<a id="pl.1.3"></a><var>1.3</var>changing provisions for unlicensed complementary and alternative health care <br/>
<a id="pl.1.4"></a><var>1.4</var>practitioners;amending Minnesota Statutes 2006, sections 147.03, subdivision <br/>
<a id="pl.1.5"></a><var>1.5</var>1; 148.512, subdivision 20; 148.5161, subdivisions 2, 3; 148.5175; 148.519, <br/>
<a id="pl.1.6"></a><var>1.6</var>subdivision 3; 148.5194, subdivisions 7, 8; 148.5195, subdivision 3; 148.6425; <br/>
<a id="pl.1.7"></a><var>1.7</var>148.6428; 148.6440; 148.6443, subdivisions 1, 3; 148.6445, subdivision 11; <br/>
<a id="pl.1.8"></a><var>1.8</var>149A.01, subdivision 4; 151.01, subdivision 27; 153A.14, subdivisions 2i, 4a, 11; <br/>
<a id="pl.1.9"></a><var>1.9</var>153A.175; Minnesota Statutes 2007 Supplement, sections 146A.08, subdivision <br/>
<a id="pl.1.10"></a><var>1.10</var>1; 146A.11, subdivision 1; 147.037, subdivision 1; 148.515, subdivision 2; <br/>
<a id="pl.1.11"></a><var>1.11</var>proposing coding for new law in Minnesota Statutes, chapter 148B.<br/>
<a id="pl.1.12"></a><var>1.12</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.13"></a><var>1.13</var>    Section 1. Minnesota Statutes 2007 Supplement, section 146A.08, subdivision 1, <br/>
<a id="pl.1.14"></a><var>1.14</var>is amended to read:<br/>
<a id="pl.1.15"></a><var>1.15</var>    Subdivision 1. <b>Prohibited conduct.</b> The commissioner may impose disciplinary <br/>
<a id="pl.1.16"></a><var>1.16</var>action as described in section 
         <statute_ref>146A.09</statute_ref> against any unlicensed complementary and <br/>
<a id="pl.1.17"></a><var>1.17</var>alternative health care practitioner. The following conduct is prohibited and is grounds for <br/>
<a id="pl.1.18"></a><var>1.18</var>disciplinary action: <br/>
<a id="pl.1.19"></a><var>1.19</var>    (a) Conviction of a crime, including a finding or verdict of guilt, an admission <br/>
<a id="pl.1.20"></a><var>1.20</var>of guilt, or a no-contest plea, in any court in Minnesota or any other jurisdiction in the <br/>
<a id="pl.1.21"></a><var>1.21</var>United States, reasonably related to engaging in complementary and alternative health <br/>
<a id="pl.1.22"></a><var>1.22</var>care practices. Conviction, as used in this subdivision, includes a conviction of an offense <br/>
<a id="pl.1.23"></a><var>1.23</var>which, if committed in this state, would be deemed a felony, gross misdemeanor, or <br/>
<a id="pl.1.24"></a><var>1.24</var>misdemeanor, without regard to its designation elsewhere, or a criminal proceeding where <br/>
<a id="pl.1.25"></a><var>1.25</var>a finding or verdict of guilty is made or returned but the adjudication of guilt is either <br/>
<a id="pl.1.26"></a><var>1.26</var>withheld or not entered.<br/>
<a id="pl.2.1"></a><var>2.1</var>    (b) Conviction of any crime against a person. For purposes of this chapter, a crime <br/>
<a id="pl.2.2"></a><var>2.2</var>against a person means violations of the following: sections 
         <statute_ref>609.185</statute_ref>; 
         <statute_ref>609.19</statute_ref>; 
         <statute_ref>609.195</statute_ref>; <br/>
<statute_ref><a id="pl.2.3"></a><var>2.3</var>609.20
         </statute_ref>; 
         <statute_ref>609.205</statute_ref>; 
         <statute_ref>609.21</statute_ref>; 
         <statute_ref>609.215</statute_ref>; 
         <statute_ref>609.221</statute_ref>; 
         <statute_ref>609.222</statute_ref>; 
         <statute_ref>609.223</statute_ref>; 
         <statute_ref>609.224</statute_ref>; 
         <statute_ref>609.2242</statute_ref>; <br/>
<statute_ref><a id="pl.2.4"></a><var>2.4</var>609.23
         </statute_ref>; 
         <statute_ref>609.231</statute_ref>; 
         <statute_ref>609.2325</statute_ref>; 
         <statute_ref>609.233</statute_ref>; 
         <statute_ref>609.2335</statute_ref>; 
         <statute_ref>609.235</statute_ref>; 
         <statute_ref>609.24</statute_ref>; 
         <statute_ref>609.245</statute_ref>; 
         <statute_ref>609.25</statute_ref>; <br/>
<statute_ref><a id="pl.2.5"></a><var>2.5</var>609.255
         </statute_ref>; 
         <statute_ref>609.26, subdivision 1</statute_ref>, clause (1) or (2); 
         <statute_ref>609.265</statute_ref>; 
         <statute_ref>609.342</statute_ref>; 
         <statute_ref>609.343</statute_ref>; 
         <statute_ref>609.344</statute_ref>; <br/>
<statute_ref><a id="pl.2.6"></a><var>2.6</var>609.345
         </statute_ref>; 
         <statute_ref>609.365</statute_ref>; 
         <statute_ref>609.498, subdivision 1</statute_ref>; 
         <statute_ref>609.50, subdivision 1</statute_ref>, clause (1); 
         <statute_ref>609.561</statute_ref>; <br/>
<statute_ref><a id="pl.2.7"></a><var>2.7</var>609.562
         </statute_ref>; 
         <statute_ref>609.595</statute_ref>; and 
         <statute_ref>609.72, subdivision 3</statute_ref>. <br/>
<a id="pl.2.8"></a><var>2.8</var>    (c) Failure to comply with the self-reporting requirements of section 
         <statute_ref>146A.03, <br/>
<a id="pl.2.9"></a><var>2.9</var>subdivision 7
         </statute_ref>. <br/>
<a id="pl.2.10"></a><var>2.10</var>    (d) Engaging in sexual contact with a complementary and alternative health care <br/>
<a id="pl.2.11"></a><var>2.11</var>client or former client, engaging in contact that may be reasonably interpreted by a client <br/>
<a id="pl.2.12"></a><var>2.12</var>as sexual, engaging in any verbal behavior that is seductive or sexually demeaning to <br/>
<a id="pl.2.13"></a><var>2.13</var>the patient client, or engaging in sexual exploitation of a client or former client. For <br/>
<a id="pl.2.14"></a><var>2.14</var>purposes of this paragraph, "former client" means a person who has obtained services <br/>
<a id="pl.2.15"></a><var>2.15</var>from the unlicensed complementary and alternative health care practitioner within the <br/>
<a id="pl.2.16"></a><var>2.16</var>past two years.<br/>
<a id="pl.2.17"></a><var>2.17</var>    (e) Advertising that is false, fraudulent, deceptive, or misleading.<br/>
<a id="pl.2.18"></a><var>2.18</var>    (f) Conduct likely to deceive, defraud, or harm the public or demonstrating a willful <br/>
<a id="pl.2.19"></a><var>2.19</var>or careless disregard for the health, welfare, or safety of a complementary and alternative <br/>
<a id="pl.2.20"></a><var>2.20</var>health care client; or any other practice that may create danger to any client's life, health, <br/>
<a id="pl.2.21"></a><var>2.21</var>or safety, in any of which cases, proof of actual injury need not be established.<br/>
<a id="pl.2.22"></a><var>2.22</var>    (g) Adjudication as mentally incompetent or as a person who is dangerous to <br/>
<a id="pl.2.23"></a><var>2.23</var>self or adjudication pursuant to chapter 253B as chemically dependent, mentally ill, <br/>
<a id="pl.2.24"></a><var>2.24</var>developmentally disabled, mentally ill and dangerous to the public, or as a sexual <br/>
<a id="pl.2.25"></a><var>2.25</var>psychopathic personality or sexually dangerous person.<br/>
<a id="pl.2.26"></a><var>2.26</var>    (h) Inability to engage in complementary and alternative health care practices with <br/>
<a id="pl.2.27"></a><var>2.27</var>reasonable safety to complementary and alternative health care clients.<br/>
<a id="pl.2.28"></a><var>2.28</var>    (i) The habitual overindulgence in the use of or the dependence on intoxicating <br/>
<a id="pl.2.29"></a><var>2.29</var>liquors.<br/>
<a id="pl.2.30"></a><var>2.30</var>    (j) Improper or unauthorized personal or other use of any legend drugs as defined <br/>
<a id="pl.2.31"></a><var>2.31</var>in chapter 151, any chemicals as defined in chapter 151, or any controlled substance <br/>
<a id="pl.2.32"></a><var>2.32</var>as defined in chapter 152.<br/>
<a id="pl.2.33"></a><var>2.33</var>    (k) Revealing a communication from, or relating to, a complementary and alternative <br/>
<a id="pl.2.34"></a><var>2.34</var>health care client except when otherwise required or permitted by law.<br/>
<a id="pl.3.1"></a><var>3.1</var>    (l) Failure to comply with a complementary and alternative health care client's <br/>
<a id="pl.3.2"></a><var>3.2</var>request made under sections 
         <statute_ref>144.291</statute_ref> to 144.298 or to furnish a complementary and <br/>
<a id="pl.3.3"></a><var>3.3</var>alternative health care client record or report required by law. <br/>
<a id="pl.3.4"></a><var>3.4</var>    (m) Splitting fees or promising to pay a portion of a fee to any other professional <br/>
<a id="pl.3.5"></a><var>3.5</var>other than for services rendered by the other professional to the complementary and <br/>
<a id="pl.3.6"></a><var>3.6</var>alternative health care client.<br/>
<a id="pl.3.7"></a><var>3.7</var>    (n) Engaging in abusive or fraudulent billing practices, including violations of the <br/>
<a id="pl.3.8"></a><var>3.8</var>federal Medicare and Medicaid laws or state medical assistance laws.<br/>
<a id="pl.3.9"></a><var>3.9</var>    (o) Failure to make reports as required by section 
         <statute_ref>146A.03</statute_ref> or cooperate with an <br/>
<a id="pl.3.10"></a><var>3.10</var>investigation of the office. <br/>
<a id="pl.3.11"></a><var>3.11</var>    (p) Obtaining money, property, or services from a complementary and alternative <br/>
<a id="pl.3.12"></a><var>3.12</var>health care client, other than reasonable fees for services provided to the client, through <br/>
<a id="pl.3.13"></a><var>3.13</var>the use of undue influence, harassment, duress, deception, or fraud.<br/>
<a id="pl.3.14"></a><var>3.14</var>    (q) Undertaking or continuing a professional relationship with a complementary and <br/>
<a id="pl.3.15"></a><var>3.15</var>alternative health care client in which the objectivity of the unlicensed complementary <br/>
<a id="pl.3.16"></a><var>3.16</var>and alternative health care practitioner would be impaired.<br/>
<a id="pl.3.17"></a><var>3.17</var>    (r) (q)  Failure to provide a complementary and alternative health care client with a <br/>
<a id="pl.3.18"></a><var>3.18</var>copy of the client bill of rights or violation of any provision of the client bill of rights.<br/>
<a id="pl.3.19"></a><var>3.19</var>    (s) (r)  Violating any order issued by the commissioner.<br/>
<a id="pl.3.20"></a><var>3.20</var>    (t) (s)  Failure to comply with any provision of sections 
         <statute_ref>146A.01</statute_ref> to 
         <statute_ref>146A.11</statute_ref> and the <br/>
<a id="pl.3.21"></a><var>3.21</var>rules adopted under those sections. <br/>
<a id="pl.3.22"></a><var>3.22</var>    (u) (t)  Failure to comply with any additional disciplinary grounds established by <br/>
<a id="pl.3.23"></a><var>3.23</var>the commissioner by rule.<br/>
<a id="pl.3.24"></a><var>3.24</var>    (v) (u)  Revocation, suspension, restriction, limitation, or other disciplinary action <br/>
<a id="pl.3.25"></a><var>3.25</var>against any health care license, certificate, registration, or right to practice of the <br/>
<a id="pl.3.26"></a><var>3.26</var>unlicensed complementary and alternative health care practitioner in this or another state <br/>
<a id="pl.3.27"></a><var>3.27</var>or jurisdiction for offenses that would be subject to disciplinary action in this state or <br/>
<a id="pl.3.28"></a><var>3.28</var>failure to report to the office that charges regarding the practitioner's license, certificate, <br/>
<a id="pl.3.29"></a><var>3.29</var>registration, or right of practice have been brought in this or another state or jurisdiction.<br/>
<a id="pl.3.30"></a><var>3.30</var>    (w) (v)  Use of the title "doctor," "Dr.," or "physician" alone or in combination with <br/>
<a id="pl.3.31"></a><var>3.31</var>any other words, letters, or insignia to describe the complementary and alternative health <br/>
<a id="pl.3.32"></a><var>3.32</var>care practices the practitioner provides.<br/>
<a id="pl.3.33"></a><var>3.33</var>    (x) (w)  Failure to provide a complementary and alternative health care client with a <br/>
<a id="pl.3.34"></a><var>3.34</var>recommendation that the client see a health care provider who is licensed or registered <br/>
<a id="pl.3.35"></a><var>3.35</var>by a health-related licensing board or the commissioner of health, if there is a reasonable <br/>
<a id="pl.3.36"></a><var>3.36</var>likelihood that the client needs to be seen by a licensed or registered health care provider.<br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.4.1"></a><var>4.1</var>    Sec. 2. Minnesota Statutes 2007 Supplement, section 146A.11, subdivision 1, is <br/>
<a id="pl.4.2"></a><var>4.2</var>amended to read:<br/>
<a id="pl.4.3"></a><var>4.3</var>    Subdivision 1. <b>Scope.</b> (a) All unlicensed complementary and alternative health <br/>
<a id="pl.4.4"></a><var>4.4</var>care practitioners shall provide to each complementary and alternative health care <br/>
<a id="pl.4.5"></a><var>4.5</var>client prior to providing treatment a written copy of the complementary and alternative <br/>
<a id="pl.4.6"></a><var>4.6</var>health care client bill of rights. A copy must also be posted in a prominent location <br/>
<a id="pl.4.7"></a><var>4.7</var>in the office of the unlicensed complementary and alternative health care practitioner. <br/>
<a id="pl.4.8"></a><var>4.8</var>Reasonable accommodations shall be made for those clients who cannot read or who <br/>
<a id="pl.4.9"></a><var>4.9</var>have communication impairments and those who do not read or speak English. The <br/>
<a id="pl.4.10"></a><var>4.10</var>complementary and alternative health care client bill of rights shall include the following:<br/>
<a id="pl.4.11"></a><var>4.11</var>    (1) the name, complementary and alternative health care title, business address, <br/>
<a id="pl.4.12"></a><var>4.12</var>and telephone number of the unlicensed complementary and alternative health care <br/>
<a id="pl.4.13"></a><var>4.13</var>practitioner;<br/>
<a id="pl.4.14"></a><var>4.14</var>    (2) the degrees, training, experience, or other qualifications of the practitioner <br/>
<a id="pl.4.15"></a><var>4.15</var>regarding the complimentary and alternative health care being provided, followed by the <br/>
<a id="pl.4.16"></a><var>4.16</var>following statement in bold print:<br/>
<a id="pl.4.17"></a><var>4.17</var>    "THE STATE OF MINNESOTA HAS NOT ADOPTED ANY EDUCATIONAL <br/>
<a id="pl.4.18"></a><var>4.18</var>AND TRAINING STANDARDS FOR UNLICENSED COMPLEMENTARY AND <br/>
<a id="pl.4.19"></a><var>4.19</var>ALTERNATIVE HEALTH CARE PRACTITIONERS. THIS STATEMENT OF <br/>
<a id="pl.4.20"></a><var>4.20</var>CREDENTIALS IS FOR INFORMATION PURPOSES ONLY.<br/>
<a id="pl.4.21"></a><var>4.21</var>    Under Minnesota law, an unlicensed complementary and alternative health care <br/>
<a id="pl.4.22"></a><var>4.22</var>practitioner may not provide a medical diagnosis or recommend discontinuance of <br/>
<a id="pl.4.23"></a><var>4.23</var>medically prescribed treatments. If a client desires a diagnosis from a licensed physician, <br/>
<a id="pl.4.24"></a><var>4.24</var>chiropractor, or acupuncture practitioner, or services from a physician, chiropractor, nurse, <br/>
<a id="pl.4.25"></a><var>4.25</var>osteopath, physical therapist, dietitian, nutritionist, acupuncture practitioner, athletic <br/>
<a id="pl.4.26"></a><var>4.26</var>trainer, or any other type of health care provider, the client may seek such services at <br/>
<a id="pl.4.27"></a><var>4.27</var>any time.";<br/>
<a id="pl.4.28"></a><var>4.28</var>    (3) the name, business address, and telephone number of the practitioner's <br/>
<a id="pl.4.29"></a><var>4.29</var>supervisor, if any;<br/>
<a id="pl.4.30"></a><var>4.30</var>    (4) notice that a complementary and alternative health care client has the right to <br/>
<a id="pl.4.31"></a><var>4.31</var>file a complaint with the practitioner's supervisor, if any, and the procedure for filing <br/>
<a id="pl.4.32"></a><var>4.32</var>complaints;<br/>
<a id="pl.4.33"></a><var>4.33</var>    (5) the name, address, and telephone number of the office of unlicensed <br/>
<a id="pl.4.34"></a><var>4.34</var>complementary and alternative health care practice and notice that a client may file <br/>
<a id="pl.4.35"></a><var>4.35</var>complaints with the office;<br/>
<a id="pl.5.1"></a><var>5.1</var>    (6) the practitioner's fees per unit of service, the practitioner's method of billing <br/>
<a id="pl.5.2"></a><var>5.2</var>for such fees, the names of any insurance companies that have agreed to reimburse the <br/>
<a id="pl.5.3"></a><var>5.3</var>practitioner, or health maintenance organizations with whom the practitioner contracts to <br/>
<a id="pl.5.4"></a><var>5.4</var>provide service, whether the practitioner accepts Medicare, medical assistance, or general <br/>
<a id="pl.5.5"></a><var>5.5</var>assistance medical care, and whether the practitioner is willing to accept partial payment, <br/>
<a id="pl.5.6"></a><var>5.6</var>or to waive payment, and in what circumstances;<br/>
<a id="pl.5.7"></a><var>5.7</var>    (7) a statement that the client has a right to reasonable notice of changes in services <br/>
<a id="pl.5.8"></a><var>5.8</var>or charges;<br/>
<a id="pl.5.9"></a><var>5.9</var>    (8) a brief summary, in plain language, of the theoretical approach used by the <br/>
<a id="pl.5.10"></a><var>5.10</var>practitioner in providing services to clients;<br/>
<a id="pl.5.11"></a><var>5.11</var>    (9) notice that the client has a right to complete and current information concerning <br/>
<a id="pl.5.12"></a><var>5.12</var>the practitioner's assessment and recommended service that is to be provided, including <br/>
<a id="pl.5.13"></a><var>5.13</var>the expected duration of the service to be provided;<br/>
<a id="pl.5.14"></a><var>5.14</var>    (10) a statement that clients may expect courteous treatment and to be free from <br/>
<a id="pl.5.15"></a><var>5.15</var>verbal, physical, or sexual abuse by the practitioner;<br/>
<a id="pl.5.16"></a><var>5.16</var>    (11) a statement that client records and transactions with the practitioner are <br/>
<a id="pl.5.17"></a><var>5.17</var>confidential, unless release of these records is authorized in writing by the client, or <br/>
<a id="pl.5.18"></a><var>5.18</var>otherwise provided by law;<br/>
<a id="pl.5.19"></a><var>5.19</var>    (12) a statement of the client's right to be allowed access to records and written <br/>
<a id="pl.5.20"></a><var>5.20</var>information from records in accordance with sections 
         <statute_ref>144.291</statute_ref> to 144.298; <br/>
<a id="pl.5.21"></a><var>5.21</var>    (13) a statement that other services may be available in the community, including <br/>
<a id="pl.5.22"></a><var>5.22</var>where information concerning services is available;<br/>
<a id="pl.5.23"></a><var>5.23</var>    (14) a statement that the client has the right to choose freely among available <br/>
<a id="pl.5.24"></a><var>5.24</var>practitioners and to change practitioners after services have begun, within the limits of <br/>
<a id="pl.5.25"></a><var>5.25</var>health insurance, medical assistance, or other health programs;<br/>
<a id="pl.5.26"></a><var>5.26</var>    (15) a statement that the client has a right to coordinated transfer when there will <br/>
<a id="pl.5.27"></a><var>5.27</var>be a change in the provider of services;<br/>
<a id="pl.5.28"></a><var>5.28</var>    (16) a statement that the client may refuse services or treatment, unless otherwise <br/>
<a id="pl.5.29"></a><var>5.29</var>provided by law; and<br/>
<a id="pl.5.30"></a><var>5.30</var>    (17) a statement that the client may assert the client's rights without retaliation.<br/>
<a id="pl.5.31"></a><var>5.31</var>    (b) This section does not apply to an unlicensed complementary and alternative <br/>
<a id="pl.5.32"></a><var>5.32</var>health care practitioner who is employed by or is a volunteer in a hospital or hospice who <br/>
<a id="pl.5.33"></a><var>5.33</var>provides services to a client in a hospital or under an appropriate hospice plan of care. <br/>
<a id="pl.5.34"></a><var>5.34</var>Patients receiving complementary and alternative health care services in an inpatient <br/>
<a id="pl.5.35"></a><var>5.35</var>hospital or under an appropriate hospice plan of care shall have and be made aware of <br/>
<a id="pl.6.1"></a><var>6.1</var>the right to file a complaint with the hospital or hospice provider through which the <br/>
<a id="pl.6.2"></a><var>6.2</var>practitioner is employed or registered as a volunteer.<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.6.3"></a><var>6.3</var>    Sec. 3. Minnesota Statutes 2006, section 147.03, subdivision 1, is amended to read:<br/>
<a id="pl.6.4"></a><var>6.4</var>    Subdivision 1. <b>Endorsement; reciprocity.</b> (a) The board may issue a license to <br/>
<a id="pl.6.5"></a><var>6.5</var>practice medicine to any person who satisfies the requirements in paragraphs (b) to (f).<br/>
<a id="pl.6.6"></a><var>6.6</var>    (b) The applicant shall satisfy all the requirements established in section 
         <statute_ref>147.02, <br/>
<a id="pl.6.7"></a><var>6.7</var>subdivision 1
         </statute_ref>, paragraphs (a), (b), (d), (e), and (f). <br/>
<a id="pl.6.8"></a><var>6.8</var>    (c) The applicant shall:<br/>
<a id="pl.6.9"></a><var>6.9</var>    (1) have passed an examination prepared and graded by the Federation of State <br/>
<a id="pl.6.10"></a><var>6.10</var>Medical Boards, the National Board of Medical Examiners, or the United States Medical <br/>
<a id="pl.6.11"></a><var>6.11</var>Licensing Examination (USMLE) program in accordance with section 
         <statute_ref>147.02, subdivision <br/>
<a id="pl.6.12"></a><var>6.12</var>1
         </statute_ref>, paragraph (c), clause (2); the National Board of Osteopathic Examiners; or the Medical <br/>
<a id="pl.6.13"></a><var>6.13</var>Council of Canada; and <br/>
<a id="pl.6.14"></a><var>6.14</var>    (2) have a current license from the equivalent licensing agency in another state or <br/>
<a id="pl.6.15"></a><var>6.15</var>Canada and, if the examination in clause (1) was passed more than ten years ago, either:<br/>
<a id="pl.6.16"></a><var>6.16</var>    (i) pass the Special Purpose Examination of the Federation of State Medical Boards <br/>
<a id="pl.6.17"></a><var>6.17</var>with a score of 75 or better within three attempts; or<br/>
<a id="pl.6.18"></a><var>6.18</var>    (ii) have a current certification by a specialty board of the American Board of <br/>
<a id="pl.6.19"></a><var>6.19</var>Medical Specialties, of the American Osteopathic Association Bureau of Professional <br/>
<a id="pl.6.20"></a><var>6.20</var>Education,  the Royal College of Physicians and Surgeons of Canada, or of the College of <br/>
<a id="pl.6.21"></a><var>6.21</var>Family Physicians of Canada.; or<br/>
<a id="pl.6.22"></a><var>6.22</var>    (3) if the applicant fails to meet the requirement established in section 147.02, <br/>
<a id="pl.6.23"></a><var>6.23</var>subdivision 1, paragraph (c), clause (2), because the applicant failed to pass each of steps <br/>
<a id="pl.6.24"></a><var>6.24</var>one, two, and three of the USMLE within the required three attempts, the applicant may <br/>
<a id="pl.6.25"></a><var>6.25</var>be granted a license provided the applicant:<br/>
<a id="pl.6.26"></a><var>6.26</var>    (i) has passed each of steps one, two, and three with passing scores as recommended <br/>
<a id="pl.6.27"></a><var>6.27</var>by the USMLE program within no more than four attempts for any of the three steps;<br/>
<a id="pl.6.28"></a><var>6.28</var>    (ii) is currently licensed in another state; and<br/>
<a id="pl.6.29"></a><var>6.29</var>    (iii) has current certification by a specialty board of the American Board of Medical <br/>
<a id="pl.6.30"></a><var>6.30</var>Specialties, the American Osteopathic Association Bureau of Professional Education, the <br/>
<a id="pl.6.31"></a><var>6.31</var>Royal College of Physicians and Surgeons of Canada, or the College of Family Physicians <br/>
<a id="pl.6.32"></a><var>6.32</var>of Canada.<br/>
<a id="pl.6.33"></a><var>6.33</var>    (d) The applicant shall pay a fee established by the board by rule. The fee may <br/>
<a id="pl.6.34"></a><var>6.34</var>not be refunded.<br/>
<a id="pl.7.1"></a><var>7.1</var>    (e) The applicant must not be under license suspension or revocation by the licensing <br/>
<a id="pl.7.2"></a><var>7.2</var>board of the state or jurisdiction in which the conduct that caused the suspension or <br/>
<a id="pl.7.3"></a><var>7.3</var>revocation occurred.<br/>
<a id="pl.7.4"></a><var>7.4</var>    (f) The applicant must not have engaged in conduct warranting disciplinary action <br/>
<a id="pl.7.5"></a><var>7.5</var>against a licensee, or have been subject to disciplinary action other than as specified in <br/>
<a id="pl.7.6"></a><var>7.6</var>paragraph (e). If an applicant does not satisfy the requirements stated in this paragraph, <br/>
<a id="pl.7.7"></a><var>7.7</var>the board may issue a license only on the applicant's showing that the public will be <br/>
<a id="pl.7.8"></a><var>7.8</var>protected through issuance of a license with conditions or limitations the board considers <br/>
<a id="pl.7.9"></a><var>7.9</var>appropriate.<br/>
<a id="pl.7.10"></a><var>7.10</var>    (g) Upon the request of an applicant, the board may conduct the final interview of <br/>
<a id="pl.7.11"></a><var>7.11</var>the applicant by teleconference.<br/>
<a id="pl.7.12"></a><var>7.12</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.0.4.0"></a><a id="pl.7.13"></a><var>7.13</var>    Sec. 4. Minnesota Statutes 2007 Supplement, section 147.037, subdivision 1, is <br/>
<a id="pl.7.14"></a><var>7.14</var>amended to read:<br/>
<a id="pl.7.15"></a><var>7.15</var>    Subdivision 1. <b>Requirements.</b> The board shall issue a license to practice medicine <br/>
<a id="pl.7.16"></a><var>7.16</var>to any person who satisfies the requirements in paragraphs (a) to (g).<br/>
<a id="pl.7.17"></a><var>7.17</var>    (a) The applicant shall satisfy all the requirements established in section 
         <statute_ref>147.02, <br/>
<a id="pl.7.18"></a><var>7.18</var>subdivision 1
         </statute_ref>, paragraphs (a), (e), (f), (g), and (h).<br/>
<a id="pl.7.19"></a><var>7.19</var>    (b) The applicant shall present evidence satisfactory to the board that the applicant <br/>
<a id="pl.7.20"></a><var>7.20</var>is a graduate of a medical or osteopathic school approved by the board as equivalent <br/>
<a id="pl.7.21"></a><var>7.21</var>to accredited United States or Canadian schools based upon its faculty, curriculum, <br/>
<a id="pl.7.22"></a><var>7.22</var>facilities, accreditation, or other relevant data. If the applicant is a graduate of a medical or <br/>
<a id="pl.7.23"></a><var>7.23</var>osteopathic program that is not accredited by the Liaison Committee for Medical Education <br/>
<a id="pl.7.24"></a><var>7.24</var>or the American Osteopathic Association, the applicant may use the Federation of State <br/>
<a id="pl.7.25"></a><var>7.25</var>Medical Boards' Federation Credentials Verification Service (FCVS) or its successor. If <br/>
<a id="pl.7.26"></a><var>7.26</var>the applicant uses this service as allowed under this paragraph, the physician application <br/>
<a id="pl.7.27"></a><var>7.27</var>fee may be less than $200 but must not exceed the cost of administering this paragraph.<br/>
<a id="pl.7.28"></a><var>7.28</var>    (c) The applicant shall present evidence satisfactory to the board that the applicant <br/>
<a id="pl.7.29"></a><var>7.29</var>has been awarded a certificate by the Educational Council for Foreign Medical Graduates, <br/>
<a id="pl.7.30"></a><var>7.30</var>and the applicant has a working ability in the English language sufficient to communicate <br/>
<a id="pl.7.31"></a><var>7.31</var>with patients and physicians and to engage in the practice of medicine.<br/>
<a id="pl.7.32"></a><var>7.32</var>    (d) The applicant shall present evidence satisfactory to the board of the completion <br/>
<a id="pl.7.33"></a><var>7.33</var>of two years of graduate, clinical medical training in a program located in the United <br/>
<a id="pl.7.34"></a><var>7.34</var>States, its territories, or Canada and accredited by a national accrediting organization <br/>
<a id="pl.7.35"></a><var>7.35</var>approved by the board. This requirement does not apply:<br/>
<a id="pl.8.1"></a><var>8.1</var>    (1) to an applicant who is admitted as a permanent immigrant to the United States on <br/>
<a id="pl.8.2"></a><var>8.2</var>or before October 1, 1991, as a person of exceptional ability in the sciences according to <br/>
<a id="pl.8.3"></a><var>8.3</var>Code of Federal Regulations, title 20, section 
         <statute_ref>656.22</statute_ref>(d);<br/>
<a id="pl.8.4"></a><var>8.4</var>    (2) to an applicant holding a valid license to practice medicine in another country <br/>
<a id="pl.8.5"></a><var>8.5</var>and issued a permanent immigrant visa after October 1, 1991, as a person of extraordinary <br/>
<a id="pl.8.6"></a><var>8.6</var>ability in the field of science or as an outstanding professor or researcher according to <br/>
<a id="pl.8.7"></a><var>8.7</var>Code of Federal Regulations, title 8, section 
         <statute_ref>204.5</statute_ref>(h) and (i), or a temporary nonimmigrant <br/>
<a id="pl.8.8"></a><var>8.8</var>visa as a person of extraordinary ability in the field of science according to Code of <br/>
<a id="pl.8.9"></a><var>8.9</var>Federal Regulations, title 8, section 
         <statute_ref>214.2</statute_ref>(o),<br/>
<a id="pl.8.10"></a><var>8.10</var>provided that a person under clause (1) or (2) is admitted pursuant to rules of the United <br/>
<a id="pl.8.11"></a><var>8.11</var>States Department of Labor; or<br/>
<a id="pl.8.12"></a><var>8.12</var>    (3) to an applicant who is licensed in another state, has practiced five years without <br/>
<a id="pl.8.13"></a><var>8.13</var>disciplinary action in the United States, its territories, or Canada, has completed one year <br/>
<a id="pl.8.14"></a><var>8.14</var>of the graduate, clinical medical training required by this paragraph, and has passed the <br/>
<a id="pl.8.15"></a><var>8.15</var>Special Purpose Examination of the Federation of State Medical Boards within three <br/>
<a id="pl.8.16"></a><var>8.16</var>attempts in the 24 months before licensing.<br/>
<a id="pl.8.17"></a><var>8.17</var>    (e) The applicant must:<br/>
<a id="pl.8.18"></a><var>8.18</var>    (1) have passed an examination prepared and graded by the Federation of State <br/>
<a id="pl.8.19"></a><var>8.19</var>Medical Boards, the United States Medical Licensing Examination program in accordance <br/>
<a id="pl.8.20"></a><var>8.20</var>with section 
         <statute_ref>147.02, subdivision 1</statute_ref>, paragraph (c), clause (2), or the Medical Council <br/>
<a id="pl.8.21"></a><var>8.21</var>of Canada; and<br/>
<a id="pl.8.22"></a><var>8.22</var>    (2) have a current license from the equivalent licensing agency in another state or <br/>
<a id="pl.8.23"></a><var>8.23</var>country and, if the examination in clause (1) was passed more than ten years ago, either:<br/>
<a id="pl.8.24"></a><var>8.24</var>    (i) pass the Special Purpose Examination of the Federation of State Medical Boards <br/>
<a id="pl.8.25"></a><var>8.25</var>with a score of 75 or better within three attempts; or<br/>
<a id="pl.8.26"></a><var>8.26</var>    (ii) have a current certification by a specialty board of the American Board of <br/>
<a id="pl.8.27"></a><var>8.27</var>Medical Specialties, of the American Osteopathic Association Bureau of Professional <br/>
<a id="pl.8.28"></a><var>8.28</var>Education, of the Royal College of Physicians and Surgeons of Canada, or of the College <br/>
<a id="pl.8.29"></a><var>8.29</var>of Family Physicians of Canada.; or<br/>
<a id="pl.8.30"></a><var>8.30</var>    (3) if the applicant fails to meet the requirement established in section 147.02, <br/>
<a id="pl.8.31"></a><var>8.31</var>subdivision 1, paragraph (c), clause (2), because the applicant failed to pass each of steps <br/>
<a id="pl.8.32"></a><var>8.32</var>one, two, and three of the USMLE within the required three attempts, the applicant may <br/>
<a id="pl.8.33"></a><var>8.33</var>be granted a license provided the applicant:<br/>
<a id="pl.8.34"></a><var>8.34</var>    (i) has passed each of steps one, two, and three with passing scores as recommended <br/>
<a id="pl.8.35"></a><var>8.35</var>by the USMLE program within no more than four attempts for any of the three steps;<br/>
<a id="pl.8.36"></a><var>8.36</var>    (ii) is currently licensed in another state; and<br/>
<a id="pl.9.1"></a><var>9.1</var>    (iii) has current certification by a specialty board of the American Board of Medical <br/>
<a id="pl.9.2"></a><var>9.2</var>Specialties, the American Osteopathic Association Bureau of Professional Education, the <br/>
<a id="pl.9.3"></a><var>9.3</var>Royal College of Physicians and Surgeons of Canada, or the College of Family Physicians <br/>
<a id="pl.9.4"></a><var>9.4</var>of Canada.<br/>
<a id="pl.9.5"></a><var>9.5</var>    (f) The applicant must not be under license suspension or revocation by the licensing <br/>
<a id="pl.9.6"></a><var>9.6</var>board of the state or jurisdiction in which the conduct that caused the suspension or <br/>
<a id="pl.9.7"></a><var>9.7</var>revocation occurred.<br/>
<a id="pl.9.8"></a><var>9.8</var>    (g) The applicant must not have engaged in conduct warranting disciplinary action <br/>
<a id="pl.9.9"></a><var>9.9</var>against a licensee, or have been subject to disciplinary action other than as specified in <br/>
<a id="pl.9.10"></a><var>9.10</var>paragraph (f). If an applicant does not satisfy the requirements stated in this paragraph, <br/>
<a id="pl.9.11"></a><var>9.11</var>the board may issue a license only on the applicant's showing that the public will be <br/>
<a id="pl.9.12"></a><var>9.12</var>protected through issuance of a license with conditions or limitations the board considers <br/>
<a id="pl.9.13"></a><var>9.13</var>appropriate.<br/>
<a id="pl.9.14"></a><var>9.14</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.0.5.0"></a><a id="pl.9.15"></a><var>9.15</var>    Sec. 5. Minnesota Statutes 2006, section 148.512, subdivision 20, is amended to read:<br/>
<a id="pl.9.16"></a><var>9.16</var>    Subd. 20. <b>Supervisor.</b> "Supervisor" means a person who has the authority to direct <br/>
<a id="pl.9.17"></a><var>9.17</var>or evaluate a supervisee and who:<br/>
<a id="pl.9.18"></a><var>9.18</var>(1) is a licensed speech-language pathologist or audiologist under section 148.515, <br/>
<a id="pl.9.19"></a><var>9.19</var>148.516, or 148.517; or<br/>
<a id="pl.9.20"></a><var>9.20</var>(2) when the commissioner determines that supervision by a licensed <br/>
<a id="pl.9.21"></a><var>9.21</var>speech-language pathologist or audiologist as required in clause (1) is unobtainable, and <br/>
<a id="pl.9.22"></a><var>9.22</var>in other situations considered appropriate by the commissioner, is a person practicing <br/>
<a id="pl.9.23"></a><var>9.23</var>speech-language pathology or audiology who holds a current certificate of clinical <br/>
<a id="pl.9.24"></a><var>9.24</var>competence from the American Speech-Language-Hearing Association or board <br/>
<a id="pl.9.25"></a><var>9.25</var>certification in audiology by the American Board of Audiology.<br/>
<br/>
<a id="bill.0.6.0"></a><a id="pl.9.26"></a><var>9.26</var>    Sec. 6. Minnesota Statutes 2007 Supplement, section 148.515, subdivision 2, is <br/>
<a id="pl.9.27"></a><var>9.27</var>amended to read:<br/>
<a id="pl.9.28"></a><var>9.28</var>    Subd. 2. <b>Master's or doctoral degree required for speech-language pathology </b><br/>
<a id="pl.9.29"></a><var>9.29</var><b>applicants.</b> (a) An applicant for speech-language pathology must possess a master's or <br/>
<a id="pl.9.30"></a><var>9.30</var>doctoral degree that meets the requirements of paragraph (b). If completing a doctoral <br/>
<a id="pl.9.31"></a><var>9.31</var>program in which a master's degree has not been conferred, an applicant must submit a <br/>
<a id="pl.9.32"></a><var>9.32</var>transcript showing completion of course work equivalent to, or exceeding, a master's <br/>
<a id="pl.9.33"></a><var>9.33</var>degree that meets the requirement of paragraph (b). In addition to the transcript, the <br/>
<a id="pl.9.34"></a><var>9.34</var>commissioner may require a letter from the academic department chair or program <br/>
<a id="pl.10.1"></a><var>10.1</var>director documenting that the applicant has completed coursework equivalent to or <br/>
<a id="pl.10.2"></a><var>10.2</var>exceeding a master's degree or that the applicant is eligible for enrollment in current <br/>
<a id="pl.10.3"></a><var>10.3</var>doctoral externship credit.<br/>
<a id="pl.10.4"></a><var>10.4</var>    (b) All of the speech-language pathology applicant's graduate coursework and <br/>
<a id="pl.10.5"></a><var>10.5</var>clinical practicum required in the professional area for which licensure is sought must <br/>
<a id="pl.10.6"></a><var>10.6</var>have been initiated and completed at an institution whose program meets the current <br/>
<a id="pl.10.7"></a><var>10.7</var>requirements and was accredited by the Educational Standards Board of the Council <br/>
<a id="pl.10.8"></a><var>10.8</var>on Academic Accreditation in Audiology and Speech-Language Pathology, a body <br/>
<a id="pl.10.9"></a><var>10.9</var>recognized by the United States Department of Education, or an equivalent as determined <br/>
<a id="pl.10.10"></a><var>10.10</var>by the commissioner, in the area for which licensure is sought.<br/>
<br/>
<a id="bill.0.7.0"></a><a id="pl.10.11"></a><var>10.11</var>    Sec. 7. Minnesota Statutes 2006, section 148.5161, subdivision 2, is amended to read:<br/>
<a id="pl.10.12"></a><var>10.12</var>    Subd. 2. <b>Procedures.</b> To be eligible for clinical fellowship licensure or doctoral <br/>
<a id="pl.10.13"></a><var>10.13</var>externship licensure, an applicant must submit an application form provided by the <br/>
<a id="pl.10.14"></a><var>10.14</var>commissioner, the fees required by section 
         <statute_ref>148.5194</statute_ref>, and evidence of successful <br/>
<a id="pl.10.15"></a><var>10.15</var>completion of the requirements in section 
         <statute_ref>148.515, subdivision 2</statute_ref> or 2a. <br/>
<br/>
<a id="bill.0.8.0"></a><a id="pl.10.16"></a><var>10.16</var>    Sec. 8. Minnesota Statutes 2006, section 148.5161, subdivision 3, is amended to read:<br/>
<a id="pl.10.17"></a><var>10.17</var>    Subd. 3. <b>Supervision required.</b> (a) A clinical fellowship licensee or doctoral <br/>
<a id="pl.10.18"></a><var>10.18</var>externship licensee must practice under the supervision of an individual who meets <br/>
<a id="pl.10.19"></a><var>10.19</var>the requirements of section 
         <statute_ref>148.512, subdivision 20</statute_ref>. Supervision must conform to the <br/>
<a id="pl.10.20"></a><var>10.20</var>requirements in paragraphs (b) to (e). <br/>
<a id="pl.10.21"></a><var>10.21</var>(b) Supervision must include both on-site observation and other monitoring <br/>
<a id="pl.10.22"></a><var>10.22</var>activities. On-site observation must involve the supervisor, the clinical fellowship licensee <br/>
<a id="pl.10.23"></a><var>10.23</var>or doctoral externship licensee, and the client receiving speech-language pathology or <br/>
<a id="pl.10.24"></a><var>10.24</var>audiology services and must include direct observation by the supervisor of treatment <br/>
<a id="pl.10.25"></a><var>10.25</var>given by the clinical fellowship licensee or doctoral externship licensee. Other monitoring <br/>
<a id="pl.10.26"></a><var>10.26</var>activities must involve direct or indirect evaluative contact by the supervisor of the clinical <br/>
<a id="pl.10.27"></a><var>10.27</var>fellowship licensee or doctoral externship licensee, may be executed by correspondence, <br/>
<a id="pl.10.28"></a><var>10.28</var>and may include, but are not limited to, conferences with the clinical fellowship licensee <br/>
<a id="pl.10.29"></a><var>10.29</var>or doctoral externship licensee, evaluation of written reports, and evaluations by <br/>
<a id="pl.10.30"></a><var>10.30</var>professional colleagues. Other monitoring activities do not include the client receiving <br/>
<a id="pl.10.31"></a><var>10.31</var>speech-language pathology or audiology services.<br/>
<a id="pl.10.32"></a><var>10.32</var>(c) The clinical fellowship licensee or doctoral externship licensee must be <br/>
<a id="pl.10.33"></a><var>10.33</var>supervised by an individual who meets the definition of section 
         <statute_ref>148.512, subdivision 20</statute_ref>, <br/>
<a id="pl.10.34"></a><var>10.34</var>and: <br/>
<a id="pl.11.1"></a><var>11.1</var>(1) when the clinical fellowship licensee or doctoral externship licensee is a <br/>
<a id="pl.11.2"></a><var>11.2</var>speech-language pathologist, is a licensed speech-language pathologist, or holds a current <br/>
<a id="pl.11.3"></a><var>11.3</var>certificate of clinical competence in speech-language pathology from the American <br/>
<a id="pl.11.4"></a><var>11.4</var>Speech-Language-Hearing Association; or<br/>
<a id="pl.11.5"></a><var>11.5</var>(2) when the clinical fellowship licensee or doctoral externship licensee is an <br/>
<a id="pl.11.6"></a><var>11.6</var>audiologist, is a licensed audiologist, or holds a current certificate of clinical competence <br/>
<a id="pl.11.7"></a><var>11.7</var>in audiology from the American Speech-Language-Hearing Association or board <br/>
<a id="pl.11.8"></a><var>11.8</var>certification in audiology by the American Board of Audiology.<br/>
<a id="pl.11.9"></a><var>11.9</var>(d) Clinical fellowship licensure or doctoral externship licensure shall not be granted <br/>
<a id="pl.11.10"></a><var>11.10</var>until the applicant has completed the academic coursework and clinical training in section <br/>
<statute_ref><a id="pl.11.11"></a><var>11.11</var>148.515, subdivision 2
         </statute_ref> or 2a. In addition to the transcript, the commissioner may require <br/>
<a id="pl.11.12"></a><var>11.12</var>a letter from the academic department chair or program director documenting that the <br/>
<a id="pl.11.13"></a><var>11.13</var>applicant has completed coursework equivalent to or exceeding a master's degree or that <br/>
<a id="pl.11.14"></a><var>11.14</var>the applicant is eligible for enrollment in current doctoral externship credit.<br/>
<a id="pl.11.15"></a><var>11.15</var>(e) The clinical fellowship licensee or doctoral externship licensee must provide <br/>
<a id="pl.11.16"></a><var>11.16</var>verification of supervision on the application form provided by the commissioner.<br/>
<br/>
<a id="bill.0.9.0"></a><a id="pl.11.17"></a><var>11.17</var>    Sec. 9. Minnesota Statutes 2006, section 148.5175, is amended to read:<br/>
<a id="pl.11.18"></a><var>11.18</var><b>148.5175 TEMPORARY LICENSURE.</b><br/>
<a id="pl.11.19"></a><var>11.19</var>(a) The commissioner shall issue temporary licensure as a speech-language <br/>
<a id="pl.11.20"></a><var>11.20</var>pathologist, an audiologist, or both, to an applicant who: <br/>
<a id="pl.11.21"></a><var>11.21</var>(1) submits a signed and dated affidavit stating that the applicant is not the subject of <br/>
<a id="pl.11.22"></a><var>11.22</var>a disciplinary action or past disciplinary action in this or another jurisdiction and is not <br/>
<a id="pl.11.23"></a><var>11.23</var>disqualified on the basis of section 
         <statute_ref>148.5195, subdivision 3</statute_ref>; and <br/>
<a id="pl.11.24"></a><var>11.24</var>(2) either:<br/>
<a id="pl.11.25"></a><var>11.25</var>(i) provides a copy of a current credential as a speech-language pathologist, an <br/>
<a id="pl.11.26"></a><var>11.26</var>audiologist, or both, held in the District of Columbia or a state or territory of the United <br/>
<a id="pl.11.27"></a><var>11.27</var>States; or<br/>
<a id="pl.11.28"></a><var>11.28</var>(ii) provides a copy of a current certificate of clinical competence issued by the <br/>
<a id="pl.11.29"></a><var>11.29</var>American Speech-Language-Hearing Association or board certification in audiology by <br/>
<a id="pl.11.30"></a><var>11.30</var>the American Board of Audiology.<br/>
<a id="pl.11.31"></a><var>11.31</var>(b) A temporary license issued to a person under this subdivision expires 90 days <br/>
<a id="pl.11.32"></a><var>11.32</var>after it is issued or on the date the commissioner grants or denies licensure, whichever <br/>
<a id="pl.11.33"></a><var>11.33</var>occurs first.<br/>
<a id="pl.11.34"></a><var>11.34</var>(c) Upon application, a temporary license shall be renewed once twice to a person <br/>
<a id="pl.11.35"></a><var>11.35</var>who is able to demonstrate good cause for failure to meet the requirements for licensure <br/>
<a id="pl.12.1"></a><var>12.1</var>within the initial temporary licensure period and who is not the subject of a disciplinary <br/>
<a id="pl.12.2"></a><var>12.2</var>action or disqualified on the basis of section 
         <statute_ref>148.5195, subdivision 3</statute_ref>. Good cause <br/>
<a id="pl.12.3"></a><var>12.3</var>includes but is not limed to inability to take and complete the required practical exam for <br/>
<a id="pl.12.4"></a><var>12.4</var>dispensing hearing instruments.<br/>
<a id="pl.12.5"></a><var>12.5</var>(d) Upon application, a temporary license shall be issued to a person who meets <br/>
<a id="pl.12.6"></a><var>12.6</var>the requirements of section 148.515, subdivisions 2a and 4, but has not completed the <br/>
<a id="pl.12.7"></a><var>12.7</var>requirement in section 148.515, subdivision 6.<br/>
<br/>
<a id="bill.0.10.0"></a><a id="pl.12.8"></a><var>12.8</var>    Sec. 10. Minnesota Statutes 2006, section 148.519, subdivision 3, is amended to read:<br/>
<a id="pl.12.9"></a><var>12.9</var>    Subd. 3. <b>Change of </b><b>address</b><b> name, employment, and addresses</b><b>.</b> A licensee who <br/>
<a id="pl.12.10"></a><var>12.10</var>changes addresses must inform the commissioner, in writing, of the change of name, <br/>
<a id="pl.12.11"></a><var>12.11</var>employment, or address within 30 days. A change in name must be accompanied by a <br/>
<a id="pl.12.12"></a><var>12.12</var>copy of a marriage certificate or court order. All notices or other correspondence mailed <br/>
<a id="pl.12.13"></a><var>12.13</var>to or served on a licensee by the commissioner at the licensee's address on file with the <br/>
<a id="pl.12.14"></a><var>12.14</var>commissioner shall be considered as having been received by the licensee.<br/>
<br/>
<a id="bill.0.11.0"></a><a id="pl.12.15"></a><var>12.15</var>    Sec. 11. Minnesota Statutes 2006, section 148.5194, subdivision 7, is amended to read:<br/>
<a id="pl.12.16"></a><var>12.16</var>    Subd. 7. <b>Audiologist surcharge fee.</b> (a) The biennial surcharge fee for audiologists <br/>
<a id="pl.12.17"></a><var>12.17</var>is $235. The commissioner shall prorate the fee for clinical fellowship, doctoral <br/>
<a id="pl.12.18"></a><var>12.18</var>externship, temporary, and first time licensees according to the number of months that <br/>
<a id="pl.12.19"></a><var>12.19</var>have elapsed between the date the license is issued and the date the license expires or must <br/>
<a id="pl.12.20"></a><var>12.20</var>be renewed under section 
         <statute_ref>148.5191, subdivision 4</statute_ref>.<br/>
<a id="pl.12.21"></a><var>12.21</var>(b) Effective November 1, 2005, the commissioner shall collect the $235 audiologist <br/>
<a id="pl.12.22"></a><var>12.22</var>surcharge fee prorated according to the number of months remaining until the next <br/>
<a id="pl.12.23"></a><var>12.23</var>scheduled license renewal. The audiologist surcharge fee is for practical examination costs <br/>
<a id="pl.12.24"></a><var>12.24</var>greater than audiologist exam fee receipts and complaint investigation, enforcement action <br/>
<a id="pl.12.25"></a><var>12.25</var>and consumer information, and assistance expenditures related to hearing instrument <br/>
<a id="pl.12.26"></a><var>12.26</var>dispensing.<br/>
<br/>
<a id="bill.0.12.0"></a><a id="pl.12.27"></a><var>12.27</var>    Sec. 12. Minnesota Statutes 2006, section 148.5194, subdivision 8, is amended to read:<br/>
<a id="pl.12.28"></a><var>12.28</var>    Subd. 8. <b>Penalty fees.</b> (a) The penalty fee for practicing speech language pathology <br/>
<a id="pl.12.29"></a><var>12.29</var>or audiology or using protected titles without a current license after the credential has <br/>
<a id="pl.12.30"></a><var>12.30</var>expired and before it is renewed is the amount of the license renewal fee for any part of <br/>
<a id="pl.12.31"></a><var>12.31</var>the first month, plus the license renewal fee for any part of any subsequent month up <br/>
<a id="pl.12.32"></a><var>12.32</var>to 36 months.<br/>
<a id="pl.13.1"></a><var>13.1</var>(b) The penalty fee for applicants who engage in the unauthorized practice of speech <br/>
<a id="pl.13.2"></a><var>13.2</var>language pathology or audiology or using protected titles before being issued a license is <br/>
<a id="pl.13.3"></a><var>13.3</var>the amount of the license application fee for any part of the first month, plus the license <br/>
<a id="pl.13.4"></a><var>13.4</var>application fee for any part of any subsequent month up to 36 months. This paragraph <br/>
<a id="pl.13.5"></a><var>13.5</var>does not apply to applicants not qualifying for a license who engage in the unauthorized <br/>
<a id="pl.13.6"></a><var>13.6</var>practice of speech language pathology or audiology.<br/>
<a id="pl.13.7"></a><var>13.7</var>(c) The penalty fee for practicing speech language pathology or audiology and failing <br/>
<a id="pl.13.8"></a><var>13.8</var>to submit a continuing education report by the due date with the correct number or type of <br/>
<a id="pl.13.9"></a><var>13.9</var>hours in the correct time period is $100 plus $20 for each missing clock hour. Missing <br/>
<a id="pl.13.10"></a><var>13.10</var>means not obtained between the effective and expiration dates of the certificate, the <br/>
<a id="pl.13.11"></a><var>13.11</var>one-month period following the certificate expiration date, or the 30 days following notice <br/>
<a id="pl.13.12"></a><var>13.12</var>of a penalty fee for failing to report all continuing education hours. The licensee must <br/>
<a id="pl.13.13"></a><var>13.13</var>obtain the missing number of continuing education hours by the next reporting due date.<br/>
<a id="pl.13.14"></a><var>13.14</var>(d) Civil penalties and discipline incurred by licensees prior to August 1, 2005, for <br/>
<a id="pl.13.15"></a><var>13.15</var>conduct described in paragraph (a), (b), or (c) shall be recorded as nondisciplinary penalty <br/>
<a id="pl.13.16"></a><var>13.16</var>fees. For conduct described in paragraph (a) or (b) occurring after August 1, 2005, and <br/>
<a id="pl.13.17"></a><var>13.17</var>exceeding six months, payment of a penalty fee does not preclude any disciplinary action <br/>
<a id="pl.13.18"></a><var>13.18</var>reasonably justified by the individual case.<br/>
<br/>
<a id="bill.0.13.0"></a><a id="pl.13.19"></a><var>13.19</var>    Sec. 13. Minnesota Statutes 2006, section 148.5195, subdivision 3, is amended to read:<br/>
<a id="pl.13.20"></a><var>13.20</var>    Subd. 3. <b>Grounds for disciplinary action by commissioner.</b> The commissioner <br/>
<a id="pl.13.21"></a><var>13.21</var>may take any of the disciplinary actions listed in subdivision 4 on proof that the individual <br/>
<a id="pl.13.22"></a><var>13.22</var>has:<br/>
<a id="pl.13.23"></a><var>13.23</var>(1) intentionally submitted false or misleading information to the commissioner <br/>
<a id="pl.13.24"></a><var>13.24</var>or the advisory council;<br/>
<a id="pl.13.25"></a><var>13.25</var>(2) failed, within 30 days, to provide information in response to a written request, <br/>
<a id="pl.13.26"></a><var>13.26</var>via certified mail, by the commissioner or advisory council;<br/>
<a id="pl.13.27"></a><var>13.27</var>(3) performed services of a speech-language pathologist or audiologist in an <br/>
<a id="pl.13.28"></a><var>13.28</var>incompetent or negligent manner;<br/>
<a id="pl.13.29"></a><var>13.29</var>(4) violated sections 
         <statute_ref>148.511</statute_ref> to 
         <statute_ref>148.5198</statute_ref>;<br/>
<a id="pl.13.30"></a><var>13.30</var>(5) failed to perform services with reasonable judgment, skill, or safety due to the <br/>
<a id="pl.13.31"></a><var>13.31</var>use of alcohol or drugs, or other physical or mental impairment;<br/>
<a id="pl.13.32"></a><var>13.32</var>(6) violated any state or federal law, rule, or regulation, and the violation is a felony <br/>
<a id="pl.13.33"></a><var>13.33</var>or misdemeanor, an essential element of which is dishonesty, or which relates directly <br/>
<a id="pl.13.34"></a><var>13.34</var>or indirectly to the practice of speech-language pathology or audiology. Conviction for <br/>
<a id="pl.14.1"></a><var>14.1</var>violating any state or federal law which relates to speech-language pathology or audiology <br/>
<a id="pl.14.2"></a><var>14.2</var>is necessarily considered to constitute a violation, except as provided in chapter 364;<br/>
<a id="pl.14.3"></a><var>14.3</var>(7) aided or abetted another person in violating any provision of sections 
         <statute_ref>148.511</statute_ref> to <br/>
<statute_ref><a id="pl.14.4"></a><var>14.4</var>148.5198
         </statute_ref>;<br/>
<a id="pl.14.5"></a><var>14.5</var>(8) been or is being disciplined by another jurisdiction, if any of the grounds for <br/>
<a id="pl.14.6"></a><var>14.6</var>the discipline is the same or substantially equivalent to those under sections 
         <statute_ref>148.511</statute_ref> to <br/>
<statute_ref><a id="pl.14.7"></a><var>14.7</var>148.5198
         </statute_ref>;<br/>
<a id="pl.14.8"></a><var>14.8</var>(9) not cooperated with the commissioner or advisory council in an investigation <br/>
<a id="pl.14.9"></a><var>14.9</var>conducted according to subdivision 1;<br/>
<a id="pl.14.10"></a><var>14.10</var>(10) advertised in a manner that is false or misleading;<br/>
<a id="pl.14.11"></a><var>14.11</var>(11) engaged in conduct likely to deceive, defraud, or harm the public; or <br/>
<a id="pl.14.12"></a><var>14.12</var>demonstrated a willful or careless disregard for the health, welfare, or safety of a client;<br/>
<a id="pl.14.13"></a><var>14.13</var>(12) failed to disclose to the consumer any fee splitting or any promise to pay a <br/>
<a id="pl.14.14"></a><var>14.14</var>portion of a fee to any other professional other than a fee for services rendered by the <br/>
<a id="pl.14.15"></a><var>14.15</var>other professional to the client;<br/>
<a id="pl.14.16"></a><var>14.16</var>(13) engaged in abusive or fraudulent billing practices, including violations of <br/>
<a id="pl.14.17"></a><var>14.17</var>federal Medicare and Medicaid laws, Food and Drug Administration regulations, or state <br/>
<a id="pl.14.18"></a><var>14.18</var>medical assistance laws;<br/>
<a id="pl.14.19"></a><var>14.19</var>(14) obtained money, property, or services from a consumer through the use of <br/>
<a id="pl.14.20"></a><var>14.20</var>undue influence, high pressure sales tactics, harassment, duress, deception, or fraud;<br/>
<a id="pl.14.21"></a><var>14.21</var>(15) performed services for a client who had no possibility of benefiting from the <br/>
<a id="pl.14.22"></a><var>14.22</var>services;<br/>
<a id="pl.14.23"></a><var>14.23</var>(16) failed to refer a client for medical evaluation or to other health care professionals <br/>
<a id="pl.14.24"></a><var>14.24</var>when appropriate or when a client indicated symptoms associated with diseases that <br/>
<a id="pl.14.25"></a><var>14.25</var>could be medically or surgically treated;<br/>
<a id="pl.14.26"></a><var>14.26</var>(17) had the certification required by chapter 153A denied, suspended, or revoked <br/>
<a id="pl.14.27"></a><var>14.27</var>according to chapter 153A;<br/>
<a id="pl.14.28"></a><var>14.28</var>(18) used the term doctor of audiology, doctor of speech-language pathology, <br/>
<a id="pl.14.29"></a><var>14.29</var>AuD, or SLPD without having obtained the degree from an institution accredited by <br/>
<a id="pl.14.30"></a><var>14.30</var>the North Central Association of Colleges and Secondary Schools, the Council on <br/>
<a id="pl.14.31"></a><var>14.31</var>Academic Accreditation in Audiology and Speech-Language Pathology, the United States <br/>
<a id="pl.14.32"></a><var>14.32</var>Department of Education, or an equivalent;<br/>
<a id="pl.14.33"></a><var>14.33</var>(19) failed to comply with the requirements of section 
         <statute_ref>148.5192</statute_ref> regarding <br/>
<a id="pl.14.34"></a><var>14.34</var>supervision of speech-language pathology assistants; or<br/>
<a id="pl.14.35"></a><var>14.35</var>(20) if the individual is an audiologist or certified hearing aid instrument dispenser:<br/>
<a id="pl.15.1"></a><var>15.1</var>(i) prescribed or otherwise recommended to a consumer or potential consumer the use <br/>
<a id="pl.15.2"></a><var>15.2</var>of a hearing aid instrument, unless the prescription from a physician or recommendation <br/>
<a id="pl.15.3"></a><var>15.3</var>from an audiologist or certified dispenser is in writing, is based on an audiogram that is <br/>
<a id="pl.15.4"></a><var>15.4</var>delivered to the consumer or potential consumer when the prescription or recommendation <br/>
<a id="pl.15.5"></a><var>15.5</var>is made, and bears the following information in all capital letters of 12-point or larger <br/>
<a id="pl.15.6"></a><var>15.6</var>boldface type: "THIS PRESCRIPTION OR RECOMMENDATION MAY BE FILLED <br/>
<a id="pl.15.7"></a><var>15.7</var>BY, AND HEARING AIDS INSTRUMENTS MAY BE PURCHASED FROM, THE <br/>
<a id="pl.15.8"></a><var>15.8</var>LICENSED AUDIOLOGIST OR CERTIFIED DISPENSER OF YOUR CHOICE";<br/>
<a id="pl.15.9"></a><var>15.9</var>(ii) failed to give a copy of the audiogram, upon which the prescription or <br/>
<a id="pl.15.10"></a><var>15.10</var>recommendation is based, to the consumer when the consumer requests a copy;<br/>
<a id="pl.15.11"></a><var>15.11</var>(iii) failed to provide the consumer rights brochure required by section 
         <statute_ref>148.5197, <br/>
<a id="pl.15.12"></a><var>15.12</var>subdivision 3
         </statute_ref>;<br/>
<a id="pl.15.13"></a><var>15.13</var>(iv) failed to comply with restrictions on sales of hearing aids instruments in sections <br/>
<statute_ref><a id="pl.15.14"></a><var>15.14</var>148.5197, subdivision 3
         </statute_ref>, and 
         <statute_ref>148.5198</statute_ref>;<br/>
<a id="pl.15.15"></a><var>15.15</var>(v) failed to return a consumer's hearing aid instrument used as a trade-in or for a <br/>
<a id="pl.15.16"></a><var>15.16</var>discount in the price of a new hearing aid instrument when requested by the consumer <br/>
<a id="pl.15.17"></a><var>15.17</var>upon cancellation of the purchase agreement;<br/>
<a id="pl.15.18"></a><var>15.18</var>(vi) failed to follow Food and Drug Administration or Federal Trade Commission <br/>
<a id="pl.15.19"></a><var>15.19</var>regulations relating to dispensing hearing aids instruments;<br/>
<a id="pl.15.20"></a><var>15.20</var>(vii) failed to dispense a hearing aid instrument in a competent manner or without <br/>
<a id="pl.15.21"></a><var>15.21</var>appropriate training;<br/>
<a id="pl.15.22"></a><var>15.22</var>(viii) delegated hearing instrument dispensing authority to a person not authorized to <br/>
<a id="pl.15.23"></a><var>15.23</var>dispense a hearing instrument under this chapter or chapter 153A;<br/>
<a id="pl.15.24"></a><var>15.24</var>(ix) failed to comply with the requirements of an employer or supervisor of a hearing <br/>
<a id="pl.15.25"></a><var>15.25</var>aid instrument dispenser trainee; or<br/>
<a id="pl.15.26"></a><var>15.26</var>(x) violated a state or federal court order or judgment, including a conciliation court <br/>
<a id="pl.15.27"></a><var>15.27</var>judgment, relating to the activities of the individual's hearing aid instrument dispensing; or<br/>
<a id="pl.15.28"></a><var>15.28</var>(xi) failed to include on the audiogram the practitioner's printed name, credential <br/>
<a id="pl.15.29"></a><var>15.29</var>type, credential number, signature, and date.<br/>
<br/>
<a id="bill.0.14.0"></a><a id="pl.15.30"></a><var>15.30</var>    Sec. 14. Minnesota Statutes 2006, section 148.6425, is amended to read:<br/>
<a id="pl.15.31"></a><var>15.31</var><b>148.6425 RENEWAL OF LICENSURE; AFTER EXPIRATION DATE.</b><br/>
<a id="pl.15.32"></a><var>15.32</var>    Subdivision 1. <b>Removal of name from list.</b> The names of licensees who do not <br/>
<a id="pl.15.33"></a><var>15.33</var>comply with the licensure renewal requirements of section 
         <statute_ref>148.6423</statute_ref> on or before the <br/>
<a id="pl.15.34"></a><var>15.34</var>expiration date shall be removed from the list of individuals authorized to practice <br/>
<a id="pl.16.1"></a><var>16.1</var>occupational therapy and to use the protected titles in section 
         <statute_ref>148.6403</statute_ref>. The licensees <br/>
<a id="pl.16.2"></a><var>16.2</var>must comply with the requirements of this section in order to regain licensed status. <br/>
<a id="pl.16.3"></a><var>16.3</var>    Subd. 2. <b>Licensure renewal after licensure expiration date.</b> An individual <br/>
<a id="pl.16.4"></a><var>16.4</var>whose application for licensure renewal is received after the licensure expiration date <br/>
<a id="pl.16.5"></a><var>16.5</var>must submit the following:<br/>
<a id="pl.16.6"></a><var>16.6</var>(1) a completed and signed application for licensure following lapse in licensed <br/>
<a id="pl.16.7"></a><var>16.7</var>status on forms provided by the commissioner;<br/>
<a id="pl.16.8"></a><var>16.8</var>(2) the renewal fee and the late fee required under section 
         <statute_ref>148.6445</statute_ref>; <br/>
<a id="pl.16.9"></a><var>16.9</var>(3) proof of having met the continuing education requirements since the individual's <br/>
<a id="pl.16.10"></a><var>16.10</var>initial licensure or last licensure renewal in section 148.6443, subdivision 1; and<br/>
<a id="pl.16.11"></a><var>16.11</var>(4) additional information as requested by the commissioner to clarify information in <br/>
<a id="pl.16.12"></a><var>16.12</var>the application, including information to determine whether the individual has engaged in <br/>
<a id="pl.16.13"></a><var>16.13</var>conduct warranting disciplinary action as set forth in section 
         <statute_ref>148.6448</statute_ref>. The information <br/>
<a id="pl.16.14"></a><var>16.14</var>must be submitted within 30 days after the commissioner's request. <br/>
<a id="pl.16.15"></a><var>16.15</var>    Subd. 3. <b>Licensure renewal four years or more after licensure expiration date.</b><br/>
<a id="pl.16.16"></a><var>16.16</var>(a) An individual who requests licensure renewal four years or more after the licensure <br/>
<a id="pl.16.17"></a><var>16.17</var>expiration date must submit the following:<br/>
<a id="pl.16.18"></a><var>16.18</var>(1) a completed and signed application for licensure on forms provided by the <br/>
<a id="pl.16.19"></a><var>16.19</var>commissioner;<br/>
<a id="pl.16.20"></a><var>16.20</var>(2) the renewal fee and the late fee required under section 
         <statute_ref>148.6445</statute_ref> if renewal <br/>
<a id="pl.16.21"></a><var>16.21</var>application is based on paragraph (b), clause (1), (2), or (3), or the renewal fee required <br/>
<a id="pl.16.22"></a><var>16.22</var>under section 
         <statute_ref>148.6445</statute_ref> if renewal application is based on paragraph (b), clause (4); <br/>
<a id="pl.16.23"></a><var>16.23</var>(3) proof of having met the continuing education requirement for the most recently <br/>
<a id="pl.16.24"></a><var>16.24</var>completed two-year continuing education cycle in section 148.6443, subdivision 1, <br/>
<a id="pl.16.25"></a><var>16.25</var>except the continuing education must be obtained in the two years immediately preceding <br/>
<a id="pl.16.26"></a><var>16.26</var>application renewal; and<br/>
<a id="pl.16.27"></a><var>16.27</var>(4) at the time of the next licensure renewal, proof of having met the continuing <br/>
<a id="pl.16.28"></a><var>16.28</var>education requirement, which shall be prorated based on the number of months licensed <br/>
<a id="pl.16.29"></a><var>16.29</var>during the biennial two-year licensure period.<br/>
<a id="pl.16.30"></a><var>16.30</var>(b) In addition to the requirements in paragraph (a), the applicant must submit proof <br/>
<a id="pl.16.31"></a><var>16.31</var>of one of the following:<br/>
<a id="pl.16.32"></a><var>16.32</var>(1) verified documentation of successful completion of 160 hours of supervised <br/>
<a id="pl.16.33"></a><var>16.33</var>practice approved by the commissioner as described in paragraph (c);<br/>
<a id="pl.16.34"></a><var>16.34</var>(2) verified documentation of having achieved a qualifying score on the credentialing <br/>
<a id="pl.16.35"></a><var>16.35</var>examination for occupational therapists or the credentialing examination for occupational <br/>
<a id="pl.16.36"></a><var>16.36</var>therapy assistants administered within the past year;<br/>
<a id="pl.17.1"></a><var>17.1</var>(3) documentation of having completed a combination of occupational therapy <br/>
<a id="pl.17.2"></a><var>17.2</var>courses or an occupational therapy refresher program that contains both a theoretical and <br/>
<a id="pl.17.3"></a><var>17.3</var>clinical component approved by the commissioner. Only courses completed within one <br/>
<a id="pl.17.4"></a><var>17.4</var>year preceding the date of the application or one year after the date of the application <br/>
<a id="pl.17.5"></a><var>17.5</var>qualify for approval; or<br/>
<a id="pl.17.6"></a><var>17.6</var>(4) evidence that the applicant holds a current and unrestricted credential for the <br/>
<a id="pl.17.7"></a><var>17.7</var>practice of occupational therapy in another jurisdiction and that the applicant's credential <br/>
<a id="pl.17.8"></a><var>17.8</var>from that jurisdiction has been held in good standing during the period of lapse.<br/>
<a id="pl.17.9"></a><var>17.9</var>(c) To participate in a supervised practice as described in paragraph (b), clause <br/>
<a id="pl.17.10"></a><var>17.10</var>(1), the applicant shall obtain limited licensure. To apply for limited licensure, the <br/>
<a id="pl.17.11"></a><var>17.11</var>applicant shall submit the completed limited licensure application, fees, and agreement <br/>
<a id="pl.17.12"></a><var>17.12</var>for supervision of an occupational therapist or occupational therapy assistant practicing <br/>
<a id="pl.17.13"></a><var>17.13</var>under limited licensure signed by the supervising therapist and the applicant. The <br/>
<a id="pl.17.14"></a><var>17.14</var>supervising occupational therapist shall state the proposed level of supervision on the <br/>
<a id="pl.17.15"></a><var>17.15</var>supervision agreement form provided by the commissioner. The supervising therapist <br/>
<a id="pl.17.16"></a><var>17.16</var>shall determine the frequency and manner of supervision based on the condition of the <br/>
<a id="pl.17.17"></a><var>17.17</var>patient or client, the complexity of the procedure, and the proficiencies of the supervised <br/>
<a id="pl.17.18"></a><var>17.18</var>occupational therapist. At a minimum, a supervising occupational therapist shall be on <br/>
<a id="pl.17.19"></a><var>17.19</var>the premises at all times that the person practicing under limited licensure is working; <br/>
<a id="pl.17.20"></a><var>17.20</var>be in the room ten percent of the hours worked each week by the person practicing <br/>
<a id="pl.17.21"></a><var>17.21</var>under limited licensure; and provide daily face-to-face collaboration for the purpose <br/>
<a id="pl.17.22"></a><var>17.22</var>of observing service competency of the occupational therapist or occupational therapy <br/>
<a id="pl.17.23"></a><var>17.23</var>assistant, discussing treatment procedures and each client's response to treatment, and <br/>
<a id="pl.17.24"></a><var>17.24</var>reviewing and modifying, as necessary, each treatment plan. The supervising therapist <br/>
<a id="pl.17.25"></a><var>17.25</var>shall document the supervision provided. The occupational therapist participating in <br/>
<a id="pl.17.26"></a><var>17.26</var>a supervised practice is responsible for obtaining the supervision required under this <br/>
<a id="pl.17.27"></a><var>17.27</var>paragraph and must comply with the commissioner's requirements for supervision during <br/>
<a id="pl.17.28"></a><var>17.28</var>the entire 160 hours of supervised practice. The supervised practice must be completed in <br/>
<a id="pl.17.29"></a><var>17.29</var>two months and may be completed at the applicant's place of work.<br/>
<a id="pl.17.30"></a><var>17.30</var>(d) In addition to the requirements in paragraphs (a) and (b), the applicant must <br/>
<a id="pl.17.31"></a><var>17.31</var>submit additional information as requested by the commissioner to clarify information in <br/>
<a id="pl.17.32"></a><var>17.32</var>the application, including information to determine whether the applicant has engaged in <br/>
<a id="pl.17.33"></a><var>17.33</var>conduct warranting disciplinary action as set forth in section 
         <statute_ref>148.6448</statute_ref>. The information <br/>
<a id="pl.17.34"></a><var>17.34</var>must be submitted within 30 days after the commissioner's request. <br/>
<br/>
<a id="bill.0.15.0"></a><a id="pl.18.1"></a><var>18.1</var>    Sec. 15. Minnesota Statutes 2006, section 148.6428, is amended to read:<br/>
<a id="pl.18.2"></a><var>18.2</var><b>148.6428 CHANGE OF </b><b>NAME, </b><b>ADDRESS</b><b>,</b><b> OR EMPLOYMENT.</b><br/>
<a id="pl.18.3"></a><var>18.3</var>A licensee who changes addresses a name, address, or employment must inform the <br/>
<a id="pl.18.4"></a><var>18.4</var>commissioner, in writing, of the change of name, address, employment, business address, <br/>
<a id="pl.18.5"></a><var>18.5</var>or business telephone number within 30 days. A change in name must be accompanied by <br/>
<a id="pl.18.6"></a><var>18.6</var>a copy of a marriage certificate or court order. All notices or other correspondence mailed <br/>
<a id="pl.18.7"></a><var>18.7</var>to or served on a licensee by the commissioner at the licensee's address on file with the <br/>
<a id="pl.18.8"></a><var>18.8</var>commissioner shall be considered as having been received by the licensee.<br/>
<br/>
<a id="bill.0.16.0"></a><a id="pl.18.9"></a><var>18.9</var>    Sec. 16. Minnesota Statutes 2006, section 148.6440, is amended to read:<br/>
<a id="pl.18.10"></a><var>18.10</var><b>148.6440 PHYSICAL AGENT MODALITIES.</b><br/>
<a id="pl.18.11"></a><var>18.11</var>    Subdivision 1. <b>General considerations.</b> (a) Occupational therapists who intend <br/>
<a id="pl.18.12"></a><var>18.12</var>to use superficial physical agent modalities must comply with the requirements in <br/>
<a id="pl.18.13"></a><var>18.13</var>subdivision 3. Occupational therapists who intend to use electrotherapy must comply with <br/>
<a id="pl.18.14"></a><var>18.14</var>the requirements in subdivision 4. Occupational therapists who intend to use ultrasound <br/>
<a id="pl.18.15"></a><var>18.15</var>devices must comply with the requirements in subdivision 5. Occupational therapy <br/>
<a id="pl.18.16"></a><var>18.16</var>assistants who intend to use physical agent modalities must comply with subdivision 6.<br/>
<a id="pl.18.17"></a><var>18.17</var>(b) Use of superficial physical agent modalities, electrical stimulation devices, and <br/>
<a id="pl.18.18"></a><var>18.18</var>ultrasound devices must be on the order of a physician.<br/>
<a id="pl.18.19"></a><var>18.19</var>(c) Prior to any use of any physical agent modality, a licensee must obtain approval <br/>
<a id="pl.18.20"></a><var>18.20</var>from the commissioner. The commissioner shall maintain a roster of persons licensed <br/>
<a id="pl.18.21"></a><var>18.21</var>under sections 
         <statute_ref>148.6401</statute_ref> to 
         <statute_ref>148.6450</statute_ref> who are approved to use physical agent modalities. <br/>
<a id="pl.18.22"></a><var>18.22</var>Prior to using a physical agent modality, licensees must inform the commissioner of <br/>
<a id="pl.18.23"></a><var>18.23</var>the physical agent modality they will use. Persons who use physical agent modalities <br/>
<a id="pl.18.24"></a><var>18.24</var>must indicate on their initial and renewal applications the physical agent modalities that <br/>
<a id="pl.18.25"></a><var>18.25</var>they use. <br/>
<a id="pl.18.26"></a><var>18.26</var>(d) Licensees are responsible for informing the commissioner of any changes in the <br/>
<a id="pl.18.27"></a><var>18.27</var>information required in this section within 30 days of any change.<br/>
<a id="pl.18.28"></a><var>18.28</var>    Subd. 2. <b>Written documentation required.</b> Prior to use of physical agent <br/>
<a id="pl.18.29"></a><var>18.29</var>modalities, An occupational therapist must provide to the commissioner documentation <br/>
<a id="pl.18.30"></a><var>18.30</var>verifying that the occupational therapist has met the educational and clinical requirements <br/>
<a id="pl.18.31"></a><var>18.31</var>described in subdivisions 3 to 5, depending on the modality or modalities to be used. Both <br/>
<a id="pl.18.32"></a><var>18.32</var>theoretical training and clinical application objectives must be met for each modality used. <br/>
<a id="pl.18.33"></a><var>18.33</var>Documentation must include the name and address of the individual or organization <br/>
<a id="pl.18.34"></a><var>18.34</var>sponsoring the activity; the name and address of the facility at which the activity was <br/>
<a id="pl.18.35"></a><var>18.35</var>presented; and a copy of the course, workshop, or seminar description, including learning <br/>
<a id="pl.19.1"></a><var>19.1</var>objectives and standards for meeting the objectives. In the case of clinical application <br/>
<a id="pl.19.2"></a><var>19.2</var>objectives, teaching methods must be documented, including actual supervised practice. <br/>
<a id="pl.19.3"></a><var>19.3</var>Documentation must include a transcript or certificate showing successful completion of <br/>
<a id="pl.19.4"></a><var>19.4</var>the coursework. An occupational therapist who is a certified hand therapist shall document <br/>
<a id="pl.19.5"></a><var>19.5</var>satisfaction of the requirements in subdivisions 3 to 5 by submitting to the commissioner a <br/>
<a id="pl.19.6"></a><var>19.6</var>copy of a certificate issued by the Hand Therapy Certification Commission. Practitioners <br/>
<a id="pl.19.7"></a><var>19.7</var>are prohibited from using physical agent modalities under supervision or independently <br/>
<a id="pl.19.8"></a><var>19.8</var>until granted approval as provided in subdivision 7.<br/>
<a id="pl.19.9"></a><var>19.9</var>    Subd. 3. <b>Educational and clinical requirements for use of superficial physical </b><br/>
<a id="pl.19.10"></a><var>19.10</var><b>agent modalities.</b> (a) An occupational therapist may use superficial physical agent <br/>
<a id="pl.19.11"></a><var>19.11</var>modalities if the occupational therapist has received theoretical training and clinical <br/>
<a id="pl.19.12"></a><var>19.12</var>application training in the use of superficial physical agent modalities and been granted <br/>
<a id="pl.19.13"></a><var>19.13</var>approval as provided in subdivision 7.<br/>
<a id="pl.19.14"></a><var>19.14</var>(b) Theoretical training in the use of superficial physical agent modalities must:<br/>
<a id="pl.19.15"></a><var>19.15</var>(1) explain the rationale and clinical indications for use of superficial physical agent <br/>
<a id="pl.19.16"></a><var>19.16</var>modalities;<br/>
<a id="pl.19.17"></a><var>19.17</var>(2) explain the physical properties and principles of the superficial physical agent <br/>
<a id="pl.19.18"></a><var>19.18</var>modalities;<br/>
<a id="pl.19.19"></a><var>19.19</var>(3) describe the types of heat and cold transference;<br/>
<a id="pl.19.20"></a><var>19.20</var>(4) explain the factors affecting tissue response to superficial heat and cold;<br/>
<a id="pl.19.21"></a><var>19.21</var>(5) describe the biophysical effects of superficial physical agent modalities in <br/>
<a id="pl.19.22"></a><var>19.22</var>normal and abnormal tissue;<br/>
<a id="pl.19.23"></a><var>19.23</var>(6) describe the thermal conductivity of tissue, matter, and air;<br/>
<a id="pl.19.24"></a><var>19.24</var>(7) explain the advantages and disadvantages of superficial physical agent <br/>
<a id="pl.19.25"></a><var>19.25</var>modalities; and<br/>
<a id="pl.19.26"></a><var>19.26</var>(8) explain the precautions and contraindications of superficial physical agent <br/>
<a id="pl.19.27"></a><var>19.27</var>modalities.<br/>
<a id="pl.19.28"></a><var>19.28</var>(c) Clinical application training in the use of superficial physical agent modalities <br/>
<a id="pl.19.29"></a><var>19.29</var>must include activities requiring the practitioner to:<br/>
<a id="pl.19.30"></a><var>19.30</var>(1) formulate and justify a plan for the use of superficial physical agents for <br/>
<a id="pl.19.31"></a><var>19.31</var>treatment appropriate to its use and simulate the treatment;<br/>
<a id="pl.19.32"></a><var>19.32</var>(2) evaluate biophysical effects of the superficial physical agents;<br/>
<a id="pl.19.33"></a><var>19.33</var>(3) identify when modifications to the treatment plan for use of superficial physical <br/>
<a id="pl.19.34"></a><var>19.34</var>agents are needed and propose the modification plan;<br/>
<a id="pl.19.35"></a><var>19.35</var>(4) safely and appropriately administer superficial physical agents under the <br/>
<a id="pl.19.36"></a><var>19.36</var>supervision of a course instructor or clinical trainer;<br/>
<a id="pl.20.1"></a><var>20.1</var>(5) document parameters of treatment, patient response, and recommendations for <br/>
<a id="pl.20.2"></a><var>20.2</var>progression of treatment for the superficial physical agents; and<br/>
<a id="pl.20.3"></a><var>20.3</var>(6) demonstrate the ability to work competently with superficial physical agents as <br/>
<a id="pl.20.4"></a><var>20.4</var>determined by a course instructor or clinical trainer.<br/>
<a id="pl.20.5"></a><var>20.5</var>    Subd. 4. <b>Educational and clinical requirements for use of electrotherapy.</b> (a) An <br/>
<a id="pl.20.6"></a><var>20.6</var>occupational therapist may use electrotherapy if the occupational therapist has received <br/>
<a id="pl.20.7"></a><var>20.7</var>theoretical training and clinical application training in the use of electrotherapy and been <br/>
<a id="pl.20.8"></a><var>20.8</var>granted approval as provided in subdivision 7.<br/>
<a id="pl.20.9"></a><var>20.9</var>(b) Theoretical training in the use of electrotherapy must:<br/>
<a id="pl.20.10"></a><var>20.10</var>(1) explain the rationale and clinical indications of electrotherapy, including pain <br/>
<a id="pl.20.11"></a><var>20.11</var>control, muscle dysfunction, and tissue healing;<br/>
<a id="pl.20.12"></a><var>20.12</var>(2) demonstrate comprehension and understanding of electrotherapeutic terminology <br/>
<a id="pl.20.13"></a><var>20.13</var>and biophysical principles, including current, voltage, amplitude, and resistance;<br/>
<a id="pl.20.14"></a><var>20.14</var>(3) describe the types of current used for electrical stimulation, including the <br/>
<a id="pl.20.15"></a><var>20.15</var>description, modulations, and clinical relevance;<br/>
<a id="pl.20.16"></a><var>20.16</var>(4) describe the time-dependent parameters of pulsed and alternating currents, <br/>
<a id="pl.20.17"></a><var>20.17</var>including pulse and phase durations and intervals;<br/>
<a id="pl.20.18"></a><var>20.18</var>(5) describe the amplitude-dependent characteristics of pulsed and alternating <br/>
<a id="pl.20.19"></a><var>20.19</var>currents;<br/>
<a id="pl.20.20"></a><var>20.20</var>(6) describe neurophysiology and the properties of excitable tissue;<br/>
<a id="pl.20.21"></a><var>20.21</var>(7) describe nerve and muscle response from externally applied electrical <br/>
<a id="pl.20.22"></a><var>20.22</var>stimulation, including tissue healing;<br/>
<a id="pl.20.23"></a><var>20.23</var>(8) describe the electrotherapeutic effects and the response of nerve, denervated and <br/>
<a id="pl.20.24"></a><var>20.24</var>innervated muscle, and other soft tissue; and<br/>
<a id="pl.20.25"></a><var>20.25</var>(9) explain the precautions and contraindications of electrotherapy, including <br/>
<a id="pl.20.26"></a><var>20.26</var>considerations regarding pathology of nerve and muscle tissue.<br/>
<a id="pl.20.27"></a><var>20.27</var>(c) Clinical application training in the use of electrotherapy must include activities <br/>
<a id="pl.20.28"></a><var>20.28</var>requiring the practitioner to:<br/>
<a id="pl.20.29"></a><var>20.29</var>(1) formulate and justify a plan for the use of electrical stimulation devices for <br/>
<a id="pl.20.30"></a><var>20.30</var>treatment appropriate to its use and simulate the treatment;<br/>
<a id="pl.20.31"></a><var>20.31</var>(2) evaluate biophysical treatment effects of the electrical stimulation;<br/>
<a id="pl.20.32"></a><var>20.32</var>(3) identify when modifications to the treatment plan using electrical stimulation are <br/>
<a id="pl.20.33"></a><var>20.33</var>needed and propose the modification plan;<br/>
<a id="pl.20.34"></a><var>20.34</var>(4) safely and appropriately administer electrical stimulation under supervision <br/>
<a id="pl.20.35"></a><var>20.35</var>of a course instructor or clinical trainer;<br/>
<a id="pl.21.1"></a><var>21.1</var>(5) document the parameters of treatment, case example (patient) response, and <br/>
<a id="pl.21.2"></a><var>21.2</var>recommendations for progression of treatment for electrical stimulation; and<br/>
<a id="pl.21.3"></a><var>21.3</var>(6) demonstrate the ability to work competently with electrical stimulation as <br/>
<a id="pl.21.4"></a><var>21.4</var>determined by a course instructor or clinical trainer.<br/>
<a id="pl.21.5"></a><var>21.5</var>    Subd. 5. <b>Educational and clinical requirements for use of ultrasound.</b> (a) An <br/>
<a id="pl.21.6"></a><var>21.6</var>occupational therapist may use an ultrasound device if the occupational therapist has <br/>
<a id="pl.21.7"></a><var>21.7</var>received theoretical training and clinical application training in the use of ultrasound and <br/>
<a id="pl.21.8"></a><var>21.8</var>been granted approval as provided in subdivision 7.<br/>
<a id="pl.21.9"></a><var>21.9</var>(b) The theoretical training in the use of ultrasound must:<br/>
<a id="pl.21.10"></a><var>21.10</var>(1) explain the rationale and clinical indications for the use of ultrasound, including <br/>
<a id="pl.21.11"></a><var>21.11</var>anticipated physiological responses of the treated area;<br/>
<a id="pl.21.12"></a><var>21.12</var>(2) describe the biophysical thermal and nonthermal effects of ultrasound on normal <br/>
<a id="pl.21.13"></a><var>21.13</var>and abnormal tissue;<br/>
<a id="pl.21.14"></a><var>21.14</var>(3) explain the physical principles of ultrasound, including wavelength, frequency, <br/>
<a id="pl.21.15"></a><var>21.15</var>attenuation, velocity, and intensity;<br/>
<a id="pl.21.16"></a><var>21.16</var>(4) explain the mechanism and generation of ultrasound and energy transmission <br/>
<a id="pl.21.17"></a><var>21.17</var>through physical matter; and<br/>
<a id="pl.21.18"></a><var>21.18</var>(5) explain the precautions and contraindications regarding use of ultrasound devices.<br/>
<a id="pl.21.19"></a><var>21.19</var>(c) The clinical application training in the use of ultrasound must include activities <br/>
<a id="pl.21.20"></a><var>21.20</var>requiring the practitioner to:<br/>
<a id="pl.21.21"></a><var>21.21</var>(1) formulate and justify a plan for the use of ultrasound for treatment appropriate to <br/>
<a id="pl.21.22"></a><var>21.22</var>its use and stimulate the treatment;<br/>
<a id="pl.21.23"></a><var>21.23</var>(2) evaluate biophysical effects of ultrasound;<br/>
<a id="pl.21.24"></a><var>21.24</var>(3) identify when modifications to the treatment plan for use of ultrasound are <br/>
<a id="pl.21.25"></a><var>21.25</var>needed and propose the modification plan;<br/>
<a id="pl.21.26"></a><var>21.26</var>(4) safely and appropriately administer ultrasound under supervision of a course <br/>
<a id="pl.21.27"></a><var>21.27</var>instructor or clinical trainer;<br/>
<a id="pl.21.28"></a><var>21.28</var>(5) document parameters of treatment, patient response, and recommendations for <br/>
<a id="pl.21.29"></a><var>21.29</var>progression of treatment for ultrasound; and<br/>
<a id="pl.21.30"></a><var>21.30</var>(6) demonstrate the ability to work competently with ultrasound as determined <br/>
<a id="pl.21.31"></a><var>21.31</var>by a course instructor or clinical trainer.<br/>
<a id="pl.21.32"></a><var>21.32</var>    Subd. 6. <b>Occupational therapy assistant use of physical agent modalities.</b> An <br/>
<a id="pl.21.33"></a><var>21.33</var>occupational therapy assistant may set up and implement treatment using physical agent <br/>
<a id="pl.21.34"></a><var>21.34</var>modalities if the assistant meets the requirements of this section, has demonstrated service <br/>
<a id="pl.21.35"></a><var>21.35</var>competency for the particular modality used, and works under the direct supervision <br/>
<a id="pl.21.36"></a><var>21.36</var>of an occupational therapist who has been granted approval as provided in subdivision <br/>
<a id="pl.22.1"></a><var>22.1</var>7. An occupational therapy assistant who uses superficial physical agent modalities <br/>
<a id="pl.22.2"></a><var>22.2</var>must meet the requirements of subdivision 3. An occupational therapy assistant who <br/>
<a id="pl.22.3"></a><var>22.3</var>uses electrotherapy must meet the requirements of subdivision 4. An occupational <br/>
<a id="pl.22.4"></a><var>22.4</var>therapy assistant who uses ultrasound must meet the requirements of subdivision 5. An <br/>
<a id="pl.22.5"></a><var>22.5</var>occupational therapist may not delegate evaluation, reevaluation, treatment planning, and <br/>
<a id="pl.22.6"></a><var>22.6</var>treatment goals for physical agent modalities to an occupational therapy assistant.<br/>
<a id="pl.22.7"></a><var>22.7</var>    Subd. 7. <b>Approval.</b> (a) The advisory council shall appoint a committee to review <br/>
<a id="pl.22.8"></a><var>22.8</var>documentation under subdivisions 2 to 6 to determine if established educational and <br/>
<a id="pl.22.9"></a><var>22.9</var>clinical requirements are met. If, after review of course documentation, the committee <br/>
<a id="pl.22.10"></a><var>22.10</var>verifies that a specific course meets the theoretical and clinical requirements in <br/>
<a id="pl.22.11"></a><var>22.11</var>subdivisions 2 to 6, the commissioner may approve practitioner applications that include <br/>
<a id="pl.22.12"></a><var>22.12</var>the required course documentation evidencing completion of the same course.<br/>
<a id="pl.22.13"></a><var>22.13</var>(b) Occupational therapists shall be advised of the status of their request for approval <br/>
<a id="pl.22.14"></a><var>22.14</var>within 30 days. Occupational therapists must provide any additional information requested <br/>
<a id="pl.22.15"></a><var>22.15</var>by the committee that is necessary to make a determination regarding approval or denial.<br/>
<a id="pl.22.16"></a><var>22.16</var>(c) A determination regarding a request for approval of training under this <br/>
<a id="pl.22.17"></a><var>22.17</var>subdivision shall be made in writing to the occupational therapist. If denied, the reason for <br/>
<a id="pl.22.18"></a><var>22.18</var>denial shall be provided.<br/>
<a id="pl.22.19"></a><var>22.19</var>(d) A licensee who was approved by the commissioner as a level two provider prior <br/>
<a id="pl.22.20"></a><var>22.20</var>to July 1, 1999, shall remain on the roster maintained by the commissioner in accordance <br/>
<a id="pl.22.21"></a><var>22.21</var>with subdivision 1, paragraph (c).<br/>
<a id="pl.22.22"></a><var>22.22</var>(e) To remain on the roster maintained by the commissioner, a licensee who was <br/>
<a id="pl.22.23"></a><var>22.23</var>approved by the commissioner as a level one provider prior to July 1, 1999, must submit to <br/>
<a id="pl.22.24"></a><var>22.24</var>the commissioner documentation of training and experience gained using physical agent <br/>
<a id="pl.22.25"></a><var>22.25</var>modalities since the licensee's approval as a level one provider. The committee appointed <br/>
<a id="pl.22.26"></a><var>22.26</var>under paragraph (a) shall review the documentation and make a recommendation to the <br/>
<a id="pl.22.27"></a><var>22.27</var>commissioner regarding approval.<br/>
<a id="pl.22.28"></a><var>22.28</var>(f) An occupational therapist who received training in the use of physical agent <br/>
<a id="pl.22.29"></a><var>22.29</var>modalities prior to July 1, 1999, but who has not been placed on the roster of approved <br/>
<a id="pl.22.30"></a><var>22.30</var>providers may submit to the commissioner documentation of training and experience <br/>
<a id="pl.22.31"></a><var>22.31</var>gained using physical agent modalities. The committee appointed under paragraph (a) <br/>
<a id="pl.22.32"></a><var>22.32</var>shall review documentation and make a recommendation to the commissioner regarding <br/>
<a id="pl.22.33"></a><var>22.33</var>approval.<br/>
<br/>
<a id="bill.0.17.0"></a><a id="pl.22.34"></a><var>22.34</var>    Sec. 17. Minnesota Statutes 2006, section 148.6443, subdivision 1, is amended to read:<br/>
<a id="pl.23.1"></a><var>23.1</var>    Subdivision 1. <b>General requirements.</b> An A licensed occupational therapist <br/>
<a id="pl.23.2"></a><var>23.2</var>applying for licensure renewal must have completed obtain a minimum of 24 contact <br/>
<a id="pl.23.3"></a><var>23.3</var>hours of continuing education in the two years preceding two-year licensure renewal <br/>
<a id="pl.23.4"></a><var>23.4</var>period. An A licensed occupational therapy assistant applying for licensure renewal must <br/>
<a id="pl.23.5"></a><var>23.5</var>have completed obtain a minimum of 18 contact hours of continuing education in the two <br/>
<a id="pl.23.6"></a><var>23.6</var>years preceding two-year licensure renewal period. All continuing education coursework <br/>
<a id="pl.23.7"></a><var>23.7</var>must be obtained between the effective and expiration dates of the license. Licensees who <br/>
<a id="pl.23.8"></a><var>23.8</var>are issued licenses for a period of less than two years shall prorate the obtain a prorated <br/>
<a id="pl.23.9"></a><var>23.9</var>number of contact hours required for licensure renewal based on the number of months <br/>
<a id="pl.23.10"></a><var>23.10</var>licensed during the biennial two-year licensure period. Licensees shall receive contact <br/>
<a id="pl.23.11"></a><var>23.11</var>hours for continuing education activities only for the biennial licensure period in which <br/>
<a id="pl.23.12"></a><var>23.12</var>the continuing education activity was performed.<br/>
<a id="pl.23.13"></a><var>23.13</var>To qualify as a continuing education activity, the activity must be a minimum of <br/>
<a id="pl.23.14"></a><var>23.14</var>one contact hour. Contact hours must be earned and reported in increments of one contact <br/>
<a id="pl.23.15"></a><var>23.15</var>hour or one-half contact hour after the first contact hour of each continuing education <br/>
<a id="pl.23.16"></a><var>23.16</var>activity. One-half contact hour means an instructional session of 30 consecutive minutes, <br/>
<a id="pl.23.17"></a><var>23.17</var>excluding coffee breaks, registration, meals without a speaker, and social activities.<br/>
<a id="pl.23.18"></a><var>23.18</var>Each licensee is responsible for financing the cost of the licensee's continuing <br/>
<a id="pl.23.19"></a><var>23.19</var>education activities.<br/>
<br/>
<a id="bill.0.18.0"></a><a id="pl.23.20"></a><var>23.20</var>    Sec. 18. Minnesota Statutes 2006, section 148.6443, subdivision 3, is amended to read:<br/>
<a id="pl.23.21"></a><var>23.21</var>    Subd. 3. <b>Activities qualifying for continuing education contact hours.</b> (a) The <br/>
<a id="pl.23.22"></a><var>23.22</var>activities in this subdivision qualify for continuing education contact hours if they meet all <br/>
<a id="pl.23.23"></a><var>23.23</var>other requirements of this section.<br/>
<a id="pl.23.24"></a><var>23.24</var>(b) A minimum of one-half of the required contact hours must be directly related <br/>
<a id="pl.23.25"></a><var>23.25</var>to the occupational therapy practice. The remaining contact hours may be related to <br/>
<a id="pl.23.26"></a><var>23.26</var>occupational therapy practice, the delivery of occupational therapy services, or to the <br/>
<a id="pl.23.27"></a><var>23.27</var>practitioner's current professional role. <br/>
<a id="pl.23.28"></a><var>23.28</var>(c) A licensee may obtain an unlimited number of contact hours in any two-year <br/>
<a id="pl.23.29"></a><var>23.29</var>continuing education period through participation in the following:<br/>
<a id="pl.23.30"></a><var>23.30</var>(1) attendance at educational programs of annual conferences, lectures, panel <br/>
<a id="pl.23.31"></a><var>23.31</var>discussions, workshops, in-service training, seminars, and symposiums;<br/>
<a id="pl.23.32"></a><var>23.32</var>(2) successful completion of college or university courses. The licensee must obtain <br/>
<a id="pl.23.33"></a><var>23.33</var>a grade of at least a "C" or a pass in a pass or fail course in order to receive the following <br/>
<a id="pl.23.34"></a><var>23.34</var>continuing education credits:<br/>
<a id="pl.23.35"></a><var>23.35</var>(i) one semester credit equals 14 contact hours;<br/>
<a id="pl.24.1"></a><var>24.1</var>(ii) one trimester credit equals 12 contact hours; and<br/>
<a id="pl.24.2"></a><var>24.2</var>(iii) one quarter credit equals ten contact hours; <br/>
<a id="pl.24.3"></a><var>24.3</var>(3) successful completion of home study courses that require the participant to <br/>
<a id="pl.24.4"></a><var>24.4</var>demonstrate the participant's knowledge following completion of the course.<br/>
<a id="pl.24.5"></a><var>24.5</var>(d) A licensee may obtain a maximum of six contact hours in any two-year <br/>
<a id="pl.24.6"></a><var>24.6</var>continuing education period for: <br/>
<a id="pl.24.7"></a><var>24.7</var>(1) teaching continuing education courses that meet the requirements of this section. <br/>
<a id="pl.24.8"></a><var>24.8</var>A licensee is entitled to earn a maximum of two contact hours as preparation time for <br/>
<a id="pl.24.9"></a><var>24.9</var>each contact hour of presentation time. Contact hours may be claimed only once for <br/>
<a id="pl.24.10"></a><var>24.10</var>teaching the same course in any two-year continuing education period. A course schedule <br/>
<a id="pl.24.11"></a><var>24.11</var>or brochure must be maintained for audit;<br/>
<a id="pl.24.12"></a><var>24.12</var>(2) supervising occupational therapist or occupational therapy assistant students. A <br/>
<a id="pl.24.13"></a><var>24.13</var>licensee may earn one contact hour for every eight hours of student supervision. Licensees <br/>
<a id="pl.24.14"></a><var>24.14</var>must maintain a log indicating the name of each student supervised and the hours each <br/>
<a id="pl.24.15"></a><var>24.15</var>student was supervised. Contact hours obtained by student supervision must be obtained <br/>
<a id="pl.24.16"></a><var>24.16</var>by supervising students from an occupational therapy education program accredited by the <br/>
<a id="pl.24.17"></a><var>24.17</var>Accreditation Council for Occupational Therapy Education;<br/>
<a id="pl.24.18"></a><var>24.18</var>(3) teaching or participating in courses related to leisure activities, recreational <br/>
<a id="pl.24.19"></a><var>24.19</var>activities, or hobbies if the practitioner uses these interventions within the practitioner's <br/>
<a id="pl.24.20"></a><var>24.20</var>current practice or employment; and<br/>
<a id="pl.24.21"></a><var>24.21</var>(4) engaging in research activities or outcome studies that are associated with grants, <br/>
<a id="pl.24.22"></a><var>24.22</var>postgraduate studies, or publications in professional journals or books.<br/>
<a id="pl.24.23"></a><var>24.23</var>(e) A licensee may obtain a maximum of two contact hours in any two-year <br/>
<a id="pl.24.24"></a><var>24.24</var>continuing education period for continuing education activities in the following areas:<br/>
<a id="pl.24.25"></a><var>24.25</var>(1) business-related topics: marketing, time management, administration, risk <br/>
<a id="pl.24.26"></a><var>24.26</var>management, government regulations, techniques for training professionals, computer <br/>
<a id="pl.24.27"></a><var>24.27</var>skills, payment systems, including covered services, coding, documentation, billing, <br/>
<a id="pl.24.28"></a><var>24.28</var>and similar topics;<br/>
<a id="pl.24.29"></a><var>24.29</var>(2) personal skill topics: career burnout, communication skills, human relations, and <br/>
<a id="pl.24.30"></a><var>24.30</var>similar topics; and<br/>
<a id="pl.24.31"></a><var>24.31</var>(3) (2) training that is obtained in conjunction with a licensee's employment, occurs <br/>
<a id="pl.24.32"></a><var>24.32</var>during a licensee's normal workday, and does not include subject matter specific to the <br/>
<a id="pl.24.33"></a><var>24.33</var>fundamentals of occupational therapy.<br/>
<br/>
<a id="bill.0.19.0"></a><a id="pl.24.34"></a><var>24.34</var>    Sec. 19. Minnesota Statutes 2006, section 148.6445, subdivision 11, is amended to <br/>
<a id="pl.24.35"></a><var>24.35</var>read:<br/>
<a id="pl.25.1"></a><var>25.1</var>    Subd. 11. <b>Penalty fees.</b> (a) The penalty fee for practicing occupational therapy or <br/>
<a id="pl.25.2"></a><var>25.2</var>using protected titles without a current license after the credential has expired and before it <br/>
<a id="pl.25.3"></a><var>25.3</var>is renewed is the amount of the license renewal fee for any part of the first month, plus the <br/>
<a id="pl.25.4"></a><var>25.4</var>license renewal fee for any part of any subsequent month up to 36 months.<br/>
<a id="pl.25.5"></a><var>25.5</var>(b) The penalty fee for applicants who engage in the unauthorized practice of <br/>
<a id="pl.25.6"></a><var>25.6</var>occupational therapy or use protected titles before being issued a license is the amount <br/>
<a id="pl.25.7"></a><var>25.7</var>of the license application fee for any part of the first month, plus the license application <br/>
<a id="pl.25.8"></a><var>25.8</var>fee for any part of any subsequent month up to 36 months. This paragraph does not <br/>
<a id="pl.25.9"></a><var>25.9</var>apply to applicants not qualifying for a license who engage in the unauthorized practice <br/>
<a id="pl.25.10"></a><var>25.10</var>of occupational therapy.<br/>
<a id="pl.25.11"></a><var>25.11</var>(c) The penalty fee for practicing occupational therapy and failing to submit a <br/>
<a id="pl.25.12"></a><var>25.12</var>continuing education report by the due date with the correct number or type of hours in <br/>
<a id="pl.25.13"></a><var>25.13</var>the correct time period is $100 plus $20 for each missing clock hour. Missing means not <br/>
<a id="pl.25.14"></a><var>25.14</var>obtained between the effective and expiration dates of the license, the one-month period <br/>
<a id="pl.25.15"></a><var>25.15</var>following the license expiration date, or the 30 days following notice of a penalty fee for <br/>
<a id="pl.25.16"></a><var>25.16</var>failing to report all continuing education hours. The licensee must obtain the missing <br/>
<a id="pl.25.17"></a><var>25.17</var>number of continuing education hours by the next reporting due date.<br/>
<a id="pl.25.18"></a><var>25.18</var>(d) Civil penalties and discipline incurred by licensees prior to August 1, 2005, for <br/>
<a id="pl.25.19"></a><var>25.19</var>conduct described in paragraph (a), (b), or (c) shall be recorded as nondisciplinary penalty <br/>
<a id="pl.25.20"></a><var>25.20</var>fees. For conduct described in paragraph (a) or (b) occurring after August 1, 2005, and <br/>
<a id="pl.25.21"></a><var>25.21</var>exceeding six months, payment of a penalty fee does not preclude any disciplinary action <br/>
<a id="pl.25.22"></a><var>25.22</var>reasonably justified by the individual case.<br/>
<br/>
<a id="bill.0.20.0"></a><a id="pl.25.23"></a><var>25.23</var>    Sec. 20. <b>[148B.195] DUTY TO WARN.</b><br/>
<a id="pl.25.24"></a><var>25.24</var>    A licensee must comply with the duty to warn established in section 148.975.<br/>
<br/>
<a id="bill.0.21.0"></a><a id="pl.25.25"></a><var>25.25</var>    Sec. 21. Minnesota Statutes 2006, section 149A.01, subdivision 4, is amended to read:<br/>
<a id="pl.25.26"></a><var>25.26</var>    Subd. 4. <b>Nonlimiting.</b> (a) Nothing in this chapter shall be construed to limit the <br/>
<a id="pl.25.27"></a><var>25.27</var>powers granted to the commissioner of health, commissioner of commerce, state attorney <br/>
<a id="pl.25.28"></a><var>25.28</var>general, or a county attorney in any other statute, law, or rule, except as described in <br/>
<a id="pl.25.29"></a><var>25.29</var>paragraph (b).<br/>
<a id="pl.25.30"></a><var>25.30</var>    (b) A county, within its jurisdiction as a coroner or medical examiner, may establish <br/>
<a id="pl.25.31"></a><var>25.31</var>transportation standards for transporting a dead human body from the death scene to the <br/>
<a id="pl.25.32"></a><var>25.32</var>place where an autopsy is to be conducted, so long as the standards do not specifically <br/>
<a id="pl.25.33"></a><var>25.33</var>require that the transporter be a licensed funeral director.<br/>
<br/>
<a id="bill.0.22.0"></a><a id="pl.26.1"></a><var>26.1</var>    Sec. 22. Minnesota Statutes 2006, section 151.01, subdivision 27, is amended to read:<br/>
<a id="pl.26.2"></a><var>26.2</var>    Subd. 27. <b>Practice of pharmacy.</b> "Practice of pharmacy" means:<br/>
<a id="pl.26.3"></a><var>26.3</var>    (1) interpretation and evaluation of prescription drug orders;<br/>
<a id="pl.26.4"></a><var>26.4</var>    (2) compounding, labeling, and dispensing drugs and devices (except labeling by <br/>
<a id="pl.26.5"></a><var>26.5</var>a manufacturer or packager of nonprescription drugs or commercially packaged legend <br/>
<a id="pl.26.6"></a><var>26.6</var>drugs and devices);<br/>
<a id="pl.26.7"></a><var>26.7</var>    (3) participation in clinical interpretations and monitoring of drug therapy for <br/>
<a id="pl.26.8"></a><var>26.8</var>assurance of safe and effective use of drugs;<br/>
<a id="pl.26.9"></a><var>26.9</var>    (4) participation in drug and therapeutic device selection; drug administration for <br/>
<a id="pl.26.10"></a><var>26.10</var>first dosage and medical emergencies; drug regimen reviews; and drug or drug-related <br/>
<a id="pl.26.11"></a><var>26.11</var>research;<br/>
<a id="pl.26.12"></a><var>26.12</var>    (5) participation in administration of influenza and pneumococcal vaccine vaccines <br/>
<a id="pl.26.13"></a><var>26.13</var>to all eligible individuals over 18 ten years of age and all other vaccines to patients 18 <br/>
<a id="pl.26.14"></a><var>26.14</var>years of age and older under standing orders from a physician licensed under chapter 147 <br/>
<a id="pl.26.15"></a><var>26.15</var>or by written protocol with a physician provided that:<br/>
<a id="pl.26.16"></a><var>26.16</var>    (i) the pharmacist is trained in a program approved by the American Council of <br/>
<a id="pl.26.17"></a><var>26.17</var>Pharmaceutical Education for the administration of immunizations or graduated from a <br/>
<a id="pl.26.18"></a><var>26.18</var>college of pharmacy in 2001 or thereafter; and<br/>
<a id="pl.26.19"></a><var>26.19</var>    (ii) the pharmacist reports the administration of the immunization to the patient's <br/>
<a id="pl.26.20"></a><var>26.20</var>primary physician or clinic;<br/>
<a id="pl.26.21"></a><var>26.21</var>    (6) participation in the practice of managing drug therapy and modifying drug <br/>
<a id="pl.26.22"></a><var>26.22</var>therapy, according to section 
         <statute_ref>151.21, subdivision 1</statute_ref>, on a case-by-case basis according to a <br/>
<a id="pl.26.23"></a><var>26.23</var>written protocol between the specific pharmacist and the individual dentist, optometrist, <br/>
<a id="pl.26.24"></a><var>26.24</var>physician, podiatrist, or veterinarian who is responsible for the patient's care and <br/>
<a id="pl.26.25"></a><var>26.25</var>authorized to independently prescribe drugs. Any significant changes in drug therapy must <br/>
<a id="pl.26.26"></a><var>26.26</var>be reported by the pharmacist to the patient's medical record; <br/>
<a id="pl.26.27"></a><var>26.27</var>    (7) participation in the storage of drugs and the maintenance of records;<br/>
<a id="pl.26.28"></a><var>26.28</var>    (8) responsibility for participation in patient counseling on therapeutic values, <br/>
<a id="pl.26.29"></a><var>26.29</var>content, hazards, and uses of drugs and devices; and<br/>
<a id="pl.26.30"></a><var>26.30</var>    (9) offering or performing those acts, services, operations, or transactions necessary <br/>
<a id="pl.26.31"></a><var>26.31</var>in the conduct, operation, management, and control of a pharmacy.<br/>
<br/>
<a id="bill.0.23.0"></a><a id="pl.26.32"></a><var>26.32</var>    Sec. 23. Minnesota Statutes 2006, section 153A.14, subdivision 2i, is amended to read:<br/>
<a id="pl.26.33"></a><var>26.33</var>    Subd. 2i. <b>Continuing education requirement.</b> On forms provided by the <br/>
<a id="pl.26.34"></a><var>26.34</var>commissioner, each certified dispenser must submit with the application for renewal of <br/>
<a id="pl.26.35"></a><var>26.35</var>certification evidence of completion of ten course hours of continuing education earned <br/>
<a id="pl.27.1"></a><var>27.1</var>within the 12-month period of July November 1 to June 30 immediately preceding renewal <br/>
<a id="pl.27.2"></a><var>27.2</var>October 31, between the effective and expiration dates of certification. Continuing <br/>
<a id="pl.27.3"></a><var>27.3</var>education courses must be directly related to hearing instrument dispensing and <br/>
<a id="pl.27.4"></a><var>27.4</var>approved by the International Hearing Society, the American Speech-Language-Hearing <br/>
<a id="pl.27.5"></a><var>27.5</var>Association, or the American Academy of Audiology. Evidence of completion of the <br/>
<a id="pl.27.6"></a><var>27.6</var>ten course hours of continuing education must be submitted with renewal applications <br/>
<a id="pl.27.7"></a><var>27.7</var>by October December 1 of each year. This requirement does not apply to dispensers <br/>
<a id="pl.27.8"></a><var>27.8</var>certified for less than one year. The first report of evidence of completion of the continuing <br/>
<a id="pl.27.9"></a><var>27.9</var>education credits shall be due October 1, 1997.<br/>
<br/>
<a id="bill.0.24.0"></a><a id="pl.27.10"></a><var>27.10</var>    Sec. 24. Minnesota Statutes 2006, section 153A.14, subdivision 4a, is amended to read:<br/>
<a id="pl.27.11"></a><var>27.11</var>    Subd. 4a. <b>Trainees.</b> (a) A person who is not certified under this section may dispense <br/>
<a id="pl.27.12"></a><var>27.12</var>hearing instruments as a trainee for a period not to exceed 12 months if the person:<br/>
<a id="pl.27.13"></a><var>27.13</var>(1) submits an application on forms provided by the commissioner;<br/>
<a id="pl.27.14"></a><var>27.14</var>(2) is under the supervision of a certified dispenser meeting the requirements of <br/>
<a id="pl.27.15"></a><var>27.15</var>this subdivision; and<br/>
<a id="pl.27.16"></a><var>27.16</var>(3) meets all requirements for certification except passage of the examination <br/>
<a id="pl.27.17"></a><var>27.17</var>required by this section; and<br/>
<a id="pl.27.18"></a><var>27.18</var>(4) uses the title "dispenser trainee" in contacts with the patients, clients, or <br/>
<a id="pl.27.19"></a><var>27.19</var>consumers.<br/>
<a id="pl.27.20"></a><var>27.20</var>(b) A certified hearing instrument dispenser may not supervise more than two <br/>
<a id="pl.27.21"></a><var>27.21</var>trainees at the same time and may not directly supervise more than one trainee at a time. <br/>
<a id="pl.27.22"></a><var>27.22</var>The certified dispenser is responsible for all actions or omissions of a trainee in connection <br/>
<a id="pl.27.23"></a><var>27.23</var>with the dispensing of hearing instruments. A certified dispenser may not supervise a <br/>
<a id="pl.27.24"></a><var>27.24</var>trainee if there are any commissioner, court, or other orders, currently in effect or issued <br/>
<a id="pl.27.25"></a><var>27.25</var>within the last five years, that were issued with respect to an action or omission of a <br/>
<a id="pl.27.26"></a><var>27.26</var>certified dispenser or a trainee under the certified dispenser's supervision.<br/>
<a id="pl.27.27"></a><var>27.27</var>Until taking and passing the practical examination testing the techniques described <br/>
<a id="pl.27.28"></a><var>27.28</var>in subdivision 2h, paragraph (a), clause (2), trainees must be directly supervised in all <br/>
<a id="pl.27.29"></a><var>27.29</var>areas described in subdivision 4b, and the activities tested by the practical examination. <br/>
<a id="pl.27.30"></a><var>27.30</var>Thereafter, trainees may dispense hearing instruments under indirect supervision until <br/>
<a id="pl.27.31"></a><var>27.31</var>expiration of the trainee period. Under indirect supervision, the trainee must complete two <br/>
<a id="pl.27.32"></a><var>27.32</var>monitored activities a week. Monitored activities may be executed by correspondence, <br/>
<a id="pl.27.33"></a><var>27.33</var>telephone, or other telephonic devices, and include, but are not limited to, evaluation <br/>
<a id="pl.27.34"></a><var>27.34</var>of audiograms, written reports, and contracts. The time spent in supervision must be <br/>
<a id="pl.27.35"></a><var>27.35</var>recorded and the record retained by the supervisor.<br/>
<br/>
<a id="bill.0.25.0"></a><a id="pl.28.1"></a><var>28.1</var>    Sec. 25. Minnesota Statutes 2006, section 153A.14, subdivision 11, is amended to read:<br/>
<a id="pl.28.2"></a><var>28.2</var>    Subd. 11. <b>Requirement to maintain current information.</b> A dispenser must notify <br/>
<a id="pl.28.3"></a><var>28.3</var>the commissioner in writing within 30 days of the occurrence of any of the following:<br/>
<a id="pl.28.4"></a><var>28.4</var>(1) a change of name, address, home or business telephone number, or business <br/>
<a id="pl.28.5"></a><var>28.5</var>name;<br/>
<a id="pl.28.6"></a><var>28.6</var>(2) the occurrence of conduct prohibited by section 
         <statute_ref>153A.15</statute_ref>; <br/>
<a id="pl.28.7"></a><var>28.7</var>(3) a settlement, conciliation court judgment, or award based on negligence, <br/>
<a id="pl.28.8"></a><var>28.8</var>intentional acts, or contractual violations committed in the dispensing of hearing <br/>
<a id="pl.28.9"></a><var>28.9</var>instruments by the dispenser; and<br/>
<a id="pl.28.10"></a><var>28.10</var>(4) the cessation of hearing instrument dispensing activities as an individual or a <br/>
<a id="pl.28.11"></a><var>28.11</var>business.<br/>
<br/>
<a id="bill.0.26.0"></a><a id="pl.28.12"></a><var>28.12</var>    Sec. 26. Minnesota Statutes 2006, section 153A.175, is amended to read:<br/>
<a id="pl.28.13"></a><var>28.13</var><b>153A.175 PENALTY FEES.</b><br/>
<a id="pl.28.14"></a><var>28.14</var>(a) The penalty fee for holding oneself out as a hearing instrument dispenser without <br/>
<a id="pl.28.15"></a><var>28.15</var>a current certificate after the credential has expired and before it is renewed is one-half <br/>
<a id="pl.28.16"></a><var>28.16</var>the amount of the certificate renewal fee for any part of the first day, plus one-half the <br/>
<a id="pl.28.17"></a><var>28.17</var>certificate renewal fee for any part of any subsequent days up to 30 days.<br/>
<a id="pl.28.18"></a><var>28.18</var>(b) The penalty fee for applicants who hold themselves out as hearing instrument <br/>
<a id="pl.28.19"></a><var>28.19</var>dispensers after expiration of the trainee period and before being issued a certificate is <br/>
<a id="pl.28.20"></a><var>28.20</var>one-half the amount of the certificate application fee for any part of the first day, plus <br/>
<a id="pl.28.21"></a><var>28.21</var>one-half the certificate application fee for any part of any subsequent days up to 30 days. <br/>
<a id="pl.28.22"></a><var>28.22</var>This paragraph does not apply to applicants not qualifying for a certificate who hold <br/>
<a id="pl.28.23"></a><var>28.23</var>themselves out as hearing instrument dispensers.<br/>
<a id="pl.28.24"></a><var>28.24</var>(c) The penalty fee for practicing hearing instrument dispensing and failing to submit <br/>
<a id="pl.28.25"></a><var>28.25</var>a continuing education report by the due date with the correct number or type of hours in <br/>
<a id="pl.28.26"></a><var>28.26</var>the correct time period is $200 plus $200 for each missing clock hour. "Missing" means <br/>
<a id="pl.28.27"></a><var>28.27</var>not obtained between the effective and expirations dates of the certificate, the one-month <br/>
<a id="pl.28.28"></a><var>28.28</var>period following the certificate expiration date, or the 30 days following notice of a <br/>
<a id="pl.28.29"></a><var>28.29</var>penalty fee for failing to report all continuing education hours. The certificate holder must <br/>
<a id="pl.28.30"></a><var>28.30</var>obtain the missing number of continuing education hours by the next reporting due date.<br/>
<a id="pl.28.31"></a><var>28.31</var>(d) Civil penalties and discipline incurred by certificate holders prior to August <br/>
<a id="pl.28.32"></a><var>28.32</var>1, 2005, for conduct described in paragraph (a), (b), or (c) shall be recorded as <br/>
<a id="pl.28.33"></a><var>28.33</var>nondisciplinary penalty fees. Payment of a penalty fee does not preclude any disciplinary <br/>
<a id="pl.28.34"></a><var>28.34</var>action reasonably justified by the individual case.<br/>
<br/>
<a id="bill.0.27.0"></a><a id="pl.29.1"></a><var>29.1</var>    Sec. 27. <b>EXEMPTION.</b><br/>
<a id="pl.29.2"></a><var>29.2</var>    The Board of Physical Therapy shall grant a waiver of the examination requirements <br/>
<a id="pl.29.3"></a><var>29.3</var>under Minnesota Statutes, section 148.723, to an applicant applying for licensure before <br/>
<a id="pl.29.4"></a><var>29.4</var>July 1, 2008, who has been issued physical therapy licenses between 1980 and 1995 in at <br/>
<a id="pl.29.5"></a><var>29.5</var>least three other states and one or more foreign countries. The licenses issued by the other <br/>
<a id="pl.29.6"></a><var>29.6</var>states and foreign country must be in good standing or were in good standing at the time <br/>
<a id="pl.29.7"></a><var>29.7</var>the license expired. The applicant must meet all other requirements of Minnesota Statutes, <br/>
<a id="pl.29.8"></a><var>29.8</var>section 148.705. This waiver expires on September 1, 2008.<br/>
<a id="pl.29.9"></a><var>29.9</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>