1.1 	A bill for an act
1.2 	relating to human services; modifying provisions related to licensing data, human 
1.3 	services licensing, child care programs, financial fraud and abuse investigations, 
1.4 	and vendors of chemical dependency treatment services; modifying background 
1.5 	studies; establishing a foreign trained physician task force;amending Minnesota 
1.6 	Statutes 2012, sections 13.46, subdivisions 3, 4; 119B.125, subdivision 1b; 
1.7 	168.012, subdivision 1; 245A.02, subdivision 5a; 245A.04, subdivisions 1, 5, 
1.8 	11; 245A.07, subdivision 2, by adding a subdivision; 245A.08, subdivision 5a; 
1.9 	245A.146, subdivisions 3, 4; 245A.65, subdivision 1; 245A.66, subdivision 
1.10 	1; 245C.04, as amended; 245C.05, subdivision 6; 245C.16, subdivision 1; 
1.11 	245C.20, subdivision 1; 245C.22, subdivision 1; 245C.23, subdivision 2; 
1.12 	245C.28, subdivisions 1, 3; 245C.29, subdivision 2; 254B.05, subdivision 5; 
1.13 	256.01, subdivision 18d; 471.346; Minnesota Statutes 2013 Supplement, sections 
1.14 	245A.07, subdivision 2a; 245A.08, subdivision 2a; 245A.50, subdivision 
1.15 	4; 245C.08, subdivision 1; 256.045, subdivision 3b; 268.19, subdivision 1; 
1.16 	proposing coding for new law in Minnesota Statutes, chapter 245A.
1.17 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.18 	ARTICLE 1
1.19 	DATA PRACTICES

1.20 	Section 1. Minnesota Statutes 2012, section 13.46, subdivision 3, is amended to read:
1.21 		Subd. 3.Investigative data. (a) Data on persons, including data on vendors of 
1.22 	services, licensees, and applicants that is collected, maintained, used, or disseminated 
1.23 	by the welfare system in an investigation, authorized by statute, and relating to the 
1.24 	enforcement of rules or law are confidential data on individuals pursuant to section 13.02, 
1.25 	subdivision 3, or protected nonpublic data not on individuals pursuant to section 13.02, 
1.26 	subdivision 13, and shall not be disclosed except:
1.27 	(1) pursuant to section 13.05;
1.28 	(2) pursuant to statute or valid court order;
2.1 	(3) to a party named in a civil or criminal proceeding, administrative or judicial, for 
2.2 	preparation of defense; or
2.3 	(4) to provide notices required or permitted by statute.
2.4 	The data referred to in this subdivision shall be classified as public data upon 
2.5 	submission to an administrative law judge or court in an administrative or judicial 
2.6 	proceeding. Inactive welfare investigative data shall be treated as provided in section 
2.7 	13.39, subdivision 3.
2.8 	(b) Notwithstanding any other provision in law, the commissioner of human services 
2.9 	shall provide all active and inactive investigative data, including the name of the reporter 
2.10 	of alleged maltreatment under section 626.556 or 626.557, to the ombudsman for mental 
2.11 	health and developmental disabilities upon the request of the ombudsman.
2.12 	(c) Notwithstanding paragraph (a) and section 13.39, the existence of an 
2.13 	investigation by the commissioner of possible overpayments of public funds to a service 
2.14 	provider is public data during an investigation or recipient may be disclosed if the 
2.15 	commissioner determines that it will not compromise the investigation.

2.16 	Sec. 2. Minnesota Statutes 2012, section 13.46, subdivision 4, is amended to read:
2.17 		Subd. 4.Licensing data. (a) As used in this subdivision:
2.18 	(1) "licensing data" are all data collected, maintained, used, or disseminated by the 
2.19 	welfare system pertaining to persons licensed or registered or who apply for licensure 
2.20 	or registration or who formerly were licensed or registered under the authority of the 
2.21 	commissioner of human services;
2.22 	(2) "client" means a person who is receiving services from a licensee or from an 
2.23 	applicant for licensure; and
2.24 	(3) "personal and personal financial data" are Social Security numbers, identity 
2.25 	of and letters of reference, insurance information, reports from the Bureau of Criminal 
2.26 	Apprehension, health examination reports, and social/home studies.
2.27 	(b)(1)(i) Except as provided in paragraph (c), the following data on applicants, 
2.28 	license holders, and former licensees are public: name, address, telephone number of 
2.29 	licensees, date of receipt of a completed application, dates of licensure, licensed capacity, 
2.30 	type of client preferred, variances granted, record of training and education in child care 
2.31 	and child development, type of dwelling, name and relationship of other family members, 
2.32 	previous license history, class of license, the existence and status of complaints, and the 
2.33 	number of serious injuries to or deaths of individuals in the licensed program as reported 
2.34 	to the commissioner of human services, the local social services agency, or any other 
3.1 	county welfare agency. For purposes of this clause, a serious injury is one that is treated 
3.2 	by a physician.
3.3 	(ii) When a correction order, an order to forfeit a fine, an order of license suspension, 
3.4 	an order of temporary immediate suspension, an order of license revocation, an order of 
3.5 	license denial, or an order of conditional license has been issued, or a complaint is resolved, 
3.6 	the following data on current and former licensees and applicants are public: the general 
3.7 	nature of the complaint or allegations leading to the temporary immediate suspension; the 
3.8 	substance and investigative findings of the licensing or maltreatment complaint, licensing 
3.9 	violation, or substantiated maltreatment; the existence of settlement negotiations; the 
3.10 	record of informal resolution of a licensing violation; orders of hearing; findings of fact; 
3.11 	conclusions of law; specifications of the final correction order, fine, suspension, temporary 
3.12 	immediate suspension, revocation, denial, or conditional license contained in the record of 
3.13 	licensing action; whether a fine has been paid; and the status of any appeal of these actions.
3.14 	(iii) When a license denial under section 245A.05 or a sanction under section 
3.15 	245A.07 is based on a determination that the a license holder or, applicant, or controlling 
3.16 	individual is responsible for maltreatment under section 626.556 or 626.557, the identity 
3.17 	of the applicant or, license holder, or controlling individual as the individual responsible 
3.18 	for maltreatment is public data at the time of the issuance of the license denial or sanction.
3.19 	(iv) When a license denial under section 245A.05 or a sanction under section 
3.20 	245A.07 is based on a determination that the a license holder or, applicant, or controlling 
3.21 	individual is disqualified under chapter 245C, the identity of the license holder or,
3.22 	 applicant, or controlling individual as the disqualified individual and the reason for 
3.23 	the disqualification are public data at the time of the issuance of the licensing sanction 
3.24 	or denial. If the applicant or, license holder, or controlling individual requests 
3.25 	reconsideration of the disqualification and the disqualification is affirmed, the reason for 
3.26 	the disqualification and the reason to not set aside the disqualification are public data.
3.27 	(2) Notwithstanding sections 626.556, subdivision 11, and 626.557, subdivision 12b, 
3.28 	when any person subject to disqualification under section 245C.14 in connection with a 
3.29 	license to provide family day care for children, child care center services, foster care for 
3.30 	children in the provider's home, or foster care or day care services for adults in the provider's 
3.31 	home is a substantiated perpetrator of maltreatment, and the substantiated maltreatment is 
3.32 	a reason for a licensing action, the identity of the substantiated perpetrator of maltreatment 
3.33 	is public data. For purposes of this clause, a person is a substantiated perpetrator if the 
3.34 	maltreatment determination has been upheld under section 256.045; 626.556, subdivision 
3.35 	10i; 626.557, subdivision 9d; or chapter 14, or if an individual or facility has not timely 
3.36 	exercised appeal rights under these sections, except as provided under clause (1).
4.1 	(3) For applicants who withdraw their application prior to licensure or denial of a 
4.2 	license, the following data are public: the name of the applicant, the city and county in 
4.3 	which the applicant was seeking licensure, the dates of the commissioner's receipt of the 
4.4 	initial application and completed application, the type of license sought, and the date 
4.5 	of withdrawal of the application.
4.6 	(4) For applicants who are denied a license, the following data are public: the 
4.7 	name and address of the applicant, the city and county in which the applicant was 
4.8 	seeking licensure, the dates of the commissioner's receipt of the initial application and 
4.9 	completed application, the type of license sought, the date of denial of the application, the 
4.10 	nature of the basis for the denial, the existence of settlement negotiations, the record of 
4.11 	informal resolution of a denial, orders of hearings, findings of fact, conclusions of law, 
4.12 	specifications of the final order of denial, and the status of any appeal of the denial.
4.13 	(5) The following data on persons subject to disqualification under section 245C.14 in 
4.14 	connection with a license to provide family day care for children, child care center services, 
4.15 	foster care for children in the provider's home, or foster care or day care services for adults 
4.16 	in the provider's home, are public: the nature of any disqualification set aside under section 
4.17 	245C.22, subdivisions 2 and 4, and the reasons for setting aside the disqualification; the 
4.18 	nature of any disqualification for which a variance was granted under sections 245A.04, 
4.19 	subdivision 9; and 245C.30, and the reasons for granting any variance under section 
4.20 	245A.04, subdivision 9; and, if applicable, the disclosure that any person subject to 
4.21 	a background study under section 245C.03, subdivision 1, has successfully passed a 
4.22 	background study. If a licensing sanction under section 245A.07, or a license denial under 
4.23 	section 245A.05, is based on a determination that an individual subject to disqualification 
4.24 	under chapter 245C is disqualified, the disqualification as a basis for the licensing sanction 
4.25 	or denial is public data. As specified in clause (1), item (iv), if the disqualified individual 
4.26 	is the license holder or, applicant, or controlling individual, the identity of the license 
4.27 	holder or, applicant, or controlling individual and the reason for the disqualification are 
4.28 	public data; and, if the license holder or, applicant, or controlling individual requested 
4.29 	reconsideration of the disqualification and the disqualification is affirmed, the reason for 
4.30 	the disqualification and the reason to not set aside the disqualification are public data. If 
4.31 	the disqualified individual is an individual other than the license holder or, applicant, or 
4.32 	controlling individual, the identity of the disqualified individual shall remain private data.
4.33 	(6) When maltreatment is substantiated under section 626.556 or 626.557 and the 
4.34 	victim and the substantiated perpetrator are affiliated with a program licensed under 
4.35 	chapter 245A, the commissioner of human services, local social services agency, or 
5.1 	county welfare agency may inform the license holder where the maltreatment occurred of 
5.2 	the identity of the substantiated perpetrator and the victim.
5.3 	(7) Notwithstanding clause (1), for child foster care, only the name of the license 
5.4 	holder and the status of the license are public if the county attorney has requested that data 
5.5 	otherwise classified as public data under clause (1) be considered private data based on the 
5.6 	best interests of a child in placement in a licensed program.
5.7 	(c) The following are private data on individuals under section 13.02, subdivision 
5.8 	12, or nonpublic data under section 13.02, subdivision 9: personal and personal financial 
5.9 	data on family day care program and family foster care program applicants and licensees 
5.10 	and their family members who provide services under the license.
5.11 	(d) The following are private data on individuals: the identity of persons who have 
5.12 	made reports concerning licensees or applicants that appear in inactive investigative data, 
5.13 	and the records of clients or employees of the licensee or applicant for licensure whose 
5.14 	records are received by the licensing agency for purposes of review or in anticipation of a 
5.15 	contested matter. The names of reporters of complaints or alleged violations of licensing 
5.16 	standards under chapters 245A, 245B, 245C, and applicable rules and alleged maltreatment 
5.17 	under sections 626.556 and 626.557, are confidential data and may be disclosed only as 
5.18 	provided in section 626.556, subdivision 11, or 626.557, subdivision 12b.
5.19 	(e) Data classified as private, confidential, nonpublic, or protected nonpublic under 
5.20 	this subdivision become public data if submitted to a court or administrative law judge as 
5.21 	part of a disciplinary proceeding in which there is a public hearing concerning a license 
5.22 	which has been suspended, immediately suspended, revoked, or denied.
5.23 	(f) Data generated in the course of licensing investigations that relate to an alleged 
5.24 	violation of law are investigative data under subdivision 3.
5.25 	(g) Data that are not public data collected, maintained, used, or disseminated under 
5.26 	this subdivision that relate to or are derived from a report as defined in section 626.556, 
5.27 	subdivision 2, or 626.5572, subdivision 18, are subject to the destruction provisions of 
5.28 	sections 626.556, subdivision 11c, and 626.557, subdivision 12b.
5.29 	(h) Upon request, not public data collected, maintained, used, or disseminated under 
5.30 	this subdivision that relate to or are derived from a report of substantiated maltreatment as 
5.31 	defined in section 626.556 or 626.557 may be exchanged with the Department of Health 
5.32 	for purposes of completing background studies pursuant to section 144.057 and with 
5.33 	the Department of Corrections for purposes of completing background studies pursuant 
5.34 	to section 241.021.
5.35 	(i) Data on individuals collected according to licensing activities under chapters 
5.36 	245A and 245C, data on individuals collected by the commissioner of human services 
6.1 	according to investigations under chapters 245A, 245B, and 245C, and sections 626.556
6.2 	and 626.557 may be shared with the Department of Human Rights, the Department 
6.3 	of Health, the Department of Corrections, the ombudsman for mental health and 
6.4 	developmental disabilities, and the individual's professional regulatory board when there 
6.5 	is reason to believe that laws or standards under the jurisdiction of those agencies may 
6.6 	have been violated or the information may otherwise be relevant to the board's regulatory 
6.7 	jurisdiction. Background study data on an individual who is the subject of a background 
6.8 	study under chapter 245C for a licensed service for which the commissioner of human 
6.9 	services is the license holder may be shared with the commissioner and the commissioner's 
6.10 	delegate by the licensing division. Unless otherwise specified in this chapter, the identity 
6.11 	of a reporter of alleged maltreatment or licensing violations may not be disclosed.
6.12 	(j) In addition to the notice of determinations required under section 626.556, 
6.13 	subdivision 10f, if the commissioner or the local social services agency has determined 
6.14 	that an individual is a substantiated perpetrator of maltreatment of a child based on sexual 
6.15 	abuse, as defined in section 626.556, subdivision 2, and the commissioner or local social 
6.16 	services agency knows that the individual is a person responsible for a child's care in 
6.17 	another facility, the commissioner or local social services agency shall notify the head 
6.18 	of that facility of this determination. The notification must include an explanation of the 
6.19 	individual's available appeal rights and the status of any appeal. If a notice is given under 
6.20 	this paragraph, the government entity making the notification shall provide a copy of the 
6.21 	notice to the individual who is the subject of the notice.
6.22 	(k) All not public data collected, maintained, used, or disseminated under this 
6.23 	subdivision and subdivision 3 may be exchanged between the Department of Human 
6.24 	Services, Licensing Division, and the Department of Corrections for purposes of 
6.25 	regulating services for which the Department of Human Services and the Department 
6.26 	of Corrections have regulatory authority.

6.27 	Sec. 3. EFFECTIVE DATE.
 6.28 	This article is effective the day following final enactment.

6.29 	ARTICLE 2
6.30 	LICENSING

6.31 	Section 1. Minnesota Statutes 2012, section 119B.125, subdivision 1b, is amended to 
6.32 	read:
6.33 		Subd. 1b.Training required. (a) Effective November 1, 2011, prior to initial 
6.34 	authorization as required in subdivision 1, a legal nonlicensed family child care provider 
7.1 	must complete first aid and CPR training and provide the verification of first aid and CPR 
7.2 	training to the county. The training documentation must have valid effective dates as of 
7.3 	the date the registration request is submitted to the county and. The training must have 
7.4 	been provided by an individual approved to provide first aid and CPR instruction and have 
7.5 	included CPR techniques for infants and children.
7.6 	(b) Legal nonlicensed family child care providers with an authorization effective 
7.7 	before November 1, 2011, must be notified of the requirements before October 1, 2011, or 
7.8 	at authorization, and must meet the requirements upon renewal of an authorization that 
7.9 	occurs on or after January 1, 2012.
7.10 	(c) Upon each reauthorization after the authorization period when the initial first aid 
7.11 	and CPR training requirements are met, a legal nonlicensed family child care provider 
7.12 	must provide verification of at least eight hours of additional training listed in the 
7.13 	Minnesota Center for Professional Development Registry.
7.14 	(d) This subdivision only applies to legal nonlicensed family child care providers.

7.15 	Sec. 2. Minnesota Statutes 2012, section 245A.02, subdivision 5a, is amended to read:
7.16 		Subd. 5a.Controlling individual.  "Controlling individual" means a public body, 
7.17 	governmental agency, business entity, officer, owner, or managerial official whose 
7.18 	responsibilities include the direction of the management or policies of a program. For 
7.19 	purposes of this subdivision, owner means an individual who has direct or indirect 
7.20 	ownership interest in a corporation, partnership, or other business association issued a 
7.21 	license under this chapter. For purposes of this subdivision, managerial official means 
7.22 	those individuals who have the decision-making authority related to the operation of 
7.23 	the program, and the responsibility for the ongoing management of or direction of the 
7.24 	policies, services, or employees of the program. A site director who has no ownership 
7.25 	interest in the program is not considered to be a managerial official for purposes of this 
7.26 	definition. Controlling individual does not include:
7.27 	(1) a bank, savings bank, trust company, savings association, credit union, industrial 
7.28 	loan and thrift company, investment banking firm, or insurance company unless the entity 
7.29 	operates a program directly or through a subsidiary;
7.30 	(2) an individual who is a state or federal official, or state or federal employee, or a 
7.31 	member or employee of the governing body of a political subdivision of the state or 
7.32 	federal government that operates one or more programs, unless the individual is also an 
7.33 	officer, owner, or managerial official of the program, receives remuneration from the 
7.34 	program, or owns any of the beneficial interests not excluded in this subdivision;
8.1 	(3) an individual who owns less than five percent of the outstanding common 
8.2 	shares of a corporation:
8.3 	(i) whose securities are exempt under section 80A.45, clause (6); or
8.4 	(ii) whose transactions are exempt under section 80A.46, clause (2); or
8.5 	(4) an individual who is a member of an organization exempt from taxation under 
8.6 	section 290.05, unless the individual is also an officer, owner, or managerial official of 
8.7 	the program or owns any of the beneficial interests not excluded in this subdivision. This 
8.8 	clause does not exclude from the definition of controlling individual an organization that 
8.9 	is exempt from taxation.

8.10 	Sec. 3. Minnesota Statutes 2012, section 245A.04, subdivision 1, is amended to read:
8.11 		Subdivision 1.Application for licensure. (a) An individual, corporation, 
8.12 	partnership, voluntary association, other organization or controlling individual that is 
8.13 	subject to licensure under section 245A.03 must apply for a license. The application 
8.14 	must be made on the forms and in the manner prescribed by the commissioner. The 
8.15 	commissioner shall provide the applicant with instruction in completing the application 
8.16 	and provide information about the rules and requirements of other state agencies that affect 
8.17 	the applicant. An applicant seeking licensure in Minnesota with headquarters outside of 
8.18 	Minnesota must have a program office located within the state.
8.19 	The commissioner shall act on the application within 90 working days after a 
8.20 	complete application and any required reports have been received from other state 
8.21 	agencies or departments, counties, municipalities, or other political subdivisions. The 
8.22 	commissioner shall not consider an application to be complete until the commissioner 
8.23 	receives all of the information required under section 245C.05.
8.24 	When the commissioner receives an application for initial licensure that is incomplete 
8.25 	because the applicant failed to submit required documents or that is substantially 
8.26 	deficient because the documents submitted do not meet licensing requirements, the 
8.27 	commissioner shall provide the applicant written notice that the application is incomplete 
8.28 	or substantially deficient. In the written notice to the applicant the commissioner shall 
8.29 	identify documents that are missing or deficient and give the applicant 45 days to resubmit 
8.30 	a second application that is substantially complete. An applicant's failure to submit a 
8.31 	substantially complete application after receiving notice from the commissioner is a basis 
8.32 	for license denial under section 245A.05.
8.33 	(b) An application for licensure must identify all controlling individuals and must 
8.34 	specify an agent who is responsible for dealing with the commissioner of human services 
8.35 	on all matters provided for in this chapter and on whom service of all notices and orders 
9.1 	must be made. The agent must be authorized to accept service on behalf of all of the 
9.2 	controlling individuals of the program. Service on the agent is service on all of the 
9.3 	controlling individuals of the program. It is not a defense to any action arising under this 
9.4 	chapter that service was not made on each controlling individual of the program. The 
9.5 	designation of one or more controlling individuals as agents under this paragraph does not 
9.6 	affect the legal responsibility of any other controlling individual under this chapter.
9.7 	(c) An applicant or license holder must have a policy that prohibits license holders, 
9.8 	employees, subcontractors, and volunteers, when directly responsible for persons served 
9.9 	by the program, from abusing prescription medication or being in any manner under 
9.10 	the influence of a chemical that impairs the individual's ability to provide services or 
9.11 	care. The license holder must train employees, subcontractors, and volunteers about the 
9.12 	program's drug and alcohol policy.
9.13 	(d) An applicant and license holder must have a program grievance procedure that 
9.14 	permits persons served by the program and their authorized representatives to bring a 
9.15 	grievance to the highest level of authority in the program.
9.16 	(e) The applicant must be able to demonstrate competent knowledge of the 
9.17 	applicable requirements of this chapter and chapter 245C, and the requirements of 
9.18 	other licensing statutes and rules applicable to the program or services for which the 
9.19 	applicant is seeking to be licensed. Effective January 1, 2013, the commissioner may 
9.20 	require the applicant, except for child foster care, to demonstrate competence in the 
9.21 	applicable licensing requirements by successfully completing a written examination. The 
9.22 	commissioner may develop a prescribed written examination format.
9.23 	(f) When an applicant is an individual, the individual must provide:
9.24 	(1) the applicant's taxpayer identification numbers including the Social Security 
9.25 	number, and federal employer identification number, if the applicant has employees;
9.26 	(2) the complete business name, if any, and if doing business under a different name, 
9.27 	the doing business as (DBA) name, as registered with the secretary of state; and
9.28 	(3) a notarized signature of the applicant.
9.29 	(g) When an applicant is a nonindividual, the applicant must provide the:
9.30 	(1) applicant's taxpayer identification numbers including the Minnesota tax 
9.31 	identification number, the and federal employer identification number;
9.32 	(2) complete business name, and if doing business under a different name, the doing 
9.33 	business as (DBA) name, as registered with the secretary of state;
9.34 	(3) first, middle, and last name, and address for all individuals who will be 
9.35 	controlling individuals, including all officers, owners, and managerial officials as defined 
10.1 	in section 245A.02, subdivision 5a, and the date that the background study was initiated 
10.2 	by the applicant for each controlling individual. The applicant must also provide the; and
10.3 	(4) first, middle, and last name, mailing address, and notarized signature of the agent 
10.4 	authorized by the applicant to accept service on behalf of the controlling individuals.
10.5 	(h) At the time of application for licensure or renewal of a license, the applicant 
10.6 	or license holder must acknowledge on the form provided by the commissioner if the 
10.7 	applicant or license holder elects to receive any public funding reimbursement from the 
10.8 	commissioner for services provided under the license that:
10.9 	(1) the applicant's or license holder's compliance with the provider enrollment 
10.10 	agreement or registration requirements for receipt of public funding may be monitored by 
10.11 	the commissioner as part of a licensing investigation or licensing inspection; and
10.12 	(2) noncompliance with the provider enrollment agreement or registration 
10.13 	requirements for receipt of public funding that is identified through a licensing 
10.14 	investigation or licensing inspection, or noncompliance with a licensing requirement that 
10.15 	is a basis of enrollment for reimbursement for a service, may result in:
10.16 	(i) a correction order or a conditional license under section 245A.06, or sanctions 
10.17 	under section 245A.07;
10.18 	(ii) nonpayment of claims submitted by the license holder for public program 
10.19 	reimbursement;
10.20 	(iii) recovery of payments made for the service;
10.21 	(iv) disenrollment in the public payment program; or
10.22 	(v) other administrative, civil, or criminal penalties as provided by law.

10.23 	Sec. 4. Minnesota Statutes 2012, section 245A.04, subdivision 5, is amended to read:
10.24 		Subd. 5.Commissioner's right of access. (a) When the commissioner is exercising 
10.25 	the powers conferred by this chapter and sections 245.69, 626.556, and 626.557, the 
10.26 	commissioner must be given access to:
10.27 	(1) the physical plant and grounds where the program is provided,;
10.28 	(2) documents and records, including records maintained in electronic format,;
10.29 	(3) persons served by the program,; and
10.30 	(4) staff and personnel records of current and former staff whenever the program is in 
10.31 	operation and the information is relevant to inspections or investigations conducted by the 
10.32 	commissioner. Upon request, the license holder must provide the commissioner verification 
10.33 	of documentation of staff work experience, training, or educational requirements.
10.34 	The commissioner must be given access without prior notice and as often as 
10.35 	the commissioner considers necessary if the commissioner is investigating alleged 
11.1 	maltreatment, conducting a licensing inspection, or investigating an alleged violation of 
11.2 	applicable laws or rules. In conducting inspections, the commissioner may request and 
11.3 	shall receive assistance from other state, county, and municipal governmental agencies and 
11.4 	departments. The applicant or license holder shall allow the commissioner to photocopy, 
11.5 	photograph, and make audio and video tape recordings during the inspection of the 
11.6 	program at the commissioner's expense. The commissioner shall obtain a court order or 
11.7 	the consent of the subject of the records or the parents or legal guardian of the subject 
11.8 	before photocopying hospital medical records.
11.9 	(b) Persons served by the program have the right to refuse to consent to be 
11.10 	interviewed, photographed, or audio or videotaped. Failure or refusal of an applicant 
11.11 	or license holder to fully comply with this subdivision is reasonable cause for the 
11.12 	commissioner to deny the application or immediately suspend or revoke the license.

11.13 	Sec. 5. Minnesota Statutes 2012, section 245A.04, subdivision 11, is amended to read:
11.14 		Subd. 11.Education program; permitted ages, additional requirement. (a) 
11.15 	Except for foster care, the commissioner of human services may not grant a license to a 
11.16 	residential facility for the placement of children before the commissioner has received 
11.17 	documentation of approval of the on-site educational program from the commissioner of 
11.18 	education according to section 125A.515.
11.19 	(b) A program licensed by the commissioner under Minnesota Rules, chapter 2960, 
11.20 	may serve persons who are over the age of 18 but under the age of 21 when the person is:
11.21 	(1) completing secondary education or a program leading to an equivalent credential;
11.22 	(2) enrolled in an institution which provides postsecondary or vocational education;
11.23 	(3) participating in a program or activity designed to promote, or remove barriers to, 
11.24 	employment;
11.25 	(4) employed for at least 80 hours per month; or
11.26 	(5) incapable of doing any of the activities described in clauses (1) to (4) due to a 
11.27 	medical condition, which incapability is supported by regularly updated information in the 
11.28 	case plan of the person.
11.29 	(c) In addition to the requirements in paragraph (b), a residential program licensed 
11.30 	by the commissioner of human services under Minnesota Rules, parts 2960.0010 to 
11.31 	2960.0710, may serve persons under the age of 21 provided the facility complies with the 
11.32 	following requirements:
11.33 	(1) for each person age 18 and older served at the program, the program must assess 
11.34 	and document the person's risk of victimizing other residents residing in the facility, and 
11.35 	based on the assessment, the facility must develop and implement necessary measures 
12.1 	to minimize any risk of harm to other residents, including making arrangements for 
12.2 	appropriate sleeping arrangements; and
12.3 	(2) the program must assure that the services and living arrangements provided to all 
12.4 	residents are suitable to the age and functioning of the residents, including separation of 
12.5 	services, staff supervision, and other program operations as appropriate.
12.6 	(d) Nothing in this subdivision precludes the license holder from seeking other 
12.7 	variances under subdivision 9.

12.8 	Sec. 6. Minnesota Statutes 2012, section 245A.07, subdivision 2, is amended to read:
12.9 		Subd. 2.Temporary immediate suspension. If the license holder's actions or 
12.10 	failure to comply with applicable law or rule, or the actions of other individuals or 
12.11 	conditions in the program pose an imminent risk of harm to the health, safety, or rights 
12.12 	of persons served by the program, or if while the program continues to operate pending 
12.13 	an appeal of an order of revocation the commissioner identifies one or more subsequent 
12.14 	violations of law or rule which may adversely affect the health or safety of persons served 
12.15 	by the program, the commissioner shall act immediately to temporarily suspend the license. 
12.16 	No state funds shall be made available or be expended by any agency or department of 
12.17 	state, county, or municipal government for use by a license holder regulated under this 
12.18 	chapter while a license is under immediate suspension. A notice stating the reasons for the 
12.19 	immediate suspension and informing the license holder of the right to an expedited hearing 
12.20 	under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612, must be delivered 
12.21 	by personal service to the address shown on the application or the last known address of 
12.22 	the license holder. The license holder may appeal an order immediately suspending a 
12.23 	license. The appeal of an order immediately suspending a license must be made in writing 
12.24 	by certified mail or personal service. If mailed, the appeal must be postmarked and sent to 
12.25 	the commissioner within five calendar days after the license holder receives notice that the 
12.26 	license has been immediately suspended. If a request is made by personal service, it must 
12.27 	be received by the commissioner within five calendar days after the license holder received 
12.28 	the order. A license holder and any controlling individual shall discontinue operation of 
12.29 	the program upon receipt of the commissioner's order to immediately suspend the license.

12.30 	Sec. 7. Minnesota Statutes 2013 Supplement, section 245A.07, subdivision 2a, is 
12.31 	amended to read:
12.32 		Subd. 2a.Immediate suspension expedited hearing. (a) Within five working days 
12.33 	of receipt of the license holder's timely appeal, the commissioner shall request assignment 
12.34 	of an administrative law judge. The request must include a proposed date, time, and place 
13.1 	of a hearing. A hearing must be conducted by an administrative law judge within 30 
13.2 	calendar days of the request for assignment, unless an extension is requested by either 
13.3 	party and granted by the administrative law judge for good cause. The commissioner shall 
13.4 	issue a notice of hearing by certified mail or personal service at least ten working days 
13.5 	before the hearing. The scope of the hearing shall be limited solely to the issue of whether 
13.6 	the temporary immediate suspension should remain in effect pending the commissioner's 
13.7 	final order under section 245A.08, regarding a licensing sanction issued under subdivision 
13.8 	3 following the immediate suspension. The burden of proof in expedited hearings under 
13.9 	this subdivision shall be limited to the commissioner's demonstration that reasonable 
13.10 	cause exists to believe that the license holder's actions or failure to comply with applicable 
13.11 	law or rule poses, or if the actions of other individuals or conditions in the program 
13.12 	poses an imminent risk of harm to the health, safety, or rights of persons served by the 
13.13 	program. "Reasonable cause" means there exist specific articulable facts or circumstances 
13.14 	which provide the commissioner with a reasonable suspicion that there is an imminent 
13.15 	risk of harm to the health, safety, or rights of persons served by the program. When the 
13.16 	commissioner has determined there is reasonable cause to order the temporary immediate 
13.17 	suspension of a license based on a violation of safe sleep requirements, as defined in 
13.18 	section 245A.1435, the commissioner is not required to demonstrate that an infant died or 
13.19 	was injured as a result of the safe sleep violations.
13.20 	(b) The administrative law judge shall issue findings of fact, conclusions, and a 
13.21 	recommendation within ten working days from the date of hearing. The parties shall 
13.22 	have ten calendar days to submit exceptions to the administrative law judge's report. 
13.23 	The record shall close at the end of the ten-day period for submission of exceptions. 
13.24 	The commissioner's final order shall be issued within ten working days from the close 
13.25 	of the record. When an appeal of a temporary immediate suspension is withdrawn or 
13.26 	dismissed, the commissioner shall issue a final order affirming the temporary immediate 
13.27 	suspension within ten calendar days of the commissioner's receipt of the withdrawal or 
13.28 	dismissal. Within 90 calendar days after a final order affirming an immediate suspension, 
13.29 	the commissioner shall make a determination regarding whether a final licensing sanction 
13.30 	shall be issued under subdivision 3. The license holder shall continue to be prohibited 
13.31 	from operation of the program during this 90-day period.
13.32 	(c) When the final order under paragraph (b) affirms an immediate suspension, and a 
13.33 	final licensing sanction is issued under subdivision 3 and the license holder appeals that 
13.34 	sanction, the license holder continues to be prohibited from operation of the program 
13.35 	pending a final commissioner's order under section 245A.08, subdivision 5, regarding the 
13.36 	final licensing sanction.

14.1 	Sec. 8. Minnesota Statutes 2012, section 245A.07, is amended by adding a subdivision 
14.2 	to read:
14.3 		Subd. 7.Time frame for conducting hearing. Within 15 working days of receipt 
14.4 	of the license holder's timely appeal of a sanction under this section other than a temporary 
14.5 	immediate suspension, the commissioner shall request assignment of an administrative 
14.6 	law judge. The commissioner's request must include a proposed date, time, and place of a 
14.7 	hearing. A hearing must be conducted by an administrative law judge within 90 calendar 
14.8 	days of the request for assignment, unless an extension is requested by either party and 
14.9 	granted by the administrative law judge for good cause or for purposes of discussing 
14.10 	settlement. In no case shall one or more extensions be granted for a total of more than 90 
14.11 	calendar days unless there is a criminal or juvenile court action pending against the license 
14.12 	holder or another individual subject to a background study.

14.13 	Sec. 9. [245A.075] DISQUALIFIED INDIVIDUAL; DENIAL, CONDITIONAL 
14.14 	LICENSE, REVOCATION.
14.15 	(a) For the purpose of keeping a disqualified individual away from individuals 
14.16 	receiving services in a license holder's home, when the disqualified individual has 
14.17 	not received a set aside and a variance has not been granted under chapter 245C, the 
14.18 	commissioner may issue:
14.19 	(1) an order of denial of an application;
14.20 	(2) an order of conditional license; or
14.21 	(3) an order of revocation.
14.22 	(b) An order issued by the commissioner under this section is subject to notice and 
14.23 	appeal rights provided under this chapter as follows:
14.24 	(1) an order of denial of an application according to section 245A.05;
14.25 	(2) an order of conditional license according to section 245A.06; and
14.26 	(3) an order of revocation of a license according to section 245A.07.

14.27 	Sec. 10. Minnesota Statutes 2013 Supplement, section 245A.08, subdivision 2a, 
14.28 	is amended to read:
14.29 		Subd. 2a.Consolidated contested case hearings. (a) When a denial of a license 
14.30 	under section 245A.05 or a licensing sanction under section 245A.07, subdivision 3, is 
14.31 	based on a disqualification for which reconsideration was timely requested and which was 
14.32 	not set aside under section 245C.22, the scope of the contested case hearing shall include 
14.33 	the disqualification and the licensing sanction or denial of a license, unless otherwise 
14.34 	specified in this subdivision. When the licensing sanction or denial of a license is based on 
15.1 	a determination of maltreatment under section 626.556 or 626.557, or a disqualification 
15.2 	for serious or recurring maltreatment which was not set aside, the scope of the contested 
15.3 	case hearing shall include the maltreatment determination, disqualification, and the 
15.4 	licensing sanction or denial of a license, unless otherwise specified in this subdivision. In 
15.5 	such cases, a fair hearing under section 256.045 shall not be conducted as provided for in 
15.6 	sections 245C.27, 626.556, subdivision 10i, and 626.557, subdivision 9d.
15.7 	(b) Except for family child care and child foster care, reconsideration of a 
15.8 	maltreatment determination under sections 626.556, subdivision 10i, and 626.557, 
15.9 	subdivision 9d, and reconsideration of a disqualification under section 245C.22, shall 
15.10 	not be conducted when:
15.11 	(1) a denial of a license under section 245A.05, or a licensing sanction under section 
15.12 	245A.07, is based on a determination that the license holder is responsible for maltreatment 
15.13 	or the disqualification of a license holder is based on serious or recurring maltreatment;
15.14 	(2) the denial of a license or licensing sanction is issued at the same time as the 
15.15 	maltreatment determination or disqualification; and
15.16 	(3) the license holder appeals the maltreatment determination or disqualification, 
15.17 	and denial of a license or licensing sanction. In these cases, a fair hearing shall not be 
15.18 	conducted under sections 245C.27, 626.556, subdivision 10i, and 626.557, subdivision 
15.19 	9d. The scope of the contested case hearing must include the maltreatment determination, 
15.20 	disqualification, and denial of a license or licensing sanction.
15.21 	Notwithstanding clauses (1) to (3), if the license holder appeals the maltreatment 
15.22 	determination or disqualification, but does not appeal the denial of a license or a licensing 
15.23 	sanction, reconsideration of the maltreatment determination shall be conducted under 
15.24 	sections 626.556, subdivision 10i, and 626.557, subdivision 9d, and reconsideration of the 
15.25 	disqualification shall be conducted under section 245C.22. In such cases, a fair hearing 
15.26 	shall also be conducted as provided under sections 245C.27, 626.556, subdivision 10i, and 
15.27 	626.557, subdivision 9d.
15.28 	(c) In consolidated contested case hearings regarding sanctions issued in family 
15.29 	child care, child foster care, family adult day services, adult foster care, and community 
15.30 	residential settings, the county attorney shall defend the commissioner's orders in 
15.31 	accordance with section 245A.16, subdivision 4.
15.32 	(d) The commissioner's final order under subdivision 5 is the final agency action 
15.33 	on the issue of maltreatment and disqualification, including for purposes of subsequent 
15.34 	background studies under chapter 245C and is the only administrative appeal of the final 
15.35 	agency determination, specifically, including a challenge to the accuracy and completeness 
15.36 	of data under section 13.04.
16.1 	(e) When consolidated hearings under this subdivision involve a licensing sanction 
16.2 	based on a previous maltreatment determination for which the commissioner has issued 
16.3 	a final order in an appeal of that determination under section 256.045, or the individual 
16.4 	failed to exercise the right to appeal the previous maltreatment determination under 
16.5 	section 626.556, subdivision 10i, or 626.557, subdivision 9d, the commissioner's order is 
16.6 	conclusive on the issue of maltreatment. In such cases, the scope of the administrative 
16.7 	law judge's review shall be limited to the disqualification and the licensing sanction or 
16.8 	denial of a license. In the case of a denial of a license or a licensing sanction issued to 
16.9 	a facility based on a maltreatment determination regarding an individual who is not the 
16.10 	license holder or a household member, the scope of the administrative law judge's review 
16.11 	includes the maltreatment determination.
16.12 	(f) The hearings of all parties may be consolidated into a single contested case 
16.13 	hearing upon consent of all parties and the administrative law judge, if:
16.14 	(1) a maltreatment determination or disqualification, which was not set aside under 
16.15 	section 245C.22, is the basis for a denial of a license under section 245A.05 or a licensing 
16.16 	sanction under section 245A.07;
16.17 	(2) the disqualified subject is an individual other than the license holder and upon 
16.18 	whom a background study must be conducted under section 245C.03; and
16.19 	(3) the individual has a hearing right under section 245C.27.
16.20 	(g) When a denial of a license under section 245A.05 or a licensing sanction under 
16.21 	section 245A.07 is based on a disqualification for which reconsideration was requested 
16.22 	and was not set aside under section 245C.22, and the individual otherwise has no hearing 
16.23 	right under section 245C.27, the scope of the administrative law judge's review shall 
16.24 	include the denial or sanction and a determination whether the disqualification should 
16.25 	be set aside, unless section 245C.24 prohibits the set-aside of the disqualification. In 
16.26 	determining whether the disqualification should be set aside, the administrative law judge 
16.27 	shall consider the factors under section 245C.22, subdivision 4, to determine whether the 
16.28 	individual poses a risk of harm to any person receiving services from the license holder.
16.29 	(h) Notwithstanding section 245C.30, subdivision 5, when a licensing sanction 
16.30 	under section 245A.07 is based on the termination of a variance under section 245C.30, 
16.31 	subdivision 4, the scope of the administrative law judge's review shall include the sanction 
16.32 	and a determination whether the disqualification should be set aside, unless section 
16.33 	245C.24 prohibits the set-aside of the disqualification. In determining whether the 
16.34 	disqualification should be set aside, the administrative law judge shall consider the factors 
16.35 	under section 245C.22, subdivision 4, to determine whether the individual poses a risk of 
16.36 	harm to any person receiving services from the license holder.

17.1 	Sec. 11. Minnesota Statutes 2012, section 245A.08, subdivision 5a, is amended to read:
17.2 		Subd. 5a.Granting subsequent license. (a) A license holder and each controlling 
17.3 	individual of a license holder whose license has been revoked because of noncompliance 
17.4 	with applicable law or rule must not be granted a license for five years following the 
17.5 	revocation. Notwithstanding the five-year restriction, when a license is revoked because a 
17.6 	person, other than the license holder, resides in the home where services are provided and 
17.7 	that person has a disqualification that is not set aside and no variance has been granted, 
17.8 	the former license holder may reapply for a license when:
17.9 	(1) the person with a disqualification, who is not a minor child, is no longer residing 
17.10 	in the home and is prohibited from residing in or returning to the home; or
17.11 	(2) the person with the disqualification is a minor child, the restriction applies until 
17.12 	the minor child becomes an adult and permanently moves away from the home or five 
17.13 	years, whichever is less.
17.14 	(b) An applicant or controlling individual whose application was denied must not 
17.15 	be granted a license for two years following a denial, unless the applicant's subsequent 
17.16 	application contains new information which constitutes a substantial change in the 
17.17 	conditions that caused the previous denial. The addition of a new co-applicant in a 
17.18 	subsequent application does not constitute a substantial change. If an applicant or 
17.19 	controlling individual whose application was denied is affiliated with a subsequent 
17.20 	application, and two years have not passed since the denial, the subsequent application 
17.21 	must be denied.

17.22 	Sec. 12. Minnesota Statutes 2012, section 245A.146, subdivision 3, is amended to read:
17.23 		Subd. 3.License holder documentation of cribs. (a) Annually, from the date 
17.24 	printed on the license, all license holders shall check all their cribs' brand names and 
17.25 	model numbers against the United States Consumer Product Safety Commission Web 
17.26 	site listing of unsafe cribs.
17.27 	(b) The license holder shall maintain written documentation to be reviewed on site 
17.28 	for each crib showing that the review required in paragraph (a) has been completed, and 
17.29 	which of the following conditions applies:
17.30 	(1) the crib was not identified as unsafe on the United States Consumer Product 
17.31 	Safety Commission Web site;
17.32 	(2) the crib was identified as unsafe on the United States Consumer Product Safety 
17.33 	Commission Web site, but the license holder has taken the action directed by the United 
17.34 	States Consumer Product Safety Commission to make the crib safe; or
18.1 	(3) the crib was identified as unsafe on the United States Consumer Product Safety 
18.2 	Commission Web site, and the license holder has removed the crib so that it is no longer 
18.3 	used by or accessible to children in care.
18.4 	(c) Documentation of the review completed under this subdivision shall be 
18.5 	maintained by the license holder on site and made available to parents or guardians of 
18.6 	children in care and the commissioner.
18.7 	(d) Notwithstanding Minnesota Rules, part 9502.0425, a family child care provider 
18.8 	that complies with this section may use a mesh-sided or fabric-sided play yard, pack 
18.9 	and play, or playpen or crib that has not been identified as unsafe on the United States 
18.10 	Consumer Product Safety Commission Web site for the care or sleeping of infants.
18.11 	(e) On at least a monthly basis, the family child care license holder shall perform 
18.12 	safety inspections of every mesh-sided or fabric-sided play yard, pack and play, or playpen 
18.13 	used by or that is accessible to any child in care, and must document the following:
18.14 	(1) there are no tears, holes, or loose or unraveling threads in mesh or fabric sides of 
18.15 	crib;
18.16 	(2) the weave of the mesh on the crib is no larger than 1/4 of an inch;
18.17 	(3) no mesh fabric is unsecure or unattached to top rail and floor plate of crib;
18.18 	(4) no tears or holes to top rail of crib;
18.19 	(5) the mattress floor board is not soft and does not exceed one-inch thick;
18.20 	(6) the mattress floor board has no rips or tears in covering;
18.21 	(7) the mattress floor board in use is a waterproof original mattress or replacement 
18.22 	mattress provided by the manufacturer of the crib;
18.23 	(8) there are no protruding or loose rivets, metal nuts, or bolts on the crib;
18.24 	(9) there are no knobs or wing nuts on outside crib legs;
18.25 	(10) there are no missing, loose, or exposed staples; and 
18.26 	(11) the latches on top and side rails used to collapse crib are secure, they lock 
18.27 	properly, and are not loose.

18.28 	Sec. 13. Minnesota Statutes 2012, section 245A.146, subdivision 4, is amended to read:
18.29 		Subd. 4.Crib safety standards and inspection. (a) On at least a monthly basis, 
18.30 	the license holder shall perform safety inspections of every crib or portable crib of rigid 
18.31 	construction including full size and non-full size cribs used by or that is accessible to any 
18.32 	child in care, and must document the following:
18.33 	(1) no corner posts extend more than 1/16 of an inch;
18.34 	(2) no spaces between side slats exceed 2.375 inches;
18.35 	(3) no mattress supports can be easily dislodged from any point of the crib;
19.1 	(4) no cutout designs are present on end panels;
19.2 	(5) no heights of the rail and end panel are less than 26 inches when measured from 
19.3 	the top of the rail or panel in the highest position to the top of the mattress support in 
19.4 	its lowest position;
19.5 	(6) no heights of the rail and end panel are less than nine inches when measured 
19.6 	from the top of the rail or panel in its lowest position to the top of the mattress support in 
19.7 	its highest position;
19.8 	(7) (2) no screws, bolts, or hardware are loose or not secured, and there is no use 
19.9 	of woodscrews in components that are designed to be assembled and disassembled by 
19.10 	the crib owner;
19.11 	(8) (3) no sharp edges, points, or rough surfaces are present;
19.12 	(9) (4) no wood surfaces are rough, splintered, split, or cracked; and
19.13 	(10) no tears in mesh of fabric sides in non-full-size cribs;
19.14 	(11) no mattress pads in non-full-size mesh or fabric cribs exceed one inch; and
19.15 	(12) (5) no unacceptable gaps between the mattress and any sides of the crib are 
19.16 	present as follows:
19.17 	(i) when the noncompressed mattress is centered in the non-full-size crib, at any of 
19.18 	the adjustable mattress support positions, the gap between the perimeter of the mattress 
19.19 	and the perimeter of the crib cannot be greater than one-half inch at any point. When the 
19.20 	mattress is placed against the perimeter of the crib, the resulting gap cannot be greater 
19.21 	than one inch at any point; and
19.22 	(ii) when the noncompressed mattress is centered in the full-size crib, at any of 
19.23 	the adjustable mattress support positions, the gap between the perimeter of the mattress 
19.24 	and the perimeter of the crib cannot be greater than 11/16 inch at any point. When the 
19.25 	mattress is placed against the perimeter of the crib, the resulting gap cannot be greater 
19.26 	than 1-3/8 inch at any point.
19.27 	(b) Upon discovery of any unsafe condition identified by the license holder during 
19.28 	the safety inspection required under paragraph (a) or subdivision 3, paragraph (e), the 
19.29 	license holder shall immediately remove the crib from use and ensure that the crib is not 
19.30 	accessible to children in care, and as soon as practicable, but not more than two business 
19.31 	days after the inspection, remove the crib from the area where child care services are 
19.32 	routinely provided for necessary repairs or to destroy the crib.
19.33 	(c) Documentation of the inspections and actions taken with unsafe cribs required in 
19.34 	paragraphs (a) and (b), and subdivision 3, paragraph (e), shall be maintained on site by the 
19.35 	license holder and made available to parents of children in care and the commissioner.

20.1 	Sec. 14. Minnesota Statutes 2013 Supplement, section 245A.50, subdivision 4, is 
20.2 	amended to read:
20.3 		Subd. 4.Cardiopulmonary resuscitation. (a) When children are present in a 
20.4 	family child care home governed by Minnesota Rules, parts 9502.0315 to 9502.0445, at 
20.5 	least one staff person caregiver must be present in the home who has been trained in 
20.6 	cardiopulmonary resuscitation (CPR), including CPR techniques for infants and children,
20.7 	 and in the treatment of obstructed airways that includes CPR techniques for infants and 
20.8 	children. The CPR training must have been provided by an individual approved to provide 
20.9 	CPR instruction, must be repeated at least once every two years, and must be documented 
20.10 	in the staff person's records.
20.11 	(b) A family child care provider is exempt from the CPR training requirement in 
20.12 	this subdivision related to any substitute caregiver who provides less than 30 hours of 
20.13 	care during any 12-month period.
20.14 	(c) Persons providing CPR training must use CPR training that has been developed:
20.15 	(1) by the American Heart Association or the American Red Cross and incorporates 
20.16 	psychomotor skills to support the instruction; or
20.17 	(2) using nationally recognized, evidence-based guidelines for CPR training and 
20.18 	incorporates psychomotor skills to support the instruction.

20.19 	Sec. 15. Minnesota Statutes 2012, section 245A.65, subdivision 1, is amended to read:
20.20 		Subdivision 1.License holder requirements. All license holders serving vulnerable 
20.21 	adults shall establish and enforce written policies and procedures related to suspected or 
20.22 	alleged maltreatment, and shall orient clients and mandated reporters who are under 
20.23 	the control of the license holder to these procedures, as defined in section 626.5572, 
20.24 	subdivision 16.
20.25 	(a) License holders must establish policies and procedures allowing but not 
20.26 	mandating the internal reporting of alleged or suspected maltreatment. License holders 
20.27 	shall ensure that the policies and procedures on internal reporting:
20.28 	(1) meet all the requirements identified for the optional internal reporting policies 
20.29 	and procedures in section 626.557, subdivision 4a; and
20.30 	(2) identify the primary and secondary person or position to whom internal reports 
20.31 	may be made and the primary and secondary person or position responsible for forwarding 
20.32 	internal reports to the common entry point as defined in section 626.5572, subdivision 5. 
20.33 	The secondary person must be involved when there is reason to believe that the primary 
20.34 	person was involved in the alleged or suspected maltreatment.
20.35 	(b) The license holder shall:
21.1 	(1) establish and maintain policies and procedures to ensure that an internal review 
21.2 	is completed within 30 calendar days and that corrective action is taken as necessary to 
21.3 	protect the health and safety of vulnerable adults when the facility has reason to know 
21.4 	that an internal or external report of alleged or suspected maltreatment has been made. 
21.5 	The review must include an evaluation of whether related policies and procedures were 
21.6 	followed, whether the policies and procedures were adequate, whether there is a need for 
21.7 	additional staff training, whether the reported event is similar to past events with the 
21.8 	vulnerable adults or the services involved, and whether there is a need for corrective 
21.9 	action by the license holder to protect the health and safety of vulnerable adults. Based on 
21.10 	the results of this review, the license holder must develop, document, and implement a 
21.11 	corrective action plan designed to correct current lapses and prevent future lapses in 
21.12 	performance by individuals or the license holder, if any.
21.13 	(2) identify the primary and secondary person or position who will ensure that, when 
21.14 	required, internal reviews are completed. The secondary person shall be involved when 
21.15 	there is reason to believe that the primary person was involved in the alleged or suspected 
21.16 	maltreatment; and
21.17 	(3) document and make internal reviews accessible to the commissioner immediately 
21.18 	upon the commissioner's request. For the purposes of this section, the documentation 
21.19 	provided to the commissioner by the license holder may consist of a completed checklist 
21.20 	that verifies completion of each of the requirements of the review.
21.21 	(c) The license holder shall provide an orientation to the internal and external 
21.22 	reporting procedures to all persons receiving services. The orientation shall include the 
21.23 	telephone number for the license holder's common entry point as defined in section 
21.24 	626.5572, subdivision 5. If applicable, the person's legal representative must be notified of 
21.25 	the orientation. The program shall provide this orientation for each new person within 24 
21.26 	hours of admission, or for persons who would benefit more from a later orientation, the 
21.27 	orientation may take place within 72 hours.
21.28 	(d) The license holder shall post a copy of the internal and external reporting policies 
21.29 	and procedures, including the telephone number of the common entry point as defined 
21.30 	in section 626.5572, subdivision 5, in a prominent location in the program and have it 
21.31 	available upon request to mandated reporters, persons receiving services, and the person's 
21.32 	legal representatives.

21.33 	Sec. 16. Minnesota Statutes 2012, section 245A.66, subdivision 1, is amended to read:
21.34 		Subdivision 1.Internal review. Except for family child care settings and foster care 
21.35 	for children in the license holder's residence, license holders serving children shall:
22.1 	(1) establish and maintain policies and procedures to ensure that an internal review 
22.2 	is completed within 30 calendar days and that corrective action is taken if necessary to 
22.3 	protect the health and safety of children in care when the facility has reason to know that 
22.4 	an internal or external report of alleged or suspected maltreatment has been made. The 
22.5 	review must include an evaluation of whether:
22.6 	(i) related policies and procedures were followed;
22.7 	(ii) the policies and procedures were adequate;
22.8 	(iii) there is a need for additional staff training;
22.9 	(iv) the reported event is similar to past events with the children or the services 
22.10 	involved; and
22.11 	(v) there is a need for corrective action by the license holder to protect the health and 
22.12 	safety of children in care.
22.13 	Based on the results of this review, the license holder must develop, document, and 
22.14 	implement a corrective action plan designed to correct current lapses and prevent future 
22.15 	lapses in performance by individuals or the license holder, if any;
22.16 	(2) identify the primary and secondary person or position who will ensure that, when 
22.17 	required, internal reviews are completed. The secondary person shall be involved when 
22.18 	there is reason to believe that the primary person was involved in the alleged or suspected 
22.19 	maltreatment; and
22.20 	(3) document that the and make internal review has been completedand provide 
22.21 	documentation showing the review was completed reviews accessible to the commissioner 
22.22 	immediately upon the commissioner's request. For the purposes of this section, the 
22.23 	documentation provided to the commissioner by the license holder may consist of a 
22.24 	completed checklist that verifies completion of each of the requirements of the review.

22.25 	Sec. 17. EFFECTIVE DATE.
 22.26 	This article is effective the day following final enactment.

22.27 	ARTICLE 3
22.28 	FINANCIAL FRAUD AND ABUSE INVESTIGATION

22.29 	Section 1. Minnesota Statutes 2012, section 168.012, subdivision 1, is amended to read:
22.30 		Subdivision 1.Vehicles exempt from tax, fees, or plate display. (a) The following 
22.31 	vehicles are exempt from the provisions of this chapter requiring payment of tax and 
22.32 	registration fees, except as provided in subdivision 1c:
22.33 	(1) vehicles owned and used solely in the transaction of official business by the 
22.34 	federal government, the state, or any political subdivision;
23.1 	(2) vehicles owned and used exclusively by educational institutions and used solely 
23.2 	in the transportation of pupils to and from those institutions;
23.3 	(3) vehicles used solely in driver education programs at nonpublic high schools;
23.4 	(4) vehicles owned by nonprofit charities and used exclusively to transport disabled 
23.5 	persons for charitable, religious, or educational purposes;
23.6 	(5) vehicles owned by nonprofit charities and used exclusively for disaster response 
23.7 	and related activities;
23.8 	(6) vehicles owned by ambulance services licensed under section 144E.10 that 
23.9 	are equipped and specifically intended for emergency response or providing ambulance 
23.10 	services; and
23.11 	(7) vehicles owned by a commercial driving school licensed under section 171.34, 
23.12 	or an employee of a commercial driving school licensed under section 171.34, and the 
23.13 	vehicle is used exclusively for driver education and training.
23.14 	(b) Provided the general appearance of the vehicle is unmistakable, the following 
23.15 	vehicles are not required to register or display number plates:
23.16 	(1) vehicles owned by the federal government;
23.17 	(2) fire apparatuses, including fire-suppression support vehicles, owned or leased by 
23.18 	the state or a political subdivision;
23.19 	(3) police patrols owned or leased by the state or a political subdivision; and
23.20 	(4) ambulances owned or leased by the state or a political subdivision.
23.21 	(c) Unmarked vehicles used in general police work, liquor investigations, or arson 
23.22 	investigations, and passenger automobiles, pickup trucks, and buses owned or operated by 
23.23 	the Department of Corrections or by conservation officers of the Division of Enforcement 
23.24 	and Field Service of the Department of Natural Resources, must be registered and must 
23.25 	display appropriate license number plates, furnished by the registrar at cost. Original and 
23.26 	renewal applications for these license plates authorized for use in general police work and 
23.27 	for use by the Department of Corrections or by conservation officers must be accompanied 
23.28 	by a certification signed by the appropriate chief of police if issued to a police vehicle, 
23.29 	the appropriate sheriff if issued to a sheriff's vehicle, the commissioner of corrections if 
23.30 	issued to a Department of Corrections vehicle, or the appropriate officer in charge if 
23.31 	issued to a vehicle of any other law enforcement agency. The certification must be on a 
23.32 	form prescribed by the commissioner and state that the vehicle will be used exclusively 
23.33 	for a purpose authorized by this section.
23.34 	(d) Unmarked vehicles used by the Departments of Revenue and Labor and Industry, 
23.35 	fraud unit, in conducting seizures or criminal investigations must be registered and must 
23.36 	display passenger vehicle classification license number plates, furnished at cost by the 
24.1 	registrar. Original and renewal applications for these passenger vehicle license plates 
24.2 	must be accompanied by a certification signed by the commissioner of revenue or the 
24.3 	commissioner of labor and industry. The certification must be on a form prescribed by 
24.4 	the commissioner and state that the vehicles will be used exclusively for the purposes 
24.5 	authorized by this section.
24.6 	(e) Unmarked vehicles used by the Division of Disease Prevention and Control of the 
24.7 	Department of Health must be registered and must display passenger vehicle classification 
24.8 	license number plates. These plates must be furnished at cost by the registrar. Original 
24.9 	and renewal applications for these passenger vehicle license plates must be accompanied 
24.10 	by a certification signed by the commissioner of health. The certification must be on a 
24.11 	form prescribed by the commissioner and state that the vehicles will be used exclusively 
24.12 	for the official duties of the Division of Disease Prevention and Control.
24.13 	(f) Unmarked vehicles used by staff of the Gambling Control Board in gambling 
24.14 	investigations and reviews must be registered and must display passenger vehicle 
24.15 	classification license number plates. These plates must be furnished at cost by the 
24.16 	registrar. Original and renewal applications for these passenger vehicle license plates must 
24.17 	be accompanied by a certification signed by the board chair. The certification must be on a 
24.18 	form prescribed by the commissioner and state that the vehicles will be used exclusively 
24.19 	for the official duties of the Gambling Control Board.
24.20 	(g) Unmarked vehicles used in general investigation, surveillance, supervision, and 
24.21 	monitoring by the staff of the Department of Human Services Services' Office of Special 
24.22 	Investigations and the executive director of Investigations' staff; the Minnesota sex 
24.23 	offender program program's executive director and the executive director's staff; and the 
24.24 	Office of Inspector General's staff, including, but not limited to, county fraud prevention 
24.25 	investigators, must be registered and must display passenger vehicle classification license 
24.26 	number plates, furnished by the registrar at cost. Original and renewal applications for 
24.27 	passenger vehicle license plates must be accompanied by a certification signed by the 
24.28 	commissioner of human services. The certification must be on a form prescribed by the 
24.29 	commissioner and state that the vehicles must be used exclusively for the official duties of 
24.30 	the Office of Special Investigations and Investigations' staff; the executive director of the
24.31 	 Minnesota sex offender program program's executive director and the executive director's 
24.32 	staff; and the Office of the Inspector General's staff, including, but not limited to, contract 
24.33 	and county fraud prevention investigators.
24.34 	(h) Each state hospital and institution for persons who are mentally ill and 
24.35 	developmentally disabled may have one vehicle without the required identification on 
24.36 	the sides of the vehicle. The vehicle must be registered and must display passenger 
25.1 	vehicle classification license number plates. These plates must be furnished at cost by the 
25.2 	registrar. Original and renewal applications for these passenger vehicle license plates must 
25.3 	be accompanied by a certification signed by the hospital administrator. The certification 
25.4 	must be on a form prescribed by the commissioner and state that the vehicles will be used 
25.5 	exclusively for the official duties of the state hospital or institution.
25.6 	(i) Each county social service agency may have vehicles used for child and 
25.7 	vulnerable adult protective services without the required identification on the sides of the 
25.8 	vehicle. The vehicles must be registered and must display passenger vehicle classification 
25.9 	license number plates. These plates must be furnished at cost by the registrar. Original 
25.10 	and renewal applications for these passenger vehicle license plates must be accompanied 
25.11 	by a certification signed by the agency administrator. The certification must be on a form 
25.12 	prescribed by the commissioner and state that the vehicles will be used exclusively for the 
25.13 	official duties of the social service agency.
25.14 	(j) All other motor vehicles must be registered and display tax-exempt number 
25.15 	plates, furnished by the registrar at cost, except as provided in subdivision 1c. All 
25.16 	vehicles required to display tax-exempt number plates must have the name of the state 
25.17 	department or political subdivision, nonpublic high school operating a driver education 
25.18 	program, licensed commercial driving school, or other qualifying organization or entity, 
25.19 	plainly displayed on both sides of the vehicle. This identification must be in a color 
25.20 	giving contrast with that of the part of the vehicle on which it is placed and must endure 
25.21 	throughout the term of the registration. The identification must not be on a removable 
25.22 	plate or placard and must be kept clean and visible at all times; except that a removable 
25.23 	plate or placard may be utilized on vehicles leased or loaned to a political subdivision or 
25.24 	to a nonpublic high school driver education program.

25.25 	EFFECTIVE DATE. This section is effective the day following final enactment.

25.26 	Sec. 2. Minnesota Statutes 2012, section 256.01, subdivision 18d, is amended to read:
25.27 		Subd. 18d.Data sharing with the Department of Human Services; multiple 
25.28 	identification cards. (a) The commissioner of public safety shall, on a monthly basis, 
25.29 	provide the commissioner of human services with the first, middle, and last name, and
25.30 	 the address, date of birth, and driver's license or state identification card number, and 
25.31 	all photographs or electronically produced images  of all applicants and holders whose 
25.32 	drivers' licenses and state identification cards have been canceled under section 171.14, 
25.33 	paragraph (a), clause (2) or (3), by the commissioner of public safety. After the initial data 
25.34 	report has been provided by the commissioner of public safety to the commissioner of 
26.1 	human services under this paragraph, subsequent reports shall only include cancellations 
26.2 	that occurred after the end date of the cancellations represented in the previous data report.
26.3 	(b) The commissioner of human services shall compare the information provided 
26.4 	under paragraph (a) with the commissioner's data regarding recipients of all public 
26.5 	assistance programs managed by the Department of Human Services to determine whether 
26.6 	any individual with multiple identification cards issued by the Department of Public 
26.7 	Safety has illegally or improperly enrolled in any public assistance program managed by 
26.8 	the Department of Human Services.
26.9 	(c) If the commissioner of human services determines that an applicant or recipient 
26.10 	has illegally or improperly enrolled in any public assistance program, the commissioner 
26.11 	shall provide all due process protections to the individual before terminating the individual 
26.12 	from the program according to applicable statute and notifying the county attorney.

26.13 	EFFECTIVE DATE. This section is effective the day following final enactment.

26.14 	Sec. 3. Minnesota Statutes 2013 Supplement, section 268.19, subdivision 1, is 
26.15 	amended to read:
26.16 		Subdivision 1.Use of data. (a) Except as provided by this section, data gathered 
26.17 	from any person under the administration of the Minnesota Unemployment Insurance Law 
26.18 	are private data on individuals or nonpublic data not on individuals as defined in section 
26.19 	13.02, subdivisions 9 and 12, and may not be disclosed except according to a district court 
26.20 	order or section 13.05. A subpoena is not considered a district court order. These data 
26.21 	may be disseminated to and used by the following agencies without the consent of the 
26.22 	subject of the data:
26.23 	(1) state and federal agencies specifically authorized access to the data by state 
26.24 	or federal law;
26.25 	(2) any agency of any other state or any federal agency charged with the 
26.26 	administration of an unemployment insurance program;
26.27 	(3) any agency responsible for the maintenance of a system of public employment 
26.28 	offices for the purpose of assisting individuals in obtaining employment;
26.29 	(4) the public authority responsible for child support in Minnesota or any other 
26.30 	state in accordance with section 256.978;
26.31 	(5) human rights agencies within Minnesota that have enforcement powers;
26.32 	(6) the Department of Revenue to the extent necessary for its duties under Minnesota 
26.33 	laws;
26.34 	(7) public and private agencies responsible for administering publicly financed 
26.35 	assistance programs for the purpose of monitoring the eligibility of the program's recipients;
27.1 	(8) the Department of Labor and Industry and the Commerce Fraud Bureau in the 
27.2 	Department of Commerce for uses consistent with the administration of their duties under 
27.3 	Minnesota law;
27.4 	(9) the Department of Human Services and the Office of Inspector General and its 
27.5 	agents within the Department of Human Services, including county fraud investigators, 
27.6 	for investigations related to recipient or provider fraud and employees of providers when 
27.7 	the provider is suspected of committing public assistance fraud; 
27.8 	(9) (10) local and state welfare agencies for monitoring the eligibility of the data 
27.9 	subject for assistance programs, or for any employment or training program administered 
27.10 	by those agencies, whether alone, in combination with another welfare agency, or in 
27.11 	conjunction with the department or to monitor and evaluate the statewide Minnesota 
27.12 	family investment program by providing data on recipients and former recipients of food 
27.13 	stamps or food support, cash assistance under chapter 256, 256D, 256J, or 256K, child care 
27.14 	assistance under chapter 119B, or medical programs under chapter 256B, 256D, or 256L;
27.15 	(10) (11) local and state welfare agencies for the purpose of identifying employment, 
27.16 	wages, and other information to assist in the collection of an overpayment debt in an 
27.17 	assistance program;
27.18 	(11) (12) local, state, and federal law enforcement agencies for the purpose of 
27.19 	ascertaining the last known address and employment location of an individual who is the 
27.20 	subject of a criminal investigation;
27.21 	(12) (13) the United States Immigration and Customs Enforcement has access to 
27.22 	data on specific individuals and specific employers provided the specific individual or 
27.23 	specific employer is the subject of an investigation by that agency;
27.24 	(13) (14) the Department of Health for the purposes of epidemiologic investigations;
27.25 	(14) (15) the Department of Corrections for the purpose of case planning for 
27.26 	preprobation and postprobation employment tracking of offenders sentenced to probation 
27.27 	and preconfinement and postconfinement employment tracking of committed offenders;
27.28 	(15) (16) the state auditor to the extent necessary to conduct audits of job opportunity 
27.29 	building zones as required under section 469.3201; and
27.30 	(16) (17) the Office of Higher Education for purposes of supporting program 
27.31 	improvement, system evaluation, and research initiatives including the Statewide 
27.32 	Longitudinal Education Data System.
27.33 	(b) Data on individuals and employers that are collected, maintained, or used by 
27.34 	the department in an investigation under section 268.182 are confidential as to data 
27.35 	on individuals and protected nonpublic data not on individuals as defined in section 
27.36 	13.02, subdivisions 3 and 13, and must not be disclosed except under statute or district 
28.1 	court order or to a party named in a criminal proceeding, administrative or judicial, for 
28.2 	preparation of a defense.
28.3 	(c) Data gathered by the department in the administration of the Minnesota 
28.4 	unemployment insurance program must not be made the subject or the basis for any 
28.5 	suit in any civil proceedings, administrative or judicial, unless the action is initiated by 
28.6 	the department.

28.7 	EFFECTIVE DATE. This section is effective the day following final enactment.

28.8 	Sec. 4. Minnesota Statutes 2012, section 471.346, is amended to read:
28.9 	471.346 PUBLICLY OWNED AND LEASED VEHICLES IDENTIFIED.
28.10 	All motor vehicles owned or leased by a statutory or home rule charter city, county, 
28.11 	town, school district, metropolitan or regional agency, or other political subdivision, except 
28.12 	for unmarked vehicles used in general police and fire work and, arson investigations,
28.13 	 and Department of Human Services investigations including county fraud prevention 
28.14 	investigations, shall have the name of the political subdivision plainly displayed on both 
28.15 	sides of the vehicle in letters not less than 2-1/2 inches high and one-half inch wide. The 
28.16 	identification must be in a color that contrasts with the color of the part of the vehicle on 
28.17 	which it is placed and must remain on and be clean and visible throughout the period of 
28.18 	which the vehicle is owned or leased by the political subdivision. The identification must 
28.19 	not be on a removable plate or placard except on leased vehicles but the plate or placard 
28.20 	must not be removed from a leased vehicle at any time during the term of the lease.

28.21 	EFFECTIVE DATE. This section is effective the day following final enactment.

28.22 	ARTICLE 4
28.23 	CHEMICAL AND MENTAL HEALTH

28.24 	Section 1. Minnesota Statutes 2012, section 254B.05, subdivision 5, is amended to read:
28.25 		Subd. 5.Rate requirements. (a) The commissioner shall establish rates for 
28.26 	chemical dependency services and service enhancements funded under this chapter.
28.27 	(b) Eligible chemical dependency treatment services include:
28.28 	(1) outpatient treatment services that are licensed according to Minnesota Rules, 
28.29 	parts 9530.6405 to 9530.6480, or applicable tribal license;
28.30 	(2) medication-assisted therapy services that are licensed according to Minnesota 
28.31 	Rules, parts 9530.6405 to 9530.6480 and 9530.6500, or applicable tribal license;
29.1 	(3) medication-assisted therapy plus enhanced treatment services that meet the 
29.2 	requirements of clause (2) and provide nine hours of clinical services each week;
29.3 	(4) high, medium, and low intensity residential treatment services that are licensed 
29.4 	according to Minnesota Rules, parts 9530.6405 to 9530.6480 and 9530.6505, or applicable 
29.5 	tribal license which provide, respectively, 30, 15, and five hours of clinical services each 
29.6 	week;
29.7 	(5) hospital-based treatment services that are licensed according to Minnesota Rules, 
29.8 	parts 9530.6405 to 9530.6480, or applicable tribal license and licensed as a hospital under 
29.9 	sections 144.50 to 144.56;
29.10 	(6) adolescent treatment programs that are licensed as outpatient treatment programs 
29.11 	according to Minnesota Rules, parts 9530.6405 to 9530.6485, or as residential treatment 
29.12 	programs according to Minnesota Rules, chapter 2960 parts 2960.0010 to 2960.0220, and 
29.13 	2960.0430 to 2960.0490, or applicable tribal license; and
29.14 	(7) room and board facilities that meet the requirements of section 254B.05, 
29.15 	subdivision 1a.
29.16 	(c) The commissioner shall establish higher rates for programs that meet the 
29.17 	requirements of paragraph (b) and the following additional requirements:
29.18 	(1) programs that serve parents with their children if the program:
29.19 	(i) provides on-site child care during hours of treatment activity that meets the 
29.20 	additional licensing requirement requirements in Minnesota Rules, part 9530.6490, and 
29.21 	provides child care that meets the requirements of or section 245A.03, subdivision 2, 
29.22 	during hours of treatment activity; or
29.23 	(ii) arranges for off-site child care during hours of treatment activity at a facility that 
29.24 	is licensed under chapter 245A as:
29.25 	(A) a child care center under Minnesota Rules, chapter 9503; or
29.26 	(B) a family child care home under Minnesota Rules, chapter 9502;
29.27 	(2) programs serving special populations if the program meets the requirements in 
29.28 	Minnesota Rules, part 9530.6605, subpart 13;
29.29 	(3) programs that offer medical services delivered by appropriately credentialed 
29.30 	health care staff in an amount equal to two hours per client per week if the medical 
29.31 	needs of the client and the nature and provision of any medical services provided are 
29.32 	documented in the client file; and
29.33 	(4) programs that offer services to individuals with co-occurring mental health and 
29.34 	chemical dependency problems if:
29.35 	(i) the program meets the co-occurring requirements in Minnesota Rules, part 
29.36 	9530.6495;
30.1 	(ii) 25 percent of the counseling staff are licensed mental health professionals, as 
30.2 	defined in section 245.462, subdivision 18, clauses (1) to (6), or are students or licensing 
30.3 	candidates under the supervision of a licensed alcohol and drug counselor supervisor and 
30.4 	licensed mental health professional, except that no more than 50 percent of the mental 
30.5 	health staff may be students or licensing candidates with time documented to be directly 
30.6 	related to provisions of co-occurring services;
30.7 	(iii) clients scoring positive on a standardized mental health screen receive a mental 
30.8 	health diagnostic assessment within ten days of admission;
30.9 	(iv) the program has standards for multidisciplinary case review that include a 
30.10 	monthly review for each client that, at a minimum, includes a licensed mental health 
30.11 	professional and licensed alcohol and drug counselor, and their involvement in the review 
30.12 	is documented;
30.13 	(v) family education is offered that addresses mental health and substance abuse 
30.14 	disorders and the interaction between the two; and
30.15 	(vi) co-occurring counseling staff will receive eight hours of co-occurring disorder 
30.16 	training annually.
30.17 	(d) In order to be eligible for a higher rate under paragraph (c), clause (1), a program 
30.18 	that provides arrangements for off-site child care must maintain current documentation at 
30.19 	the chemical dependency facility of the child care provider's current licensure to provide 
30.20 	child care services. Programs that provide child care according to paragraph (c), clause 
30.21 	(1), must be deemed in compliance with the licensing requirements in Minnesota Rules, 
30.22 	part 9530.6490.
30.23 	(e) Adolescent residential programs that meet the requirements of Minnesota Rules, 
30.24 	parts 2960.0580 to 2960.0700 2960.0430 to 2960.0490 and 2960.0580 to 2960.0690, are 
30.25 	exempt from the requirements in paragraph (c), clause (4), items (i) to (iv).

30.26 	EFFECTIVE DATE. This section is effective the day following final enactment.

30.27 	ARTICLE 5
30.28 	BACKGROUND STUDIES

30.29 	Section 1. Minnesota Statutes 2012, section 245C.04, as amended by Laws 2013, 
30.30 	chapter 108, article 5, section 3, is amended to read:
30.31 	245C.04 WHEN BACKGROUND STUDY MUST OCCUR.
30.32 		Subdivision 1.Licensed programs. (a) The commissioner shall conduct a 
30.33 	background study of an individual required to be studied under section 245C.03, 
30.34 	subdivision 1, at least upon application for initial license for all license types.
31.1 	(b) The commissioner shall conduct a background study of an individual required 
31.2 	to be studied under section 245C.03, subdivision 1, at reapplication for a license for 
31.3 	family child care.
31.4 	(c) The commissioner is not required to conduct a study of an individual at the time 
31.5 	of reapplication for a license if the individual's background study was completed by the 
31.6 	commissioner of human services for an adult foster care license holder that is also:
31.7 	(1) registered under chapter 144D; or
31.8 	(2) licensed to provide home and community-based services to people with 
31.9 	disabilities at the foster care location and the license holder does not reside in the foster 
31.10 	care residence; and
31.11 	(3) the following conditions are met:
31.12 	(i) a study of the individual was conducted either at the time of initial licensure or 
31.13 	when the individual became affiliated with the license holder;
31.14 	(ii) the individual has been continuously affiliated with the license holder since 
31.15 	the last study was conducted; and
31.16 	(iii) the last study of the individual was conducted on or after October 1, 1995.
31.17 	(d) From July 1, 2007, to June 30, 2009, the commissioner of human services shall 
31.18 	conduct a study of an individual required to be studied under section 245C.03, at the 
31.19 	time of reapplication for a child foster care license. The county or private agency shall 
31.20 	collect and forward to the commissioner the information required under section 245C.05, 
31.21 	subdivisions 1, paragraphs (a) and (b), and 5, paragraphs (a) and (b). The background 
31.22 	study conducted by the commissioner of human services under this paragraph must 
31.23 	include a review of the information required under section 245C.08, subdivisions 1, 
31.24 	paragraph (a), clauses (1) to (5), 3, and 4.
31.25 	(e) The commissioner of human services shall conduct a background study of an 
31.26 	individual specified under section 245C.03, subdivision 1, paragraph (a), clauses (2) 
31.27 	to (6), who is newly affiliated with a child foster care license holder. The county or 
31.28 	private agency shall collect and forward to the commissioner the information required 
31.29 	under section 245C.05, subdivisions 1 and 5. The background study conducted by the 
31.30 	commissioner of human services under this paragraph must include a review of the 
31.31 	information required under section 245C.08, subdivisions 1, 3, and 4.
31.32 	(f) From January 1, 2010, to December 31, 2012, unless otherwise specified in 
31.33 	paragraph (c), the commissioner shall conduct a study of an individual required to 
31.34 	be studied under section 245C.03 at the time of reapplication for an adult foster care 
31.35 	or family adult day services license: (1) the county shall collect and forward to the 
31.36 	commissioner the information required under section 245C.05, subdivision 1, paragraphs 
32.1 	(a) and (b), and subdivision 5, paragraphs (a) and (b), for background studies conducted 
32.2 	by the commissioner for all family adult day services and for adult foster care when 
32.3 	the adult foster care license holder resides in the adult foster care or family adult day 
32.4 	services residence; (2) the license holder shall collect and forward to the commissioner 
32.5 	the information required under section 245C.05, subdivisions 1, paragraphs (a) and (b); 
32.6 	and 5, paragraphs (a) and (b), for background studies conducted by the commissioner for 
32.7 	adult foster care when the license holder does not reside in the adult foster care residence; 
32.8 	and (3) the background study conducted by the commissioner under this paragraph must 
32.9 	include a review of the information required under section 245C.08, subdivision 1, 
32.10 	paragraph (a), clauses (1) to (5), and subdivisions 3 and 4.
32.11 	(g) The commissioner shall conduct a background study of an individual specified 
32.12 	under section 245C.03, subdivision 1, paragraph (a), clauses (2) to (6), who is newly 
32.13 	affiliated with an adult foster care or family adult day services license holder: (1) the 
32.14 	county shall collect and forward to the commissioner the information required under 
32.15 	section 245C.05, subdivision 1, paragraphs (a) and (b), and subdivision 5, paragraphs (a) 
32.16 	and (b), for background studies conducted by the commissioner for all family adult day 
32.17 	services and for adult foster care when the adult foster care license holder resides in 
32.18 	the adult foster care residence; (2) the license holder shall collect and forward to the 
32.19 	commissioner the information required under section 245C.05, subdivisions 1, paragraphs 
32.20 	(a) and (b); and 5, paragraphs (a) and (b), for background studies conducted by the 
32.21 	commissioner for adult foster care when the license holder does not reside in the adult 
32.22 	foster care residence; and (3) the background study conducted by the commissioner under 
32.23 	this paragraph must include a review of the information required under section 245C.08, 
32.24 	subdivision 1, paragraph (a), and subdivisions 3 and 4.
32.25 	(h) Applicants for licensure, license holders, and other entities as provided in this 
32.26 	chapter must submit completed background study forms requests to the commissioner 
32.27 	using the electronic system known as NETStudy before individuals specified in section 
32.28 	245C.03, subdivision 1, begin positions allowing direct contact in any licensed program.
32.29 	(i) A license holder must initiate a new background study through the commissioner's 
32.30 	online background study system NETStudy when:
32.31 	(1) an individual returns to a position requiring a background study following an 
32.32 	absence of 90 120 or more consecutive days; or
32.33 	(2) a program that discontinued providing licensed direct contact services for 90 120
32.34 	 or more consecutive days begins to provide direct contact licensed services again.
32.35 	The license holder shall maintain a copy of the notification provided to 
32.36 	the commissioner under this paragraph in the program's files. If the individual's 
33.1 	disqualification was previously set aside for the license holder's program and the new 
33.2 	background study results in no new information that indicates the individual may pose a 
33.3 	risk of harm to persons receiving services from the license holder, the previous set-aside 
33.4 	shall remain in effect.
33.5 	(j) For purposes of this section, a physician licensed under chapter 147 is considered 
33.6 	to be continuously affiliated upon the license holder's receipt from the commissioner of 
33.7 	health or human services of the physician's background study results.
33.8 	(k) For purposes of family child care, a substitute caregiver must receive repeat 
33.9 	background studies at the time of each license renewal.
33.10 		Subd. 2.Other state agencies. Applicants and license holders under the jurisdiction 
33.11 	of other state agencies who are required in other statutory sections to initiate background 
33.12 	studies under this chapter must submit completed background study forms to the 
33.13 	commissioner before the background study subject begins in a position allowing direct 
33.14 	contact in the licensed program or, where applicable, prior to being employed.
33.15 		Subd. 3.Personal care provider organizations. (a) The commissioner shall 
33.16 	conduct a background study of an individual required to be studied under section 245C.03, 
33.17 	subdivision 2, at least upon application for initial enrollment under sections 256B.0651 to 
33.18 	256B.0656 and 256B.0659.
33.19 	(b) Organizations required to initiate background studies under sections 256B.0651
33.20 	to 256B.0656 and 256B.0659 for individuals described in section 245C.03, subdivision 2, 
33.21 	must submit a completed background study form request to the commissioner using the 
33.22 	electronic system known as NETStudy before those individuals begin a position allowing 
33.23 	direct contact with persons served by the organization.
33.24 	(c) Organizations required to initiate background studies under sections 256B.0651 
33.25 	to 256B.0656 and 256B.0659 for individuals described in section 245C.03, subdivision 2, 
33.26 	must initiate a new background study through NETStudy when an individual returns to a 
33.27 	position requiring a background study following an absence of 120 or more consecutive 
33.28 	days.
33.29 		Subd. 4.Supplemental nursing services agencies. (a) The commissioner shall 
33.30 	conduct a background study of an individual required to be studied under section 245C.03, 
33.31 	subdivision 3, at least upon application for registration under section 144A.71, subdivision 
33.32 	1.
33.33 	(b) Each supplemental nursing services agency must initiate background studies 
33.34 	using the electronic system known as NETStudy before an individual begins a position 
33.35 	allowing direct contact with persons served by the agency and annually thereafter.
34.1 		Subd. 4a.Agency background studies. (a) The commissioner shall develop and 
34.2 	implement an electronic process for the regular transfer of new criminal case information 
34.3 	that is added to the Minnesota court information system. The commissioner's system 
34.4 	must include for review only information that relates to individuals who have been the 
34.5 	subject of a background study under this chapter that remain affiliated with the agency 
34.6 	that initiated the background study. For purposes of this paragraph, an individual remains 
34.7 	affiliated with an agency that initiated the background study until the agency informs the 
34.8 	commissioner that the individual is no longer affiliated. When any individual no longer 
34.9 	affiliated according to this paragraph returns to a position requiring a background study 
34.10 	under this chapter, the agency with whom the individual is again affiliated shall initiate 
34.11 	a new background study regardless of the length of time the individual was no longer 
34.12 	affiliated with the agency.
34.13 	(b) The commissioner shall develop and implement an online system for agencies that 
34.14 	initiate background studies under this chapter to access and maintain records of background 
34.15 	studies initiated by that agency. The system must show all active background study subjects 
34.16 	affiliated with that agency and the status of each individual's background study. Each 
34.17 	agency that initiates background studies must use this system to notify the commissioner 
34.18 	of discontinued affiliation for purposes of the processes required under paragraph (a).
34.19 		Subd. 5.Personnel agencies; educational programs; professional services 
34.20 	agencies. Agencies, programs, and individuals who initiate background studies under 
34.21 	section 245C.03, subdivision 4, must initiate the studies annually using the electronic 
34.22 	system known as NETStudy.
34.23 		Subd. 6.Unlicensed home and community-based waiver providers of service to 
34.24 	seniors and individuals with disabilities. (a) Providers required to initiate background 
34.25 	studies under section 256B.4912 must initiate a study using the electronic system known 
34.26 	as NETStudy before the individual begins in a position allowing direct contact with 
34.27 	persons served by the provider.
34.28 	(b) Except as provided in paragraph (c), the providers must initiate a background 
34.29 	study annually of an individual required to be studied under section 245C.03, subdivision 6.
34.30 	(c) After an initial background study under this subdivision is initiated on an 
34.31 	individual by a provider of both services licensed by the commissioner and the unlicensed 
34.32 	services under this subdivision, a repeat annual background study is not required if:
34.33 	(1) the provider maintains compliance with the requirements of section 245C.07, 
34.34 	paragraph (a), regarding one individual with one address and telephone number as the 
34.35 	person to receive sensitive background study information for the multiple programs that 
34.36 	depend on the same background study, and that the individual who is designated to receive 
35.1 	the sensitive background information is capable of determining, upon the request of the 
35.2 	commissioner, whether a background study subject is providing direct contact services 
35.3 	in one or more of the provider's programs or services and, if so, at which location or 
35.4 	locations; and
35.5 	(2) the individual who is the subject of the background study provides direct 
35.6 	contact services under the provider's licensed program for at least 40 hours per year so 
35.7 	the individual will be recognized by a probation officer or corrections agent to prompt 
35.8 	a report to the commissioner regarding criminal convictions as required under section 
35.9 	245C.05, subdivision 7.
35.10 		Subd. 7.New study required with legal name change. (a) For a background study 
35.11 	completed on an individual required to be studied under section 245C.03, the license 
35.12 	holder or other entity that initiated the background study must initiate a new background 
35.13 	study using the electronic system known as NETStudy when an individual who is affiliated 
35.14 	with the license holder or other entity undergoes a legal name change.
35.15 	(b) For background studies subject to a fee paid through the NETStudy system, the 
35.16 	entity that initiated the study may initiate a new study under paragraph (a) or notify the 
35.17 	commissioner of the name change through a notice to the commissioner.

35.18 	Sec. 2. Minnesota Statutes 2012, section 245C.05, subdivision 6, is amended to read:
35.19 		Subd. 6.Applicant, license holder, other entities, and agencies. (a) The applicant, 
35.20 	license holder, other entities as provided in this chapter, Bureau of Criminal Apprehension, 
35.21 	law enforcement agencies, commissioner of health, and county agencies shall help with 
35.22 	the study by giving the commissioner criminal conviction data and reports about the 
35.23 	maltreatment of adults substantiated under section 626.557 and the maltreatment of 
35.24 	minors substantiated under section 626.556.
35.25 	(b) If a background study is initiated by an applicant, license holder, or other entities 
35.26 	as provided in this chapter, and the applicant, license holder, or other entity receives 
35.27 	information about the possible criminal or maltreatment history of an individual who is 
35.28 	the subject of the background study, the applicant, license holder, or other entity must 
35.29 	immediately provide the information to the commissioner.
35.30 	(c) The program or county or other agency must provide written notice to the 
35.31 	individual who is the subject of the background study of the requirements under this 
35.32 	subdivision.

35.33 	Sec. 3.  Minnesota Statutes 2013 Supplement, section 245C.08, subdivision 1, is 
35.34 	amended to read:
36.1 		Subdivision 1.Background studies conducted by Department of Human 
36.2 	Services. (a) For a background study conducted by the Department of Human Services, 
36.3 	the commissioner shall review:
36.4 	(1) information related to names of substantiated perpetrators of maltreatment of 
36.5 	vulnerable adults that has been received by the commissioner as required under section 
36.6 	626.557, subdivision 9c, paragraph (j);
36.7 	(2) the commissioner's records relating to the maltreatment of minors in licensed 
36.8 	programs, and from findings of maltreatment of minors as indicated through the social 
36.9 	service information system;
36.10 	(3) information from juvenile courts as required in subdivision 4 for individuals 
36.11 	listed in section 245C.03, subdivision 1, paragraph (a), when there is reasonable cause;
36.12 	(4) information from the Bureau of Criminal Apprehension, including information 
36.13 	regarding a background study subject's registration in Minnesota as a predatory offender 
36.14 	under section 243.166;
36.15 	(5) except as provided in clause (6), information from the national crime information 
36.16 	system when the commissioner has reasonable cause as defined under section 245C.05, 
36.17 	subdivision 5; and
36.18 	(6) for a background study related to a child foster care application for licensure or 
36.19 	adoptions, the commissioner shall also review:
36.20 	(i) information from the child abuse and neglect registry for any state in which the 
36.21 	background study subject has resided for the past five years; and
36.22 	(ii) information from national crime information databases, when the background 
36.23 	study subject is 18 years of age or older.
36.24 	(b) Notwithstanding expungement by a court, the commissioner may consider 
36.25 	information obtained under paragraph (a), clauses (3) and (4), unless the commissioner 
36.26 	received notice of the petition for expungement and the court order for expungement is 
36.27 	directed specifically to the commissioner.
36.28 	(c) The commissioner shall also review criminal case information received according 
36.29 	to section 245C.04, subdivision 4a, from the Minnesota court information system that 
36.30 	relates to individuals who have already been studied under this chapter and who remain 
36.31 	affiliated with the agency that initiated the background study.
36.32 	(d) When the commissioner has reasonable cause to believe that the identity of 
36.33 	a background study subject is uncertain, the commissioner may require the subject to 
36.34 	provide a set of classifiable fingerprints for purposes of completing a fingerprint-based 
36.35 	record check with the Bureau of Criminal Apprehension. Fingerprints collected under this 
37.1 	paragraph shall not be saved by the commissioner after they have been used to verify the 
37.2 	identity of the background study subject against the particular criminal record in question.

37.3 	Sec. 4. Minnesota Statutes 2012, section 245C.16, subdivision 1, is amended to read:
37.4 		Subdivision 1.Determining immediate risk of harm. (a) If the commissioner 
37.5 	determines that the individual studied has a disqualifying characteristic, the commissioner 
37.6 	shall review the information immediately available and make a determination as to the 
37.7 	subject's immediate risk of harm to persons served by the program where the individual 
37.8 	studied will have direct contact with, or access to, people receiving services.
37.9 	(b) The commissioner shall consider all relevant information available, including the 
37.10 	following factors in determining the immediate risk of harm:
37.11 	(1) the recency of the disqualifying characteristic;
37.12 	(2) the recency of discharge from probation for the crimes;
37.13 	(3) the number of disqualifying characteristics;
37.14 	(4) the intrusiveness or violence of the disqualifying characteristic;
37.15 	(5) the vulnerability of the victim involved in the disqualifying characteristic;
37.16 	(6) the similarity of the victim to the persons served by the program where the 
37.17 	individual studied will have direct contact;
37.18 	(7) whether the individual has a disqualification from a previous background study 
37.19 	that has not been set aside; and
37.20 	(8) if the individual has a disqualification which may not be set aside because it is 
37.21 	a permanent bar under section 245C.24, subdivision 1, the commissioner may order the 
37.22 	immediate removal of the individual from any position allowing direct contact with, or 
37.23 	access to, persons receiving services from the program.
37.24 	(c) This section does not apply when the subject of a background study is regulated 
37.25 	by a health-related licensing board as defined in chapter 214, and the subject is determined 
37.26 	to be responsible for substantiated maltreatment under section 626.556 or 626.557.
37.27 	(d) This section does not apply to a background study related to an initial application 
37.28 	for a child foster care license.
37.29 	(e) Except for paragraph (f), this section does not apply to a background study that 
37.30 	is also subject to the requirements under section 256B.0659, subdivisions 11 and 13, for 
37.31 	a personal care assistant or a qualified professional as defined in section 256B.0659, 
37.32 	subdivision 1.
37.33 	(f) If the commissioner has reason to believe, based on arrest information or an 
37.34 	active maltreatment investigation, that an individual poses an imminent risk of harm to 
37.35 	persons receiving services, the commissioner may order that the person be continuously 
38.1 	supervised or immediately removed pending the conclusion of the maltreatment 
38.2 	investigation or criminal proceedings.

38.3 	Sec. 5. Minnesota Statutes 2012, section 245C.20, subdivision 1, is amended to read:
38.4 		Subdivision 1.Background studies initiated by program. A licensed program 
38.5 	shall document the date the program initiates a background study under this chapter
38.6 	 and the date the subject of the study first has direct contact with persons served by the 
38.7 	program in the program's personnel files. When a background study is completed under 
38.8 	this chapter, a licensed program shall maintain a notice that the study was undertaken and 
38.9 	completed in the program's personnel files. Except when background studies are initiated 
38.10 	through the commissioner's online system, if a licensed program has not received a 
38.11 	response from the commissioner under section 245C.17 within 45 days of initiation of the 
38.12 	background study request, the licensed program must contact the human services licensing 
38.13 	division to inquire about the status of the study. If a license holder initiates a background 
38.14 	study under the commissioner's online system, but the background study subject's name 
38.15 	does not appear in the list of active or recent studies initiated by that license holder, the 
38.16 	license holder must either contact the human services licensing division or resubmit the 
38.17 	background study information online for that individual.

38.18 	Sec. 6. Minnesota Statutes 2012, section 245C.22, subdivision 1, is amended to read:
38.19 		Subdivision 1.Time frame; response to disqualification reconsideration 
38.20 	requests. (a) The commissioner shall respond in writing or by electronic transmission to 
38.21 	all reconsideration requests for which the basis for the request is that the information the 
38.22 	commissioner relied upon to disqualify is incorrect or inaccurate within 30 working days 
38.23 	of receipt of a complete request and all required relevant information.
38.24 	(b) If the basis for a disqualified individual's reconsideration request is that the 
38.25 	individual does not pose a risk of harm, the commissioner shall respond to the request 
38.26 	within 15 working days after receiving the a complete request for reconsideration and 
38.27 	all required relevant information.
38.28 	(c) If the disqualified individual's reconsideration request is based on both the 
38.29 	correctness or accuracy of the information the commissioner relied upon to disqualify the 
38.30 	individual and the individual's risk of harm, the commissioner shall respond to the request 
38.31 	within 45 working days after receiving the a complete request for reconsideration and 
38.32 	all required relevant information.

38.33 	Sec. 7. Minnesota Statutes 2012, section 245C.23, subdivision 2, is amended to read:
39.1 		Subd. 2.Commissioner's notice of disqualification that is not set aside. (a) The 
39.2 	commissioner shall notify the license holder of the disqualification and order the license 
39.3 	holder to immediately remove the individual from any position allowing direct contact 
39.4 	with persons receiving services from the license holder if:
39.5 	(1) the individual studied does not submit a timely request for reconsideration 
39.6 	under section 245C.21;
39.7 	(2) the individual submits a timely request for reconsideration, but the commissioner 
39.8 	does not set aside the disqualification for that license holder under section 245C.22, unless 
39.9 	the individual has a right to request a hearing under section 245C.27, 245C.28, or 256.045;
39.10 	(3) an individual who has a right to request a hearing under sections 245C.27 and 
39.11 	256.045, or 245C.28 and chapter 14 for a disqualification that has not been set aside, does 
39.12 	not request a hearing within the specified time; or
39.13 	(4) an individual submitted a timely request for a hearing under sections 245C.27 
39.14 	and 256.045, or 245C.28 and chapter 14, but the commissioner does not set aside the 
39.15 	disqualification under section 245A.08, subdivision 5, or 256.045.
39.16 	(b) If the commissioner does not set aside the disqualification under section 245C.22, 
39.17 	and the license holder was previously ordered under section 245C.17 to immediately 
39.18 	remove the disqualified individual from direct contact with persons receiving services or 
39.19 	to ensure that the individual is under continuous, direct supervision when providing direct 
39.20 	contact services, the order remains in effect pending the outcome of a hearing under 
39.21 	sections 245C.27 and 256.045, or 245C.28 and chapter 14.
39.22 	(c) If the commissioner does not set aside the disqualification under section 245C.22, 
39.23 	and the license holder was not previously ordered under section 245C.17 to immediately 
39.24 	remove the disqualified individual from direct contact with persons receiving services or 
39.25 	to ensure that the individual is under continuous direct supervision when providing direct 
39.26 	contact services, the commissioner shall order the individual to remain under continuous 
39.27 	direct supervision pending the outcome of a hearing under sections 245C.27 and 256.045, 
39.28 	or 245C.28 and chapter 14.
39.29 	(c) (d) For background studies related to child foster care, the commissioner shall 
39.30 	also notify the county or private agency that initiated the study of the results of the 
39.31 	reconsideration.
39.32 	(d) (e) For background studies related to adult foster care and family adult day 
39.33 	services, the commissioner shall also notify the county that initiated the study of the 
39.34 	results of the reconsideration.

39.35 	Sec. 8. Minnesota Statutes 2012, section 245C.28, subdivision 1, is amended to read:
40.1 		Subdivision 1.License holder. (a) If a maltreatment determination or a 
40.2 	disqualification for which reconsideration was timely requested and which was not set 
40.3 	aside is the basis for a denial of a license under section 245A.05 or a licensing sanction 
40.4 	under section 245A.07, the license holder has the right to a contested case hearing under 
40.5 	chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The license holder must 
40.6 	submit the appeal under section 245A.05 or 245A.07, subdivision 3.
40.7 	(b) As provided under section 245A.08, subdivision 2a, if the denial of a license 
40.8 	or licensing sanction is based on a disqualification for which reconsideration was timely 
40.9 	requested and was not set aside, the scope of the consolidated contested case hearing 
40.10 	must include:
40.11 	(1) the disqualification, to the extent the license holder otherwise has a hearing right 
40.12 	on the disqualification under this chapter; and
40.13 	(2) the licensing sanction or denial of a license.
40.14 	(c) As provided for under section 245A.08, subdivision 2a, if the denial of a license 
40.15 	or licensing sanction is based on a determination of maltreatment under section 626.556
40.16 	or 626.557, or a disqualification for serious or recurring maltreatment which was not set 
40.17 	aside, the scope of the contested case hearing must include:
40.18 	(1) the maltreatment determination, if the maltreatment is not conclusive under 
40.19 	section 245C.29;
40.20 	(2) the disqualification, if the disqualification is not conclusive under section 
40.21 	245C.29; and
40.22 	(3) the licensing sanction or denial of a license. In such cases, a fair hearing must not 
40.23 	be conducted under section 256.045. If the disqualification was based on a determination 
40.24 	of substantiated serious or recurring maltreatment under section 626.556 or 626.557, the 
40.25 	appeal must be submitted under sections 245A.07, subdivision 3, and 626.556, subdivision 
40.26 	10i, or 626.557, subdivision 9d.
40.27 	(d) Except for family child care and child foster care, reconsideration of a 
40.28 	maltreatment determination under sections 626.556, subdivision 10i, and 626.557, 
40.29 	subdivision 9d, and reconsideration of a disqualification under section 245C.22, must 
40.30 	not be conducted when:
40.31 	(1) a denial of a license under section 245A.05, or a licensing sanction under section 
40.32 	245A.07, is based on a determination that the license holder is responsible for maltreatment 
40.33 	or the disqualification of a license holder based on serious or recurring maltreatment;
40.34 	(2) the denial of a license or licensing sanction is issued at the same time as the 
40.35 	maltreatment determination or disqualification; and
41.1 	(3) the license holder appeals the maltreatment determination, disqualification, and 
41.2 	denial of a license or licensing sanction. In such cases a fair hearing under section 256.045
41.3 	must not be conducted under sections 245C.27, 626.556, subdivision 10i, and 626.557, 
41.4 	subdivision 9d. Under section 245A.08, subdivision 2a, the scope of the consolidated 
41.5 	contested case hearing must include the maltreatment determination, disqualification, and 
41.6 	denial of a license or licensing sanction.
41.7 	Notwithstanding clauses (1) to (3), if the license holder appeals the maltreatment 
41.8 	determination or disqualification, but does not appeal the denial of a license or a licensing 
41.9 	sanction, reconsideration of the maltreatment determination shall be conducted under 
41.10 	sections 626.556, subdivision 10i, and 626.557, subdivision 9d, and reconsideration of the 
41.11 	disqualification shall be conducted under section 245C.22. In such cases, a fair hearing 
41.12 	shall also be conducted as provided under sections 245C.27, 626.556, subdivision 10i, and 
41.13 	626.557, subdivision 9d.

41.14 	Sec. 9. Minnesota Statutes 2012, section 245C.28, subdivision 3, is amended to read:
41.15 		Subd. 3.Employees of public employer. (a) A disqualified individual who is an 
41.16 	employee of an employer, as defined in section 179A.03, subdivision 15, may request 
41.17 	a contested case hearing under chapter 14, and specifically Minnesota Rules, parts 
41.18 	1400.8505 to 1400.8612, following a reconsideration decision under section 245C.23, 
41.19 	unless the disqualification is deemed conclusive under section 245C.29. The request for a 
41.20 	contested case hearing must be made in writing and must be postmarked and sent within 
41.21 	30 calendar days after the employee receives notice of the reconsideration decision. If 
41.22 	the individual was disqualified based on a conviction or admission to any crimes listed in 
41.23 	section 245C.15, the scope of the contested case hearing shall be limited solely to whether 
41.24 	the individual poses a risk of harm pursuant to section 245C.22.
41.25 	(b) When an individual is disqualified based on a maltreatment determination, the 
41.26 	scope of the contested case hearing under paragraph (a), must include the maltreatment 
41.27 	determination and the disqualification. In such cases, a fair hearing must not be conducted 
41.28 	under section 256.045.
41.29 	(c) Rules adopted under this chapter may not preclude an employee in a contested 
41.30 	case hearing for a disqualification from submitting evidence concerning information 
41.31 	gathered under this chapter.
41.32 	(d) When an individual has been disqualified from multiple licensed programs, if 
41.33 	at least one of the disqualifications entitles the person to a contested case hearing under 
41.34 	this subdivision, the scope of the contested case hearing shall include all disqualifications 
41.35 	from licensed programs.
42.1 	(e) In determining whether the disqualification should be set aside, the administrative 
42.2 	law judge shall consider all of the characteristics that cause the individual to be disqualified, 
42.3 	as well as all the factors set forth in section 245C.22, in order to determine whether the 
42.4 	individual poses has met the burden of demonstrating that the individual does not pose
42.5 	 a risk of harm. The administrative law judge's recommendation and the commissioner's 
42.6 	order to set aside a disqualification that is the subject of the hearing constitutes a 
42.7 	determination that the individual does not pose a risk of harm and that the individual may 
42.8 	provide direct contact services in the individual program specified in the set aside.
42.9 	(f) An individual may not request a contested case hearing under this section if a 
42.10 	contested case hearing has previously been held regarding the individual's disqualification 
42.11 	on the same basis.

42.12 	Sec. 10. Minnesota Statutes 2012, section 245C.29, subdivision 2, is amended to read:
42.13 		Subd. 2.Conclusive disqualification determination. (a) Unless otherwise 
42.14 	specified in statute, a determination that:
42.15 	(1) the information the commissioner relied upon to disqualify an individual under 
42.16 	section 245C.14 was correct based on serious or recurring maltreatment;
42.17 	(2) a preponderance of the evidence shows that the individual committed an act or 
42.18 	acts that meet the definition of any of the crimes listed in section 245C.15; or
42.19 	(3) the individual failed to make required reports under section 626.556, subdivision 
42.20 	3, or 626.557, subdivision 3, is conclusive if: A disqualification is conclusive for purposes 
42.21 	of current and future background studies if:
42.22 	(i) (1) the commissioner has issued a final order in an appeal of that determination
42.23 	 the disqualification under section 245A.08, subdivision 5, 245C.28, subdivision 3, or 
42.24 	256.045, or a court has issued a final decision;
42.25 	(ii) (2) the individual did not request reconsideration of the disqualification under 
42.26 	section 245C.21 on the basis that the information relied upon to disqualify the individual 
42.27 	was incorrect; or
42.28 	(iii) (3) the individual did not timely request a hearing on the disqualification under 
42.29 	section 256.045 or this chapter,  chapter 14, or section 256.045 after previously being 
42.30 	given the right to do so.
42.31 	(b) When a licensing action under section 245A.05, 245A.06, or 245A.07 is based 
42.32 	on the disqualification of an individual in connection with a license to provide family child 
42.33 	care, foster care for children in the provider's own home, or foster care services for adults 
42.34 	in the provider's own home, that disqualification shall be conclusive for purposes of the 
43.1 	licensing action if a request for reconsideration was not submitted within 30 calendar days 
43.2 	of the individual's receipt of the notice of disqualification.
43.3 	(c) If a determination that the information relied upon to disqualify an individual 
43.4 	was correct and disqualification is conclusive under this section, and the individual is 
43.5 	subsequently disqualified under section 245C.15, the individual has a right to request 
43.6 	reconsideration on the risk of harm under section 245C.21 unless the commissioner 
43.7 	is barred from setting aside the disqualification under section 245C.24. Subsequent 
43.8 	determinations The commissioner's decision regarding the risk of harm shall be made 
43.9 	according to section 245C.22 and are not subject to another the final agency decision and 
43.10 	is not subject to a hearing under this chapter, section 256.045 or chapter 14, or section 
43.11 	256.045.

43.12 	Sec. 11. Minnesota Statutes 2013 Supplement, section 256.045, subdivision 3b, 
43.13 	is amended to read:
43.14 		Subd. 3b.Standard of evidence for maltreatment and disqualification hearings.
 43.15 	(a) The state human services judge shall determine that maltreatment has occurred if a 
43.16 	preponderance of evidence exists to support the final disposition under sections 626.556 
43.17 	and 626.557. For purposes of hearings regarding disqualification, the state human 
43.18 	services judge shall affirm the proposed disqualification in an appeal under subdivision 3, 
43.19 	paragraph (a), clause (9), if a preponderance of the evidence shows the individual has:
43.20 	(1) committed maltreatment under section 626.556 or 626.557, which is serious or 
43.21 	recurring;
43.22 	(2) committed an act or acts meeting the definition of any of the crimes listed in 
43.23 	section 245C.15, subdivisions 1 to 4; or
43.24 	(3) failed to make required reports under section 626.556 or 626.557, for incidents 
43.25 	in which the final disposition under section 626.556 or 626.557 was substantiated 
43.26 	maltreatment that was serious or recurring.
43.27 	(b) If the disqualification is affirmed, the state human services judge shall determine 
43.28 	whether the individual poses a risk of harm in accordance with the requirements of 
43.29 	section 245C.22, and whether the disqualification should be set aside or not set aside. In 
43.30 	determining whether the disqualification should be set aside, the human services judge shall 
43.31 	consider all of the characteristics that cause the individual to be disqualified, including those 
43.32 	characteristics that were not subject to review under paragraph (a), in order to determine 
43.33 	whether the individual poses a risk of harm. A decision to set aside a disqualification that 
43.34 	is the subject of the hearing constitutes a determination that the individual does not pose a 
43.35 	risk of harm and that the individual may provide direct contact services in the individual 
44.1 	program specified in the set aside. If a determination that the information relied upon to 
44.2 	disqualify an individual was correct and is conclusive under section 245C.29, and the 
44.3 	individual is subsequently disqualified under section 245C.14, the individual has a right 
44.4 	to again request reconsideration on the risk of harm under section 245C.21. Subsequent 
44.5 	determinations regarding risk of harm are not subject to another hearing under this section.
44.6 	(c) If a disqualification is based solely on a conviction or is conclusive for any 
44.7 	reason under section 245C.29, the disqualified individual does not have a right to a 
44.8 	hearing under this section.
44.9 	(c) (d) The state human services judge shall recommend an order to the 
44.10 	commissioner of health, education, or human services, as applicable, who shall issue a 
44.11 	final order. The commissioner shall affirm, reverse, or modify the final disposition. Any 
44.12 	order of the commissioner issued in accordance with this subdivision is conclusive upon 
44.13 	the parties unless appeal is taken in the manner provided in subdivision 7. In any licensing 
44.14 	appeal under chapters 245A and 245C and sections 144.50 to 144.58 and 144A.02 to 
44.15 	144A.46, the commissioner's determination as to maltreatment is conclusive, as provided 
44.16 	under section 245C.29.

44.17 	Sec. 12. FOREIGN TRAINED PHYSICIAN TASK FORCE.
 44.18 	(a) The commissioner of health shall appoint members to an advisory task force by 
44.19 	July 1, 2014, to develop strategies to integrate refugee and asylee physicians into the 
44.20 	Minnesota health care delivery system. The task force shall:
44.21 	(1) analyze demographic information of current medical providers compared to the 
44.22 	population of the state;
44.23 	(2) identify, to the extent possible, foreign-trained physicians living in Minnesota 
44.24 	who are refugees or asylees and interested in meeting the requirements to enter medical 
44.25 	practice or other health careers;
44.26 	(3) identify costs and barriers associated with integrating foreign-trained physicians 
44.27 	into the state workforce;
44.28 	(4) explore alternative roles and professions for foreign trained physicians who are 
44.29 	unable to practice as physicians in the Minnesota health care system; and
44.30 	(5) identify possible funding sources to integrate foreign-trained physicians into the 
44.31 	state workforce as physicians or other health professionals.
44.32 	(b) The commissioner shall provide assistance to the task force, within available 
44.33 	resources.
45.1 	(c) By January 15, 2015, the task force must submit recommendations to the 
45.2 	commissioner of health. The commissioner shall report findings and recommendations to 
45.3 	the legislative committees with jurisdiction over health care by January 15, 2015.

45.4 	Sec. 13. EFFECTIVE DATE.
 45.5 	This article is effective the day following final enactment.