HF 1724

2nd Unofficial Engrossment - 85th Legislature (2007 - 2008)

Posted on 12/15/2009 12:00 a.m.

1.1A bill for an act 1.2relating to occupations and professions; providing for registration of naturopathic 1.3doctors; establishing an advisory council; appropriating money;proposing 1.4coding for new law as Minnesota Statutes, chapter 147E. 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.6    Section 1. new text begin [147E.01] DEFINITIONS. new text end 1.7     new text begin Subdivision 1. new text end new text begin Applicability. new text end new text begin The definitions in this section apply to this chapter. new text end 1.8     new text begin Subd. 2. new text end new text begin Advisory council. new text end new text begin "Advisory council" means the Registered Naturopathic new text end 1.9 new text begin Doctor Advisory Council established under section 147E.35. new text end 1.10     new text begin Subd. 3. new text end new text begin Approved naturopathic medical education program. new text end new text begin "Approved new text end 1.11 new text begin naturopathic medical education program" means a naturopathic medical education new text end 1.12 new text begin program in the United States or Canada and meets the requirements for accreditation new text end 1.13 new text begin by the Council on Naturopathic Medical Education (CNME) or an equivalent federally new text end 1.14 new text begin recognized accrediting body for the naturopathic medical profession recognized by the new text end 1.15 new text begin board. This program must offer graduate-level full-time didactic and supervised clinical new text end 1.16 new text begin training leading to the degree of Doctor of Naturopathy or Doctor of Naturopathic new text end 1.17 new text begin Medicine. The program must be an institution, or part of an institution, of higher education new text end 1.18 new text begin that at the time the student completes the program is: new text end 1.19     new text begin (1) either accredited or is a candidate for accreditation by a regional institution new text end 1.20 new text begin accrediting agency recognized by the United States Secretary of Education; or new text end 1.21     new text begin (2) a degree granting college or university that prior to the existence of CNME new text end 1.22 new text begin offered a full-time structured curriculum in basic sciences and supervised patient care new text end 1.23 new text begin comprising a doctoral naturopathic medical education that is at least 132 weeks in new text end 2.1 new text begin duration, must be completed in at least 35 months, and is reputable and in good standing new text end 2.2 new text begin in the judgment of the board. new text end 2.3     new text begin Subd. 4. new text end new text begin Board. new text end new text begin "Board" means the Board of Medical Practice or its designee. new text end 2.4     new text begin Subd. 5. new text end new text begin Contact hour. new text end new text begin "Contact hour" means an instructional session of 50 new text end 2.5 new text begin consecutive minutes, excluding coffee breaks, registration, meals without a speaker, and new text end 2.6 new text begin social activities. new text end 2.7     new text begin Subd. 6. new text end new text begin Homeopathic preparations. new text end new text begin "Homeopathic preparations" means new text end 2.8 new text begin medicines prepared according to the Homeopathic Pharmacopoeia of the United States. new text end 2.9     new text begin Subd. 7. new text end new text begin Registered naturopathic doctor. new text end new text begin "Registered naturopathic doctor" means new text end 2.10 new text begin an individual registered under this chapter. new text end 2.11     new text begin Subd. 8. new text end new text begin Minor office procedures. new text end new text begin "Minor office procedures" means the use of new text end 2.12 new text begin operative, electrical, or other methods for the repair and care incidental to superficial new text end 2.13 new text begin lacerations and abrasions, superficial lesions, and the removal of foreign bodies located in new text end 2.14 new text begin the superficial tissues and the use of antiseptics and local topical anesthetics in connection new text end 2.15 new text begin with such methods. new text end 2.16     new text begin Subd. 9. new text end new text begin Naturopathic licensing examination. new text end new text begin "Naturopathic licensing new text end 2.17 new text begin examination" means the Naturopathic Physicians Licensing Examination or its successor new text end 2.18 new text begin administered by the North American Board of Naturopathic Examiners or its successor as new text end 2.19 new text begin recognized by the board. new text end 2.20     new text begin Subd. 10. new text end new text begin Naturopathic medicine. new text end new text begin "Naturopathic medicine" means a system new text end 2.21 new text begin of primary health care for the prevention, assessment, and treatment of human health new text end 2.22 new text begin conditions, injuries, and diseases that uses: new text end 2.23     new text begin (1) services, procedures, and treatments as described in section 147E.05; and new text end 2.24     new text begin (2) natural health procedures and treatments in section 146A.01, subdivision 4. new text end 2.25     new text begin Subd. 11. new text end new text begin Naturopathic physical medicine. new text end new text begin "Naturopathic physical medicine" new text end 2.26 new text begin includes, but is not limited to, the therapeutic use of the physical agents of air, water, heat, new text end 2.27 new text begin cold, sound, light, and electromagnetic nonionizing radiation and the physical modalities new text end 2.28 new text begin of electrotherapy, diathermy, ultraviolet light, hydrotherapy, massage, stretching, new text end 2.29 new text begin colon hydrotherapy, frequency specific microcurrent, electrical muscle stimulation, new text end 2.30 new text begin transcutaneous electrical nerve stimulation, and therapeutic exercise. new text end 2.31    Sec. 2. new text begin [147E.05] SCOPE OF PRACTICE. new text end 2.32     new text begin Subdivision 1. new text end new text begin Practice parameters. new text end new text begin (a) The practice of naturopathic medicine new text end 2.33 new text begin includes, but is not limited to, the following services: new text end 2.34     new text begin (1) ordering, administering, prescribing, or dispensing for preventive and therapeutic new text end 2.35 new text begin purposes: food, extracts of food, nutraceuticals, vitamins, minerals, amino acids, new text end 3.1 new text begin enzymes, botanicals and their extracts, botanical medicines, herbal remedies, homeopathic new text end 3.2 new text begin medicines, dietary supplements and nonprescription drugs as defined by the federal new text end 3.3 new text begin Food, Drug, and Cosmetic Act, glandulars, protomorphogens, lifestyle counseling, new text end 3.4 new text begin hypnotherapy, biofeedback, dietary therapy, electrotherapy, galvanic therapy, oxygen, new text end 3.5 new text begin therapeutic devices, barrier devices for contraception, and minor office procedures, new text end 3.6 new text begin including obtaining specimens to assess and treat disease; new text end 3.7     new text begin (2) performing or ordering physical examinations and physiological function tests; new text end 3.8     new text begin (3) ordering clinical laboratory tests and performing waived tests as defined by new text end 3.9 new text begin the United States Food and Drug Administration Clinical Laboratory Improvement new text end 3.10 new text begin Amendments of 1988 (CLIA); new text end 3.11     new text begin (4) referring a patient for diagnostic imaging including x-ray, CT scan, MRI, new text end 3.12 new text begin ultrasound, mammogram, and bone densitometry to an appropriately licensed health care new text end 3.13 new text begin professional to conduct the test and interpret the results; new text end 3.14     new text begin (5) prescribing nonprescription medications and therapeutic devices or ordering new text end 3.15 new text begin noninvasive diagnostic procedures commonly used by physicians in general practice; and new text end 3.16     new text begin (6) prescribing or performing naturopathic physical medicine. new text end 3.17     new text begin (b) A registered naturopathic doctor may admit patients to a hospital if the new text end 3.18 new text begin naturopathic doctor meets the hospital's governing body requirements regarding new text end 3.19 new text begin credentialing and privileging process. new text end 3.20     new text begin Subd. 2. new text end new text begin Prohibitions on practice. new text end new text begin (a) The practice of naturopathic medicine new text end 3.21 new text begin does not include: new text end 3.22     new text begin (1) administering therapeutic ionizing radiation or radioactive substances; new text end 3.23     new text begin (2) administering general or spinal anesthesia; new text end 3.24     new text begin (3) prescribing, dispensing, or administering legend drugs or controlled substances new text end 3.25 new text begin including chemotherapeutic substances; or new text end 3.26     new text begin (4) performing or inducing abortions. new text end 3.27     new text begin (b) A naturopathic doctor registered under this chapter shall not perform surgical new text end 3.28 new text begin procedures using a laser device or perform surgical procedures beyond superficial tissue. new text end 3.29     new text begin (c) A naturopathic doctor shall not practice or claim to practice as a medical doctor, new text end 3.30 new text begin surgeon, osteopath, dentist, podiatrist, optometrist, psychologist, advanced practice new text end 3.31 new text begin professional nurse, physician assistant, chiropractor, physical therapist, acupuncturist, new text end 3.32 new text begin dietician, nutritionist, or any other health care professional, unless the naturopathic new text end 3.33 new text begin physician also holds the appropriate license or registration for the health care practice new text end 3.34 new text begin profession. new text end 3.35    Sec. 3. new text begin [147E.06] PROFESSIONAL CONDUCT. new text end 4.1     new text begin Subdivision 1. new text end new text begin Informed consent. new text end new text begin (a) The registered naturopathic doctor shall new text end 4.2 new text begin obtain a signed informed consent from the patient prior to initiating treatment and after new text end 4.3 new text begin advising the patient of the naturopathic doctor's qualifications including education and new text end 4.4 new text begin registration information; and outlining of the scope of practice of registered naturopathic new text end 4.5 new text begin doctors in Minnesota. This information must be supplied to the patient in writing before new text end 4.6 new text begin or at the time of the initial visit. The registrant shall present treatment facts and options new text end 4.7 new text begin accurately to the patient or to the individual responsible for the patient's care and make new text end 4.8 new text begin treatment recommendations according to standards of good naturopathic medical practice. new text end 4.9     new text begin (b) Upon request, the registered naturopathic doctor must provide a copy of the new text end 4.10 new text begin informed consent form to the board. new text end 4.11     new text begin Subd. 2. new text end new text begin Patient records. new text end new text begin (a) A registered naturopathic doctor shall maintain a new text end 4.12 new text begin record for seven years for each patient treated, including: new text end 4.13     new text begin (1) a copy of the informed consent; new text end 4.14     new text begin (2) evidence of a patient interview concerning the patient's medical history and new text end 4.15 new text begin current physical condition; new text end 4.16     new text begin (3) evidence of an examination and assessment; new text end 4.17     new text begin (4) record of the treatment provided to the patient; and new text end 4.18     new text begin (5) evidence of evaluation and instructions given to the patient, including new text end 4.19 new text begin acknowledgment by the patient in writing that, if deemed necessary by the registered new text end 4.20 new text begin naturopathic doctor, the patient has been advised to consult with another health care new text end 4.21 new text begin provider. new text end 4.22     new text begin (b) A registered naturopathic doctor shall maintain the records of minor patients for new text end 4.23 new text begin seven years or until the minor's 19th birthday, whichever is longer. new text end 4.24     new text begin Subd. 3. new text end new text begin Data practices. new text end new text begin All records maintained on a naturopathic patient by a new text end 4.25 new text begin registered naturopathic doctor are subject to sections 144.291 to 144.298. new text end 4.26     new text begin Subd. 4. new text end new text begin State and municipal public health regulations new text end new text begin . new text end new text begin A registered naturopathic new text end 4.27 new text begin doctor shall comply with all applicable state and municipal requirements regarding new text end 4.28 new text begin public health. new text end 4.29    Sec. 4. new text begin [147E.10] PROTECTED TITLES. new text end 4.30     new text begin Subdivision 1. new text end new text begin Designation. new text end new text begin (a) No individual may use the title "registered new text end 4.31 new text begin naturopathic doctor," "naturopathic doctor," "doctor of naturopathic medicine," or use, new text end 4.32 new text begin in connection with the individual's name, the letters "R.N.D." or "N.M.D.," or any other new text end 4.33 new text begin titles, words, letters, abbreviations, or insignia indicating or implying that the individual is new text end 4.34 new text begin a registered naturopathic doctor unless the individual has been registered as a registered new text end 4.35 new text begin naturopathic doctor according to this chapter. new text end 5.1     new text begin (b) After July 1, 2009, individuals who are registered under this chapter and who new text end 5.2 new text begin represent themselves as practicing naturopathic medicine by use of a term in paragraph (a) new text end 5.3 new text begin shall conspicuously display the registration in the place of practice. new text end 5.4     new text begin Subd. 2. new text end new text begin Other health care practitioners. new text end new text begin Nothing in this chapter may be construed new text end 5.5 new text begin to prohibit or to restrict: new text end 5.6     new text begin (1) the practice of a profession by individuals who are licensed, certified, or new text end 5.7 new text begin registered under other laws of this state and are performing services within their authorized new text end 5.8 new text begin scope of practice; new text end 5.9     new text begin (2) the provision of the complementary and alternative healing methods and new text end 5.10 new text begin treatments, including naturopathy, as described in chapter 146A; new text end 5.11     new text begin (3) the practice of naturopathic medicine by an individual licensed, registered, or new text end 5.12 new text begin certified in another state and employed by the government of the United States while the new text end 5.13 new text begin individual is engaged in the performance of duties prescribed by the laws and regulations new text end 5.14 new text begin of the United States; new text end 5.15     new text begin (4) the practice by a naturopathic doctor duly licensed, registered, or certified in new text end 5.16 new text begin another state, territory, or the District of Columbia when incidentally called into this state new text end 5.17 new text begin for consultation with a Minnesota licensed physician or Minnesota registered naturopathic new text end 5.18 new text begin doctor; or new text end 5.19     new text begin (5) individuals not registered by this chapter from the use of individual modalities new text end 5.20 new text begin which comprise the practice of naturopathic medicine. new text end 5.21     new text begin Subd. 3. new text end new text begin Penalty. new text end new text begin A person violating subdivision 1 is guilty of a misdemeanor. new text end 5.22    Sec. 5. new text begin [147E.15] REGISTRATION REQUIREMENTS. new text end 5.23     new text begin Subdivision 1. new text end new text begin General requirements for registration. new text end new text begin To be eligible for new text end 5.24 new text begin registration, an applicant must: new text end 5.25     new text begin (1) submit a completed application on forms provided by the board along with all new text end 5.26 new text begin fees required under section 147E.40 that includes: new text end 5.27     new text begin (i) the applicant's name, Social Security number, home address and telephone new text end 5.28 new text begin number, and business address and telephone number; new text end 5.29     new text begin (ii) the name and location of the naturopathic medical program the applicant new text end 5.30 new text begin completed; new text end 5.31     new text begin (iii) a list of degrees received from other educational institutions; new text end 5.32     new text begin (iv) a description of the applicant's professional training; new text end 5.33     new text begin (v) a list of registrations, certifications, and licenses held in other jurisdictions; new text end 5.34     new text begin (vi) a description of any other jurisdiction's refusal to credential the applicant; new text end 6.1     new text begin (vii) a description of all professional disciplinary actions initiated against the new text end 6.2 new text begin applicant in any jurisdiction; and new text end 6.3     new text begin (viii) any history of drug or alcohol abuse, and any misdemeanor or felony new text end 6.4 new text begin conviction; new text end 6.5     new text begin (2) submit a copy of a diploma from an approved naturopathic medical education new text end 6.6 new text begin program; new text end 6.7     new text begin (3) have successfully passed the Naturopathic Physicians Licensing Examination, new text end 6.8 new text begin a competency-based national naturopathic licensing examination administered by the new text end 6.9 new text begin North American Board of Naturopathic Examiners or successor agency as recognized new text end 6.10 new text begin by the board; passing scores are determined by the Naturopathic Physicians Licensing new text end 6.11 new text begin Examination; new text end 6.12     new text begin (4) submit additional information as requested by the board, including providing new text end 6.13 new text begin any additional information necessary to ensure that the applicant is able to practice with new text end 6.14 new text begin reasonable skill and safety to the public; new text end 6.15     new text begin (5) sign a statement that the information in the application is true and correct to the new text end 6.16 new text begin best of the applicant's knowledge and belief; and new text end 6.17     new text begin (6) sign a waiver authorizing the board to obtain access to the applicant's records new text end 6.18 new text begin in this or any other state in which the applicant has completed an approved naturopathic new text end 6.19 new text begin medical program or engaged in the practice of naturopathic medicine. new text end 6.20     new text begin Subd. 2. new text end new text begin Registration by endorsement; reciprocity. new text end new text begin (a) To be eligible for new text end 6.21 new text begin registration by endorsement or reciprocity, the applicant must hold a current naturopathic new text end 6.22 new text begin license, registration, or certification in another state, Canadian province, the District of new text end 6.23 new text begin Columbia, or territory of the United States, whose standards for licensure, registration, or new text end 6.24 new text begin certification are at least equivalent to those of Minnesota, and must: new text end 6.25     new text begin (1) submit the application materials and fees as required by subdivision 1, clauses new text end 6.26 new text begin (1), (2), and (4) to (6); new text end 6.27     new text begin (2) have successfully passed either: new text end 6.28     new text begin (i) the Naturopathic Physicians Licensing Examination; or new text end 6.29     new text begin (ii) if prior to 1986, the state or provincial naturopathic board licensing examination new text end 6.30 new text begin required by that regulating state or province; new text end 6.31     new text begin (3) provide a verified copy from the appropriate government body of a current new text end 6.32 new text begin license, registration, or certification for the practice of naturopathic medicine in another new text end 6.33 new text begin jurisdiction that has initial licensing, registration, or certification requirements equivalent new text end 6.34 new text begin to or higher than the requirements in subdivision 1; and new text end 6.35     new text begin (4) provide letters of verification from the appropriate government body in each new text end 6.36 new text begin jurisdiction in which the applicant holds a license, registration, or certification. Each letter new text end 7.1 new text begin must state the applicant's name, date of birth, license, registration, or certification number, new text end 7.2 new text begin date of issuance, a statement regarding disciplinary actions, if any, taken against the new text end 7.3 new text begin applicant, and the terms under which the license, registration, or certification was issued. new text end 7.4     new text begin (b) An applicant applying for license, registration, or certification by endorsement new text end 7.5 new text begin must be licensed, registered, or certified in another state or Canadian province new text end 7.6 new text begin prior to January 1, 2005, and have completed a 60-hour course and examination in new text end 7.7 new text begin pharmacotherapeutics. new text end 7.8     new text begin Subd. 3. new text end new text begin Temporary registration. new text end new text begin The board may issue a temporary registration to new text end 7.9 new text begin practice as a registered naturopathic doctor to an applicant who is licensed, registered, or new text end 7.10 new text begin certified in another state or Canadian province and is eligible for registration under this new text end 7.11 new text begin section, if the application for registration is complete, all applicable requirements in this new text end 7.12 new text begin section have been met, and a nonrefundable fee has been paid. The temporary registration new text end 7.13 new text begin remains valid only until the meeting of the board at which time a decision is made on the new text end 7.14 new text begin registered naturopathic doctor's application for registration. new text end 7.15     new text begin Subd. 4. new text end new text begin Registration expiration. new text end new text begin Registrations issued under this chapter expire new text end 7.16 new text begin annually. new text end 7.17     new text begin Subd. 5. new text end new text begin Renewal. new text end new text begin (a) To be eligible for registration renewal a registrant must: new text end 7.18     new text begin (1) annually, or as determined by the board, complete a renewal application on a new text end 7.19 new text begin form provided by the board; new text end 7.20     new text begin (2) submit the renewal fee; new text end 7.21     new text begin (3) provide evidence of a total of 25 hours of continuing education approved by the new text end 7.22 new text begin board as described in section 147E.25; and new text end 7.23     new text begin (4) submit any additional information requested by the board to clarify information new text end 7.24 new text begin presented in the renewal application. The information must be submitted within 30 days new text end 7.25 new text begin after the board's request, or the renewal request is nullified. new text end 7.26     new text begin Subd. 6. new text end new text begin Change of address. new text end new text begin A registrant who changes addresses must inform new text end 7.27 new text begin the board within 30 days, in writing, of the change of address. All notices or other new text end 7.28 new text begin correspondence mailed to or served on a registrant by the board are considered as having new text end 7.29 new text begin been received by the registrant. new text end 7.30     new text begin Subd. 7. new text end new text begin Registration renewal notice. new text end new text begin At least 45 days before the registration new text end 7.31 new text begin renewal date, the board shall send out a renewal notice to the last known address of the new text end 7.32 new text begin registrant on file. The notice must include a renewal application and a notice of fees new text end 7.33 new text begin required for renewal or instructions for online renewal. It must also inform the registrant new text end 7.34 new text begin that registration will expire without further action by the board if an application for new text end 7.35 new text begin registration renewal is not received before the deadline for renewal. The registrant's new text end 7.36 new text begin failure to receive this notice does not relieve the registrant of the obligation to meet the new text end 8.1 new text begin deadline and other requirements for registration renewal. Failure to receive this notice is new text end 8.2 new text begin not grounds for challenging expiration of registration status. new text end 8.3     new text begin Subd. 8. new text end new text begin Renewal deadline. new text end new text begin The renewal application and fee must be postmarked new text end 8.4 new text begin on or before December 31 of the year of renewal. If the postmark is illegible, the new text end 8.5 new text begin application is considered timely if received by the third working day after the deadline. new text end 8.6     new text begin Subd. 9. new text end new text begin Inactive status and return to active status. new text end new text begin (a) A registrant may be new text end 8.7 new text begin placed in inactive status upon application to the board by the registrant and upon payment new text end 8.8 new text begin of an inactive status fee. new text end 8.9     new text begin (b) Registrants seeking restoration to active from inactive status must pay the current new text end 8.10 new text begin renewal fees and all unpaid back inactive fees. They must meet the criteria for renewal new text end 8.11 new text begin specified in subdivision 5, including continuing education hours. new text end 8.12     new text begin (c) Registrants whose inactive status period has been five years or longer must new text end 8.13 new text begin additionally have a period of no less than eight weeks of advisory council-approved new text end 8.14 new text begin supervision by another registered naturopathic doctor. new text end 8.15     new text begin Subd. 10. new text end new text begin Registration following lapse of registration status for two years or new text end 8.16 new text begin less. new text end new text begin For any individual whose registration status has lapsed for two years or less, to new text end 8.17 new text begin regain registration status, the individual must: new text end 8.18     new text begin (1) apply for registration renewal according to subdivision 5; new text end 8.19     new text begin (2) document compliance with the continuing education requirements of section new text end 8.20 new text begin 147E.25 since the registrant's initial registration or last renewal; and new text end 8.21     new text begin (3) submit the fees required under section 147E.40 for the period not registered, new text end 8.22 new text begin including the fee for late renewal. new text end 8.23     new text begin Subd. 11. new text end new text begin Cancellation due to nonrenewal. new text end new text begin The board shall not renew, reissue, new text end 8.24 new text begin reinstate, or restore a registration that has lapsed and has not been renewed within two new text end 8.25 new text begin annual registration renewal cycles starting January 2009. A registrant whose registration new text end 8.26 new text begin is canceled for nonrenewal must obtain a new registration by applying for registration new text end 8.27 new text begin and fulfilling all requirements then in existence for initial registration as a registered new text end 8.28 new text begin naturopathic doctor. new text end 8.29     new text begin Subd. 12. new text end new text begin Cancellation of registration in good standing. new text end new text begin (a) A registrant holding new text end 8.30 new text begin an active registration as a registered naturopathic doctor in the state may, upon approval new text end 8.31 new text begin of the board, be granted registration cancellation if the board is not investigating the new text end 8.32 new text begin person as a result of a complaint or information received or if the board has not begun new text end 8.33 new text begin disciplinary proceedings against the registrant. Such action by the board must be reported new text end 8.34 new text begin as a cancellation of registration in good standing. new text end 9.1     new text begin (b) A registrant who receives board approval for registration cancellation is not new text end 9.2 new text begin entitled to a refund of any registration fees paid for the registration year in which new text end 9.3 new text begin cancellation of the registration occurred. new text end 9.4     new text begin (c) To obtain registration after cancellation, a registrant must obtain a new new text end 9.5 new text begin registration by applying for registration and fulfilling the requirements then in existence new text end 9.6 new text begin for obtaining initial registration as a registered naturopathic doctor. new text end 9.7     new text begin Subd. 13. new text end new text begin Emeritus status of registration. new text end new text begin A registrant may change the status of new text end 9.8 new text begin the registration to "emeritus" by filing the appropriate forms and paying the onetime new text end 9.9 new text begin fee of $50 to the board. This status allows the registrant to retain the title of registered new text end 9.10 new text begin naturopathic doctor but restricts the registrant from actively seeing patients. new text end 9.11    Sec. 6. new text begin [147E.20] BOARD ACTION ON APPLICATIONS FOR REGISTRATION. new text end 9.12     new text begin (a) The board shall act on each application for registration according to paragraphs new text end 9.13 new text begin (b) to (d). new text end 9.14     new text begin (b) The board shall determine if the applicant meets the requirements for registration new text end 9.15 new text begin under section 147E.15. The board or advisory council may investigate information new text end 9.16 new text begin provided by an applicant to determine whether the information is accurate and complete. new text end 9.17     new text begin (c) The board shall notify each applicant in writing of action taken on the application, new text end 9.18 new text begin the grounds for denying registration if registration is denied, and the applicant's right new text end 9.19 new text begin to review under paragraph (d). new text end 9.20     new text begin (d) Applicants denied registration may make a written request to the board, within new text end 9.21 new text begin 30 days of the board's notice, to appear before the advisory council or the board and for new text end 9.22 new text begin the advisory council to review the board's decision to deny the applicant's registration. new text end 9.23 new text begin After reviewing the denial, the advisory council shall make a recommendation to the board new text end 9.24 new text begin as to whether the denial shall be affirmed. Each applicant is allowed only one request new text end 9.25 new text begin for review each yearly registration period. new text end 9.26    Sec. 7. new text begin [147E.25] CONTINUING EDUCATION REQUIREMENT. new text end 9.27     new text begin Subdivision 1. new text end new text begin Number of required contact hours. new text end new text begin (a) A registrant applying for new text end 9.28 new text begin registration renewal must complete a minimum of 25 contact hours of board-approved new text end 9.29 new text begin continuing education in the year preceding registration renewal, with the exception of new text end 9.30 new text begin the registrant's first incomplete year, and attest to completion of continuing education new text end 9.31 new text begin requirements by reporting to the board. new text end 9.32     new text begin (b) Of the 25 contact hours of continuing education requirement in paragraph (a), at new text end 9.33 new text begin least five hours of continuing education must be in pharmacotherapeutics. new text end 10.1     new text begin Subd. 2. new text end new text begin Approved programs. new text end new text begin The board shall approve continuing education new text end 10.2 new text begin programs that have been approved for continuing education credit by the American new text end 10.3 new text begin Association of Naturopathic Physicians or any of its constituent state associations, the new text end 10.4 new text begin American Chiropractic Association or any of its constituent state associations, the new text end 10.5 new text begin American Osteopathic Association Bureau of Professional Education, the American new text end 10.6 new text begin Pharmacists Association or any of its constituent state associations, or an organization new text end 10.7 new text begin approved by the Accreditation Council for Continuing Medical Education. new text end 10.8     new text begin Subd. 3. new text end new text begin Approval of continuing education programs. new text end new text begin The board shall also new text end 10.9 new text begin approve continuing education programs that do not meet the requirements of subdivision 2 new text end 10.10 new text begin but meet the following criteria: new text end 10.11     new text begin (1) the program content directly relates to the practice of naturopathic medicine; new text end 10.12     new text begin (2) each member of the program faculty is knowledgeable in the subject matter as new text end 10.13 new text begin demonstrated by a degree from an accredited education program, verifiable experience in new text end 10.14 new text begin the field of naturopathic medicine, special training in the subject matter, or experience new text end 10.15 new text begin teaching in the subject area; new text end 10.16     new text begin (3) the program lasts at least 50 minutes per contact hour; new text end 10.17     new text begin (4) there are specific, measurable, written objectives, consistent with the program, new text end 10.18 new text begin describing the expected outcomes for the participants; and new text end 10.19     new text begin (5) the program sponsor has a mechanism to verify participation and maintains new text end 10.20 new text begin attendance records for three years. new text end 10.21     new text begin Subd. 4. new text end new text begin Accumulation of contact hours. new text end new text begin A registrant may not apply contact hours new text end 10.22 new text begin acquired in one one-year reporting period to a future continuing education reporting period. new text end 10.23     new text begin Subd. 5. new text end new text begin Verification of continuing education credits. new text end new text begin The board shall periodically new text end 10.24 new text begin select a random sample of registrants and require those registrants to supply the board new text end 10.25 new text begin with evidence of having completed the continuing education to which they attested. new text end 10.26 new text begin Documentation may come directly from the registrants from state or national organizations new text end 10.27 new text begin that maintain continuing education records. new text end 10.28     new text begin Subd. 6. new text end new text begin Continuing education topics. new text end new text begin Continuing education program topics new text end 10.29 new text begin may include, but are not limited to, naturopathic medical theory and techniques new text end 10.30 new text begin including diagnostic techniques, nutrition, botanical medicine, homeopathic medicine, new text end 10.31 new text begin physical medicine, lifestyle modification counseling, anatomy, physiology, biochemistry, new text end 10.32 new text begin pharmacology, pharmacognosy, microbiology, medical ethics, psychology, history of new text end 10.33 new text begin medicine, and medical terminology or coding. new text end 10.34     new text begin Subd. 7. new text end new text begin Restriction on continuing education topics. new text end new text begin (a) A registrant may apply new text end 10.35 new text begin no more than five hours of practice management to a one-year reporting period. new text end 10.36     new text begin (b) A registrant may apply no more than 15 hours to any single subject area. new text end 11.1     new text begin Subd. 8. new text end new text begin Continuing education exemptions. new text end new text begin The board may exempt any person new text end 11.2 new text begin holding a registration under this chapter from the requirements of subdivision 1 upon new text end 11.3 new text begin application showing evidence satisfactory to the board of inability to comply with the new text end 11.4 new text begin requirements because of physical or mental condition or because of other unusual or new text end 11.5 new text begin extenuating circumstances. However, no person may be exempted from the requirements new text end 11.6 new text begin of subdivision 1 more than once in any five-year period. new text end 11.7    Sec. 8. new text begin [147E.30] DISCIPLINE; REPORTING. new text end 11.8     new text begin For purposes of this chapter, registered naturopathic doctors and applicants are new text end 11.9 new text begin subject to sections 147.091 to 147.162. new text end 11.10    Sec. 9. new text begin [147E.35] REGISTERED NATUROPATHIC DOCTOR ADVISORY new text end 11.11 new text begin COUNCIL. new text end 11.12     new text begin Subdivision 1. new text end new text begin Membership. new text end new text begin The board shall appoint a seven-member Registered new text end 11.13 new text begin Naturopathic Doctor Advisory Council consisting of one public member as defined in new text end 11.14 new text begin section 214.02, five registered naturopathic doctors who are residents of the state, and one new text end 11.15 new text begin licensed physician or osteopath with expertise in natural medicine. new text end 11.16     new text begin Subd. 2. new text end new text begin Organization. new text end new text begin The advisory council shall be organized and administered new text end 11.17 new text begin under section 15.059. Section 15.059, subdivision 2, does not apply to this section. new text end 11.18 new text begin Members shall serve two-year terms, and shall serve until their successors have been new text end 11.19 new text begin appointed. The council shall select a chair from its membership. new text end 11.20     new text begin Subd. 3. new text end new text begin Duties. new text end new text begin The advisory council shall: new text end 11.21     new text begin (1) advise the board regarding standards for registered naturopathic doctors; new text end 11.22     new text begin (2) provide for distribution of information regarding registered naturopathic doctors new text end 11.23 new text begin standards; new text end 11.24     new text begin (3) advise the board on enforcement of sections 147.091 to 147.162; new text end 11.25     new text begin (4) review applications and recommend granting or denying registration or new text end 11.26 new text begin registration renewal; new text end 11.27     new text begin (5) advise the board on issues related to receiving and investigating complaints, new text end 11.28 new text begin conducting hearings, and imposing disciplinary action in relation to complaints against new text end 11.29 new text begin registered naturopathic doctors; new text end 11.30     new text begin (6) advise the board regarding approval of continuing education programs using the new text end 11.31 new text begin criteria in section 147E.25, subdivision 3; and new text end 11.32     new text begin (7) perform other duties authorized for advisory councils by chapter 214, as directed new text end 11.33 new text begin by the board. new text end 12.1     new text begin Subd. 4. new text end new text begin Expiration. new text end new text begin Notwithstanding section 15.059, the advisory council is new text end 12.2 new text begin permanent and does not expire. new text end 12.3    Sec. 10. new text begin [147E.40] FEES. new text end 12.4     new text begin Subdivision 1. new text end new text begin Fees. new text end new text begin Fees are as follows: new text end 12.5     new text begin (1) registration application fee, $200; new text end 12.6     new text begin (2) renewal fee, $150; new text end 12.7     new text begin (3) late fee, $75; new text end 12.8     new text begin (4) inactive status fee, $50; and new text end 12.9     new text begin (5) temporary permit fee, $25. new text end 12.10     new text begin Subd. 2. new text end new text begin Proration of fees. new text end new text begin The board may prorate the initial annual registration new text end 12.11 new text begin fee. All registrants are required to pay the full fee upon registration renewal. new text end 12.12     new text begin Subd. 3. new text end new text begin Penalty fee for late renewals. new text end new text begin An application for registration renewal new text end 12.13 new text begin submitted after the deadline must be accompanied by a late fee in addition to the required new text end 12.14 new text begin fees. new text end 12.15     new text begin Subd. 4. new text end new text begin Nonrefundable fees. new text end new text begin All of the fees in subdivision 1 are nonrefundable. new text end 12.16    Sec. 11. new text begin APPOINTMENT OF NATUROPATHIC DOCTOR ADVISORY new text end 12.17 new text begin COUNCIL. new text end 12.18     new text begin The appointments required under Minnesota Statutes, section 147E.35, must new text end 12.19 new text begin be completed by August 1, 2009. The Board of Medical Practice shall designate a new text end 12.20 new text begin member to convene the first meeting of the advisory council. For the purposes of the first new text end 12.21 new text begin appointments under Minnesota Statutes, section 147E.35, subdivision 1, a person who is new text end 12.22 new text begin eligible to apply for registration as a naturopathic doctor under Minnesota Statutes, section new text end 12.23 new text begin 147E.15, may be appointed as a registered naturopathic doctor. If the appointee fails to new text end 12.24 new text begin submit a timely application for registration or if the appointee's application is rejected, the new text end 12.25 new text begin board must remove the appointee from the council and appoint a successor. new text end 12.26    Sec. 12. new text begin NATUROPATHY WORK GROUP. new text end 12.27     new text begin Subdivision 1. new text end new text begin Work group. new text end new text begin By September 1, 2008, the commissioner of health new text end 12.28 new text begin shall convene a work group to develop recommendations and proposed legislation, as new text end 12.29 new text begin necessary, on regulating naturopathic practitioners who are practicing as naturopathic new text end 12.30 new text begin medical doctors or physicians and who have postgraduate degrees in naturopathic new text end 12.31 new text begin medicine. The recommendations must ensure the continued practice of traditional new text end 12.32 new text begin naturopathy by traditional naturopaths under Minnesota Statutes, chapter 146A. The new text end 12.33 new text begin recommendations shall include the following issues: new text end 13.1     new text begin (1) the appropriate level of regulation for practitioners with a postgraduate degree new text end 13.2 new text begin in naturopathic medicine; new text end 13.3     new text begin (2) the definitions to be used for the recommended regulatory scheme to ensure the new text end 13.4 new text begin distinction between the practice of naturopathic medicine and the practice of traditional new text end 13.5 new text begin naturopathy; new text end 13.6     new text begin (3) the level of education and training, including appropriate credentialing of new text end 13.7 new text begin educational programs for the postgraduate degree level of practice; new text end 13.8     new text begin (4) the scope of practice for naturopathic practitioners with a postgraduate degree in new text end 13.9 new text begin naturopathic medicine that would be exclusive to these practitioners and would reflect new text end 13.10 new text begin the level of education and training. The scope of practice must acknowledge and ensure new text end 13.11 new text begin the continued practice of all complementary and alternative health practices, including new text end 13.12 new text begin naturopathy, currently practiced under Minnesota Statutes, chapter 146A; new text end 13.13     new text begin (5) the appropriate regulatory authority, including the possible establishment of a new text end 13.14 new text begin new regulatory board; and new text end 13.15     new text begin (6) any other regulatory requirements for naturopathic medicine the work group new text end 13.16 new text begin deems necessary. new text end 13.17     new text begin Subd. 2. new text end new text begin Membership and operation of work group. new text end new text begin (a) The work group shall new text end 13.18 new text begin consist of the following members: new text end 13.19     new text begin (1) three members appointed by the commissioner from organizations representing new text end 13.20 new text begin naturopathic physicians; new text end 13.21     new text begin (2) three members appointed by the commissioner from organizations representing new text end 13.22 new text begin traditional naturopaths; new text end 13.23     new text begin (3) one member appointed by the Acupuncture Association of Minnesota; new text end 13.24     new text begin (4) one member appointed by the Minnesota Chiropractic Association; new text end 13.25     new text begin (5) one member appointed by the Minnesota Medical Association; and new text end 13.26     new text begin (6) one member appointed by the Office of Complementary and Alternative new text end 13.27 new text begin Medicine who does not practice as a traditional naturopath. new text end 13.28     new text begin (b) The appointing authorities under paragraph (a) must complete their appointments new text end 13.29 new text begin no later than July 15, 2008. The commissioner's designee shall chair the meetings and new text end 13.30 new text begin provide staff support and meeting space for the work group. The members serve without new text end 13.31 new text begin compensation or reimbursement for any expenses. new text end 13.32     new text begin Subd. 3. new text end new text begin Research and recommendations. new text end new text begin In developing its recommendations, the new text end 13.33 new text begin work group shall review regulatory systems of the practice of naturopathy in other states. new text end 13.34 new text begin The work group shall base its recommendations on regulatory strategies that protect the new text end 13.35 new text begin public. The work group shall complete its recommendations by December 15, 2008, and new text end 13.36 new text begin the commissioner shall submit a report containing the work group's recommendations new text end 14.1 new text begin and proposed legislation to the chairs and ranking minority members of the legislative new text end 14.2 new text begin committees with jurisdiction over health care by January 15, 2009. new text end 14.3     new text begin Subd. 4. new text end new text begin Expiration. new text end new text begin The work group shall expire on the date the report required new text end 14.4 new text begin under subdivision 3 is submitted to the specified legislative members. new text end 14.5 new text begin EFFECTIVE DATE. new text end new text begin This section is effective the day following final enactment. new text end 14.6    Sec. 13. new text begin APPROPRIATIONS. new text end 14.7     new text begin (a) $8,000 in fiscal year 2009 is appropriated from the state government special new text end 14.8 new text begin revenue fund to the Board of Medical Practice for the registration of naturopathic doctors new text end 14.9 new text begin under Minnesota Statutes, chapter 147E. new text end 14.10     new text begin (b) $25,000 in fiscal year 2009 is appropriated from the state government special new text end 14.11 new text begin revenue fund to the commissioner of health for the naturopathy work group. This is new text end 14.12 new text begin a onetime appropriation. new text end 14.13    Sec. 14. new text begin EFFECTIVE DATE. new text end 14.14     new text begin Sections 1 to 11 and 13 are effective July 1, 2009. new text end