1.1A bill for an act1.2relating to health occupations; establishing a regulation system for technicians 1.3performing body art procedures and for body art establishments; adopting 1.4penalty fees; appropriating money;proposing coding for new law as Minnesota 1.5Statutes, chapter 146B.1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:1.7    Section 1. [146B.01] DEFINITIONS.1.8    Subdivision 1.Scope.The terms defined in this section apply to this chapter.1.9    Subd. 2.Aftercare."Aftercare" means written instructions given to a client, 1.10specific to the procedure rendered, on caring for the body art and surrounding area. These 1.11instructions must include information on when to seek medical treatment.1.12    Subd. 3.Antiseptic."Antiseptic" means an agent that destroys disease-causing 1.13microorganisms on human skin or mucosa.1.14    Subd. 4.Body art."Body art" or "body art procedures" means physical body 1.15adornment using, but not limited to, tattooing and body piercing. Body art does not include 1.16practices and procedures that are performed by a licensed medical or dental professional if 1.17the procedure is within the professional's scope of practice.1.18    Subd. 5.Body art establishment."Body art establishment" or "establishment" 1.19means any structure or venue, whether permanent, temporary, or mobile, where body art 1.20is performed. Mobile establishments include vehicle-mounted units, either motorized or 1.21trailered, and readily moveable without dissembling and where body art procedures are 1.22regularly performed in more than one geographic location.1.23    Subd. 6.Body piercing."Body piercing" means the penetration or puncturing of 1.24the skin by any method for the purpose of inserting jewelry or other objects in or through 1.25the body. Body piercing also includes branding, scarification, suspension, subdermal 2.1implantation, microdermal, and tongue bifurcation. Body piercing does not include the 2.2piercing of the outer perimeter or the lobe of the ear using a presterilized single-use 2.3stud-and-clasp ear-piercing system.2.4    Subd. 7.Branding."Branding" means an indelible mark burned into the skin using 2.5instruments of thermal cautery, radio hyfrecation, and strike branding.2.6    Subd. 8.Commissioner."Commissioner" means the commissioner of health.2.7    Subd. 9.Contaminated waste."Contaminated waste" means any liquid or 2.8semiliquid blood or other potentially infectious materials; contaminated items that would 2.9release blood or other potentially infectious materials in a liquid or semiliquid state 2.10if compressed; items that are caked with dried blood or other potentially infectious 2.11materials and are capable of releasing these materials during handling; and sharps and any 2.12wastes containing blood and other potentially infectious materials, as defined in Code of 2.13Federal Regulations, title 29, section 1910.1030, known as "Occupational Exposure to 2.14Bloodborne Pathogens."2.15    Subd. 10.Department."Department" means the Department of Health.2.16    Subd. 11.Equipment."Equipment" means all machinery, including fixtures, 2.17containers, vessels, tools, devices, implements, furniture, display and storage areas, sinks, 2.18and all other apparatus and appurtenances used in the operation of a body art establishment. 2.19    Subd. 12.Guest artist."Guest artist" means an individual who performs body art 2.20procedures according to the requirements under section 146B.04.2.21    Subd. 13.Hand sink."Hand sink" means a sink equipped with potable hot and 2.22cold water held under pressure, used for washing hands, wrists, arms, or other portions of 2.23the body.2.24    Subd. 14.Hot water."Hot water" means water at a temperature of at least 110 2.25degrees Fahrenheit.2.26    Subd. 15.Jewelry."Jewelry" means any ornament inserted into a pierced area.2.27    Subd. 16.Liquid chemical germicide."Liquid chemical germicide" means a 2.28tuberculocidal disinfectant or sanitizer registered with the Environmental Protection 2.29Agency.2.30    Subd. 17.Microdermal."Microdermal" means a single-point perforation of any 2.31body part other than an earlobe for the purpose of inserting an anchor with a step either 2.32protruding from or flush with the skin.2.33    Subd. 18.Micropigmentation or cosmetic tattooing."Micropigmentation or 2.34cosmetic tattooing" means the use of tattoos for permanent makeup or to hide or neutralize 2.35skin discolorations.3.1    Subd. 19.Operator."Operator" means any person who controls, operates, or 3.2manages body art activities at a body art establishment and who is responsible for the 3.3establishment's compliance with these regulations, whether or not the person actually 3.4performs body art activities.3.5    Subd. 20.Procedure area."Procedure area" means the physical space or room 3.6used for conducting body art procedures.3.7    Subd. 21.Procedure surface."Procedure surface" means the surface area of 3.8furniture or accessories that may come into contact with the client's clothed or unclothed 3.9body during a body art procedure and the area of the client's skin where the body art 3.10procedure is to be performed and the surrounding area, or any other associated work 3.11area requiring sanitizing.3.12    Subd. 22.Scarification."Scarification" means an indelible mark fixed on the 3.13body by the production of scars.3.14    Subd. 23.Sharps."Sharps" means any object, sterile or contaminated, that may 3.15purposefully or accidentally cut or penetrate the skin or mucosa including, but not limited 3.16to, presterilized single-use needles, scalpel blades, and razor blades.3.17    Subd. 24.Sharps container."Sharps container" means a closed, puncture-resistant, 3.18leak-proof container, labeled with the international biohazard symbol, that is used for 3.19handling, storage, transportation, and disposal.3.20    Subd. 25.Single use."Single use" means products or items intended for onetime 3.21use which are disposed of after use on a client. This definition includes, but is not limited 3.22to, cotton swabs or balls, tissues or paper products, paper or plastic cups, gauze and 3.23sanitary coverings, disposable razors, piercing needles, tattoo needles, scalpel blades, 3.24stencils, ink cups, and protective gloves.3.25    Subd. 26.Sterilization."Sterilization" means a process resulting in the destruction 3.26of all forms of microbial life, including highly resistant bacterial spores.3.27    Subd. 27.Subdermal implantation."Subdermal implantation" means the 3.28implantation of an object entirely below the dermis.3.29    Subd. 28.Supervision."Supervision" means the physical presence of a technician 3.30licensed under this chapter while a body art procedure is being performed.3.31    Subd. 29.Suspension."Suspension" means the suspension of the body from affixed 3.32hooks placed through temporary piercings.3.33    Subd. 30.Tattooing."Tattooing" means any method of placing indelible ink or 3.34other pigments into or under the skin or mucosa with needles or any other instruments used 3.35to puncture the skin, resulting in permanent coloration of the skin or mucosa. Tattooing 3.36also includes micropigmentation and cosmetic tattooing.4.1    Subd. 31.Technician."Technician" or "body art technician" means any individual 4.2who is licensed under this chapter as a tattoo technician or as a body piercing technician 4.3or as both.4.4    Subd. 32.Temporary body art establishment."Temporary body art establishment" 4.5means any place or premise operating at a fixed location where an operator performs body 4.6art procedures for no more than 21 days in conjunction with a single event or celebration.4.7    Subd. 33.Tongue bifurcation."Tongue bifurcation" means the cutting of the 4.8tongue from the tip to the base, forking at the end.4.9    Sec. 2. [146B.02] ESTABLISHMENT LICENSE PROCEDURES.4.10    Subdivision 1.General.Beginning January 1, 2011, no person acting individually 4.11or jointly with any other person may maintain, own, or operate a body art establishment in 4.12the state without an establishment license issued by the commissioner in accordance with 4.13this chapter, except as permitted under subdivision 8 or 9.4.14    Subd. 2.Requirements.(a) Each application for an initial establishment license 4.15and for renewal must be submitted to the commissioner on a form provided by the 4.16commissioner accompanied with the applicable fee required under section 146B.10. The 4.17application must contain:4.18(1) the name(s) of the owner(s) and operator(s) of the establishment;4.19(2) the location of the establishment;4.20(3) verification of compliance with all applicable local and state codes;4.21(4) a description of the general nature of the business; and4.22(5) any other relevant information deemed necessary by the commissioner.4.23    (b) The commissioner shall issue a provisional establishment license effective until 4.24the commissioner determines after inspection that the applicant has met the requirements 4.25of this chapter. Upon approval, the commissioner shall issue a body art establishment 4.26license effective for three years.4.27    Subd. 3.Inspection.(a) Within the period of the provisional establishment license, 4.28and thereafter at least one time during each three-year licensure period, the commissioner 4.29shall conduct an inspection of the body art establishment and a review of any records 4.30necessary to ensure that the standards required under this chapter are met.4.31    (b) The commissioner shall have the authority to enter a premises to make an 4.32inspection. Refusal to permit an inspection constitutes valid grounds for licensure denial 4.33or revocation.5.1    (c) If the establishment seeking licensure is new construction or if a licensed 5.2establishment is remodeling, the establishment must meet all local building and zoning 5.3codes.5.4    Subd. 4.Location restricted.No person may perform a body art procedure at 5.5any location other than a body art establishment licensed under this chapter except as 5.6permitted under subdivisions 8 and 9.5.7    Subd. 5.Transfer and display of license.A body art establishment license must 5.8be issued to a specific person and location and is not transferable. A license must be 5.9prominently displayed in a public area of the establishment.5.10    Subd. 6.Establishment information.The following information must be kept on 5.11file for three years on the premises of the establishment and must be made available for 5.12inspection upon request by the commissioner:5.13(1) a description of all body art procedures performed by the establishment; 5.14(2) copies of the spore tests conducted on each sterilizer; and5.15(3) the following information for each technician or guest artist employed or 5.16performing body art procedures in the establishment:5.17(i) name;5.18(ii) home address;5.19(iii) home telephone number;5.20(iv) date of birth;5.21(v) copy of an identification photo; and5.22(vi) license number or guest artist license number.5.23    Subd. 7.Establishments located in a private residence.If the body art 5.24establishment is located within a private residence, the space where the body art 5.25procedures are performed must:5.26    (1) be completely partitioned off;5.27    (2) be exclusively used for body art procedures;5.28    (3) be separate from the residential living, eating, and bathroom areas; 5.29    (4) have an entrance separate from the entrance to the residential area;5.30    (5) meet the standards of this chapter; and5.31    (6) be made available for inspection upon the request of the commissioner.5.32    Subd. 8.Temporary events permit.(a) An owner or operator of a temporary 5.33body art establishment shall submit an application for a temporary events permit to the 5.34commissioner at least 14 days before the start of the event. The application must include 5.35the specific days and hours of operation. The owner or operator shall comply with the 5.36requirements of this chapter.6.1(b) The temporary events permit must be prominently displayed in a public area 6.2at the location.6.3(c) The temporary events permit, if approved, is valid for the specified dates and 6.4hours listed on the application. No temporary events permit shall be issued for longer than 6.5a 21-day period, and may not be extended.6.6    Subd. 9.Exception.(a) Any body art establishment located within a county or 6.7municipal jurisdiction that has enacted an ordinance that establishes licensure for body art 6.8establishments operating within the jurisdiction shall be exempt from this chapter if the 6.9provisions of the ordinance meet or exceed the provisions of this chapter. Any county or 6.10municipal jurisdiction that maintains an ordinance that meets this exception may limit the 6.11types of body art procedures that may be performed in body art establishments located 6.12within its jurisdiction.6.13    (b) Any individual performing body art procedures in an establishment that meets 6.14an exception under this subdivision must be licensed as a body art technician under this 6.15chapter.6.16    Sec. 3. [146B.03] LICENSURE FOR BODY ART TECHNICIANS.6.17    Subdivision 1.Licensure required.(a) Effective January 1, 2011, no individual 6.18may perform tattooing unless the individual holds a valid tattoo technician license issued 6.19by the commissioner under this chapter, except as provided in subdivision 3.6.20    (b) Effective January 1, 2011, no individual may perform body piercing unless the 6.21individual holds a valid body piercing technician license issued by the commissioner 6.22under this chapter, except as provided in subdivision 3.6.23    (c) If an individual performs both tattooing and body piercing, the individual must 6.24hold a valid dual body art technician license.6.25    Subd. 2.Designation.(a) No individual may use the title of "tattooist," "tattoo 6.26artist," "tattoo technician," "body art practitioner," "body art technician," or other letters, 6.27words, or titles in connection with that individual's name which in any way represents that 6.28the individual is engaged in the practice of tattooing or authorized to do so, unless the 6.29individual is licensed and authorized to perform tattooing under this chapter.6.30    (b) No individual may use the title "body piercer," "body piercing artist," "body art 6.31practitioner," "body art technician," or other letters, words, or titles in connection with 6.32that individual's name which in any way represents that the individual is engaged in the 6.33practice of body piercing or authorized to do so, unless the individual is licensed and 6.34authorized to perform body piercing under this chapter.7.1    (c) Any representation made to the public by a licensed technician must specify the 7.2types of body art procedures the technician is licensed to perform.7.3    Subd. 3.Exceptions.(a) The following individuals may perform body art 7.4procedures within the scope of their practice without a technician's license:7.5(1) a physician licensed under chapter 147; 7.6(2) a nurse licensed under sections 148.171 to 148.285; 7.7(3) a chiropractor licensed under chapter 148; 7.8(4) an acupuncturist licensed under chapter 147B; 7.9(5) a physician's assistant licensed under chapter 147A; or 7.10(6) a dental professional licensed under chapter 150A.7.11(b) A guest artist under section 146B.04 may perform body art procedures in 7.12accordance with the requirements of section 146B.04.7.13    Subd. 4.Licensure requirements.An applicant for licensure under this section 7.14shall submit to the commissioner on a form provided by the commissioner:7.15(1) proof that the applicant is over the age of 18; 7.16    (2) the type of license the applicant is applying for;7.17(3) all fees required under section 146B.10; 7.18(4) proof of completing a minimum of 200 hours of supervised experience within 7.19the area for which the applicant is seeking a license, and must include an affidavit from the 7.20supervising licensed technician;7.21(5) proof of having satisfactorily completed coursework approved by the 7.22commissioner on bloodborne pathogens, the prevention of disease transmission, infection 7.23control, and aseptic technique. Courses to be considered for approval by the commissioner 7.24may include, but are not limited to, those administered by one of the following:7.25(i) the American Red Cross;7.26(ii) United States Occupational Safety and Health Administration (OSHA); or 7.27(iii) the Alliance of Professional Tattooists; and 7.28(6) any other relevant information requested by the commissioner.7.29    Subd. 5.Action on licensure applications.(a) The commissioner shall notify the 7.30applicant in writing of the action taken on the application. If the application is approved, 7.31the commissioner shall issue a tattoo technician license, a body piercing technician 7.32license, or a dual body art technician license.7.33    (b) If licensure is denied, the applicant must be notified of the determination and 7.34the grounds for it, and the applicant may request a hearing under chapter 14 on the 7.35determination by filing a written statement with the commissioner within 30 days after 8.1receipt of the notice of denial. After the hearing, the commissioner shall notify the 8.2applicant in writing of the decision.8.3    Subd. 6.Licensure term; renewal.(a) A technician's license is valid for two 8.4years from the date of issuance and may be renewed upon payment of the renewal fee 8.5established under section 146B.10.8.6(b) At renewal, a licensee must submit proof of continuing education approved by 8.7the commissioner in the areas identified in subdivision 4, clause (5).8.8    Subd. 7.Temporary licensure.(a) The commissioner may issue a temporary 8.9license to an applicant who submits to the commissioner on a form provided by the 8.10commissioner:8.11(1) proof that the applicant is over the age of 18;8.12(2) all fees required under section 148B.10; and8.13(3) a letter from a licensed technician who has agreed to provide the supervision to 8.14meet the supervised experience requirement under subdivision 4, clause (4).8.15(b) Upon completion of the required supervised experience, the temporary 8.16licensee shall submit documentation of satisfactorily completing the requirements under 8.17subdivision 4, clauses (3) and (4), and the applicable fee under section 146B.10. The 8.18commissioner shall issue a new license in accordance with subdivision 4.8.19(c) A temporary license issued under this subdivision is valid for one year and 8.20may be renewed for one additional year.8.21    Subd. 8.License by reciprocity.The commissioner shall issue a technician's license 8.22to a person who holds a current license, certification, or registration from another state if 8.23the commissioner determines that the standards for licensure, certification, or registration 8.24in the other jurisdiction meet or exceed the requirements for licensure stated in this chapter 8.25and a letter is received from that jurisdiction stating that the applicant is in good standing.8.26    Subd. 9.Transfer and display of license.A license issued under this section is not 8.27transferable to another individual. A valid license must be displayed at the establishment 8.28site and available to the public upon request.8.29    Subd. 10.Transition period.Until January 1, 2012, the supervised experience 8.30requirement under subdivision 4, clause (4), shall be waived by the commissioner if the 8.31applicant submits to the commissioner evidence satisfactory to the commissioner that the 8.32applicant has performed at least 2,080 hours within the last five years in the body art area 8.33in which the applicant is seeking licensure.8.34    Sec. 4. [146B.04] TEMPORARY LICENSURE FOR GUEST ARTISTS.9.1    Subdivision 1.General.Before an individual may work as a guest artist, the 9.2commissioner shall issue a temporary license to the guest artist. The guest artist shall 9.3submit an application to the commissioner on a form provided by the commissioner. 9.4The form must include:9.5(1) the name, home address, and date of birth of the guest artist;9.6(2) the name of the licensed technician sponsoring the guest artist; 9.7    (3) proof of having satisfactorily completed coursework approved by the 9.8commissioner on bloodborne pathogens, the prevention of disease transmission, infection 9.9control, and aseptic technique;9.10(4) the starting and anticipated completion dates the guest artist will be working; and9.11(5) a copy of any current body art credential or licensure issued by another local 9.12or state jurisdiction.9.13    Subd. 2.Guest artists.A guest artist may not conduct body art procedures for more 9.14than 30 days per calendar year. If the guest artist exceeds this time period, the guest artist 9.15must apply for a technician's license under section 146B.03.9.16    Sec. 5. [146B.05] GROUNDS FOR DENIAL OF AN ESTABLISHMENT 9.17LICENSE OR EMERGENCY CLOSURE.9.18    Subdivision 1.General.If any of the following conditions exist, the owner or 9.19operator of a licensed establishment may be ordered by the commissioner to discontinue 9.20all operations of a licensed body art establishment or the commissioner may refuse to 9.21grant or renew, suspend, or revoke licensure:9.22(1) evidence of a sewage backup in an area of the body art establishment where 9.23body art activities are conducted;9.24(2) lack of potable, plumbed, or hot or cold water to the extent that handwashing or 9.25toilet facilities are not operational;9.26(3) lack of electricity or gas service to the extent that handwashing, lighting, or 9.27toilet facilities are not operational;9.28(4) significant damage to the body art establishment due to tornado, fire, flood, 9.29or another disaster;9.30(5) evidence of an infestation of rodents or other vermin;9.31(6) evidence of any individual performing a body art procedure without a license as 9.32required under this chapter;9.33(7) evidence of existence of a public health nuisance;9.34(8) use of instruments or jewelry that are not sterile;9.35(9) failure to maintain required records;10.1(10) failure to use gloves as required;10.2(11) failure to properly dispose of sharps, blood or body fluids, or items contaminated 10.3by blood or body fluids;10.4(12) failure to properly report complaints of potential bloodborne pathogen 10.5transmission to the commissioner; or10.6(13) evidence of a positive spore test on the sterilizer if there is no other working 10.7sterilizer with a negative spore test in the establishment.10.8    Subd. 2.Licensure or reopening requirements.Prior to license approval or 10.9renewal or the reopening of the establishment, the establishment shall submit to the 10.10commissioner satisfactory proof that the problem condition causing the need for the 10.11licensure action or emergency closure has been corrected or removed by the operator of 10.12the establishment. A body art establishment may not reopen without the written approval 10.13of the commissioner and a valid establishment license.10.14    Sec. 6. [146B.06] HEALTH AND SAFETY STANDARDS.10.15    Subdivision 1.Establishment standards.(a) The body art establishment must 10.16meet the health and safety standards in this subdivision before a licensed technician may 10.17conduct body art procedures at the establishment.10.18(b) The procedure area must be separated from any other area that may cause 10.19potential contamination of work surfaces.10.20(c) For clients requesting privacy, at a minimum, a divider, curtain, or partition must 10.21be provided to separate multiple procedure areas.10.22(d) All procedure surfaces must be smooth, nonabsorbent, and easily cleanable.10.23(e) The establishment must have an accessible hand sink equipped with:10.24(1) liquid hand soap;10.25(2) single-use paper towels or a mechanical hand drier or blower; and10.26(3) a nonporous washable garbage receptacle with a foot-operated lid or with no 10.27lid and a removable liner.10.28(f) All ceilings in the body art establishment must be in good condition.10.29(g) All walls and floors must be free of open holes or cracks and be washable and no 10.30carpeting may be in areas used for body art procedures.10.31(h) All facilities within the establishment must be maintained in a clean and sanitary 10.32condition and in good working order.10.33    (i) No animals may be present during a body art procedure, unless the animal is a 10.34service animal.11.1    Subd. 2.Standards for equipment, instruments, and supplies.(a) Equipment, 11.2instruments, and supplies must comply with the health and safety standards in this 11.3subdivision before a licensed technician may conduct body art procedures.11.4(b) Jewelry used as part of a body art procedure must be made of surgical 11.5implant-grade stainless steel, solid 14-karat or 18-karat white or yellow gold, niobium, 11.6titanium, or platinum, or a dense low-porosity plastic. Use of jewelry that is constructed 11.7of wood, bone, or other porous material is prohibited.11.8(c) Jewelry used as part of a body art procedure must be free of nicks, scratches, or 11.9irregular surfaces and must be properly sterilized before use.11.10(d) Reusable instruments must be thoroughly washed to remove all organic matter, 11.11rinsed, and sterilized before and after use.11.12(e) Needles must be single-use needles and sterilized before use.11.13(f) Sterilization must be conducted using steam heat or chemical vapor.11.14(g) All sterilization units must be operated according to the manufacturer's 11.15specifications.11.16(h) At least once a month, but not to exceed 30 days between tests, a spore test must 11.17be conducted on each sterilizer used to ensure proper functioning. If a positive spore test 11.18result is received, the sterilizer at issue may not be used until a negative result is obtained.11.19(i) All inks and other pigments used in a body art procedure must be specifically 11.20manufactured for tattoo procedures.11.21(j) Immediately before applying a tattoo, the ink needed must be transferred from the 11.22ink bottle and placed into single-use paper or plastic cups. Upon completion of the tattoo, 11.23the single-use cups and their contents must be discarded.11.24(k) All tables, chairs, furniture, or other procedure surfaces that may be exposed 11.25to blood or body fluids during the body art procedure must be cleanable and must be 11.26sanitized after each client with a liquid chemical germicide.11.27(l) Single-use towels or wipes must be provided to the client. These towels must 11.28be dispensed in a manner that precludes contamination and disposed of in a nonporous 11.29washable garbage receptacle with a foot-operated lid or with no lid and a removal liner.11.30(m) All bandages and surgical dressings used must be sterile or bulk-packaged clean 11.31and stored in a clean, closed nonporous container.11.32(n) All equipment and instruments must be maintained in good working order and in 11.33a clean and sanitary condition.11.34(o) All instruments and supplies must be stored clean and dry in covered containers.11.35(p) Single-use disposable barriers or a chemical germicide must be used on all 11.36equipment that cannot be sterilized as part of the procedure as required under this section 12.1including, but not limited to, spray bottles, procedure light fixture handles, and tattoo 12.2machines.12.3    Subd. 3.Standards for body art procedures.(a) All body art procedures must 12.4comply with the health and safety standards in this subdivision.12.5(b) The skin area subject to a body art procedure must be thoroughly cleaned 12.6with soap and water, rinsed thoroughly, and swabbed with an antiseptic solution. Only 12.7single-use towels or wipes may be used to clean the skin.12.8(c) Whenever it is necessary to shave the skin, a new disposable razor or a stainless 12.9steel straight edge must be used. The disposable razor must be discarded after use. The 12.10stainless steel straight edge must be thoroughly washed to remove all organic matter 12.11and sterilized before use on another client.12.12(d) No body art procedure may be performed on any area of the skin where there is 12.13an evident infection, irritation, or open wound.12.14(e) Single-use nonabsorbent gloves of adequate size and quality to preserve dexterity 12.15must be used for touching clients, for handling sterile instruments, or for handling blood 12.16or body fluids. Nonlatex gloves must be used with clients or employees who request 12.17them or when petroleum products are used. Gloves must be changed if a glove becomes 12.18damaged or comes in contact with any nonclean surface or objects or with a third person. 12.19At a minimum, gloves must be discarded after the completion of a procedure on a client. 12.20Upon leaving the procedure area, hands and wrists must be washed before putting on a 12.21clean pair of gloves and after removing a pair of gloves.12.22    Subd. 4.Standards for technicians.(a) Technicians must comply with the health 12.23and safety standards in this subdivision.12.24(b) Technicians must scrub their hands and wrists thoroughly before and after 12.25performing a body art procedure, after contact with the client receiving the procedure, 12.26and after contact with potentially contaminated materials.12.27(c) A technician may not smoke, eat, or drink while performing body art procedures.12.28(d) A technician may not perform a body art procedure if the technician has any open 12.29sores visible or in a location that may come in contact with the client.12.30    Subd. 5.Contamination standards.(a) Infectious waste and sharps must be 12.31managed according to sections 116.76 to 116.83 and must be disposed of by an approved 12.32infectious waste hauler at a site permitted to accept the waste, according to Minnesota 12.33Rules, parts 7035.9100 to 7035.9150. Sharps ready for disposal must be disposed of 12.34in an approved sharps container.13.1(b) Contaminated waste that may release liquid blood or body fluids when 13.2compressed or that may release dried blood or body fluids when handled must be placed in 13.3an approved red bag that is marked with the international biohazard symbol.13.4(c) Contaminated waste that does not release liquid blood or body fluids when 13.5compressed or handled may be placed in a covered receptacle and disposed of through 13.6normal approved disposal methods.13.7(d) Storage of contaminated waste onsite must not exceed the period specified by 13.8Code of Federal Regulations, title 29, section 1910.1030.13.9    Sec. 7. [146B.07] PROFESSIONAL STANDARDS.13.10    Subdivision 1.Standard practice.(a) A technician shall require proof of age 13.11before performing any body art procedure on a client. Proof of age must be established 13.12by one of the following methods:13.13(1) a valid driver's license or identification card issued by the state of Minnesota or 13.14another state that includes a photograph and date of birth of the individual; 13.15(2) a valid military identification card issued by the United States Department of 13.16Defense; 13.17(3) a valid passport;13.18(4) a resident alien card; or13.19(5) a tribal identification card.13.20(b) Before performing any body art procedure, the technician must provide the client 13.21with a disclosure and authorization form that indicates whether the client has:13.22(1) diabetes; 13.23(2) a history of hemophilia; 13.24(3) a history of skin diseases, skin lesions, or skin sensitivities to soap or 13.25disinfectants; 13.26(4) a history of epilepsy, seizures, fainting, or narcolepsy;13.27(5) any condition that requires the client to take medications such as anticoagulants 13.28that thin the blood or interfere with blood clotting; or 13.29(6) any other information that would aid the technician in the body art procedure 13.30process evaluation.13.31    (c) The technician shall ask the client to sign and date the disclosure and 13.32authorization form confirming that the information listed on the form is accurate.13.33(d) Before performing any body art procedure, the technician shall offer and make 13.34available to the client personal draping, as appropriate.14.1    Subd. 1a.Prohibition.(a) A technician may perform body piercings on an 14.2individual under the age of 18 if the individual's parent or legal guardian is present and 14.3a consent form and the authorization form under subdivision 1, paragraph (b) is signed 14.4by the parent or legal guardian in the presence of the technician, and the piercing is not 14.5prohibited under paragraph (c).14.6    (b) No technician shall tattoo any individual under the age of 18 regardless of 14.7parental or guardian consent.14.8    (c) No nipple or genital piercing, branding, scarification, suspension, subdermal 14.9implantation, microdermal, or tongue bifurcation shall be performed by any technician on 14.10any individual under the age of 18 regardless of parental or guardian consent.14.11    (d) No technician shall perform body art procedures on any individual who appears 14.12to be under the influence of alcohol, controlled substances as defined in section 152.01, 14.13subdivision 4, or hazardous substances as defined in rules adopted under chapter 182.14.14    (e) No technician shall perform body art procedures while under the influence of 14.15alcohol, controlled substances as defined under section 152.01, subdivision 4, or hazardous 14.16substances as defined in the rules adopted under chapter 182.14.17    (f) No technician shall administer anesthetic injections or other medications. 14.18    Subd. 2.Informed consent.Before performing a body art procedure, the technician 14.19shall obtain from the client a signed and dated informed consent form. The consent form 14.20must disclose:14.21(1) that a tattoo is considered permanent and may only be removed with a surgical 14.22procedure and that any effective removal may leave scarring; or14.23(2) that body piercing may leave scarring.14.24    Subd. 3.Client record maintenance.For each client, the body art establishment 14.25operator shall maintain proper records of each procedure. The records of the procedure 14.26must be kept for three years and must be available for inspection by the commissioner 14.27upon request. The record must include the following:14.28(1) the date of the procedure;14.29(2) the information on the required picture identification showing the name, age, 14.30and current address of the client; 14.31(3) a copy of the authorization form signed and dated by the client required under 14.32subdivision 1, paragraph (b);14.33(4) a description of the body art procedure performed;14.34(5) the name and license number of the technician performing the procedure; 14.35(6) a copy of the consent form required under subdivision 2; and 15.1(7) if the client is under the age of 18 years, a copy of the consent form signed by the 15.2parent or legal guardian as required under subdivision 1a.15.3    Subd. 4.Aftercare.A technician shall provide each client with verbal and 15.4written instructions for the care of the tattooed or pierced site upon the completion of 15.5the procedure. The written instructions must advise the client to consult a health care 15.6professional at the first sign of infection. 15.7    Subd. 5.State, county, and municipal public health regulations.An operator 15.8and technician shall comply with all applicable state, county, and municipal requirements 15.9regarding public health.15.10    Subd. 6.Notification.The operator of the body art establishment shall immediately 15.11notify the commissioner and local health authority of any reports they receive of a 15.12potential bloodborne pathogen transmission.15.13    Sec. 8. [146B.08] INVESTIGATION PROCESS AND GROUNDS FOR 15.14DISCIPLINARY ACTION.15.15    Subdivision 1.Investigations of complaints.The commissioner may initiate an 15.16investigation upon receiving a signed complaint or other signed written communication 15.17that alleges or implies that an individual or establishment has violated this chapter. 15.18According to section 214.13, subdivision 6, in the receipt, investigation, and hearing of a 15.19complaint that alleges or implies an individual or establishment has violated this chapter, 15.20the commissioner shall follow the procedures in section 214.10.15.21    Subd. 2.Rights of applicants and licensees.The rights of an applicant denied 15.22licensure are stated in section 146B.03, subdivision 5. A licensee may not be subjected to 15.23disciplinary action under this section without first having an opportunity for a contested 15.24case hearing under chapter 14.15.25    Subd. 3.Grounds for disciplinary action by commissioner.The commissioner 15.26may take any of the disciplinary actions listed in subdivision 4 on proof that a technician 15.27or an operator of an establishment has:15.28(1) intentionally submitted false or misleading information to the commissioner;15.29(2) failed, within 30 days, to provide information in response to a written request by 15.30the commissioner;15.31(3) violated any provision of this chapter;15.32(4) failed to perform services with reasonable judgment, skill, or safety due to the 15.33use of alcohol or drugs, or other physical or mental impairment;15.34(5) aided or abetted another person in violating any provision of this chapter;16.1(6) been or is being disciplined by another jurisdiction, if any of the grounds for the 16.2discipline are the same or substantially equivalent to those under this chapter; 16.3(7) not cooperated with the commissioner in an investigation conducted according to 16.4subdivision 1;16.5(8) advertised in a manner that is false or misleading;16.6(9) engaged in conduct likely to deceive, defraud, or harm the public; 16.7(10) demonstrated a willful or careless disregard for the health, welfare, or safety 16.8of a client;16.9(11) obtained money, property, or services from a client through the use of undue 16.10influence, harassment, duress, deception, or fraud;16.11(12) failed to refer a client to a health care professional for medical evaluation or 16.12care when appropriate; or16.13(13) been convicted of a felony-level criminal sexual conduct offense. "Conviction" 16.14means a plea of guilty, a verdict of guilty by a jury, or a finding of guilty by a court.16.15    Subd. 4.Disciplinary actions.If the commissioner finds that a technician or 16.16an operator of an establishment should be disciplined according to subdivision 3, the 16.17commissioner may take any one or more of the following actions:16.18(1) refuse to grant or renew licensure;16.19(2) suspend licensure for a period not exceeding one year;16.20(3) revoke licensure;16.21(4) take any reasonable lesser action against an individual upon proof that the 16.22individual has violated this chapter; or16.23(5) impose, for each violation, a civil penalty not exceeding $10,000 that deprives 16.24the licensee of any economic advantage gained by the violation and that reimburses the 16.25department for costs of the investigation and proceedings resulting in disciplinary action, 16.26including the amount paid for services of the Office of Administrative Hearings, the 16.27amount paid for services of the Office of the Attorney General, attorney fees, court 16.28reporters, witnesses, reproduction of records, department staff time, and expenses incurred 16.29by department staff.16.30    Subd. 5.Consequences of disciplinary actions.Upon the suspension or revocation 16.31of licensure, the technician or establishment shall cease to:16.32(1) perform body art procedures;16.33(2) use titles protected under this chapter; and16.34(3) represent to the public that the technician or establishment is licensed by the 16.35commissioner.17.1    Subd. 6.Reinstatement requirements after disciplinary action.A technician 17.2who has had licensure suspended may petition on forms provided by the commissioner 17.3for reinstatement following the period of suspension specified by the commissioner. The 17.4requirements of section 146B.03 for renewing licensure must be met before licensure 17.5may be reinstated. 17.6    Sec. 9. [146B.09] COUNTY OR MUNICIPAL REGULATION.17.7Nothing in this chapter preempts or supersedes any county or municipal ordinance 17.8relating to land use, building and construction requirements, nuisance control, or the 17.9licensing of commercial enterprises in general. 17.10    Sec. 10. [146B.10] FEES.17.11    Subdivision 1.Biennial licensing fees.(a) The fee for the initial technician 17.12licensure and biennial licensure renewal is $100.17.13(b) The fee for temporary technician licensure is $100.17.14(c) The fee for the temporary guest artist license is $50.17.15    (d) The fee for a dual body art technician license is $100.17.16(e) The fee for a provisional establishment license is $1,000.17.17(f) The fee for an establishment license is $1,000.17.18(g) The fee for a temporary body art establishment permit is $75.17.19    (h) The commissioner shall prorate the initial two-year technician license fee and the 17.20initial three-year body art establishment license fee based on the number of months in the 17.21initial licensure period.17.22    Subd. 2.Penalty for late renewals.The penalty fee for late submission for renewal 17.23applications is $75.17.24    Subd. 3.Deposit.Fees collected by the commissioner under this section must be 17.25deposited in the state government special revenue fund.17.26    Sec. 11. APPROPRIATIONS.17.27    $190,000 is appropriated in fiscal year 2011 from the state government special 17.28revenue fund to the commissioner of health for the implementation of Minnesota Statutes, 17.29chapter 146B. Base funding shall be $101,000 in fiscal year 2012 and $65,000 in fiscal 17.30year 2013.17.31    Sec. 12. EFFECTIVE DATE.17.32Sections 1 to 11 are effective July 1, 2010.