Modifying health and human services policy provisions; prohibiting a health carrier from refusing to initially offer, sell or issue an individual health plan or charge a higher premium to a resident solely on the basis of a previous cesarean delivery; adding a licensed doctoral level psychologist to health care utilization review organizations and expanding the membership of the health care reform review council, modifying practice of psychology to include psychological impact of medications, setting a deadline for the appointment of a member of the Minnesota psychological association to the health care reform review council; modifying the definition of standard reference compendia for health insurance coverage for off-label drug use; expanding the definition of health plan company to include certain county based purchasing agreements; providing for physician assistant licensure, making conforming amendments; modifying the adverse health event reporting system, requiring the consideration of the effect of staffing levels on an adverse health care event, modifying certain adverse event investigations; requiring commissioner of health to consult with representatives from the Minnesota nurses association and Minnesota hospital association to define staffing levels for the purposes of adverse health event root cause analysis; modifying the definitions of physician assistant and ambulance service personnel; modifying the suicide prevention plan for the state to include a life-span plan approach and a focus on awareness, including the chancellor of Minnesota state colleges and universities and president of the university of Minnesota in formulating the plan, including students attending Minnesota colleges in community-based suicide prevention programs; modifying the definition of physician assistant, eliminating the term registered physician assistants and replacing it with licensed physicians assistants, eliminating and modifying certain terms, establishing a physician-physician assistant delegation agreement, creating a notice of intent to practice that documents the adoption of a physician-physician assistant delegation agreement, clarifying qualifications for licensure, establishing a temporary license and clarifying an inactive license, modifying physician's assistant scope of practice and delegated duties, limiting time for disciplinary action against a physicians assistant, modifying delegated authority of physicians assistant to prescribe, dispense and administer drugs, controlled substances and medical devices, clarifying physician assistant response to a disaster situation, modifying certain continuing education requirements, modifying membership requirements and duties of physicians assistant advisory council; modifying license provisions for chiropractors, providing for certain education approval by the council of chiropractic education member organization of the council of chiropractic international, prescribing certain patient record keeping requirements; modifying certain licensure requirements for nutritionists by the board of dietetics and nutrition practice; modifying the definitions of certified doula and doula services; providing for dental assistants licensure, making conforming amendments, providing a certificate for anesthesia/sedation late fee and a recertification fee for anesthesia/sedation, requiring fee payment for contracted sedation provider certificates; modifying the safe patient handling act, defining clinical settings that move patients, requiring every clinical setting that moves patients to develop a safe patient handling plan by a certain date, specifying plan components; accepting certain plans of facilities with existing programs, providing for availability of training materials, prescribing enforcement; expanding the definition of services available under medical assistance (MA) for disabled children's services to include fetal alcohol spectrum disorders; modifying certain ICF/MR local system needs planning requirements; modifying self-directed supports option plan requirements; modifying certain alternative care program provision requirements, the alternative care program client fee applicability, modifying spousal impoverishment policies application requirements for medicaid waiver for elderly services; modifying nursing facilities construction projects property rate adjustment requirements; modifying certain ancillary services payment requirements, providing for the inclusion of transportation as a covered service; modifying nursing facility case mix calculations for certain transition purposes and specifying certain duties of commissioner of human services; modifying certain definitions; modifying intermediate care facility contract provisions; modifying facility reporting requirements on the use of the variable rate funds and certain responsibilities of commissioner; modifying certain data management requirements for reporting of maltreatment of vulnerable adults, requiring commissioner of human services to collect information on each managed care plan and county-based purchasing plan medical assistance (MA) provider reimbursement rates, specifying certain annual data analysis and report requirements to the legislature; authorizing the 911 system to include a referral to mental health crisis teams; modifying certain data management requirements for reporting of maltreatment of vulnerable adults and requiring data destruction; requiring commissioner of management and budget to study expanding eligibility to allow long-term care insurance to be purchased by local government employees, specifying certain employee representative requirements and requiring report to the legislature; requiring commissioner of health to establish a workgroup to define staffing levels for the purposes of adverse health event root cause analysis, specifying certain consultation requirements; requiring the Minnesota board of aging to convene an Alzheimer's disease working group to examine the array of needs of individuals diagnosed with Alzheimer's disease, services available to meet these needs and capacity of state and current providers to meet these and future needs, sunset provision; repealing certain provisions relating to locum tenens permit granting authority to physicians assistants by the board of medical practice, nutritionists licensing transition periods, dental continuing education sponsorship fee for registration of licenses and registration certificates and certain ICF/MR payment rate adjustments
(Ch. 159, 2009)