary 10.29 for emergency response and are within the safety precaution 10.30 capabilities of the business or facility; 10.31 (4) procure by condemnation or otherwise the temporary 10.32 control of a business or facility described in clause (3), in 10.33 cooperation with the division, for as long as the public health 10.34 emergency requires, if the commissioner of health finds that the 10.35 public health emergency has left the business or facility unable 10.36 to carry out its customary level of work; and 11.1 (5) procure real property by condemnation or otherwise, in 11.2 cooperation with the division, for morgue and burial purposes, 11.3 if the commissioner of health finds that the businesses or 11.4 facilities in a locality providing those services have been 11.5 overwhelmed by the number of casualties or that the communicable 11.6 disease risk from dead human bodies is so great that precautions 11.7 are required beyond the safety precaution capability of the 11.8 business or facility. Insofar as the emergency circumstances 11.9 allow, the commissioner of health shall not undertake 11.10 procurement without first conferring with state and federal 11.11 emergency management officials and the metropolitan airports 11.12 commission on alternative facilities for these purposes. 11.13 Subd. 2. [IDENTIFICATION OF BODIES.] A person in charge of 11.14 the body of a person believed to be infected with a communicable 11.15 disease or other health danger for which the public health 11.16 emergency was declared shall maintain a written record of the 11.17 body and all available information to identify the decedent, the 11.18 circumstances of death, and disposition of the body. If a body 11.19 cannot be identified, a qualified person shall, prior to 11.20 disposition and to the extent possible, take fingerprints and 11.21 one or more photographs of the remains and collect a DNA 11.22 specimen from the body. All information gathered under this 11.23 subdivision shall be promptly forwarded to the commissioner of 11.24 health. 11.25 Sec. 26. [12.391] [CONTROL OF HEALTH CARE SUPPLIES AND 11.26 FACILITIES.] 11.27 Subdivision 1. [PROCUREMENT AND DISTRIBUTION.] During a 11.28 national security or peacetime emergency declared due to a 11.29 public health emergency, the governor may delegate to the 11.30 commissioner of health and other state officials the authority 11.31 to commandeer with right of immediate possession, purchase, or 11.32 distribute antitoxins, serums, vaccines, immunizing agents, 11.33 antibiotics, and other pharmaceutical agents or medical supplies 11.34 and equipment that the governor or delegated official deems 11.35 advisable to prepare for or control a public health emergency, 11.36 without additional legislative authorization. These powers may 12.1 be exercised under the authority of this chapter and any other 12.2 law. 12.3 Subd. 2. [RATIONING; SUPPLIES AND SERVICES.] If a public 12.4 health emergency results in a statewide or regional shortage or 12.5 threatened shortage of any product specified in subdivision 1, 12.6 whether or not the product has been purchased by the state, the 12.7 commissioner of health may control, restrict, and regulate by 12.8 rationing and using quotas, prohibitions on shipments, price 12.9 fixing, allocation or other means, the use, sale, dispensing, 12.10 distribution, or transportation of the relevant product 12.11 necessary to protect the health, safety, and welfare of the 12.12 people of the state. In making rationing or other supply and 12.13 distribution decisions, the commissioner of health shall give 12.14 preference to health care providers, disaster response 12.15 personnel, and mortuary staff who are responding to a public 12.16 health emergency. The commissioner may also direct health care 12.17 facilities and staff to deviate from usual standards of medical 12.18 care to ensure that medical resources and services are utilized 12.19 to provide the greatest benefit to those likely to survive. 12.20 Subd. 3. [SURPLUS.] Upon determining that any product 12.21 obtained under subdivision 1 is no longer needed for the public 12.22 health emergency, the commissioner of health may direct the 12.23 further disposition of remaining useful product with a 12.24 preference for restocking any facility from which the product 12.25 was obtained. 12.26 Subd. 4. [USE OF HEALTH CARE FACILITIES.] During a 12.27 national security or peacetime emergency declared due to a 12.28 public health emergency, the commissioner of health may request, 12.29 and if necessary shall order, a health care facility to provide 12.30 services or the use of its facility if the services or use are 12.31 reasonable and necessary for emergency response. The use of the 12.32 health care facility may include transferring the management and 12.33 supervision of the health care facility to the commissioner of 12.34 health for a limited or unlimited period of time, except the 12.35 time period for which management and supervision are transferred 12.36 shall not exceed the termination of the national security or 13.1 peacetime emergency. 13.2 Subd. 5. [COMPENSATION.] Owners of property that is taken 13.3 or appropriated under this section shall be compensated for such 13.4 takings or appropriations in accordance with section 12.34, 13.5 subdivision 2. 13.6 Sec. 27. [12.392] [DESTRUCTION OF PROPERTY.] 13.7 To the extent practicable and consistent with the 13.8 protection of public health, prior to the destruction of any 13.9 property under sections 12.377 to 12.391, the state shall 13.10 institute appropriate civil proceedings against the property to 13.11 be destroyed according to existing laws and rules of the courts 13.12 of this state or any rules that may be developed by the courts 13.13 for use during a national security or peacetime emergency. 13.14 Property acquired by the state through such proceedings shall, 13.15 after entry of the decree, be disposed of by destruction as the 13.16 court may direct. 13.17 Sec. 28. [12.393] [LIMITATIONS ON PUBLIC GATHERINGS AND 13.18 TRANSPORTATION.] 13.19 During a national security or peacetime emergency declared 13.20 due to a public health emergency, the governor may act to limit 13.21 risks of the spread of a communicable disease or exposure to 13.22 toxic agents by ordering temporary restrictions on assembly of 13.23 people in workplaces, child care facilities, schools and other 13.24 educational institutions, religious and fraternal buildings, 13.25 sport and entertainment facilities, and other places where large 13.26 numbers of people congregate. The governor may also suspend or 13.27 curtail operations of buses, trains, airlines, and other means 13.28 of public transportation. Whenever possible, the governor shall 13.29 first consult with the division and the commissioners of health 13.30 and transportation before issuing an order. Nothing in this 13.31 section shall be construed to limit the governor's authority to 13.32 act without such consultation when the situation calls for 13.33 prompt and timely action. 13.34 Sec. 29. [12.394] [MEDICAL EXAMINATIONS.] 13.35 Subdivision 1. [INDIVIDUAL EXAMINATION AND TESTING.] (a) 13.36 During a national security or peacetime emergency declared due 14.1 to a public health emergency, the commissioner of health may 14.2 direct a person to submit to a physical examination or testing 14.3 as necessary to diagnose the person when the commissioner of 14.4 health has reasonable belief that the person may be infected 14.5 with a communicable disease or may have been exposed to a toxic 14.6 agent for which the emergency is declared, provided that the 14.7 commissioner of health must not direct any examination or 14.8 testing procedure reasonably likely to result in serious harm to 14.9 the affected individual. 14.10 (b) A person excused from a medical examination or testing 14.11 because of a risk of serious harm or a person refusing to submit 14.12 to the examination or testing may be ordered by the commissioner 14.13 of health to be placed in isolation or quarantine under section 14.14 12.395. A person so isolated or quarantined may seek review of 14.15 isolation or quarantine status as provided in section 12.396. 14.16 Subd. 2. [HEALTH CARE PROVIDERS.] During a national 14.17 security or peacetime emergency declared due to a public health 14.18 emergency, the commissioner of health may require a physician or 14.19 other health care provider personnel, according to the 14.20 individual's scope of practice, to perform a medical examination 14.21 or testing under subdivision 1. Refusal to perform a medical 14.22 examination or testing under this subdivision may be reported by 14.23 the commissioner of health to the individual's respective 14.24 licensing board. No licensing board may take action against a 14.25 health care provider in accordance with this subdivision if 14.26 adequate protection, such as vaccine, protective equipment, or 14.27 prophylactic medication, was not made available to the health 14.28 care provider. 14.29 Subd. 3. [ENFORCEMENT.] An order of the commissioner of 14.30 health made under this section is immediately enforceable by the 14.31 commissioner of public safety, the adjutant general, and any 14.32 other peace officer. 14.33 Sec. 30. [12.395] [ISOLATION AND QUARANTINE.] 14.34 Subdivision 1. [GENERAL REQUIREMENTS.] (a) The 14.35 commissioner of health and all other government entities, and 14.36 any person acting under their authority, shall comply with 15.1 paragraphs (b) to (i) when isolating or quarantining individuals 15.2 or groups of individuals. 15.3 (b) Isolation and quarantine must be by the least 15.4 restrictive means necessary to prevent the spread of a 15.5 communicable or potentially communicable disease to others and 15.6 may include, but are not limited to, confinement to private 15.7 homes or other private or public premises. 15.8 (c) Isolated individuals must be confined separately from 15.9 quarantined individuals. 15.10 (d) The health status of isolated and quarantined 15.11 individuals must be monitored regularly to determine if they 15.12 require continued isolation or quarantine. 15.13 (e) If a quarantined individual subsequently becomes 15.14 infectious or is reasonably believed to have become infectious 15.15 with a communicable or potentially communicable disease, the 15.16 individual must be isolated. 15.17 (f) Isolated and quarantined individuals must be 15.18 immediately released when they pose no known risk of 15.19 transmitting a communicable or potentially communicable disease 15.20 to others. 15.21 (g) The needs of persons isolated and quarantined shall be 15.22 addressed in a systematic and competent fashion, including, but 15.23 not limited to, providing adequate food, clothing, shelter, 15.24 means of communication between those in isolation or quarantine 15.25 and those outside these settings, medication, and competent 15.26 medical care. 15.27 (h) Premises used for isolation and quarantine shall be 15.28 maintained in a safe and hygienic manner and be designed to 15.29 minimize the likelihood of further transmission of infection or 15.30 other harms to persons isolated and quarantined. 15.31 (i) To the extent possible, cultural and religious beliefs 15.32 should be considered in addressing the needs of individuals and 15.33 establishing and maintaining isolation and quarantine premises. 15.34 Subd. 2. [AUTHORITY TO ISOLATE OR QUARANTINE.] Consistent 15.35 with subdivision 1, the commissioner of health may by order, 15.36 during a national security or peacetime emergency declared due 16.1 to a public health emergency: 16.2 (1) establish and maintain isolation and quarantine areas; 16.3 and 16.4 (2) require isolation or quarantine of any person or group 16.5 of persons infected with or reasonably believed by the 16.6 commissioner of health to be infected with or exposed to a 16.7 communicable disease or toxic agent for which the national 16.8 security or peacetime emergency is declared. 16.9 Subd. 3. [INDIVIDUAL COOPERATION.] A person subject to 16.10 isolation or quarantine shall: 16.11 (1) obey the commissioner of health's orders; 16.12 (2) remain within the isolation or quarantine area; and 16.13 (3) avoid contact with any person not subject to isolation 16.14 or quarantine, other than a physician or other health care 16.15 provider, public health official, or other person authorized by 16.16 the commissioner of health to enter an isolation or quarantine 16.17 area. 16.18 Subd. 4. [UNAUTHORIZED ENTRY.] No person, other than a 16.19 person authorized by the commissioner of health, shall enter an 16.20 isolation or quarantine area. If, by reason of an unauthorized 16.21 entry into an isolation or quarantine area, a person poses a 16.22 danger to public health, the person may be subject to isolation 16.23 or quarantine according to this section and section 12.396. 16.24 Subd. 5. [TERMINATION.] The commissioner of health shall 16.25 terminate the isolation or quarantine of a person when the 16.26 commissioner of health determines that isolation or quarantine 16.27 of the person is no longer necessary to protect the public 16.28 health. 16.29 Subd. 6. [FAILURE TO COOPERATE.] Failure to obey the 16.30 requirements of subdivision 3 is grounds for the commissioner of 16.31 health to order a more restrictive isolation or quarantine. 16.32 Sec. 31. [12.396] [DUE PROCESS.] 16.33 Subdivision 1. [ORDER FOR ISOLATION OR QUARANTINE.] (a) 16.34 Before isolating or quarantining a person or group of persons, 16.35 the commissioner of health shall obtain a written, ex parte 16.36 order authorizing the isolation or quarantine from a district 17.1 court. The court shall grant the order upon a finding that 17.2 probable cause exists to believe isolation or quarantine is 17.3 warranted under sections 12.375 to 12.40. 17.4 (b) The order must recite the facts justifying isolation or 17.5 quarantine. The commissioner of health shall provide a copy of 17.6 the authorizing order to each person isolated or quarantined, 17.7 the commissioner of public safety, and other peace officers 17.8 known to the commissioner to have jurisdiction over the site of 17.9 the isolation or quarantine. With the order, the commissioner 17.10 of health shall give each person notice that the person has a 17.11 right to a hearing under this section and, if feasible, an 17.12 estimate of the expected period of isolation or quarantine. 17.13 (c) One order shall suffice to isolate or quarantine a 17.14 group of persons believed to have been commonly infected or 17.15 exposed to a communicable disease or toxic agent. If it is 17.16 impracticable to provide individual copies to large groups 17.17 isolated or quarantined, a copy of the order and notice may be 17.18 posted in a conspicuous place in the isolation or quarantine 17.19 premises. 17.20 Subd. 2. [TEMPORARY HOLD UPON COMMISSIONER'S 17.21 ORDER.] Notwithstanding subdivision 1, the commissioner of 17.22 health may by order isolate or quarantine a person or group of 17.23 persons without first obtaining a written, ex parte order from 17.24 the court if a delay in imposing the isolation or quarantine of 17.25 the person or group of persons would significantly jeopardize 17.26 the commissioner of health's ability to prevent or limit the 17.27 transmission of a communicable or potentially communicable 17.28 disease to others. Following the imposition of isolation or 17.29 quarantine under this subdivision, the commissioner of health 17.30 shall within 72 hours apply for a written, ex parte order from 17.31 the court authorizing the isolation or quarantine. 17.32 Subd. 3. [COURT HEARING.] A person isolated or quarantined 17.33 under subdivision 1 or 2, or the person's representative, may 17.34 request in writing a court hearing to contest the ex parte 17.35 order. If the person, or the person's representative, requests 17.36 a hearing, the hearing shall be held within 72 hours of receipt 18.1 of the request, excluding Saturdays, Sundays, and legal 18.2 holidays. A request for a hearing does not stay the order of 18.3 isolation or quarantine. At the hearing, the commissioner of 18.4 health must show that the isolation or quarantine is warranted 18.5 under sections 12.375 to 12.40. 18.6 Subd. 4. [HEARING ON CONTINUATION OF ISOLATION OR 18.7 QUARANTINE.] On or after the 30th day following a hearing under 18.8 subdivision 3, or the 30th day following imposition of isolation 18.9 or quarantine if no hearing is requested under subdivision 3, a 18.10 person isolated or quarantined under section 12.395 may request 18.11 in writing a court hearing to contest continued isolation or 18.12 quarantine. The hearing shall be held within 72 hours of 18.13 receipt of the request, excluding Saturdays, Sundays, and legal 18.14 holidays. A request for a hearing does not alter the order of 18.15 isolation or quarantine. At the hearing, the commissioner of 18.16 health must show that continuation of the isolation or 18.17 quarantine is warranted under sections 12.375 to 12.40. If, 18.18 upon a hearing, the court finds that isolation or quarantine of 18.19 the individual is not warranted under sections 12.375 to 12.40, 18.20 the person shall be released from isolation or quarantine. 18.21 Subd. 5. [HEARING ON CONDITIONS OF ISOLATION OR 18.22 QUARANTINE.] A person isolated or quarantined under section 18.23 12.395 may request a hearing in district court for remedies 18.24 regarding the treatment during and the terms and conditions of 18.25 isolation or quarantine. Upon receiving a request for a hearing 18.26 under this subdivision, the court shall fix a date for a hearing 18.27 that is within ten days of the receipt of the request by the 18.28 court. The request for a hearing does not alter the order of 18.29 isolation or quarantine. If the court finds that the isolation 18.30 or quarantine of the individual is not in compliance with 18.31 section 12.395, subdivision 1, the court may fashion remedies 18.32 appropriate to the circumstances of the public health emergency 18.33 and in keeping with this chapter. 18.34 Subd. 6. [JUDICIAL DECISIONS.] Judicial decisions on 18.35 confinement under subdivision 3, 4, or 5 shall be based upon 18.36 clear and convincing evidence and a written record of the 19.1 disposition of the case shall be made and retained. The 19.2 petitioner has the right to be represented by counsel or other 19.3 lawful representative. The manner in which the request for a 19.4 hearing is filed and acted upon shall be in accordance with the 19.5 existing laws and rules of the courts of this state or any rules 19.6 that are developed by the courts for use during a national 19.7 security or peacetime emergency. 19.8 Sec. 32. [12.397] [VACCINATION AND TREATMENT.] 19.9 Subdivision 1. [VACCINATIONS.] (a) During a national 19.10 security or peacetime emergency declared due to a public health 19.11 emergency, the commissioner of health may by order direct a 19.12 person to be vaccinated as protection against communicable 19.13 disease and to prevent the spread of a communicable or 19.14 potentially communicable disease according to this subdivision. 19.15 (b) Vaccinations may be performed by (i) a person licensed 19.16 to do so in the absence of an emergency; (ii) a person retired 19.17 from a medical practice in this state or licensed in another 19.18 state or Canadian province as provided in section 12.42; or 19.19 (iii) a person designated in writing by a person identified in 19.20 clause (i) or (ii). The person performing the vaccination shall 19.21 promptly report the vaccination to the commissioner of health on 19.22 forms or in a manner prescribed by the commissioner. 19.23 (c) A vaccination must not be given if the person 19.24 administering the vaccine has reason to know that a particular 19.25 individual has a known contraindication to the vaccination. 19.26 Subd. 2. [VACCINATION EXCUSE AND ENFORCEMENT.] A person 19.27 excused from vaccination because of a known contraindication or 19.28 a person who refuses to be vaccinated may be ordered by the 19.29 commissioner of health to be placed in isolation or quarantine 19.30 according to sections 12.395 and 12.396. An order of the 19.31 commissioner of health given to implement this section is 19.32 immediately enforceable by the commissioner of public safety, 19.33 the adjutant general, or any other peace officer. 19.34 Subd. 3. [TREATMENT.] (a) During a national security or 19.35 peacetime emergency declared due to a public health emergency, 19.36 the commissioner of health may by order direct persons to be 20.1 treated to prevent the spread of communicable or potentially 20.2 communicable disease according to this subdivision. 20.3 (b) Treatment may be performed by (i) a person licensed to 20.4 do so in the absence of an emergency; (ii) a person retired from 20.5 a medical practice in this state or licensed in another state or 20.6 Canadian province as provided in section 12.42; or (iii) a 20.7 person designated in writing by a person identified in clause 20.8 (i) or (ii). 20.9 (c) A treatment must not be given if the person 20.10 administering the treatment has reason to know that a particular 20.11 individual has a known contraindication to the treatment. 20.12 Subd. 4. [TREATMENT EXCUSE AND ENFORCEMENT.] A person 20.13 excused from treatment because of a known contraindication or a 20.14 person who refuses to be treated may be ordered by the 20.15 commissioner of health to be placed in isolation or quarantine 20.16 according to sections 12.395 and 12.396. An order of the 20.17 commissioner given to implement this section is immediately 20.18 enforceable by the commissioner of public safety, the adjutant 20.19 general, or any other peace officer. 20.20 Sec. 33. [12.398] [COLLECTION OF LABORATORY SPECIMENS AND 20.21 SAMPLES.] 20.22 Subdivision 1. [HUMAN AND ANIMAL SPECIMENS.] During a 20.23 national security or peacetime emergency declared due to a 20.24 public health emergency, the commissioner of health may, when 20.25 related to circumstances of the public health emergency, collect 20.26 specimens from and perform tests on any living person; collect 20.27 specimens from and perform tests on any animal, living or 20.28 deceased; and acquire any previously collected specimens or test 20.29 results that are reasonable and necessary to investigate and 20.30 respond to the emergency. 20.31 Subd. 2. [ENVIRONMENTAL SAMPLES.] During a national 20.32 security or peacetime emergency declared due to a public health 20.33 emergency, the commissioner may, when related to the 20.34 circumstances for which the emergency has been declared, collect 20.35 environmental samples and acquire any previously collected 20.36 environmental samples or test results that are reasonable and 21.1 necessary to investigate and respond to the emergency. 21.2 Sec. 34. [12.399] [HEALTH PERSONNEL; POWERS, DUTIES, AND 21.3 IMMUNITIES.] 21.4 Health care providers, including out-of-state emergency 21.5 health care providers practicing according to section 12.42, 21.6 while performing health services at the request of the 21.7 commissioner of health under sections 12.375 to 12.40, shall be 21.8 immune from civil liability for injuring or causing the death of 21.9 any person or any damage to property, except in the case of 21.10 gross negligence or willful misconduct. 21.11 Sec. 35. [12.40] [ENFORCEMENT.] 21.12 The commissioner of health may enforce sections 12.375 to 21.13 12.40 according to sections 144.989 to 144.993. Nothing in this 21.14 section shall be construed to limit specific enforcement powers 21.15 enumerated in sections 12.375 to 12.40 or other law. 21.16 Sec. 36. Minnesota Statutes 2000, section 12.42, is 21.17 amended to read: 21.18 12.42 [OUT-OF-STATE LICENSE HOLDERS; POWERS, DUTIES.] 21.19 During an emergency or disaster, a person who holds a 21.20 license, certificate, or other permit issued by a state of the 21.21 United States or by Canada or its political subdivisions, 21.22 evidencing the meeting of qualifications for professional, 21.23 mechanical, or other skills, or a retired person who held such a 21.24 license, certificate, or other permit in good standing upon 21.25 retirement, may render aid involving those skills in this 21.26 state. The license, certificate, or other permit of the person, 21.27 while rendering aid, has the same force and effect as if issued 21.28 in this state. 21.29 Sec. 37. Minnesota Statutes 2000, section 13.3805, 21.30 subdivision 1, is amended to read: 21.31 Subdivision 1. [HEALTH DATA GENERALLY.] (a) [DEFINITIONS.] 21.32 As used in this subdivision: 21.33 (1) "Commissioner" means the commissioner of health. 21.34 (2) "Health data" means data on individuals created, 21.35 collected, received, or maintained by the department of health, 21.36 political subdivisions, or statewide systems relating to the 22.1 identification, description, prevention, and control of disease 22.2 or as part of an epidemiologic investigation the commissioner 22.3 designates as necessary to analyze, describe, or protect the 22.4 public health. 22.5 (b) [DATA ON INDIVIDUALS.] (1) Health data are private 22.6 data on individuals. Notwithstanding section 13.05, subdivision 22.7 9, health data may not be disclosed except as provided in this 22.8 subdivision and section 13.04. 22.9 (2) The commissioner or a local board of health as defined 22.10 in section 145A.02, subdivision 2, may disclose health data to 22.11 the data subject's physician as necessary to locate or identify 22.12 a case, carrier, or suspect case, to establish a diagnosis, to 22.13 provide treatment, to identify persons at risk of illness, or to 22.14 conduct an epidemiologic investigation. 22.15 (3) With the approval of the commissioner, health data may 22.16 be disclosed to the extent necessary to assist the commissioner 22.17 to locate or identify a case, carrier, or suspect case, to alert 22.18 persons who may be threatened by illness as evidenced by 22.19 epidemiologic data, to control or prevent the spread of serious 22.20 disease, or to diminish an imminent threat to the public health. 22.21 (c) The commissioner, acting under section 145.9809, may 22.22 share health data with appropriate government and tribal 22.23 authorities as enumerated in section 145.9809 if the 22.24 commissioner determines that access will aid public health, 22.25 promote public safety, or assist law enforcement. 22.26 (d) [HEALTH SUMMARY DATA.] Summary data derived from data 22.27 collected under section 145.413 may be provided under section 22.28 13.05, subdivision 7. 22.29 Sec. 38. Minnesota Statutes 2000, section 13.82, is 22.30 amended by adding a subdivision to read: 22.31 Subd. 24a. [REPORTING TERRORISM INFORMATION.] When a law 22.32 enforcement agency learns of a case or suspected case of a 22.33 qualifying health condition, as defined under section 145.9805, 22.34 or suspects that an incident could have been caused by 22.35 bioterrorism, chemical terrorism, or radiological terrorism, as 22.36 defined under section 145.9805, the law enforcement agency shall 23.1 immediately notify the commissioner of health. 23.2 Sec. 39. Minnesota Statutes 2000, section 13.82, is 23.3 amended by adding a subdivision to read: 23.4 Subd. 24b. [SHARING TERRORISM INFORMATION.] A law 23.5 enforcement agency may share criminal investigative data with 23.6 the commissioner of health under subdivision 24a if either the 23.7 agency or the commissioner reasonably believes that the data 23.8 indicate a possible threat or occurrence of bioterrorism, 23.9 chemical terrorism, or radiological terrorism. A law 23.10 enforcement agency may share criminal investigative data 23.11 concerning a possible threat or occurrence of agricultural 23.12 terrorism with the board of animal health or the commissioner of 23.13 agriculture if the agency, board, or commissioner reasonably 23.14 believes crops, livestock, or other food supplies may be 23.15 affected. 23.16 Sec. 40. Minnesota Statutes 2000, section 144.99, 23.17 subdivision 1, is amended to read: 23.18 Subdivision 1. [REMEDIES AVAILABLE.] The provisions of 23.19 chapters 103I and 157 and sections 12.375 to 12.40; 115.71 to 23.20 115.77; 144.12, subdivision 1, paragraphs (1), (2), (5), (6), 23.21 (10), (12), (13), (14), and (15); 144.1201 to 144.1204; 144.121; 23.22 144.1222; 144.35; 144.381 to 144.385; 144.411 to 144.417; 23.23 144.495; 144.71 to 144.74; 144.9501 to 144.9509; 23.24 144.992; 145.9805 to 145.981; 326.37 to 326.45; 326.57 to 23.25 326.785; 327.10 to 327.131; and 327.14 to 327.28 and all rules, 23.26 orders, stipulation agreements, settlements, compliance 23.27 agreements, licenses, registrations, certificates, and permits 23.28 adopted or issued by the department or under any other law now 23.29 in force or later enacted for the preservation of public health 23.30 may, in addition to provisions in other statutes, be enforced 23.31 under this section. 23.32 Sec. 41. [145.9805] [DEFINITIONS.] 23.33 Subdivision 1. [APPLICATION.] For purposes of sections 23.34 145.9805 to 145.981, the following definitions apply. 23.35 Subd. 2. [BIOLOGICAL AGENT.] "Biological agent" means a 23.36 microorganism, virus, infectious substance, bioengineered 24.1 component of any such microorganism, or other biological 24.2 material that could cause death, disease, or other harm to a 24.3 human, an animal, a plant, or another living organism. 24.4 Subd. 3. [BIOTERRORISM.] "Bioterrorism" means the 24.5 intentional use or threatened use of a biological agent to harm 24.6 or endanger members of the public. 24.7 Subd. 4. [CHEMICAL AGENT.] "Chemical agent" means a 24.8 poisonous chemical agent that has the capacity to cause death, 24.9 disease, or other harm to a human, an animal, a plant, or 24.10 another living organism. 24.11 Subd. 5. [CHEMICAL TERRORISM.] "Chemical terrorism" means 24.12 the intentional use or threatened use of a chemical agent to 24.13 harm or endanger members of the public. 24.14 Subd. 6. [COMMISSIONER.] "Commissioner" means the 24.15 commissioner of health. 24.16 Subd. 7. [FACILITY.] "Facility" means any real property, 24.17 building, structure, or other improvement to real property or 24.18 any motor vehicle, rolling stock, aircraft, watercraft, or other 24.19 means of transportation. 24.20 Subd. 8. [HEALTH CARE PROVIDER.] "Health care provider" 24.21 means any person or entity who provides health care services 24.22 including, but not limited to, hospitals, medical clinics and 24.23 offices, special care facilities, and medical laboratories. 24.24 Subd. 9. [HEALTH CARE PROVIDER PERSONNEL.] "Health care 24.25 provider personnel" include physicians, pharmacists, dentists, 24.26 physician assistants, nurses, and laboratory technicians. 24.27 Subd. 10. [PUBLIC SAFETY AUTHORITY.] "Public safety 24.28 authority" means the commissioner of public safety, any local 24.29 government agency that acts principally to protect or preserve 24.30 the public safety, or any person authorized to act on behalf of 24.31 the commissioner of public safety or local agency. 24.32 Subd. 11. [QUALIFYING HEALTH CONDITION.] "Qualifying 24.33 health condition" means an illness or health condition that may 24.34 be caused by terrorism, epidemic or pandemic disease, or a novel 24.35 infectious agent or biological or chemical toxin and that poses 24.36 a substantial risk of a significant number of human fatalities 25.1 or widespread serious illness. 25.2 Subd. 12. [RADIOACTIVE MATERIAL.] "Radioactive material" 25.3 means a radioactive substance that has the capacity to cause 25.4 bodily injury or death to a human, an animal, a plant, or 25.5 another living organism. 25.6 Subd. 13. [RADIOLOGICAL TERRORISM.] "Radiological 25.7 terrorism" means the intentional use or threatened use of a 25.8 radioactive material to harm or endanger members of the public. 25.9 Subd. 14. [SPECIMEN.] "Specimen" means any of the 25.10 following items that are necessary to perform required tests: 25.11 bodily fluids, including but not limited to blood, sputum, 25.12 urine, cerebral or spinal fluid, and aqueous humor; stool and 25.13 other bodily wastes; tissues; DNA and RNA samples; and cultures. 25.14 Subd. 15. [TERRORISM.] "Terrorism" means bioterrorism, 25.15 chemical terrorism, or radiological terrorism. 25.16 Subd. 16. [TEST.] "Test" means any diagnostic or 25.17 investigative analysis necessary to prevent the spread of 25.18 disease or protect the public's health, safety, and welfare. 25.19 Sec. 42. [145.9806] [REPORTING; QUALIFYING HEALTH 25.20 CONDITIONS; HOSPITAL CAPACITY.] 25.21 Subdivision 1. [REPORTING REQUIRED.] (a) A person required 25.22 to report disease under Minnesota Rules, part 4605.7030, 25.23 coroner, or medical examiner shall report to the commissioner 25.24 all cases of, suspected cases of, or deaths of persons from any 25.25 disease or infectious agent listed in Minnesota Rules, part 25.26 4605.7040. The commissioner may add an illness or health 25.27 condition to the list in Minnesota Rules, part 4605.7040. Any 25.28 addition made by the commissioner shall be exempt from the 25.29 requirements of chapter 14. 25.30 (b) Hospitals shall report, upon request of the 25.31 commissioner, the number of available beds and necessary durable 25.32 medical equipment. 25.33 (c) Nothing in this subdivision shall be construed to limit 25.34 the duty to report to the commissioner under any other provision 25.35 of law. 25.36 Subd. 2. [MANNER OF REPORTING.] Persons reporting to the 26.1 commissioner under subdivision 1 must report in compliance with 26.2 Minnesota Rules, part 4605.7090. For cases related to animal or 26.3 insect bites, the report shall include information for locating 26.4 the biting animal or insect and the name and address of any 26.5 known owner. 26.6 Subd. 3. [REPORTING REQUIRED BY PHARMACISTS.] (a) A 26.7 pharmacist or a pharmacy benefits manager shall report any 26.8 unusual or increased prescription frequency, unusual types of 26.9 prescriptions, or unusual trends in pharmacy visits that may be 26.10 caused by a qualifying health condition. Prescription-related 26.11 events that require a report include, but are not limited to: 26.12 (1) an unusual increase in the number of prescriptions to 26.13 treat fever, respiratory, or gastrointestinal complaints; 26.14 (2) an unusual increase in the number of prescriptions for 26.15 antibiotics; and 26.16 (3) an unusual increase in the number of requests for 26.17 information on over-the-counter pharmaceuticals to treat fever, 26.18 respiratory, or gastrointestinal complaints. 26.19 (b) A report required under this subdivision must be made 26.20 by telephone and followed up in writing or by secure electronic 26.21 transmission to the commissioner within 24 hours of the 26.22 identification of a prescription-related event that requires a 26.23 report. 26.24 Subd. 4. [ENFORCEMENT.] (a) Failure to report by licensed, 26.25 registered, or certified health care providers as required under 26.26 this section is grounds for discipline or grounds for negative 26.27 action against a health care provider's licensure, registration, 26.28 or certification. 26.29 (b) The commissioner may report the failure to report to 26.30 the health care provider personnel's regulatory board. 26.31 (c) The commissioner may discipline any other health care 26.32 provider personnel or health care provider under the 26.33 commissioner's jurisdiction that fails to comply with this 26.34 section. In disciplining a hospital that fails to comply with 26.35 this section, the commissioner shall use the enforcement powers 26.36 in chapter 144 that apply to hospitals. 27.1 Sec. 43. [145.9807] [DISEASE DETECTION AND MONITORING.] 27.2 Subdivision 1. [COMMISSIONER'S DUTIES.] The commissioner 27.3 shall ascertain the existence of cases or possible exposures of 27.4 a qualifying health condition, investigate all such cases or 27.5 suspected cases for sources of infection and to ensure that they 27.6 are subject to proper control measures, and determine the scope 27.7 of the qualifying health condition. To carry out these duties, 27.8 the commissioner may review individual medical records. Data 27.9 collected is health data under section 13.3805. 27.10 Subd. 2. [IDENTIFICATION OF AND INTERVIEWING INDIVIDUALS.] 27.11 Acting on reports received according to section 145.9806 or 27.12 other reliable information, the commissioner shall identify all 27.13 individuals at risk of infection thought to have been exposed to 27.14 a qualifying health condition. The commissioner shall also 27.15 identify individuals who have been vaccinated or otherwise 27.16 protected against the qualifying health condition. 27.17 Subd. 3. [ENFORCEMENT.] During a declared national 27.18 security or peacetime emergency declared due to a public health 27.19 emergency, the commissioner of public safety, the adjutant 27.20 general, and other peace officers shall immediately assist in 27.21 enforcing an order or direction of the commissioner that is made 27.22 under this section to identify or conduct monitoring of an 27.23 individual or to examine a facility. 27.24 Sec. 44. [145.9808] [PHARMACEUTICALS; PROCUREMENT AND 27.25 DISTRIBUTION.] 27.26 The commissioner may procure, store, or distribute any 27.27 antitoxins, serums, vaccines, immunizing agents, antibiotics, 27.28 and other pharmaceutical agents or medical supplies and 27.29 equipment located within the state as may be reasonable for 27.30 emergency preparedness response. 27.31 Sec. 45. [145.9809] [INFORMATION SHARING.] 27.32 Subdivision 1. [COMMISSIONER.] Whenever the commissioner 27.33 learns of a case or suspected case of a qualifying health 27.34 condition, an unusual cluster, or a suspicious event that the 27.35 commissioner reasonably believes has the potential to be caused 27.36 by terrorism, the commissioner shall immediately notify the 28.1 appropriate public safety authority, tribal authorities, federal 28.2 health and public safety authorities, local public health 28.3 authorities, and any other state or provincial authorities that 28.4 may be affected. 28.5 Subd. 2. [PUBLIC SAFETY AUTHORITY.] Whenever a public 28.6 safety authority learns of a case or suspected case of a 28.7 qualifying health condition, an unusual cluster, or a suspicious 28.8 event that the public safety authority reasonably believes has 28.9 the potential to be caused by terrorism, the public safety 28.10 authority shall immediately notify the commissioner. 28.11 Subd. 3. [DATA STANDARDS.] A public safety authority or 28.12 the commissioner may share data under this section according to 28.13 sections 13.3805 and 13.82, subdivision 24. 28.14 Sec. 46. [145.981] [ENFORCEMENT.] 28.15 The commissioner may enforce sections 145.9805 to 145.9809 28.16 according to sections 144.989 to 144.993. Nothing in this 28.17 section shall be construed to limit specific enforcement powers 28.18 enumerated in sections 145.9805 to 145.9809 or other law. 28.19 Sec. 47. Minnesota Statutes 2000, section 145A.07, 28.20 subdivision 1, is amended to read: 28.21 Subdivision 1. [AGREEMENTS TO PERFORM DUTIES OF 28.22 COMMISSIONER.] (a) The commissioner of health may enter into an 28.23 agreement with any board of health to delegate all or part of 28.24 the licensing, inspection, reporting,andenforcement, and 28.25 public health emergency duties authorized under sections 12.31 28.26 to 12.399; 144.12; 144.381 to 144.387; 144.411 to 144.417; 28.27 144.71 to 144.74; 145.9805 to 145.9809; 145A.04, subdivision 6; 28.28 provisions of chapter 103I pertaining to construction, repair, 28.29 and abandonment of water wells; chapter 157; and sections 327.14 28.30 to 327.28. 28.31 (b) Agreements are subject to subdivision 3. 28.32 (c) This subdivision does not affect agreements entered 28.33 into under Minnesota Statutes 1986, section 145.031, 145.55, or 28.34 145.918, subdivision 2. 28.35 Sec. 48. [APPROPRIATIONS.] 28.36 (a) $1,000,000 is appropriated from the general fund to the 29.1 commissioner of health for terrorism preparedness in fiscal year 29.2 2002. $2,695,000 is appropriated from the general fund to the 29.3 commissioner of health for terrorism preparedness in fiscal year 29.4 2003. 29.5 (b) Base level funding for terrorism preparedness for the 29.6 department of health should be $2,347,000 beginning in fiscal 29.7 year 2004. 29.8 Sec. 49. [EFFECTIVE DATE.] 29.9 Sections 1 to 48 are effective the day following final 29.10 enactment.