1.1A bill for an act1.2relating to health occupation; licensing respiratory therapists;amending 1.3Minnesota Statutes 2008, sections 147C.01; 147C.05; 147C.10; 147C.15; 1.4147C.20; 147C.25; 147C.30; 147C.35; 147C.40.1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:1.6    Section 1. Minnesota Statutes 2008, section 147C.01, is amended to read:1.7147C.01 DEFINITIONS.1.8    Subdivision 1. Applicability. The definitions in this section apply to this chapter.1.9    Subd. 2. Advisory council. "Advisory council" means the Respiratory Care 1.10Practitioner Advisory Council established under section 
         147C.35.  1.11    Subd. 3. Approved education program. "Approved education program" means a 1.12university, college, or other postsecondary education program leading to eligibility for 1.13registry or certification in respiratory care, that, at the time the student completes the 1.14program, is accredited by a national accrediting organization approved by the board.1.15    Subd. 4. Board. "Board" means the Board of Medical Practice or its designee.1.16    Subd. 5. Contact hour. "Contact hour" means an instructional session of 50 1.17consecutive minutes, excluding coffee breaks, registration, meals without a speaker, and 1.18social activities.1.19    Subd. 6. Credential. "Credential" means a license,permit, certification, registration,1.20or other evidence of qualification or authorization to engage in respiratory care practice in 1.21this state or any other state.1.22    Subd. 7. Credentialing examination. "Credentialing examination" means an 1.23examination administered by the National Board for Respiratory Care or other national 1.24testing organization approved by the board, its successor organization, or the Canadian 2.1Society for Respiratory Care for credentialing as a certified respiratory therapy technician, 2.2registered respiratory therapist, or other title indicating an entry or advanced level 2.3respiratory care practitioner.2.4    Subd. 8. Health care facility. "Health care facility" means a hospital as defined in 2.5section 
         144.50, subdivision 2, a medical facility as defined in section 
         144.561, subdivision 2.61
         , paragraph (b), or a nursing home as defined in section 
         144A.01, subdivision 5, a 2.7long-term acute care facility, a subacute care facility, an outpatient clinic, a physician's 2.8office, a rehabilitation facility, or a hospice.  2.9    Subd. 9. Qualified medical direction. "Qualified medical direction" means 2.10direction from a licensed physician who is on the staff or is a consultant of a health care 2.11facility or home care agency or home medical equipment provider and who has a special 2.12interest in and knowledge of the diagnosis and treatment of deficiencies, abnormalities, 2.13and diseases of the cardiopulmonary system.2.14    Subd. 10. Respiratory care. "Respiratory care" means the provision of services 2.15described under section 
         147C.05 for the assessment, treatment, education, management, 2.16evaluation, and care of patients with deficiencies, abnormalities, and diseases of the 2.17cardiopulmonary system, under the guidance of qualified medical direction supervision of 2.18a physician and pursuant to a referral, or verbal, written, or telecommunicated order from 2.19a physician who has medical responsibility for the patient, nurse practitioner, or physician 2.20assistant. It Respiratory care includes, but is not limited to, education pertaining to health 2.21promotion,and disease prevention and management, patient care, and treatment.  2.22    Sec. 2. Minnesota Statutes 2008, section 147C.05, is amended to read:2.23147C.05 SCOPE OF PRACTICE.2.24(a) The practice of respiratory care by a registered licensed respiratory care 2.25practitioner therapist includes, but is not limited to, the following services:2.26(1) providing and monitoring therapeutic administration of medical gases, aerosols, 2.27humidification, and pharmacological agents related to respiratory care procedures, but not 2.28including administration of general anesthesia;2.29(2) carrying out therapeutic application and monitoring of mechanical ventilatory 2.30support;2.31(3) providing cardiopulmonary resuscitation and maintenance of natural airways and 2.32insertion and maintenance of artificial airways;2.33(4) assessing and monitoring signs, symptoms, and general behavior relating to, and 2.34general physical response to, respiratory care treatment or evaluation for treatment and 3.1diagnostic testing, including determination of whether the signs, symptoms, reactions, 3.2behavior, or general response exhibit abnormal characteristics;3.3(5) obtaining physiological specimens and interpreting physiological data including:3.4(i) analyzing arterial and venous blood gases;3.5(ii) assessing respiratory secretions;3.6(iii) measuring ventilatory volumes, pressures, and flows;3.7(iv) testing pulmonary function;3.8(v) testing and studying the cardiopulmonary system; and3.9(vi) diagnostic and therapeutic testing of breathing patterns related to sleep disorders;3.10(6) assisting hemodynamic monitoring and support of the cardiopulmonary system;3.11(7) assessing and making suggestions for modifications in the treatment regimen 3.12based on abnormalities, protocols, or changes in patient response to respiratory care 3.13treatment;3.14(8) providing cardiopulmonary rehabilitation including respiratory-care related 3.15educational components, postural drainage, chest physiotherapy, breathing exercises, 3.16aerosolized administration of medications, and equipment use and maintenance;3.17(9) instructing patients and their families in techniques for the prevention, alleviation, 3.18and rehabilitation of deficiencies, abnormalities, and diseases of the cardiopulmonary 3.19system; and3.20(10) transcribing and implementing verbal, written, or telecommunicated orders from 3.21a physician, nurse practitioner, or physician assistant  orders for respiratory care services;3.22(11) tobacco cessation and prevention programs; and3.23(12) disease management programs, including but not limited to, asthma and chronic 3.24obstructive pulmonary disease.3.25(b) Patient service by a practitioner must be limited to:3.26(1) services within the training and experience of the practitioner; and3.27(2) services within the parameters of the laws, rules, and standards of the facilities in 3.28which the respiratory care practitioner practices.3.29(c) Respiratory care services provided by a registered respiratory care practitioner, 3.30whether delivered in a health care facility or the patient's residence, must not be provided 3.31except upon referral from a physician.3.32(b) This section does not prohibit a respiratory therapist from performing advances 3.33in the art and techniques of respiratory care learned through formal or specialized training 3.34as approved by the Respiratory Care Advisory Council.3.35(d) (c) This section does not prohibit an individual licensed or registered credentialed3.36as a respiratory therapist in another state or country from providing respiratory care in an 4.1emergency in this state, providing respiratory care as a member of an organ harvesting 4.2team, or from providing respiratory care on board an ambulance as part of an ambulance 4.3treatment team.4.4    Sec. 3. Minnesota Statutes 2008, section 147C.10, is amended to read:4.5147C.10 UNLICENSED PRACTICE PROHIBITED; PROTECTED TITLES 4.6AND RESTRICTIONS ON USE.4.7    Subdivision 1. Protected titles.No individual may A person who does not hold 4.8a license or temporary permit under this chapter as a respiratory therapist or whose 4.9license or permit has lapsed, been suspended, or revoked may not  use the title "Minnesota 4.10registered licensed respiratory care practitioner therapist," "registered licensed respiratory 4.11care practitioner therapist," "respiratory care practitioner," "respiratory therapist," 4.12"respiratory therapy (or care) technician," "inhalation therapist," or "inhalation therapy 4.13technician," or use, in connection with the individual's name, the letters "RCP," "RT" or 4.14"LRT" or any other titles, words, letters, abbreviations, or insignia indicating or implying 4.15that the individual is eligible for registration licensure by the state as a respiratory care 4.16practitioner therapist unless the individual has been registered licensed as a respiratory 4.17care practitioner therapist according to this chapter.4.18    Subd. 1a.Unlicensed practice prohibited.No person shall practice respiratory 4.19care unless the person is licensed as a respiratory therapist under this chapter except 4.20as otherwise provided under this chapter.4.21    Subd. 2. Other health care practitioners. (a) Nonphysician individuals practicing 4.22in a health care occupation or profession are not restricted in the provision of services 4.23included in section 147C.05, as long as they do not hold themselves out as respiratory care 4.24practitioners by or through the use of the titles provided in subdivision 1 in association 4.25with provision of these services. Nothing in this chapter shall prohibit the practice of any 4.26profession or occupation licensed or registered by the state by any person duly licensed or 4.27registered to practice the profession or occupation or to perform any act that falls within 4.28the scope of practice of the profession or occupation.4.29(b) Physician practitioners are exempt from this chapter.4.30(c) Nothing in this chapter shall be construed to require registration of a respiratory 4.31care license for:4.32(1) a respiratory care practitioner student enrolled in a respiratory therapy or 4.33polysomnography technology education program accredited by the Commission on 4.34Accreditation of Allied Health Education Programs, its successor organization, or another4.35national recognized accrediting organization approved by the board; and5.1(2) a respiratory care practitioner employed in the service of the federal government5.2therapist as a member of the United States armed forces while performing duties incident 5.3to that employment. duty;5.4(3) an individual employed by a durable medical equipment provider or home 5.5medical equipment provider who delivers, sets up, or maintains respiratory care 5.6equipment, but does not perform assessment, education, or evaluation of the patient;5.7(4) self-care by a patient or gratuitous care by a friend or relative who does not 5.8purport to be a licensed respiratory therapist; or5.9(5) an individual employed in a sleep lab or center as a polysomnographic 5.10technologist under the supervision of a licensed physician.5.11    Subd. 3. Penalty. A person who violates subdivision 1 this section is guilty of a 5.12gross misdemeanor.5.13    Subd. 4. Identification of registered licensed practitioners. Respiratory care 5.14practitioners registered therapists licensed in Minnesota shall wear name tags that identify 5.15them as respiratory care practitioners therapists while in a professional setting. If not 5.16written in full, this must be designated as RCP "RT" or "LRT". A student attending a an 5.17accredited respiratory therapy training education program or a tutorial intern program5.18must be identified as a student respiratory care practitioner therapist. This abbreviated 5.19designation is Student RCP RT. Unregulated individuals who work in an assisting 5.20respiratory role under the supervision of respiratory care practitioners therapists must be 5.21identified as respiratory care therapy assistants or aides.5.22    Sec. 4. Minnesota Statutes 2008, section 147C.15, is amended to read:5.23147C.15 REGISTRATION LICENSURE REQUIREMENTS.5.24    Subdivision 1. General requirements for registration licensure. To be eligible 5.25for registration a license, an applicant, with the exception of those seeking registration5.26licensure by reciprocity under subdivision 2, must:5.27(1) submit a completed application on forms provided by the board along with all 5.28fees required under section 
         147C.40 that includes:  5.29(i) the applicant's name, Social Security number, home address, e-mail address, and 5.30telephone number, and business address and telephone number;5.31(ii) the name and location of the respiratory care therapy education program the 5.32applicant completed;5.33(iii) a list of degrees received from educational institutions;5.34(iv) a description of the applicant's professional training beyond the first degree 5.35received;6.1(v) the applicant's work history for the five years preceding the application, including 6.2the average number of hours worked per week;6.3(vi) a list of registrations, certifications, and licenses held in other jurisdictions;6.4(vii) a description of any other jurisdiction's refusal to credential the applicant;6.5(viii) a description of all professional disciplinary actions initiated against the 6.6applicant in any jurisdiction; and6.7(ix) any history of drug or alcohol abuse, and any misdemeanor or felony conviction;6.8(2) submit a certificate of completion from an approved education program;6.9(3) achieve a qualifying score on a credentialing examination within five years 6.10prior to application for registration;6.11(4) submit a verified copy of a valid and current credential, issued by the National 6.12Board for Respiratory Care or other board-approved national organization, as a certified 6.13respiratory therapy technician therapist, registered respiratory therapist, or other entry or 6.14advanced level respiratory care practitioner therapist designation;6.15(5) submit additional information as requested by the board, including providing 6.16any additional information necessary to ensure that the applicant is able to practice with 6.17reasonable skill and safety to the public;6.18(6) sign a statement that the information in the application is true and correct to the 6.19best of the applicant's knowledge and belief; and6.20(7) sign a waiver authorizing the board to obtain access to the applicant's records 6.21in this or any other state in which the applicant has completed an approved education 6.22program or engaged in the practice of respiratory care therapy.6.23    Subd. 2. Registration Licensure by reciprocity. To be eligible for registration6.24licensure by reciprocity, the applicant must be credentialed by the National Board for 6.25Respiratory Care or other board-approved organization and have worked at least eight 6.26weeks of the previous five years as a respiratory care practitioner therapist and must:6.27(1) submit the application materials and fees as required by subdivision 1, clauses 6.28(1), (4), (5), (6), and (7);6.29(2) provide a verified copy from the appropriate government body of a current and 6.30unrestricted credential  or license for the practice of respiratory care therapy in another 6.31jurisdiction that has initial credentialing requirements equivalent to or higher than the 6.32requirements in subdivision 1; and6.33(3) provide letters of verification from the appropriate government body in each 6.34jurisdiction in which the applicant holds a credential or license. Each letter must state the 6.35applicant's name, date of birth, credential number, date of issuance, a statement regarding 7.1disciplinary actions, if any, taken against the applicant, and the terms under which the 7.2credential was issued.7.3    Subd. 3. Temporary permit. The board may issue a temporary permit to practice 7.4as a respiratory care practitioner therapist to an applicant eligible for registration7.5licensure under this section if the application for registration licensure is complete, all 7.6applicable requirements in this section have been met, and a nonrefundable fee set by 7.7the board has been paid. The permit remains valid only until the meeting of the board 7.8at which a decision is made on the respiratory care practitioner's therapist's application 7.9for registration licensure.7.10    Subd. 4.Temporary registration.The board may issue temporary registration as a 7.11respiratory care practitioner for a period of one year to an applicant for registration under 7.12this section if the application for registration is complete, all applicable requirements 7.13have been met with exception of completion of a credentialing examination, and a 7.14nonrefundable fee set by the board has been paid. A respiratory care practitioner with 7.15temporary registration may qualify for full registration status upon submission of verified 7.16documentation that the respiratory care practitioner has achieved a qualifying score on a 7.17credentialing examination within one year after receiving temporary registration status. 7.18Temporary registration may not be renewed.7.19    Subd. 5.Practice limitations with temporary registration.A respiratory care 7.20practitioner with temporary registration is limited to working under the direct supervision 7.21of a registered respiratory care practitioner or physician able to provide qualified medical 7.22direction. The respiratory care practitioner or physician must be present in the health care 7.23facility or readily available by telecommunication at the time the respiratory care services 7.24are being provided. A registered respiratory care practitioner may supervise no more than 7.25two respiratory care practitioners with temporary registration status.7.26    Subd. 6. RegistrationLicense expiration.Registrations Licenses issued under this 7.27chapter expire annually.7.28    Subd. 7. Renewal. (a) To be eligible for registration license renewal a registrant7.29licensee must:7.30(1) annually, or as determined by the board, complete a renewal application on a 7.31form provided by the board;7.32(2) submit the renewal fee;7.33(3) provide evidence every two years of a total of 24 hours of continuing education 7.34approved by the board as described in section 
         147C.25; and  8.1(4) submit any additional information requested by the board to clarify information 8.2presented in the renewal application. The information must be submitted within 30 days 8.3after the board's request, or the renewal request is nullified.8.4(b) Applicants for renewal who have not practiced the equivalent of eight full weeks 8.5during the past five years must achieve a passing score on retaking the credentialing 8.6examination, or complete no less than eight weeks of advisory council-approved 8.7supervised clinical experience having a broad base of treatment modalities and patient care.8.8    Subd. 8. Change of address. A registrant licensee who changes addresses must 8.9inform the board within 30 days, in writing, of the change of address. All notices or 8.10other correspondence mailed to or served on a registrant licensee by the board at the 8.11registrant's licensee's address on file with the board shall be considered as having been 8.12received by the registrant licensee.8.13    Subd. 9. Registration License renewal notice. At least 30 days before the 8.14registration license renewal date, the board shall send out a renewal notice to the last 8.15known address of the registrant licensee on file. The notice must include a renewal 8.16application and a notice of fees required for renewal. It must also inform the registrant8.17licensee that registration the license will expire without further action by the board if an 8.18application for registration license renewal is not received before the deadline for renewal. 8.19The registrant's licensee's failure to receive this notice shall not relieve the registrant8.20licensee of the obligation to meet the deadline and other requirements for registration8.21license renewal. Failure to receive this notice is not grounds for challenging expiration of 8.22registered licensure status.8.23    Subd. 10. Renewal deadline. The renewal application and fee must be postmarked 8.24on or before July 1 of the year of renewal or as determined by the board. If the postmark is 8.25illegible, the application shall be considered timely if received by the third working day 8.26after the deadline.8.27    Subd. 11.Inactive status and return to active status.(a) A registration may be 8.28placed in inactive status upon application to the board by the registrant and upon payment 8.29of an inactive status fee.8.30(b) Registrants seeking restoration to active from inactive status must pay the current 8.31renewal fees and all unpaid back inactive fees. They must meet the criteria for renewal 8.32specified in subdivision 7, including continuing education hours equivalent to one hour for 8.33each month of inactive status, prior to submitting an application to regain registered status. 8.34If the inactive status extends beyond five years, a qualifying score on a credentialing 8.35examination, or completion of an advisory council-approved eight-week supervised 8.36clinical training experience is required. If the registrant intends to regain active registration 9.1by means of eight weeks of advisory council-approved clinical training experience, the 9.2registrant shall be granted temporary registration for a period of no longer than six months.9.3    Subd. 12. Registration Licensure following lapse of registration licensed status 9.4for two years or less. For any individual whose registration status license has lapsed for 9.5two years or less, to regain registration status a license, the individual must:9.6(1) apply for registration license renewal according to subdivision 7;9.7(2) document compliance with the continuing education requirements of section 9.8147C.25
          since the registrant's licensee's initial registration licensure or last renewal; and  9.9(3) submit the fees required under section 
         147C.40 for the period not registered9.10licensed, including the fee for late renewal.  9.11    Subd. 13. Cancellation due to nonrenewal. The board shall not renew, reissue, 9.12reinstate, or restore a registration license that has lapsed and has not been renewed within 9.13two annual registration renewal cycles starting July 1997. A registrant licensee whose 9.14registration license is canceled for nonrenewal must obtain a new registration license by 9.15applying for registration licensure and fulfilling all requirements then in existence for 9.16initial registration licensure as a respiratory care practitioner therapist.9.17    Subd. 14. Cancellation of registration license in good standing. (a) A registrant9.18licensee holding an active registration license as a respiratory care practitioner therapist in 9.19the state may, upon approval of the board, be granted registration license cancellation if 9.20the board is not investigating the person as a result of a complaint or information received 9.21or if the board has not begun disciplinary proceedings against the registrant licensee. 9.22Such action by the board shall be reported as a cancellation of registration a license in 9.23good standing.9.24(b) A registrant licensee who receives board approval for registration license9.25cancellation is not entitled to a refund of any registration licensure fees paid for the 9.26registration license year in which cancellation of the registration license occurred.9.27(c) To obtain registration a license after cancellation, a registrant licensee must 9.28obtain a new registration license by applying for registration licensure and fulfilling the 9.29requirements then in existence for obtaining initial registration licensure as a respiratory 9.30care practitioner therapist.9.31    Sec. 5. Minnesota Statutes 2008, section 147C.20, is amended to read:9.32147C.20 BOARD ACTION ON APPLICATIONS FOR REGISTRATION9.33LICENSURE.9.34(a) The board shall act on each application for registration licensure according 9.35to paragraphs (b) to (d).10.1(b) The board shall determine if the applicant meets the requirements for registration10.2licensure under section 
         147C.15. The board or advisory council may investigate 10.3information provided by an applicant to determine whether the information is accurate 10.4and complete.  10.5(c) The board shall notify each applicant in writing of action taken on the application, 10.6the grounds for denying registration licensure if registration licensure is denied, and the 10.7applicant's right to review under paragraph (d).10.8(d) Applicants denied registration licensure may make a written request to the 10.9board, within 30 days of the board's notice, to appear before the advisory council or its 10.10designee and for the advisory council to review the board's decision to deny the applicant's 10.11registration licensure. After reviewing the denial, the advisory council shall make a 10.12recommendation to the board as to whether the denial shall be affirmed. Each applicant is 10.13allowed only one request for review per yearly registration licensure period.10.14    Sec. 6. Minnesota Statutes 2008, section 147C.25, is amended to read:10.15147C.25 CONTINUING EDUCATION REQUIREMENTS.10.16    Subdivision 1. Number of required contact hours. Two years after the date 10.17of initial registration licensure, and every two years thereafter, a registrant licensee10.18applying for registration license renewal must complete a minimum of 24 contact hours 10.19of board-approved continuing education in the two years preceding registration license10.20renewal and attest to completion of continuing education requirements by reporting to 10.21the board.10.22    Subd. 2. Approved programs. The board shall approve continuing education 10.23programs that have been approved for continuing education credit by the American 10.24Association of Respiratory Care or the Minnesota Society for Respiratory Care or their 10.25successor organizations. The board shall also approve programs substantially related to 10.26respiratory care therapy that are sponsored by an accredited university or college, medical 10.27school, state or national medical association, national medical specialty society, or that are 10.28approved for continuing education credit by the Minnesota Board of Nursing.10.29    Subd. 3. Approval of continuing education programs. The board shall also 10.30approve continuing education programs that do not meet the requirements of subdivision 2 10.31but that meet the following criteria:10.32(1) the program content directly relates to the practice of respiratory care therapy;10.33(2) each member of the program faculty is knowledgeable in the subject matter as 10.34demonstrated by a degree from an accredited education program, verifiable experience in 11.1the field of respiratory care therapy, special training in the subject matter, or experience 11.2teaching in the subject area;11.3(3) the program lasts at least one contact hour;11.4(4) there are specific, measurable, written objectives, consistent with the program, 11.5describing the expected outcomes for the participants; and11.6(5) the program sponsor has a mechanism to verify participation and maintains 11.7attendance records for three years.11.8    Subd. 4. Hospital, health care facility, or medical company in-services. Hospital, 11.9health care facility, or medical company in-service programs may qualify for continuing 11.10education credits provided they meet the requirements of this section.11.11    Subd. 5. Accumulation of contact hours. A registrant licensee may not apply 11.12contact hours acquired in one two-year reporting period to a future continuing education 11.13reporting period.11.14    Subd. 6. Verification of continuing education credits. The board shall periodically 11.15select a random sample of registrants licensees and require those registrants licensees to 11.16supply the board with evidence of having completed the continuing education to which 11.17they attested. Documentation may come directly from the registrant licensee or from state 11.18or national organizations that maintain continuing education records.11.19    Subd. 7. Restriction on continuing education topics. A registrant licensee may 11.20apply no more than a combined total of eight hours of continuing education in the areas 11.21of management, risk management, personal growth, and educational techniques to a 11.22two-year reporting period.11.23    Subd. 8. Credit for credentialing examination. A registrant licensee may fulfill 11.24the continuing education requirements for a two-year reporting period by achieving a 11.25qualifying score on one of the credentialing examinations or a specialty credentialing 11.26examination of the National Board for Respiratory Care or another board-approved testing 11.27organization. A registrant licensee may achieve 12 hours of continuing education credit 11.28by completing a National Board for Respiratory Care or other board-approved testing 11.29organization's specialty examination.11.30    Sec. 7. Minnesota Statutes 2008, section 147C.30, is amended to read:11.31147C.30 DISCIPLINE; REPORTING.11.32For purposes of this chapter, registered licensed respiratory care practitioners11.33therapists and applicants are subject to the provisions of sections 
         147.091 to 
         147.162.  12.1    Sec. 8. Minnesota Statutes 2008, section 147C.35, is amended to read:12.2147C.35 RESPIRATORY CARE PRACTITIONER ADVISORY COUNCIL.12.3    Subdivision 1. Membership. The board shall appoint a seven-member Respiratory 12.4Care Practitioner Advisory Council consisting of two public members as defined in section 12.5214.02
         , three registered licensed respiratory care practitioners therapists, and two licensed 12.6physicians with expertise in respiratory care.  12.7    Subd. 2. Organization. The advisory council shall be organized and administered 12.8under section 
         15.059.12.9    Subd. 3. Duties. The advisory council shall:12.10(1) advise the board regarding standards for respiratory care practitioners therapists;12.11(2) provide for distribution of information regarding respiratory care practitioner12.12therapy standards;12.13(3) advise the board on enforcement of sections 
         147.091 to 
         147.162;  12.14(4) review applications and recommend granting or denying registration licensure12.15or registration license renewal;12.16(5) advise the board on issues related to receiving and investigating complaints, 12.17conducting hearings, and imposing disciplinary action in relation to complaints against 12.18respiratory care practitioners therapists;12.19(6) advise the board regarding approval of continuing education programs using the 12.20criteria in section 
         147C.25, subdivision 3; and  12.21(7) perform other duties authorized for advisory councils by chapter 214, as directed 12.22by the board.12.23    Sec. 9. Minnesota Statutes 2008, section 147C.40, is amended to read:12.24147C.40 FEES.12.25    Subdivision 1. Fees. The board shall adopt rules setting:12.26(1) registration licensure fees;12.27(2) renewal fees;12.28(3) late fees;12.29(4) inactive status fees; and12.30(5) fees for temporary permits; and12.31(6) fees for temporary registration.12.32    Subd. 2. Proration of fees. The board may prorate the initial annual registration12.33license fee. All registrants licensees are required to pay the full fee upon registration12.34license renewal.13.1    Subd. 3. Penalty fee for late renewals. An application for registration license13.2renewal submitted after the deadline must be accompanied by a late fee in addition to the 13.3required fees.13.4    Subd. 4. Nonrefundable fees. All of the fees in subdivision 1 are nonrefundable.