1.1 	A bill for an act
1.2 	relating to health occupations; establishing transfer care specialist registration; 
1.3 	providing licensure for behavior analysts and assistants; providing licensure for 
1.4 	veterinary technicians; modifying required education criteria for dental assistants; 
1.5 	creating guest licensure for marriage and family therapists; authorizing pharmacists 
1.6 	to prescribe drugs to prevent the acquisition of HIV; revising the scope of practice 
1.7 	for optometrists; creating a limited licensure to practice medicine for international 
1.8 	medical graduates; establishing licensure for certified midwives; establishing 
1.9 	licensure for speech-language pathology assistants; establishing fees; appropriating 
1.10 	money;amending Minnesota Statutes 2022, sections 144.0572, subdivision 1; 
1.11 	147.037, by adding a subdivision; 147B.01, subdivisions 3, 4, 9, 14, by adding a 
1.12 	subdivision; 147B.03, subdivisions 2, 3; 147B.05, subdivision 1; 147B.06, 
1.13 	subdivisions 1, 4, 5; 147D.03, subdivision 1; 148.241; 148.511; 148.512, 
1.14 	subdivision 17a; 148.513, subdivisions 1, 2, 3, by adding a subdivision; 148.514, 
1.15 	subdivision 2; 148.515, subdivision 1; 148.518; 148.519, subdivision 1, by adding 
1.16 	a subdivision; 148.5191, subdivision 1, by adding a subdivision; 148.5192, 
1.17 	subdivisions 1, 2, 3; 148.5193, subdivision 1, by adding a subdivision; 148.5194, 
1.18 	subdivision 8, by adding a subdivision; 148.5195, subdivisions 5, 6; 148.5196, 
1.19 	subdivision 3; 148.56, subdivision 1; 148D.061, subdivisions 1, 8; 148D.062, 
1.20 	subdivisions 3, 4; 148D.063, subdivisions 1, 2; 148E.055, by adding subdivisions; 
1.21 	149A.01, subdivision 3; 149A.02, subdivision 13a, by adding a subdivision; 
1.22 	149A.03; 149A.09; 149A.11; 149A.60; 149A.61, subdivisions 4, 5; 149A.62; 
1.23 	149A.63; 149A.65, subdivision 2; 149A.70, subdivisions 3, 4, 5, 7; 149A.90, 
1.24 	subdivisions 2, 4, 5; 150A.06, subdivisions 1c, 8; 151.01, subdivisions 23, 27; 
1.25 	151.37, by adding a subdivision; 152.12, subdivision 1; 156.001, by adding 
1.26 	subdivisions; 156.07; 156.12, subdivisions 2, 4; 256B.0625, by adding a 
1.27 	subdivision; Minnesota Statutes 2023 Supplement, sections 144.99, subdivision 
1.28 	1; 148.5195, subdivision 3; 148.5196, subdivision 1; 148B.392, subdivision 2; 
1.29 	245C.031, subdivision 4; proposing coding for new law in Minnesota Statutes, 
1.30 	chapters 148; 148B; 149A; 156; proposing coding for new law as Minnesota 
1.31 	Statutes, chapter 148G; repealing Minnesota Statutes 2022, sections 147A.09, 
1.32 	subdivision 5; 147B.01, subdivision 18; 148D.061, subdivision 9; 156.12, 
1.33 	subdivision 6.
2.1 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

2.2 	ARTICLE 1
2.3 	TRANSFER CARE SPECIALISTS

2.4 	Section 1. Minnesota Statutes 2022, section 149A.01, subdivision 3, is amended to read:
2.5 		Subd. 3.Exceptions to licensure. (a) Except as otherwise provided in this chapter, 
2.6 	nothing in this chapter shall in any way interfere with the duties of:
2.7 	(1) an anatomical bequest program located within an accredited school of medicine or 
2.8 	an accredited college of mortuary science;
2.9 	(2) a person engaged in the performance of duties prescribed by law relating to the 
2.10 	conditions under which unclaimed dead human bodies are held subject to anatomical study;
2.11 	(3) authorized personnel from a licensed ambulance service in the performance of their 
2.12 	duties;
2.13 	(4) licensed medical personnel in the performance of their duties; or
2.14 	(5) the coroner or medical examiner in the performance of the duties of their offices.
2.15 	(b) This chapter does not apply to or interfere with the recognized customs or rites of 
2.16 	any culture or recognized religion in the ceremonial washing, dressing, casketing, and public 
2.17 	transportation of their dead, to the extent that all other provisions of this chapter are complied 
2.18 	with.
2.19 	(c) Noncompensated persons with the right to control the dead human body, under section 
2.20 	149A.80, subdivision 2, may remove a body from the place of death; transport the body; 
2.21 	prepare the body for disposition, except embalming; or arrange for final disposition of the 
2.22 	body, provided that all actions are in compliance with this chapter.
2.23 	(d) Persons serving internships pursuant to section 149A.20, subdivision 6, or; students 
2.24 	officially registered for a practicum or clinical through a program of mortuary science 
2.25 	accredited by the American Board of Funeral Service Education; or transfer care specialists 
2.26 	registered pursuant to section 149A.47 are not required to be licensed, provided that the 
2.27 	persons or, students, or transfer care specialists are registered with the commissioner and 
2.28 	act under the direct and exclusive supervision of a person holding a current license to practice 
2.29 	mortuary science in Minnesota.
2.30 	(e) Notwithstanding this subdivision, nothing in this section shall be construed to prohibit 
2.31 	an institution or entity from establishing, implementing, or enforcing a policy that permits 
3.1 	only persons licensed by the commissioner to remove or cause to be removed a dead body 
3.2 	or body part from the institution or entity.
3.3 	(f) An unlicensed person may arrange for and direct or supervise a memorial service if 
3.4 	that person or that person's employer does not have charge of the dead human body. An 
3.5 	unlicensed person may not take charge of the dead human body, unless that person has the 
3.6 	right to control the dead human body under section 149A.80, subdivision 2, or is that person's 
3.7 	noncompensated designee.

3.8 	Sec. 2. Minnesota Statutes 2022, section 149A.02, subdivision 13a, is amended to read:
3.9 		Subd. 13a.Direct supervision. "Direct supervision" means overseeing the performance 
3.10 	of an individual. For the purpose of a clinical, practicum, or internship, direct supervision 
3.11 	means that the supervisor is available to observe and correct, as needed, the performance 
3.12 	of the trainee. For the purpose of a transfer care specialist, direct supervision means that 
3.13 	the supervisor is available by being physically present or by telephone to advise and correct, 
3.14 	as needed, the performance of the transfer care specialist. The supervising mortician 
3.15 	supervisor is accountable for the actions of the clinical student, practicum student, or intern 
3.16 	throughout the course of the training. The supervising mortician is accountable for any 
3.17 	violations of law or rule, in the performance of their duties, by the clinical student, practicum 
3.18 	student, or intern, or transfer care specialist.

3.19 	Sec. 3. Minnesota Statutes 2022, section 149A.02, is amended by adding a subdivision to 
3.20 	read:
3.21 		Subd. 37d.Transfer care specialist. "Transfer care specialist" means an individual who 
3.22 	is registered with the commissioner in accordance with section 149A.47 and is authorized 
3.23 	to perform the removal of a dead human body from the place of death under the direct 
3.24 	supervision of a licensed mortician.

3.25 	Sec. 4. Minnesota Statutes 2022, section 149A.03, is amended to read:
3.26 	149A.03 DUTIES OF COMMISSIONER.
3.27 	The commissioner shall:
3.28 	(1) enforce all laws and adopt and enforce rules relating to the:
3.29 	(i) removal, preparation, transportation, arrangements for disposition, and final disposition 
3.30 	of dead human bodies;
4.1 	(ii) licensure, registration, and professional conduct of funeral directors, morticians, 
4.2 	interns, practicum students, and clinical students, and transfer care specialists;
4.3 	(iii) licensing and operation of a funeral establishment;
4.4 	(iv) licensing and operation of an alkaline hydrolysis facility; and
4.5 	(v) licensing and operation of a crematory;
4.6 	(2) provide copies of the requirements for licensure, registration, and permits to all 
4.7 	applicants;
4.8 	(3) administer examinations and issue licenses, registrations, and permits to qualified 
4.9 	persons and other legal entities;
4.10 	(4) maintain a record of the name and location of all current licensees and, interns, and 
4.11 	transfer care specialists;
4.12 	(5) perform periodic compliance reviews and premise inspections of licensees;
4.13 	(6) accept and investigate complaints relating to conduct governed by this chapter;
4.14 	(7) maintain a record of all current preneed arrangement trust accounts;
4.15 	(8) maintain a schedule of application, examination, permit, registration, and licensure 
4.16 	fees, initial and renewal, sufficient to cover all necessary operating expenses;
4.17 	(9) educate the public about the existence and content of the laws and rules for mortuary 
4.18 	science licensing and the removal, preparation, transportation, arrangements for disposition, 
4.19 	and final disposition of dead human bodies to enable consumers to file complaints against 
4.20 	licensees and others who may have violated those laws or rules;
4.21 	(10) evaluate the laws, rules, and procedures regulating the practice of mortuary science 
4.22 	in order to refine the standards for licensing and to improve the regulatory and enforcement 
4.23 	methods used; and
4.24 	(11) initiate proceedings to address and remedy deficiencies and inconsistencies in the 
4.25 	laws, rules, or procedures governing the practice of mortuary science and the removal, 
4.26 	preparation, transportation, arrangements for disposition, and final disposition of dead 
4.27 	human bodies.

5.1 	Sec. 5. Minnesota Statutes 2022, section 149A.09, is amended to read:
5.2 	149A.09 DENIAL; REFUSAL TO REISSUE; REVOCATION; SUSPENSION; 
5.3 	LIMITATION OF LICENSE, REGISTRATION, OR PERMIT.
5.4 		Subdivision 1.Denial; refusal to renew; revocation; and suspension. The regulatory 
5.5 	agency may deny, refuse to renew, revoke, or suspend any license, registration, or permit 
5.6 	applied for or issued pursuant to this chapter when the person subject to regulation under 
5.7 	this chapter:
5.8 	(1) does not meet or fails to maintain the minimum qualification for holding a license, 
5.9 	registration, or permit under this chapter;
5.10 	(2) submits false or misleading material information to the regulatory agency in 
5.11 	connection with a license, registration, or permit issued by the regulatory agency or the 
5.12 	application for a license, registration, or permit;
5.13 	(3) violates any law, rule, order, stipulation agreement, settlement, compliance agreement, 
5.14 	license, registration, or permit that regulates the removal, preparation, transportation, 
5.15 	arrangements for disposition, or final disposition of dead human bodies in Minnesota or 
5.16 	any other state in the United States;
5.17 	(4) is convicted of a crime, including a finding or verdict of guilt, an admission of guilt, 
5.18 	or a no contest plea in any court in Minnesota or any other jurisdiction in the United States. 
5.19 	"Conviction," as used in this subdivision, includes a conviction for an offense which, if 
5.20 	committed in this state, would be deemed a felony or gross misdemeanor without regard to 
5.21 	its designation elsewhere, or a criminal proceeding where a finding or verdict of guilty is 
5.22 	made or returned, but the adjudication of guilt is either withheld or not entered;
5.23 	(5) is convicted of a crime, including a finding or verdict of guilt, an admission of guilt, 
5.24 	or a no contest plea in any court in Minnesota or any other jurisdiction in the United States 
5.25 	that the regulatory agency determines is reasonably related to the removal, preparation, 
5.26 	transportation, arrangements for disposition or final disposition of dead human bodies, or 
5.27 	the practice of mortuary science;
5.28 	(6) is adjudicated as mentally incompetent, mentally ill, developmentally disabled, or 
5.29 	mentally ill and dangerous to the public;
5.30 	(7) has a conservator or guardian appointed;
5.31 	(8) fails to comply with an order issued by the regulatory agency or fails to pay an 
5.32 	administrative penalty imposed by the regulatory agency;
6.1 	(9) owes uncontested delinquent taxes in the amount of $500 or more to the Minnesota 
6.2 	Department of Revenue, or any other governmental agency authorized to collect taxes 
6.3 	anywhere in the United States;
6.4 	(10) is in arrears on any court ordered family or child support obligations; or
6.5 	(11) engages in any conduct that, in the determination of the regulatory agency, is 
6.6 	unprofessional as prescribed in section 149A.70, subdivision 7, or renders the person unfit 
6.7 	to practice mortuary science or to operate a funeral establishment or crematory.
6.8 		Subd. 2.Hearings related to refusal to renew, suspension, or revocation of license, 
6.9 	registration, or permit. If the regulatory agency proposes to deny renewal, suspend, or 
6.10 	revoke a license, registration, or permit issued under this chapter, the regulatory agency 
6.11 	must first notify, in writing, the person against whom the action is proposed to be taken and 
6.12 	provide an opportunity to request a hearing under the contested case provisions of sections 
6.13 	14.57 to 14.62. If the subject of the proposed action does not request a hearing by notifying 
6.14 	the regulatory agency, by mail, within 20 calendar days after the receipt of the notice of 
6.15 	proposed action, the regulatory agency may proceed with the action without a hearing and 
6.16 	the action will be the final order of the regulatory agency.
6.17 		Subd. 3.Review of final order. A judicial review of the final order issued by the 
6.18 	regulatory agency may be requested in the manner prescribed in sections 14.63 to 14.69. 
6.19 	Failure to request a hearing pursuant to subdivision 2 shall constitute a waiver of the right 
6.20 	to further agency or judicial review of the final order.
6.21 		Subd. 4.Limitations or qualifications placed on license, registration, or permit. The 
6.22 	regulatory agency may, where the facts support such action, place reasonable limitations 
6.23 	or qualifications on the right to practice mortuary science or, to operate a funeral 
6.24 	establishment or crematory, or to perform activities or actions permitted under this chapter.
6.25 		Subd. 5.Restoring license, registration, or permit. The regulatory agency may, where 
6.26 	there is sufficient reason, restore a license, registration, or permit that has been revoked, 
6.27 	reduce a period of suspension, or remove limitations or qualifications.

6.28 	Sec. 6. Minnesota Statutes 2022, section 149A.11, is amended to read:
6.29 	149A.11 PUBLICATION OF DISCIPLINARY ACTIONS.
6.30 	The regulatory agencies shall report all disciplinary measures or actions taken to the 
6.31 	commissioner. At least annually, the commissioner shall publish and make available to the 
6.32 	public a description of all disciplinary measures or actions taken by the regulatory agencies. 
6.33 	The publication shall include, for each disciplinary measure or action taken, the name and 
7.1 	business address of the licensee or, intern, or transfer care specialist; the nature of the 
7.2 	misconduct,; and the measure or action taken by the regulatory agency.

7.3 	Sec. 7. [149A.47] TRANSFER CARE SPECIALIST.
7.4 		Subdivision 1.General. A transfer care specialist may remove a dead human body from 
7.5 	the place of death under the direct supervision of a licensed mortician if the transfer care 
7.6 	specialist is registered with the commissioner in accordance with this section. A transfer 
7.7 	care specialist is not licensed to engage in the practice of mortuary science and shall not 
7.8 	engage in the practice of mortuary science except as provided in this section. A transfer 
7.9 	care specialist must be an employee of a licensed funeral establishment.
7.10 		Subd. 2.Registration. (a) To be eligible for registration as a transfer care specialist, an 
7.11 	applicant must submit to the commissioner:
7.12 	(1) a completed application on a form provided by the commissioner that includes at a 
7.13 	minimum:
7.14 	(i) the applicant's name, home address and telephone number, business name, business 
7.15 	address and telephone number, and email address; and
7.16 	(ii) the name, license number, business name, and business address and telephone number 
7.17 	of the supervising licensed mortician;
7.18 	(2) proof of completion of a training program that meets the requirements specified in 
7.19 	subdivision 4; and
7.20 	(3) the appropriate fee specified in section 149A.65.
7.21 	(b) All transfer care specialist registrations are valid for one calendar year, beginning 
7.22 	on January 1 and ending on December 31 regardless of the date of issuance. Fees shall not 
7.23 	be prorated.
7.24 		Subd. 3.Duties. (a) A transfer care specialist registered under this section is authorized 
7.25 	to perform the removal of a dead human body from the place of death in accordance with 
7.26 	this chapter to a licensed funeral establishment. A transfer care specialist must comply with 
7.27 	the universal precaution requirements in section 149A.91, subdivision 1, when handling a 
7.28 	dead human body.
7.29 	(b) A transfer care specialist must work under the direct supervision of a licensed 
7.30 	mortician. The supervising mortician is responsible for the work performed by the transfer 
7.31 	care specialist. A licensed mortician may supervise up to four transfer care specialists at 
7.32 	any one time.
8.1 		Subd. 4.Training program and continuing education. (a) Each transfer care specialist 
8.2 	must complete a training program prior to initial registration. A training program must be 
8.3 	at least seven hours long and must cover, at a minimum, the following:
8.4 	(1) ethical care and transportation procedures for a deceased person;
8.5 	(2) health and safety concerns to the public and the individual performing the transfer 
8.6 	of the deceased person, and the use of universal precautions and other reasonable precautions 
8.7 	to minimize the risk for transmitting communicable diseases; and
8.8 	(3) all relevant state and federal laws and regulations related to the transfer and 
8.9 	transportation of deceased persons.
8.10 	(b) A transfer care specialist must complete three hours of continuing education annually 
8.11 	on content described in paragraph (a), clauses (1) to (3), and submit evidence of completion 
8.12 	with the individual's registration renewal.
8.13 		Subd. 5.Renewal. (a) A registration issued under this section expires on December 31 
8.14 	of the calendar year in which the registration was issued and must be renewed to remain 
8.15 	valid.
8.16 	(b) To renew a registration, a transfer care specialist must submit to the commissioner 
8.17 	a completed renewal application as provided by the commissioner and the appropriate fee 
8.18 	specified in section 149A.65. The renewal application must include proof of completion of 
8.19 	the continuing education requirements in subdivision 4.

8.20 	Sec. 8. Minnesota Statutes 2022, section 149A.60, is amended to read:
8.21 	149A.60 PROHIBITED CONDUCT.
8.22 	The regulatory agency may impose disciplinary measures or take disciplinary action 
8.23 	against a person whose conduct is subject to regulation under this chapter for failure to 
8.24 	comply with any provision of this chapter or laws, rules, orders, stipulation agreements, 
8.25 	settlements, compliance agreements, licenses, registrations, and permits adopted, or issued 
8.26 	for the regulation of the removal, preparation, transportation, arrangements for disposition 
8.27 	or final disposition of dead human bodies, or for the regulation of the practice of mortuary 
8.28 	science.

8.29 	Sec. 9. Minnesota Statutes 2022, section 149A.61, subdivision 4, is amended to read:
8.30 		Subd. 4.Licensees and, interns, and transfer care specialists. A licensee or, intern, 
8.31 	or transfer care specialist regulated under this chapter may report to the commissioner any 
9.1 	conduct that the licensee or, intern, or transfer care specialist has personal knowledge of, 
9.2 	and reasonably believes constitutes grounds for, disciplinary action under this chapter.

9.3 	Sec. 10. Minnesota Statutes 2022, section 149A.61, subdivision 5, is amended to read:
9.4 		Subd. 5.Courts. The court administrator of district court or any court of competent 
9.5 	jurisdiction shall report to the commissioner any judgment or other determination of the 
9.6 	court that adjudges or includes a finding that a licensee or, intern, or transfer care specialist
9.7 	is a person who is mentally ill, mentally incompetent, guilty of a felony or gross 
9.8 	misdemeanor, guilty of violations of federal or state narcotics laws or controlled substances 
9.9 	acts; appoints a guardian or conservator for the licensee or, intern, or transfer care specialist; 
9.10 	or commits a licensee or, intern, or transfer care specialist.

9.11 	Sec. 11. Minnesota Statutes 2022, section 149A.62, is amended to read:
9.12 	149A.62 IMMUNITY; REPORTING.
9.13 	Any person, private agency, organization, society, association, licensee, or intern, or 
9.14 	transfer care specialist who, in good faith, submits information to a regulatory agency under 
9.15 	section 149A.61 or otherwise reports violations or alleged violations of this chapter, is 
9.16 	immune from civil liability or criminal prosecution. This section does not prohibit disciplinary 
9.17 	action taken by the commissioner against any licensee or, intern, or transfer care specialist
9.18 	pursuant to a self report of a violation.

9.19 	Sec. 12. Minnesota Statutes 2022, section 149A.63, is amended to read:
9.20 	149A.63 PROFESSIONAL COOPERATION.
9.21 	A licensee, clinical student, practicum student, intern, transfer care specialist, or applicant 
9.22 	for licensure under this chapter that is the subject of or part of an inspection or investigation 
9.23 	by the commissioner or the commissioner's designee shall cooperate fully with the inspection 
9.24 	or investigation. Failure to cooperate constitutes grounds for disciplinary action under this 
9.25 	chapter.

9.26 	Sec. 13. Minnesota Statutes 2022, section 149A.65, subdivision 2, is amended to read:
9.27 		Subd. 2.Mortuary science fees. Fees for mortuary science are:
9.28 	(1) $75 for the initial and renewal registration of a mortuary science intern;
9.29 	(2) $125 for the mortuary science examination;
9.30 	(3) $200 for issuance of initial and renewal mortuary science licenses;
10.1 	(4) $100 late fee charge for a license renewal; and
10.2 	(5) $250 for issuing a mortuary science license by endorsement.; and
10.3 	(6) $....... for the initial and renewal registration of a transfer care specialist.

10.4 	Sec. 14. Minnesota Statutes 2022, section 149A.70, subdivision 3, is amended to read:
10.5 		Subd. 3.Advertising. No licensee, clinical student, practicum student, or intern, or 
10.6 	transfer care specialist shall publish or disseminate false, misleading, or deceptive advertising. 
10.7 	False, misleading, or deceptive advertising includes, but is not limited to:
10.8 	(1) identifying, by using the names or pictures of, persons who are not licensed to practice 
10.9 	mortuary science in a way that leads the public to believe that those persons will provide 
10.10 	mortuary science services;
10.11 	(2) using any name other than the names under which the funeral establishment, alkaline 
10.12 	hydrolysis facility, or crematory is known to or licensed by the commissioner;
10.13 	(3) using a surname not directly, actively, or presently associated with a licensed funeral 
10.14 	establishment, alkaline hydrolysis facility, or crematory, unless the surname had been 
10.15 	previously and continuously used by the licensed funeral establishment, alkaline hydrolysis 
10.16 	facility, or crematory; and
10.17 	(4) using a founding or establishing date or total years of service not directly or 
10.18 	continuously related to a name under which the funeral establishment, alkaline hydrolysis 
10.19 	facility, or crematory is currently or was previously licensed.
10.20 	Any advertising or other printed material that contains the names or pictures of persons 
10.21 	affiliated with a funeral establishment, alkaline hydrolysis facility, or crematory shall state 
10.22 	the position held by the persons and shall identify each person who is licensed or unlicensed 
10.23 	under this chapter.

10.24 	Sec. 15. Minnesota Statutes 2022, section 149A.70, subdivision 4, is amended to read:
10.25 		Subd. 4.Solicitation of business. No licensee shall directly or indirectly pay or cause 
10.26 	to be paid any sum of money or other valuable consideration for the securing of business 
10.27 	or for obtaining the authority to dispose of any dead human body.
10.28 	For purposes of this subdivision, licensee includes a registered intern, transfer care 
10.29 	specialist, or any agent, representative, employee, or person acting on behalf of the licensee.

11.1 	Sec. 16. Minnesota Statutes 2022, section 149A.70, subdivision 5, is amended to read:
11.2 		Subd. 5.Reimbursement prohibited. No licensee, clinical student, practicum student, 
11.3 	or intern, or transfer care specialist shall offer, solicit, or accept a commission, fee, bonus, 
11.4 	rebate, or other reimbursement in consideration for recommending or causing a dead human 
11.5 	body to be disposed of by a specific body donation program, funeral establishment, alkaline 
11.6 	hydrolysis facility, crematory, mausoleum, or cemetery.

11.7 	Sec. 17. Minnesota Statutes 2022, section 149A.70, subdivision 7, is amended to read:
11.8 		Subd. 7.Unprofessional conduct. No licensee or, intern, or transfer care specialist shall 
11.9 	engage in or permit others under the licensee's or, intern's, or transfer care specialist's
11.10 	supervision or employment to engage in unprofessional conduct. Unprofessional conduct 
11.11 	includes, but is not limited to:
11.12 	(1) harassing, abusing, or intimidating a customer, employee, or any other person 
11.13 	encountered while within the scope of practice, employment, or business;
11.14 	(2) using profane, indecent, or obscene language within the immediate hearing of the 
11.15 	family or relatives of the deceased;
11.16 	(3) failure to treat with dignity and respect the body of the deceased, any member of the 
11.17 	family or relatives of the deceased, any employee, or any other person encountered while 
11.18 	within the scope of practice, employment, or business;
11.19 	(4) the habitual overindulgence in the use of or dependence on intoxicating liquors, 
11.20 	prescription drugs, over-the-counter drugs, illegal drugs, or any other mood altering 
11.21 	substances that substantially impair a person's work-related judgment or performance;
11.22 	(5) revealing personally identifiable facts, data, or information about a decedent, customer, 
11.23 	member of the decedent's family, or employee acquired in the practice or business without 
11.24 	the prior consent of the individual, except as authorized by law;
11.25 	(6) intentionally misleading or deceiving any customer in the sale of any goods or services 
11.26 	provided by the licensee;
11.27 	(7) knowingly making a false statement in the procuring, preparation, or filing of any 
11.28 	required permit or document; or
11.29 	(8) knowingly making a false statement on a record of death.

12.1 	Sec. 18. Minnesota Statutes 2022, section 149A.90, subdivision 2, is amended to read:
12.2 		Subd. 2.Removal from place of death. No person subject to regulation under this 
12.3 	chapter shall remove or cause to be removed any dead human body from the place of death 
12.4 	without being licensed or registered by the commissioner. Every dead human body shall be 
12.5 	removed from the place of death by a licensed mortician or funeral director, except as 
12.6 	provided in section 149A.01, subdivision 3.

12.7 	Sec. 19. Minnesota Statutes 2022, section 149A.90, subdivision 4, is amended to read:
12.8 		Subd. 4.Certificate of removal. No dead human body shall be removed from the place 
12.9 	of death by a mortician or, funeral director, or transfer care specialist or by a noncompensated 
12.10 	person with the right to control the dead human body without the completion of a certificate 
12.11 	of removal and, where possible, presentation of a copy of that certificate to the person or a 
12.12 	representative of the legal entity with physical or legal custody of the body at the death site. 
12.13 	The certificate of removal shall be in the format provided by the commissioner that contains, 
12.14 	at least, the following information:
12.15 	(1) the name of the deceased, if known;
12.16 	(2) the date and time of removal;
12.17 	(3) a brief listing of the type and condition of any personal property removed with the 
12.18 	body;
12.19 	(4) the location to which the body is being taken;
12.20 	(5) the name, business address, and license number of the individual making the removal; 
12.21 	and
12.22 	(6) the signatures of the individual making the removal and, where possible, the individual 
12.23 	or representative of the legal entity with physical or legal custody of the body at the death 
12.24 	site.

12.25 	Sec. 20. Minnesota Statutes 2022, section 149A.90, subdivision 5, is amended to read:
12.26 		Subd. 5.Retention of certificate of removal. A copy of the certificate of removal shall 
12.27 	be given, where possible, to the person or representative of the legal entity having physical 
12.28 	or legal custody of the body at the death site. The original certificate of removal shall be 
12.29 	retained by the individual making the removal and shall be kept on file, at the funeral 
12.30 	establishment to which the body was taken, for a period of three calendar years following 
12.31 	the date of the removal. If the removal was performed by a transfer care specialist not 
13.1 	employed by the funeral establishment to which the body was taken, the transfer care 
13.2 	specialist must retain a copy of the certificate of removal at the transfer care specialist's 
13.3 	business address as registered with the commissioner for a period of three calendar years 
13.4 	following the date of removal. Following this period, and subject to any other laws requiring 
13.5 	retention of records, the funeral establishment may then place the records in storage or 
13.6 	reduce them to microfilm, microfiche, laser disc, or any other method that can produce an 
13.7 	accurate reproduction of the original record, for retention for a period of ten calendar years 
13.8 	from the date of the removal of the body. At the end of this period and subject to any other 
13.9 	laws requiring retention of records, the funeral establishment may destroy the records by 
13.10 	shredding, incineration, or any other manner that protects the privacy of the individuals 
13.11 	identified in the records.

13.12 	ARTICLE 2
13.13 	BEHAVIOR ANALYST LICENSURE

13.14 	Section 1. [148.9981] DEFINITIONS.
13.15 		Subdivision 1.Scope. For the purposes of sections 148.9981 to 148.9995, the terms in 
13.16 	this section have the meanings given.
13.17 		Subd. 2.Accredited school or educational program. "Accredited school or educational 
13.18 	program" means a school, university, college, or other postsecondary education program 
13.19 	that, at the time the student completes the program, is accredited by a regional accrediting 
13.20 	association whose standards are substantially equivalent to those of the North Central 
13.21 	Association of Colleges and Postsecondary Education Institutions or an accrediting 
13.22 	association that evaluates schools of behavior analysis, psychology, or education for inclusion 
13.23 	of the education, practicum, and core function standards.
13.24 		Subd. 3.Advisory council. "Advisory council" means the Behavior Analyst Advisory 
13.25 	Council established in section 148.9994.
13.26 		Subd. 4.Board. "Board" means the Board of Psychology established in section 148.90.
13.27 		Subd. 5.Certifying entity. "Certifying entity" means the Behavior Analyst Certification 
13.28 	Board, Inc., or a successor organization or other organization approved by the board in 
13.29 	consultation with the advisory council.
13.30 		Subd. 6.Client. "Client" means an individual who is the recipient of behavior analysis 
13.31 	services. Client also means "patient" as defined in section 144.291, subdivision 2, paragraph 
13.32 	(g).
14.1 		Subd. 7.Licensed assistant behavior analyst. "Licensed assistant behavior analyst" 
14.2 	or "assistant behavior analyst" means an individual who holds a valid license issued under 
14.3 	sections 148.9981 to 148.9995 to assist in the practice of applied behavior analysis.
14.4 		Subd. 8.Licensed behavior analyst. "Licensed behavior analyst" or "behavior analyst" 
14.5 	means an individual who holds a valid license issued under sections 148.9981 to 148.9995 
14.6 	to engage in the practice of applied behavior analysis.
14.7 		Subd. 9.Licensee. "Licensee" means an individual who holds a valid license issued 
14.8 	under sections 148.9981 to 148.9995.
14.9 		Subd. 10.Practice of applied behavior analysis. (a) "Practice of applied behavior 
14.10 	analysis" means the design, implementation, and evaluation of social, instructional, and 
14.11 	environmental modifications to produce socially significant improvements in human behavior. 
14.12 	The practice of applied behavior analysis includes the empirical identification of functional 
14.13 	relations between behavior and environmental factors, known as functional behavioral 
14.14 	assessment and analysis. Applied behavior analysis interventions are based on scientific 
14.15 	research, direct and indirect observation, and measurement of behavior and environment 
14.16 	and utilize contextual factors, motivating operations, antecedent stimuli, positive 
14.17 	reinforcement, and other procedures to help individuals develop new behaviors, increase 
14.18 	or decrease existing behaviors, and emit behaviors under specific social, instructional, and 
14.19 	environmental conditions.
14.20 	(b) The practice of applied behavior analysis does not include the diagnosis of psychiatric 
14.21 	or mental health disorders, psychological testing, neuropsychology, psychotherapy, cognitive 
14.22 	therapy, sex therapy, hypnotherapy, psychoanalysis, or psychological counseling.

14.23 	EFFECTIVE DATE. This section is effective July 1, 2024.

14.24 	Sec. 2. [148.9982] DUTIES OF THE BOARD OF PSYCHOLOGY.
14.25 		Subdivision 1.General. The board, in consultation with the advisory council, must:
14.26 	(1) adopt and enforce standards for licensure, licensure renewal, and the regulation of 
14.27 	behavior analysts and assistant behavior analysts;
14.28 	(2) issue licenses to qualified individuals under sections 148.9981 to 148.9995;
14.29 	(3) carry out disciplinary actions against licensed behavior analysts and assistant behavior 
14.30 	analysts;
15.1 	(4) educate the public about the existence and content of the regulations for behavior 
15.2 	analyst licensing to enable consumers to file complaints against licensees who may have 
15.3 	violated laws or rules the board is empowered to enforce; and
15.4 	(5) collect license fees for behavior analysts and assistant behavior analysts as specified 
15.5 	under section 148.9995.
15.6 		Subd. 2.Rulemaking. (a) The board, in consultation with the advisory council, may 
15.7 	adopt rules necessary to carry out the provisions of sections 148.9981 to 148.9995.
15.8 	(b) The board, in consultation with the advisory council, may adopt rules related to the 
15.9 	supervision requirements for licensed assistant behavior analysts.

15.10 	EFFECTIVE DATE. This section is effective July 1, 2024.

15.11 	Sec. 3. [148.9983] REQUIREMENTS FOR LICENSURE.
15.12 		Subdivision 1.General. An individual seeking licensure as a behavior analyst or an 
15.13 	assistant behavior analyst must complete and submit a written application on forms provided 
15.14 	by the board together with the appropriate fee as specified under section 148.9995.
15.15 		Subd. 2.Requirements for licensure. (a) An applicant for licensure as a behavior analyst 
15.16 	must submit evidence satisfactory to the board that the applicant:
15.17 	(1) has a current and active national certification as a board-certified behavior analyst 
15.18 	issued by the certifying entity; or
15.19 	(2) has completed the equivalent requirements for certification by the certifying entity, 
15.20 	including satisfactorily passing a psychometrically valid examination administered by a 
15.21 	nationally accredited credentialing organization.
15.22 	(b) An applicant for licensure as an assistant behavior analyst must submit evidence 
15.23 	satisfactory to the board that the applicant:
15.24 	(1) has a current and active national certification as an assistant behavior analyst issued 
15.25 	by the certifying entity; or
15.26 	(2) has completed the equivalent requirements for certification by the certifying entity, 
15.27 	including satisfactorily passing a psychometrically valid examination administered by a 
15.28 	nationally accredited credentialing organization.
15.29 		Subd. 3.Background investigation.  The applicant must complete a background check 
15.30 	pursuant to section 214.075.

15.31 	EFFECTIVE DATE. This section is effective July 1, 2024.

16.1 	Sec. 4. [148.9984] LICENSE RENEWAL REQUIREMENTS.
16.2 		Subdivision 1.Biennial renewal. A license must be renewed every two years.
16.3 		Subd. 2.License renewal notice. At least 60 calendar days before the renewal deadline 
16.4 	date, the board must mail a renewal notice to the licensee's last known address on file with 
16.5 	the board. The notice must include instructions for accessing an online application for license 
16.6 	renewal, the renewal deadline, and notice of fees required for renewal. The licensee's failure 
16.7 	to receive notice does not relieve the licensee of the obligation to meet the renewal deadline 
16.8 	and other requirements for license renewal.
16.9 		Subd. 3.Renewal requirements. (a) To renew a license, a licensee must submit to the 
16.10 	board:
16.11 	(1) a completed and signed application for license renewal;
16.12 	(2) the license renewal fee as specified under section 148.9995; and
16.13 	(3) evidence satisfactory to the board that the licensee holds a current and active national 
16.14 	certification as a behavior analyst or assistant behavior analyst from the certifying entity or 
16.15 	otherwise meets renewal requirements as established by the board, in consultation with the 
16.16 	advisory council.
16.17 	(b) The application for license renewal and fee must be postmarked or received by the 
16.18 	board by the end of the day on which the license expires or the following business day if 
16.19 	the expiration date falls on a Saturday, Sunday, or holiday. A renewal application that is 
16.20 	not completed and signed, or that is not accompanied by the correct fee, is void and must 
16.21 	be returned to the licensee.
16.22 		Subd. 4.Pending renewal. If a licensee's application for license renewal is postmarked 
16.23 	or received by the board by the end of the business day on the expiration date of the license 
16.24 	or the following business day if the expiration date falls on a Saturday, Sunday, or holiday, 
16.25 	the licensee may continue to practice after the expiration date while the application for 
16.26 	license renewal is pending with the board.
16.27 		Subd. 5.Late renewal fee. If the application for license renewal is postmarked or 
16.28 	received after the expiration date of the license or the following business day if the expiration 
16.29 	date falls on a Saturday, Sunday, or holiday, the licensee must pay a biennial renewal late 
16.30 	fee as specified by section 148.9995, in addition to the renewal fee, before the licensee's 
16.31 	application for license renewal will be considered by the board.

16.32 	EFFECTIVE DATE. This section is effective July 1, 2024.

17.1 	Sec. 5. [148.9985] EXPIRED LICENSE.
17.2 	(a) Within 30 days after the renewal date, a licensee who has not renewed their license 
17.3 	must be notified by letter, sent to the last known address of the licensee in the board's file, 
17.4 	that the renewal is overdue and that failure to pay the current fee and current biennial renewal 
17.5 	late fee within 60 days after the renewal date will result in termination of the license.
17.6 	(b) The board must terminate the license of a licensee whose license renewal is at least 
17.7 	60 days overdue and to whom notification has been sent as provided in paragraph (a). Failure 
17.8 	of a licensee to receive notification is not grounds for later challenge of the termination. 
17.9 	The former licensee must be notified of the termination by letter within seven days after 
17.10 	board action, in the same manner as provided in paragraph (a).
17.11 	(c) Notwithstanding paragraph (b), the board retains jurisdiction over a former licensee 
17.12 	for complaints received after termination of a license regarding conduct that occurred during 
17.13 	licensure.

17.14 	EFFECTIVE DATE. This section is effective July 1, 2024.

17.15 	Sec. 6. [148.9986] PROHIBITED PRACTICE OR USE OF TITLES; PENALTY.
17.16 		Subdivision 1.Practice. Effective January 1, 2025, an individual must not engage in 
17.17 	the practice of applied behavior analysis unless the individual is licensed under sections 
17.18 	148.9981 to 148.9995 as a behavior analyst or assistant behavior analyst, or is exempt under 
17.19 	section 148.9987. A psychologist licensed under sections 148.88 to 148.981 who practices 
17.20 	behavior analysis is not required to obtain a license as a behavior analyst under sections 
17.21 	148.9981 to 148.9995.
17.22 		Subd. 2.Use of titles. (a) An individual must not use a title incorporating the words 
17.23 	"licensed behavior analyst," "behavior analyst," "licensed assistant behavior analyst," or 
17.24 	"assistant behavior analyst," or use any other title or description stating or implying that 
17.25 	they are licensed or otherwise qualified to practice applied behavior analysis, unless that 
17.26 	person holds a valid license under sections 148.9981 to 148.9995.
17.27 	(b) Notwithstanding paragraph (a), a licensed psychologist who practices applied behavior 
17.28 	analysis within the psychologist's scope of practice may use the title "behavior analyst," but 
17.29 	must not use the title "licensed behavior analyst" unless the licensed psychologist holds a 
17.30 	valid license as a behavior analyst issued under sections 148.9981 to 148.9995.
17.31 		Subd. 3.Penalty. An individual who violates this section is guilty of a misdemeanor.

17.32 	EFFECTIVE DATE. This section is effective January 1, 2025.

18.1 	Sec. 7. [148.9987] EXCEPTIONS TO LICENSE REQUIREMENT.
18.2 	(a) Sections 148.9981 to 148.9995 must not be construed to prohibit or restrict:
18.3 	(1) the practice of an individual who is licensed to practice psychology in the state or 
18.4 	an individual who is providing psychological services under the supervision of a licensed 
18.5 	psychologist in accordance with section 148.925;
18.6 	(2) the practice of any other profession or occupation licensed, certified, or registered 
18.7 	by the state by an individual duly licensed, certified, or registered to practice the profession 
18.8 	or occupation or to perform any act that falls within the scope of practice of the profession 
18.9 	or occupation;
18.10 	(3) an individual who is employed by a school district from providing behavior analysis 
18.11 	services as part of the individual's employment with the school district, so long as the 
18.12 	individual does not provide behavior analysis services to any person or entity other than as 
18.13 	an employee of the school district or accept remuneration for the provision of behavior 
18.14 	analysis services outside of the individual's employment with the school district;
18.15 	(4) an employee of a program licensed under chapter 245D from providing the services 
18.16 	described in section 245D.091, subdivision 1;
18.17 	(5) teaching behavior analysis or conducting behavior analysis research if the teaching 
18.18 	or research does not involve the direct delivery of behavior analysis services;
18.19 	(6) providing behavior analysis services by an unlicensed supervisee or trainee under 
18.20 	the authority and direction of a licensed behavior analyst or licensed assistant behavior 
18.21 	analyst and in compliance with the licensure and supervision standards required by law or 
18.22 	rule;
18.23 	(7) a family member or guardian of the recipient of behavior analysis services from 
18.24 	performing behavior analysis services under the authority and direction of a licensed behavior 
18.25 	analyst or a licensed assistant behavior analyst; or
18.26 	(8) students or interns enrolled in an accredited school or educational program, or 
18.27 	participating in a behavior analysis practicum, from engaging in the practice of applied 
18.28 	behavior analysis while supervised by a licensed behavior analyst, licensed assistant behavior 
18.29 	analyst, or instructor of an accredited school or educational program. These individuals 
18.30 	must be designated as a behavior analyst student or intern.
18.31 	(b) Notwithstanding paragraph (a), a licensed psychologist may supervise an unlicensed 
18.32 	supervisee, trainee, student, or intern who is engaged in the practice of behavior analysis if 
18.33 	the supervision is authorized under the Minnesota Psychology Practice Act.

19.1 	EFFECTIVE DATE. This section is effective July 1, 2024.

19.2 	Sec. 8. [148.9988] NONTRANSFERABILITY OF LICENSES.
19.3 	A behavior analyst license or an assistant behavior analyst license is not transferable.

19.4 	EFFECTIVE DATE. This section is effective July 1, 2024.

19.5 	Sec. 9. [148.9989] DUTY TO MAINTAIN CURRENT INFORMATION.
19.6 	All licensees and applicants for licensure must notify the board within 30 days of the 
19.7 	occurrence of:
19.8 	(1) a change of name, address, place of employment, or home or business telephone 
19.9 	number; or
19.10 	(2) a change in any other application information.

19.11 	EFFECTIVE DATE. This section is effective July 1, 2024.

19.12 	Sec. 10. [148.999] DISCIPLINE; REPORTING.
19.13 	For purposes of sections 148.9981 to 148.9995, behavior analysts and assistant behavior 
19.14 	analysts are subject to the provisions of sections 148.941, 148.952 to 148.965, and 148.98.

19.15 	EFFECTIVE DATE. This section is effective July 1, 2024.

19.16 	Sec. 11. [148.9991] COMPETENT PROVISION OF SERVICES.
19.17 		Subdivision 1.Limits on practice. Behavior analysts must limit practice to the client 
19.18 	populations and services for which the behavior analysts have competence or for which the 
19.19 	behavior analysts are developing competence.
19.20 		Subd. 2.Developing competence. When a behavior analyst is developing competence 
19.21 	in a service, method, or procedure, or is developing competence to treat a specific client 
19.22 	population, the behavior analyst must obtain professional education, training, continuing 
19.23 	education, consultation, supervision or experience, or a combination thereof, necessary to 
19.24 	demonstrate competence.
19.25 		Subd. 3.Limitations. A behavior analyst must recognize the limitations to the scope of 
19.26 	practice of applied behavior analysis. When the needs of a client appear to be outside the 
19.27 	behavior analyst's scope of practice, the behavior analyst must inform the client that there 
19.28 	may be other professional, technical, community, and administrative resources available to 
20.1 	the client. A behavior analyst must assist with identifying resources when it is in the best 
20.2 	interest of a client to be provided with alternative or complementary services.
20.3 		Subd. 4.Burden of proof. Whenever a complaint is submitted to the board involving 
20.4 	a violation of this section, the burden of proof is on the behavior analyst to demonstrate that 
20.5 	the elements of competence have been reasonably met.

20.6 	EFFECTIVE DATE. This section is effective July 1, 2024.

20.7 	Sec. 12. [148.9992] DUTY TO WARN; LIMITATION ON LIABILITY; VIOLENT 
20.8 	BEHAVIOR OF PATIENT.
20.9 		Subdivision 1.Definitions. (a) For the purposes of this section, the terms in this 
20.10 	subdivision have the meanings given.
20.11 	(b) "Other person" means an immediate family member or someone who personally 
20.12 	knows the client and has reason to believe the client is capable of and will carry out a serious, 
20.13 	specific threat of harm to a specific, clearly identified or identifiable victim.
20.14 	(c) "Reasonable efforts" means communicating a serious, specific threat to the potential 
20.15 	victim and, if unable to make contact with the potential victim, communicating the serious, 
20.16 	specific threat to the law enforcement agency closest to the potential victim or the client.
20.17 	(d) "Licensee" includes behavior analysis students, interns, and unlicensed supervisees 
20.18 	who are participating in a behavior analysis practicum or enrolled in an accredited school 
20.19 	or educational program.
20.20 		Subd. 2.Duty to warn. The duty to predict, warn of, or take reasonable precautions to 
20.21 	provide protection from violent behavior arises only when a client or other person has 
20.22 	communicated to the licensee a specific, serious threat of physical violence against a specific, 
20.23 	clearly identified or identifiable potential victim. If a duty to warn arises, the duty is 
20.24 	discharged by the licensee if reasonable efforts are made to communicate the threat.
20.25 		Subd. 3.Liability standard. If no duty to warn exists under subdivision 2, then no 
20.26 	monetary liability and no cause of action may arise against a licensee for failure to predict, 
20.27 	warn of, or take reasonable precautions to provide protection from a client's violent behavior.
20.28 		Subd. 4.Disclosure of confidences. Good faith compliance with the duty to warn must 
20.29 	not constitute a breach of confidence and must not result in monetary liability or a cause of 
20.30 	action against the licensee.
20.31 		Subd. 5.Continuity of care. Subdivision 2 must not be construed to authorize a licensee 
20.32 	to terminate treatment of a client as a direct result of a client's violent behavior or threat of 
21.1 	physical violence unless the client is referred to another practitioner or appropriate health 
21.2 	care facility.
21.3 		Subd. 6.Exception. This section does not apply to a threat to commit suicide or other 
21.4 	threats by a client to harm the client, or to a threat by a client who is adjudicated as a person 
21.5 	who has a mental illness and is dangerous to the public under chapter 253B.
21.6 		Subd. 7.Optional disclosure. This section must not be construed to prohibit a licensee 
21.7 	from disclosing confidences to third parties in a good faith effort to warn or take precautions 
21.8 	against a client's violent behavior or threat to commit suicide for which a duty to warn does 
21.9 	not arise.
21.10 		Subd. 8.Limitation on liability. No monetary liability and no cause of action or 
21.11 	disciplinary action by the board may arise against a licensee for disclosure of confidences 
21.12 	to third parties, for failure to disclose confidences to third parties, or for erroneous disclosure 
21.13 	of confidences to third parties in a good faith effort to warn against or take precautions 
21.14 	against a client's violent behavior or threat of suicide for which a duty to warn does not 
21.15 	arise.

21.16 	EFFECTIVE DATE. This section is effective July 1, 2024.

21.17 	Sec. 13. [148.9993] INFORMED CONSENT.
21.18 		Subdivision 1.Obtaining informed consent for services. A behavior analyst must 
21.19 	obtain informed consent from the client or the client's legal guardian before initiating 
21.20 	services. The informed consent must be in writing, signed by the client, and include, at a 
21.21 	minimum, the following:
21.22 	(1) consent for the behavior analyst to engage in activities that directly affect the client;
21.23 	(2) the goals, purposes, and procedures of the proposed services;
21.24 	(3) the factors that may impact the duration of the proposed services;
21.25 	(4) the applicable fee schedule for the proposed services;
21.26 	(5) the significant risks and benefits of the proposed services;
21.27 	(6) the behavior analyst's limits under section 148.9991, including, if applicable, 
21.28 	information that the behavior analyst is developing competence in the proposed service, 
21.29 	method, or procedure, and alternatives to the proposed service, if any; and
21.30 	(7) the behavior analyst's responsibilities if the client terminates the service.
22.1 		Subd. 2.Updating informed consent. If there is a substantial change in the nature or 
22.2 	purpose of a service, the behavior analyst must obtain a new informed consent from the 
22.3 	client.
22.4 		Subd. 3.Emergency or crisis services. Informed consent is not required when a behavior 
22.5 	analyst is providing emergency or crisis services. If services continue after the emergency 
22.6 	or crisis has abated, informed consent must be obtained.

22.7 	EFFECTIVE DATE. This section is effective July 1, 2024.

22.8 	Sec. 14. [148.9994] BEHAVIOR ANALYST ADVISORY COUNCIL.
22.9 		Subdivision 1.Membership. The Behavior Analyst Advisory Council is created and 
22.10 	composed of seven members appointed by the board. The advisory council consists of:
22.11 	(1) one public member as defined in section 214.02;
22.12 	(2) three members who are licensed behavior analysts;
22.13 	(3) two members who are licensed assistant behavior analysts; and
22.14 	(4) one member who is a licensed psychologist and, to the extent practicable, who 
22.15 	practices applied behavior analysis.
22.16 		Subd. 2.Administration. The advisory council is established and administered under 
22.17 	section 15.059, except that the advisory council does not expire.
22.18 		Subd. 3.Duties. The advisory council must:
22.19 	(1) advise the board regarding standards for behavior analysts and assistant behavior 
22.20 	analysts;
22.21 	(2) assist with the distribution of information regarding behavior analyst standards;
22.22 	(3) advise the board on enforcement of sections 148.9981 to 148.9995;
22.23 	(4) review license applications and license renewal applications and make 
22.24 	recommendations to the board;
22.25 	(5) review complaints and complaint investigation reports and make recommendations 
22.26 	to the board on whether disciplinary action should be taken and, if applicable, what type;
22.27 	(6) advise the board regarding evaluation and treatment protocols; and
22.28 	(7) perform other duties authorized for advisory councils under chapter 214 as directed 
22.29 	by the board to ensure effective oversight of behavior analysts and assistant behavior analysts.

22.30 	EFFECTIVE DATE. This section is effective July 1, 2024.

23.1 	Sec. 15. [148.9995] FEES.
23.2 		Subdivision 1.Fees. All applicants and licensees must pay fees as follows:
23.3 	(1) application fee, $.......;
23.4 	(2) license renewal fee, $.......;
23.5 	(3) inactive license renewal fee, $.......;
23.6 	(4) biennial renewal late fee, $.......;
23.7 	(5) inactive license renewal late fee, $.......; and
23.8 	(6) supervisor application processing fee, $........
23.9 		Subd. 2.Nonrefundable fees. All fees in this section are nonrefundable.
23.10 		Subd. 3.Deposit of fees. Fees collected by the board under this section must be deposited 
23.11 	in the state government special revenue fund.

23.12 	EFFECTIVE DATE. This section is effective July 1, 2024.

23.13 	Sec. 16. INITIAL APPLIED BEHAVIOR ANALYST ADVISORY COUNCIL.
 23.14 	The Board of Psychology must make the first appointments to the Behavior Analyst 
23.15 	Advisory Council authorized under Minnesota Statutes, section 148.9994, by September 1, 
23.16 	2024. The initial behavior analysts and assistant behavior analysts appointed to the advisory 
23.17 	council need not be licensed under Minnesota Statutes, sections 148.9981 to 148.9995, but 
23.18 	must hold a current and active national certification as a board certified behavior analyst or 
23.19 	a board certified assistant behavior analyst issued by the Behavior Analyst Certification 
23.20 	Board. The chair of the Board of Psychology must convene the first meeting of the council 
23.21 	by September 1, 2024, and must convene subsequent meetings of the council until an 
23.22 	advisory chair is elected. The council must elect a chair from its members by the third 
23.23 	meeting of the council.

23.24 	EFFECTIVE DATE. This section is effective July 1, 2024.

23.25 	ARTICLE 3
23.26 	BOARD OF VETERINARY MEDICINE

23.27 	Section 1. Minnesota Statutes 2022, section 156.001, is amended by adding a subdivision 
23.28 	to read:
23.29 		Subd. 5a.Direct supervision. "Direct supervision" means:
24.1 	(1) when a supervising veterinarian or licensed veterinary technician is in the immediate 
24.2 	area and within audible or visual range of an animal and the unlicensed veterinary employee 
24.3 	treating the animal;
24.4 	(2) the supervising veterinarian has met the requirements of a veterinarian-client-patient 
24.5 	relationship under section 156.16, subdivision 12; and
24.6 	(3) the supervising veterinarian assumes responsibility for the professional care given 
24.7 	to an animal by a person working under the veterinarian's direction.

24.8 	Sec. 2. Minnesota Statutes 2022, section 156.001, is amended by adding a subdivision to 
24.9 	read:
24.10 		Subd. 7a.Licensed veterinary technician. "Licensed veterinary technician" means a 
24.11 	person licensed by the board under section 156.077.

24.12 	Sec. 3. Minnesota Statutes 2022, section 156.001, is amended by adding a subdivision to 
24.13 	read:
24.14 		Subd. 10b.Remote supervision. "Remote supervision" means:
24.15 	(1) a veterinarian is not on the premises but is acquainted with the keeping and care of 
24.16 	an animal by virtue of an examination of the animal or medically appropriate and timely 
24.17 	visits to the premises where the animal is kept;
24.18 	(2) the veterinarian has given written or oral instructions to a licensed veterinary 
24.19 	technician for ongoing care of an animal and is available by telephone or other form of 
24.20 	immediate communication; and
24.21 	(3) the employee treating the animal timely enters into the animal's medical record 
24.22 	documentation of the treatment provided, and the documentation is reviewed by the 
24.23 	veterinarian.

24.24 	Sec. 4. Minnesota Statutes 2022, section 156.001, is amended by adding a subdivision to 
24.25 	read:
24.26 		Subd. 12.Veterinary technology. "Veterinary technology" means the science and 
24.27 	practice of providing professional support to veterinarians, including the direct supervision 
24.28 	of unlicensed veterinary employees. Veterinary technology does not include veterinary 
24.29 	diagnosis, prognosis, surgery, or medication prescription.

25.1 	Sec. 5. Minnesota Statutes 2022, section 156.07, is amended to read:
25.2 	156.07 LICENSE RENEWAL.
25.3 	Persons licensed under this chapter shall conspicuously display their license in their 
25.4 	principal place of business.
25.5 	Persons now qualified to practice veterinary medicine licensed in this state, or who shall 
25.6 	hereafter be licensed by the Board of Veterinary Medicine to engage in the practice as 
25.7 	veterinarians or veterinary technicians, shall periodically renew their license in a manner 
25.8 	prescribed by the board. The board shall establish license renewal fees and continuing 
25.9 	education requirements. The board may establish, by rule, an inactive license category, at 
25.10 	a lower fee, for licensees not actively engaged in the practice of veterinary medicine or 
25.11 	veterinary technology within the state of Minnesota. The board may assess a charge for 
25.12 	delinquent payment of a renewal fee.
25.13 	Any person who is licensed to practice veterinary medicine or veterinary technology in 
25.14 	this state pursuant to this chapter, shall be entitled to receive a license to continue to practice 
25.15 	upon making application to the board and complying with the terms of this section and rules 
25.16 	of the board.

25.17 	Sec. 6. [156.0721] INSTITUTIONAL LICENSURE.
25.18 		Subdivision 1.Application and eligibility. (a) Any person who seeks to practice 
25.19 	veterinary medicine while employed by the University of Minnesota and who is not eligible 
25.20 	for a regular license shall make a written application to the board for an institutional license 
25.21 	using forms provided for that purpose or in a format accepted by the board. The board shall 
25.22 	issue an institutional license to practice veterinary medicine to an applicant who:
25.23 	(1) has obtained the degree of doctor of veterinary medicine or its equivalent from a 
25.24 	nonaccredited college of veterinary medicine. A graduate from an accredited college and 
25.25 	an applicant who has earned ECFVG or PAVE certificates should apply for a regular license 
25.26 	to practice veterinary medicine;
25.27 	(2) has passed the Minnesota Veterinary Jurisprudence Examination;
25.28 	(3) is a person of good moral character, as attested by five notarized reference letters 
25.29 	from adults not related to the applicant, at least two of whom are licensed veterinarians in 
25.30 	the jurisdiction where the applicant is currently practicing or familiar with the applicant's 
25.31 	clinical abilities as evidenced in clinical rotations;
25.32 	(4) has paid the license application fee;
26.1 	(5) provides proof of employment by the University of Minnesota;
26.2 	(6) certifies that the applicant understands and agrees that the institutional license is 
26.3 	valid only for the practice of veterinary medicine associated with the applicant's employment 
26.4 	as a faculty member, intern, resident, or locum of the University of Minnesota College of 
26.5 	Veterinary Medicine or other unit of the University of Minnesota;
26.6 	(7) provides proof of graduation from a veterinary college;
26.7 	(8) completed a criminal background check as defined in section 214.075; and
26.8 	(9) provides other information and proof as the board may require by rules and 
26.9 	regulations.
26.10 	(b) The University of Minnesota may submit the applications of its employees who seek 
26.11 	an institutional license in a compiled format acceptable to the board, with any license 
26.12 	application fees in a single form of payment.
26.13 	(c) The fee for a license issued under this subdivision is the same as for a regular license 
26.14 	to practice veterinary medicine in the state. License payment and renewal deadlines, late 
26.15 	payment fees, and other license requirements are also the same as for a regular license to 
26.16 	practice veterinary medicine.
26.17 	(d) The University of Minnesota may be responsible for timely payment of renewal fees 
26.18 	and submission of renewal forms.
26.19 		Subd. 2.Scope of practice. (a) An institutional license holder may practice veterinary 
26.20 	medicine only as related to the license holder's regular function at the University of 
26.21 	Minnesota. A person holding only an institutional license in this state must be remunerated 
26.22 	for the practice of veterinary medicine in the state solely from state, federal, or institutional 
26.23 	funds and not from the patient-owner beneficiary of the license holder's practice efforts.
26.24 	(b) A license issued under this section must be canceled by the board upon receipt of 
26.25 	information from the University of Minnesota that the holder of the license has left or is 
26.26 	otherwise no longer employed at the University of Minnesota in this state.
26.27 	(c) An institutional license holder must abide by all laws governing the practice of 
26.28 	veterinary medicine in the state and is subject to the same disciplinary action as any other 
26.29 	veterinarian licensed in the state.

27.1 	Sec. 7. [156.076] DIRECT SUPERVISION; UNLICENSED VETERINARY 
27.2 	EMPLOYEES.
27.3 	(a) An unlicensed veterinary employee may only administer medication or render 
27.4 	auxiliary or supporting assistance under the direct supervision of a licensed veterinarian or 
27.5 	licensed veterinary technician.
27.6 	(b) This section does not prohibit:
27.7 	(1) the performance of generalized nursing tasks ordered by the veterinarian and 
27.8 	performed by an unlicensed employee on inpatient animals during the hours when a 
27.9 	veterinarian is not on the premises; or
27.10 	(2) under emergency conditions, an unlicensed employee from rendering lifesaving aid 
27.11 	and treatment to an animal in the absence of a veterinarian if the animal is in a life-threatening 
27.12 	condition and requires immediate treatment to sustain life or prevent further injury.

27.13 	Sec. 8. [156.077] LICENSED VETERINARY TECHNICIANS.
27.14 		Subdivision 1.Licensure; practice. (a) The board shall issue a license to practice as a 
27.15 	veterinary technician to an applicant who satisfies the requirements in this section and those 
27.16 	imposed by the board in rule. A licensed veterinary technician may practice veterinary 
27.17 	technology. A person may not use the title "veterinary technician" or the abbreviation "LVT" 
27.18 	unless licensed by the board.
27.19 	(b) The board may adopt by rule additional or temporary alternative licensure 
27.20 	requirements or definitions for veterinary technician titles.
27.21 		Subd. 2.Applicants; qualifications. Application for a license to practice veterinary 
27.22 	technology in this state shall be made to the board on a form furnished by the board and 
27.23 	accompanied by evidence satisfactory to the board that the applicant is at least 18 years of 
27.24 	age, is of good moral character, and has met the following requirements:
27.25 	(1) graduated from a veterinary technology program accredited or approved by the 
27.26 	American Veterinary Medical Association or Canadian Veterinary Medical Association;
27.27 	(2) received a passing score for the Veterinary Technician National Examination;
27.28 	(3) received a passing score for the Minnesota Veterinary Technician Jurisprudence 
27.29 	Examination; and
27.30 	(4) completed a criminal background check.
28.1 		Subd. 3.Required with application. A completed application must contain the following 
28.2 	information and material:
28.3 	(1) the application fee set by the board, which is not refundable if permission to take the 
28.4 	jurisprudence examination is denied for good cause;
28.5 	(2) proof of graduation from a veterinary technology program accredited or approved 
28.6 	by the American Veterinary Medical Association or Canadian Veterinary Medical 
28.7 	Association;
28.8 	(3) affidavits from at least two licensed veterinarians and three adults who are not related 
28.9 	to the applicant that establish how long, when, and under what circumstances the references 
28.10 	have known the applicant and any other facts that may enable the board to determine the 
28.11 	applicant's qualifications; and
28.12 	(4) if the applicant has served in the armed forces, a copy of the applicant's discharge 
28.13 	papers.
28.14 		Subd. 4.Temporary alternative qualifications. (a) The board shall consider an 
28.15 	application for licensure submitted by a person before July 1, 2031, if the person provides 
28.16 	evidence satisfactory to the board that the person:
28.17 	(1) is a certified veterinary technician in good standing with the Minnesota Veterinary 
28.18 	Medical Association; or
28.19 	(2) has at least 4,160 hours actively engaged in the practice of veterinary technology 
28.20 	within the previous five years.
28.21 	(b) Each applicant under this subdivision must also submit to the board affidavits from 
28.22 	at least two licensed veterinarians and three adults who are not related to the applicant that 
28.23 	establish how long, when, and under what circumstances the references have known the 
28.24 	applicant and any other facts that may enable the board to determine the applicant's 
28.25 	qualifications.

28.26 	Sec. 9. [156.078] NONRESIDENTS; LICENSED VETERINARY TECHNICIANS.
28.27 	A credentialed veterinary technician duly admitted to practice in any state, 
28.28 	commonwealth, territory, or district of the United States or province of Canada that desires 
28.29 	permission to practice veterinary technology in this state shall submit an application to the 
28.30 	board on a form furnished by the board. The board shall review an application for transfer 
28.31 	if the applicant submits:
29.1 	(1) a copy of a diploma from an accredited or approved college of veterinary technology 
29.2 	or certification from the dean, registrar, or secretary of an accredited or approved college 
29.3 	of veterinary technology or a certificate of satisfactory completion of the PAVE program;
29.4 	(2) if requesting waiver of examination, evidence of meeting licensure requirements in 
29.5 	the state of the applicant's original licensure;
29.6 	(3) affidavits of two licensed practicing doctors of veterinary medicine or veterinary 
29.7 	technicians residing in the United States or Canadian licensing jurisdiction in which the 
29.8 	applicant is or was most recently practicing, attesting that they are well acquainted with the 
29.9 	applicant, that the applicant is a person of good moral character, and that the applicant has 
29.10 	been actively engaged in practicing or teaching in such jurisdiction;
29.11 	(4) a certificate from the agency that regulates the conduct of practice of veterinary 
29.12 	technology in the jurisdiction in which the applicant is or was most recently practicing, 
29.13 	stating that the applicant is in good standing and is not the subject of disciplinary action or 
29.14 	pending disciplinary action;
29.15 	(5) a certificate from all other jurisdictions in which the applicant holds a currently active 
29.16 	license or held a license within the past ten years, stating that the applicant is and was in 
29.17 	good standing and has not been subject to disciplinary action;
29.18 	(6) in lieu of the certificates in clauses (4) and (5), certification from the Veterinary 
29.19 	Information Verification Agency that the applicant's licensure is in good standing;
29.20 	(7) a fee as set by the board in form of check or money order payable to the board, no 
29.21 	part of which shall be refunded should the application be denied;
29.22 	(8) score reports on previously taken national examinations in veterinary technology, 
29.23 	certified by the Veterinary Information Verification Agency or evidence of employment as 
29.24 	a veterinary technician for at least three years;
29.25 	(9) proof that the applicant received a passing score for the Minnesota Veterinary 
29.26 	Technician Jurisprudence Examination; and
29.27 	(10) proof of a completed criminal background check.

29.28 	Sec. 10. Minnesota Statutes 2022, section 156.12, subdivision 2, is amended to read:
29.29 		Subd. 2.Authorized activities. No provision of this chapter shall be construed to prohibit:
29.30 	(a) a person from rendering necessary gratuitous assistance in the treatment of any animal 
29.31 	when the assistance does not amount to prescribing, testing for, or diagnosing, operating, 
29.32 	or vaccinating and when the attendance of a licensed veterinarian cannot be procured;
30.1 	(b) a person who is a regular student in an accredited or approved college of veterinary 
30.2 	medicine from performing duties or actions assigned by instructors or preceptors or working 
30.3 	under the direct supervision of a licensed veterinarian;
30.4 	(c) a veterinarian regularly licensed in another jurisdiction from consulting with a licensed 
30.5 	veterinarian in this state;
30.6 	(d) the owner of an animal and the owner's regular employee from caring for and 
30.7 	administering to the animal belonging to the owner, except where the ownership of the 
30.8 	animal was transferred for purposes of circumventing this chapter;
30.9 	(e) veterinarians who are in compliance with subdivision 6 section 156.0721 and who 
30.10 	are employed by the University of Minnesota from performing their duties with the College 
30.11 	of Veterinary Medicine, College of Agriculture, Veterinary Diagnostic Laboratory,
30.12 	Agricultural Experiment Station, Agricultural Extension Service, Medical School, School 
30.13 	of Public Health, School of Nursing; or other unit within the university; or a person from 
30.14 	lecturing or giving instructions or demonstrations at the university or in connection with a 
30.15 	continuing education course or seminar to veterinarians or pathologists at the University of 
30.16 	Minnesota Veterinary Diagnostic Laboratory;
30.17 	(f) any person from selling or applying any pesticide, insecticide or herbicide;
30.18 	(g) any person from engaging in bona fide scientific research or investigations which 
30.19 	reasonably requires experimentation involving animals;
30.20 	(h) any employee of a licensed veterinarian from performing duties other than diagnosis, 
30.21 	prescription or surgical correction under the direction and supervision of the veterinarian, 
30.22 	who shall be responsible for the performance of the employee;
30.23 	(i) a graduate of a foreign college of veterinary medicine from working under the direct 
30.24 	personal instruction, control, or supervision of a veterinarian faculty member of the College 
30.25 	of Veterinary Medicine, University of Minnesota in order to complete the requirements 
30.26 	necessary to obtain an ECFVG or PAVE certificate;
30.27 	(j) a licensed chiropractor registered under section 148.01, subdivision 1a, from practicing 
30.28 	animal chiropractic; or
30.29 	(k) a person certified by the Emergency Medical Services Regulatory Board under 
30.30 	chapter 144E from providing emergency medical care to a police dog wounded in the line 
30.31 	of duty.

31.1 	Sec. 11. Minnesota Statutes 2022, section 156.12, subdivision 4, is amended to read:
31.2 		Subd. 4.Titles. It is unlawful for a person who has not received a professional degree 
31.3 	from an accredited or approved college of veterinary medicine, or ECFVG or PAVE 
31.4 	certification, or an institutional license under section 156.0721 to use any of the following 
31.5 	titles or designations: Veterinary, veterinarian, animal doctor, animal surgeon, animal dentist, 
31.6 	animal chiropractor, animal acupuncturist, or any other title, designation, word, letter, 
31.7 	abbreviation, sign, card, or device tending to indicate that the person is qualified to practice 
31.8 	veterinary medicine.

31.9 	Sec. 12. REPEALER.
 31.10 	Minnesota Statutes 2022, section 156.12, subdivision 6, is repealed.

31.11 	Sec. 13. EFFECTIVE DATE.
 31.12 	(a) Sections 1 to 5 and sections 7 to 9 are effective July 1, 2026.
31.13 	(b) Section 6 and sections 10 to 12 are effective July 1, 2025.

31.14 	ARTICLE 4
31.15 	BOARD OF DENTISTRY

31.16 	Section 1. Minnesota Statutes 2022, section 150A.06, subdivision 1c, is amended to read:
31.17 		Subd. 1c.Specialty dentists. (a) The board may grant one or more specialty licenses in 
31.18 	the specialty areas of dentistry that are recognized by the Commission on Dental 
31.19 	Accreditation.
31.20 	(b) An applicant for a specialty license shall:
31.21 	(1) have successfully completed a postdoctoral specialty program accredited by the 
31.22 	Commission on Dental Accreditation, or have announced a limitation of practice before 
31.23 	1967;
31.24 	(2) have been certified by a specialty board approved by the Minnesota Board of 
31.25 	Dentistry, or provide evidence of having passed a clinical examination for licensure required 
31.26 	for practice in any state or Canadian province, or in the case of oral and maxillofacial 
31.27 	surgeons only, have a Minnesota medical license in good standing;
31.28 	(3) have been in active practice or a postdoctoral specialty education program or United 
31.29 	States government service at least 2,000 hours in the 36 months prior to applying for a 
31.30 	specialty license;
32.1 	(4) if requested by the board, be interviewed by a committee of the board, which may 
32.2 	include the assistance of specialists in the evaluation process, and satisfactorily respond to 
32.3 	questions designed to determine the applicant's knowledge of dental subjects and ability to 
32.4 	practice;
32.5 	(5) if requested by the board, present complete records on a sample of patients treated 
32.6 	by the applicant. The sample must be drawn from patients treated by the applicant during 
32.7 	the 36 months preceding the date of application. The number of records shall be established 
32.8 	by the board. The records shall be reasonably representative of the treatment typically 
32.9 	provided by the applicant for each specialty area;
32.10 	(6) at board discretion, pass a board-approved English proficiency test if English is not 
32.11 	the applicant's primary language;
32.12 	(7) pass all components of the National Board Dental Examinations;
32.13 	(8) pass the Minnesota Board of Dentistry jurisprudence examination;
32.14 	(9) abide by professional ethical conduct requirements; and
32.15 	(10) meet all other requirements prescribed by the Board of Dentistry.
32.16 	(c) The application must include:
32.17 	(1) a completed application furnished by the board;
32.18 	(2) a nonrefundable fee; and
32.19 	(3) a copy of the applicant's government-issued photo identification card.
32.20 	(d) A specialty dentist holding one or more specialty licenses is limited to practicing in 
32.21 	the dentist's designated specialty area or areas. The scope of practice must be defined by 
32.22 	each national specialty board recognized by the Commission on Dental Accreditation.
32.23 	(e) A specialty dentist holding a general dental license is limited to practicing in the 
32.24 	dentist's designated specialty area or areas if the dentist has announced a limitation of 
32.25 	practice. The scope of practice must be defined by each national specialty board recognized 
32.26 	by the Commission on Dental Accreditation.
32.27 	(f) (e) All specialty dentists who have fulfilled the specialty dentist requirements and 
32.28 	who intend to limit their practice to a particular specialty area or areas may apply for one 
32.29 	or more specialty licenses.

33.1 	Sec. 2. Minnesota Statutes 2022, section 150A.06, subdivision 8, is amended to read:
33.2 		Subd. 8.Licensure by credentials; dental assistant. (a) Any dental assistant may, upon 
33.3 	application and payment of a fee established by the board, apply for licensure based on an 
33.4 	evaluation of the applicant's education, experience, and performance record in lieu of 
33.5 	completing a board-approved dental assisting program for expanded functions as defined 
33.6 	in rule, and may be interviewed by the board to determine if the applicant:
33.7 	(1) has graduated from an accredited dental assisting program accredited by the 
33.8 	Commission on Dental Accreditation and or is currently certified by the Dental Assisting 
33.9 	National Board;
33.10 	(2) is not subject to any pending or final disciplinary action in another state or Canadian 
33.11 	province, or if not currently certified or registered, previously had a certification or 
33.12 	registration in another state or Canadian province in good standing that was not subject to 
33.13 	any final or pending disciplinary action at the time of surrender;
33.14 	(3) is of good moral character and abides by professional ethical conduct requirements;
33.15 	(4) at board discretion, has passed a board-approved English proficiency test if English 
33.16 	is not the applicant's primary language; and
33.17 	(5) has met all expanded functions curriculum equivalency requirements of a Minnesota 
33.18 	board-approved dental assisting program.
33.19 	(b) The board, at its discretion, may waive specific licensure requirements in paragraph 
33.20 	(a).
33.21 	(c) An applicant who fulfills the conditions of this subdivision and demonstrates the 
33.22 	minimum knowledge in dental subjects required for licensure under subdivision 2a must 
33.23 	be licensed to practice the applicant's profession.
33.24 	(d) If the applicant does not demonstrate the minimum knowledge in dental subjects 
33.25 	required for licensure under subdivision 2a, the application must be denied. If licensure is 
33.26 	denied, the board may notify the applicant of any specific remedy that the applicant could 
33.27 	take which, when passed, would qualify the applicant for licensure. A denial does not 
33.28 	prohibit the applicant from applying for licensure under subdivision 2a.
33.29 	(e) A candidate whose application has been denied may appeal the decision to the board 
33.30 	according to subdivision 4a.

34.1 	ARTICLE 5
34.2 	PHYSICIAN ASSISTANT PRACTICE

34.3 	Section 1. REPEALER.
 34.4 	Minnesota Statutes 2022, section 147A.09, subdivision 5, is repealed.

34.5 	ARTICLE 6
34.6 	BOARD OF SOCIAL WORK

34.7 	Section 1. Minnesota Statutes 2022, section 148D.061, subdivision 1, is amended to read:
34.8 		Subdivision 1.Requirements for a provisional license. An applicant may be issued a 
34.9 	provisional license if the applicant:
34.10 	(1) was born in a foreign country;
34.11 	(2) communicates in English as a second language;
34.12 	(3) has taken the applicable examination administered by the Association of Social Work 
34.13 	Boards or similar examination body designated by the board;
34.14 	(4)(1) has met the requirements of section 148E.055, subdivision 2, paragraph (a),
34.15 	clauses (1), (3), (4), (5), and (6); or subdivision 3, paragraph (a), clauses (1), (3), (4), (5), 
34.16 	and (6); or subdivision 4, paragraph (a), clauses (1), (2), (4), (5), (6), and (7); or subdivision
34.17 	5, paragraph (a), clauses (1), (2), (3), (5), (6), (7), and (8); and
34.18 	(5) (2) complies with the requirements of subdivisions 2 to 7.

34.19 	EFFECTIVE DATE. This section is effective October 1, 2024.

34.20 	Sec. 2. Minnesota Statutes 2022, section 148D.061, subdivision 8, is amended to read:
34.21 		Subd. 8.Disciplinary or other action. A licensee who is issued a provisional license 
34.22 	is subject to the grounds for disciplinary action under section 148E.190. The board may 
34.23 	also take action according to sections 148E.260 to 148E.270 if:
34.24 	(1) the licensee's supervisor does not submit an evaluation as required by section 
34.25 	148D.063;
34.26 	(2) an evaluation submitted according to section 148D.063 indicates that the licensee 
34.27 	cannot practice social work competently and ethically; or
34.28 	(3) the licensee does not comply with the requirements of subdivisions 1 to 7.

34.29 	EFFECTIVE DATE. This section is effective October 1, 2024.

35.1 	Sec. 3. Minnesota Statutes 2022, section 148D.062, subdivision 3, is amended to read:
35.2 		Subd. 3.Types of supervision. (a) Twenty-five hours Half of the supervision hours 
35.3 	required by subdivision 1 must consist of one-on-one in-person supervision. The supervision 
35.4 	must be provided either in person or via eye-to-eye electronic media while maintaining 
35.5 	visual contact.
35.6 	(b) Twelve and one-half hours Half of the supervision hours must consist of one or more 
35.7 	of the following types of supervision:
35.8 	(1) in-person one-on-one supervision provided in person or via eye-to-eye electronic 
35.9 	media while maintaining visual contact; or
35.10 	(2) in-person group supervision provided in person, by telephone, or via eye-to-eye 
35.11 	electronic media while maintaining visual contact.
35.12 	(c) To qualify as in-person Group supervision, the group must not exceed seven members 
35.13 	including the supervisor six supervisees.
35.14 	(d) Supervision must not be provided by email.

35.15 	EFFECTIVE DATE. This section is effective October 1, 2024.

35.16 	Sec. 4. Minnesota Statutes 2022, section 148D.062, subdivision 4, is amended to read:
35.17 		Subd. 4.Supervisor requirements. (a) The supervision required by subdivision 1 must 
35.18 	be provided by a supervisor who meets the requirements in section 148E.120 and has either:
35.19 	(1) 5,000 hours experience engaged in authorized social work practice; or
35.20 	(2) completed 30 hours of training in supervision, which may be satisfied by completing 
35.21 	academic coursework in supervision or continuing education courses in supervision as 
35.22 	defined in section 148E.010, subdivision 18.
35.23 	(b) Supervision must be provided:
35.24 	(1) if the supervisee is not engaged in clinical practice and the supervisee has a provisional 
35.25 	license to practice as a licensed social worker, by:
35.26 	(i) a licensed social worker who has completed the supervised practice requirements;
35.27 	(ii) a licensed graduate social worker who has completed the supervised practice 
35.28 	requirements;
35.29 	(iii) a licensed independent social worker; or
35.30 	(iv) a licensed independent clinical social worker;
36.1 	(2) if the supervisee is not engaged in clinical practice and the supervisee has a provisional 
36.2 	license to practice as a licensed graduate social worker, licensed independent social worker, 
36.3 	or licensed independent clinical social worker, by:
36.4 	(i) a licensed graduate social worker who has completed the supervised practice 
36.5 	requirements;
36.6 	(ii) a licensed independent social worker; or
36.7 	(iii) a licensed independent clinical social worker;
36.8 	(3) if the supervisee is engaged in clinical practice and the supervisee has a provisional 
36.9 	license to practice as a licensed graduate social worker, licensed independent social worker, 
36.10 	or licensed independent clinical social worker, by a licensed independent clinical social 
36.11 	worker; or
36.12 	(4) by a supervisor who meets the requirements in section 148E.120, subdivision 2.

36.13 	EFFECTIVE DATE. This section is effective October 1, 2024.

36.14 	Sec. 5. Minnesota Statutes 2022, section 148D.063, subdivision 1, is amended to read:
36.15 		Subdivision 1.Supervision plan. (a) An applicant granted a provisional license must 
36.16 	submit, on a form provided by the board, a supervision plan for meeting the supervision 
36.17 	requirements in section 148D.062.
36.18 	(b) The supervision plan must be submitted no later than 30 days after the licensee begins 
36.19 	a social work practice position.
36.20 	(c) The board may revoke a licensee's provisional license for failure to submit the 
36.21 	supervision plan within 30 days after beginning a social work practice position.
36.22 	(d) (c) The supervision plan must include the following:
36.23 	(1) the name of the supervisee, the name of the agency in which the supervisee is being 
36.24 	supervised, and the supervisee's position title;
36.25 	(2) the name and qualifications of the person providing the supervision;
36.26 	(3) the number of hours of one-on-one in-person supervision and the number and type 
36.27 	of additional hours of supervision to be completed by the supervisee;
36.28 	(4) the supervisee's position description;
36.29 	(5) a brief description of the supervision the supervisee will receive in the following 
36.30 	content areas:
37.1 	(i) clinical practice, if applicable;
37.2 	(ii) development of professional social work knowledge, skills, and values;
37.3 	(iii) practice methods;
37.4 	(iv) authorized scope of practice;
37.5 	(v) ensuring continuing competence; and
37.6 	(vi) ethical standards of practice; and
37.7 	(6) if applicable, a detailed description of the supervisee's clinical social work practice, 
37.8 	addressing:
37.9 	(i) the client population, the range of presenting issues, and the diagnoses;
37.10 	(ii) the clinical modalities that were utilized; and
37.11 	(iii) the process utilized for determining clinical diagnoses, including the diagnostic 
37.12 	instruments used and the role of the supervisee in the diagnostic process.
37.13 	(e) (d) The board must receive a revised supervision plan within 30 days of any of the 
37.14 	following changes:
37.15 	(1) the supervisee has a new supervisor;
37.16 	(2) the supervisee begins a new social work position;
37.17 	(3) the scope or content of the supervisee's social work practice changes substantially;
37.18 	(4) the number of practice or supervision hours changes substantially; or
37.19 	(5) the type of supervision changes as supervision is described in section 148D.062.
37.20 	(f) The board may revoke a licensee's provisional license for failure to submit a revised 
37.21 	supervision plan as required in paragraph (e).
37.22 	(g) (e) The board must approve the supervisor and the supervision plan.

37.23 	EFFECTIVE DATE. This section is effective October 1, 2024.

37.24 	Sec. 6. Minnesota Statutes 2022, section 148D.063, subdivision 2, is amended to read:
37.25 		Subd. 2.Evaluation. (a) When a licensee's supervisor submits an evaluation to the board 
37.26 	according to section 148D.061, subdivision 6, the supervisee and supervisor must provide 
37.27 	the following information on a form provided by the board:
37.28 	(1) the name of the supervisee, the name of the agency in which the supervisee is being 
37.29 	supervised, and the supervisee's position title;
38.1 	(2) the name and qualifications of the supervisor;
38.2 	(3) the number of hours and dates of each type of supervision completed;
38.3 	(4) the supervisee's position description;
38.4 	(5) a declaration that the supervisee has not engaged in conduct in violation of the 
38.5 	standards of practice in sections 148E.195 to 148E.240;
38.6 	(6) a declaration that the supervisee has practiced competently and ethically according 
38.7 	to professional social work knowledge, skills, and values; and
38.8 	(7) on a form provided by the board, an evaluation of the licensee's practice in the 
38.9 	following areas:
38.10 	(i) development of professional social work knowledge, skills, and values;
38.11 	(ii) practice methods;
38.12 	(iii) authorized scope of practice;
38.13 	(iv) ensuring continuing competence;
38.14 	(v) (iv) ethical standards of practice; and
38.15 	(vi) (v) clinical practice, if applicable.
38.16 	(b) The supervisor must attest to the satisfaction of the board that the supervisee has met 
38.17 	or has made progress on meeting the applicable supervised practice requirements.

38.18 	EFFECTIVE DATE. This section is effective October 1, 2024.

38.19 	Sec. 7. Minnesota Statutes 2022, section 148E.055, is amended by adding a subdivision 
38.20 	to read:
38.21 		Subd. 2b.Qualifications for licensure by completion of provisional license 
38.22 	requirements as a licensed social worker (LSW). To be licensed as a licensed social 
38.23 	worker, an applicant for licensure by completion of provisional license requirements must 
38.24 	provide evidence satisfactory to the board that the applicant:
38.25 	(1) completed all requirements under section 148D.061, subdivisions 1 to 6; and
38.26 	(2) continues to meet the requirements of subdivision 2, clauses (1) and (3) to (6).

38.27 	EFFECTIVE DATE. This section is effective October 1, 2024.

39.1 	Sec. 8. Minnesota Statutes 2022, section 148E.055, is amended by adding a subdivision 
39.2 	to read:
39.3 		Subd. 3b.Qualifications for licensure by completion of provisional license 
39.4 	requirements as a licensed graduate social worker (LGSW). To be licensed as a licensed 
39.5 	graduate social worker, an applicant for licensure by completion of provisional license 
39.6 	requirements must provide evidence satisfactory to the board that the applicant:
39.7 	(1) completed all requirements under section 148D.061, subdivisions 1 to 6; and
39.8 	(2) continues to meet the requirements of subdivision 3, clauses (1) and (3) to (6).

39.9 	EFFECTIVE DATE. This section is effective October 1, 2024.

39.10 	Sec. 9. Minnesota Statutes 2022, section 148E.055, is amended by adding a subdivision 
39.11 	to read:
39.12 		Subd. 4b.Qualifications for licensure by completion of provisional license 
39.13 	requirements as a licensed independent social worker (LISW). To be licensed as a 
39.14 	licensed independent social worker, an applicant for licensure by completion of provisional 
39.15 	license requirements must provide evidence satisfactory to the board that the applicant:
39.16 	(1) completed all requirements under section 148D.061, subdivisions 1 to 6; and
39.17 	(2) continues to meet the requirements of subdivision 4, clauses (1), (2), and (4) to (7).

39.18 	EFFECTIVE DATE. This section is effective October 1, 2024.

39.19 	Sec. 10. Minnesota Statutes 2022, section 148E.055, is amended by adding a subdivision 
39.20 	to read:
39.21 		Subd. 5b.Qualifications for licensure by completion of provisional license 
39.22 	requirements as a licensed independent clinical social worker (LICSW). To be licensed 
39.23 	as a licensed independent clinical social worker, an applicant for licensure by completion 
39.24 	of provisional license requirements must provide evidence satisfactory to the board that the 
39.25 	applicant:
39.26 	(1) completed all requirements under section 148D.061, subdivisions 1 to 6; and
39.27 	(2) continues to meet the requirements of subdivision 5, paragraph (a), clauses (1) to (3) 
39.28 	and (5) to (8).

39.29 	EFFECTIVE DATE. This section is effective October 1, 2024.

40.1 	Sec. 11. REVISOR INSTRUCTION.
 40.2 	The revisor of statutes shall renumber each section of Minnesota Statutes listed in column 
40.3 	A with the number listed in column B. The revisor shall also make necessary cross-reference 
40.4 	changes in Minnesota Statutes and Minnesota Rules consistent with the renumbering.

40.5	Column A
	Column B
	
40.6	148D.061
	148E.0551
	
40.7	148D.062
	148E.116
	
40.8	148D.063
	148E.126

40.9 	EFFECTIVE DATE. This section is effective October 1, 2024.

40.10 	Sec. 12. REPEALER.
 40.11 	Minnesota Statutes 2022, section 148D.061, subdivision 9, is repealed.

40.12 	EFFECTIVE DATE. This section is effective October 1, 2024.

40.13 	ARTICLE 7
40.14 	BOARD OF MARRIAGE AND FAMILY THERAPY

40.15 	Section 1. [148B.331] GUEST LICENSURE.
40.16 		Subdivision 1.Generally. (a) A nonresident of the state of Minnesota who is not seeking 
40.17 	licensure in Minnesota and intends to practice marriage and family therapy in Minnesota 
40.18 	must apply to the board for guest licensure. An applicant must apply for guest licensure at 
40.19 	least 30 days prior to the expected date of practice in Minnesota and is subject to approval 
40.20 	by the board or its designee.
40.21 	(b) To be eligible for licensure under this section, the applicant must:
40.22 	(1) have a license, certification, or registration in good standing to practice marriage and 
40.23 	family therapy from another jurisdiction;
40.24 	(2) have a graduate degree in marriage and family therapy from a regionally accredited 
40.25 	institution or a degree in a related field from a regionally accredited institution with completed 
40.26 	coursework meeting the educational requirements provided in Minnesota Rules, part 
40.27 	5300.0140, subpart 2;
40.28 	(3) be of good moral character;
40.29 	(4) have no pending complaints or active disciplinary or corrective actions in any 
40.30 	jurisdiction;
41.1 	(5) submit the required fee and complete the criminal background check according to 
41.2 	section 214.075; and
41.3 	(6) pay a fee to the board in the amount set forth in section 148B.392.
41.4 	(c) A license issued under this section is valid for one year from the date of issuance 
41.5 	and allows practice by the nonresident for a maximum of five months. The months in which 
41.6 	the nonresident may practice under the license must be consecutive. A guest license is not 
41.7 	renewable, but the nonresident may reapply for guest licensure, subject to continued eligibility 
41.8 	under paragraph (b), following expiration of a guest license.
41.9 		Subd. 2.Other professional activity. Notwithstanding subdivision 1, a nonresident of 
41.10 	the state of Minnesota who is not seeking licensure in Minnesota may serve as an expert 
41.11 	witness, organizational consultant, presenter, or educator without obtaining guest licensure, 
41.12 	provided the nonresident is appropriately trained, educated, or has been issued a license, 
41.13 	certificate, or registration by another jurisdiction.
41.14 		Subd. 3.Prohibitions and sanctions. A person's privilege to practice under this section 
41.15 	is subject to the prohibitions and sanctions for unprofessional or unethical conduct contained 
41.16 	in Minnesota laws and rules for marriage and family therapy under this chapter.

41.17 	EFFECTIVE DATE. This section is effective October 1, 2024.

41.18 	Sec. 2. Minnesota Statutes 2023 Supplement, section 148B.392, subdivision 2, is amended 
41.19 	to read:
41.20 		Subd. 2.Licensure and application fees. Licensure and application fees established 
41.21 	by the board shall not exceed the following amounts:
41.22 	(1) application fee for national examination is $150;
41.23 	(2) application fee for Licensed Marriage and Family Therapist (LMFT) state examination
41.24 	license is $150;
41.25 	(3) initial LMFT license fee is prorated, but cannot exceed $225;
41.26 	(4) annual renewal fee for LMFT license is $225;
41.27 	(5) late fee for LMFT license renewal is $100;
41.28 	(6) application fee for LMFT licensure by reciprocity is $300;
41.29 	(7) application fee for initial Licensed Associate Marriage and Family Therapist (LAMFT) 
41.30 	license is $100;
41.31 	(8) annual renewal fee for LAMFT license is $100;
42.1 	(9) late fee for LAMFT license renewal is $50;
42.2 	(10) fee for reinstatement of LMFT or LAMFT license is $150;
42.3 	(11) fee for LMFT emeritus license status is $225; and
42.4 	(12) fee for temporary license for members of the military is $100.; and
42.5 	(13) fee for LMFT guest license is $150.

42.6 	EFFECTIVE DATE. This section is effective October 1, 2024.

42.7 	ARTICLE 8
42.8 	BOARD OF PHARMACY

42.9 	Section 1. Minnesota Statutes 2022, section 151.01, subdivision 23, is amended to read:
42.10 		Subd. 23.Practitioner. "Practitioner" means a licensed doctor of medicine, licensed 
42.11 	doctor of osteopathic medicine duly licensed to practice medicine, licensed doctor of 
42.12 	dentistry, licensed doctor of optometry, licensed podiatrist, licensed veterinarian, licensed 
42.13 	advanced practice registered nurse, licensed certified midwife, or licensed physician assistant. 
42.14 	For purposes of sections 151.15, subdivision 4; 151.211, subdivision 3; 151.252, subdivision 
42.15 	3; 151.37, subdivision 2, paragraph (b); and 151.461, "practitioner" also means a dental 
42.16 	therapist authorized to dispense and administer under chapter 150A. For purposes of sections 
42.17 	151.252, subdivision 3, and 151.461, "practitioner" also means a pharmacist authorized to 
42.18 	prescribe self-administered hormonal contraceptives, nicotine replacement medications, or 
42.19 	opiate antagonists under section 151.37, subdivision 14, 15, or 16, or authorized to prescribe 
42.20 	drugs to prevent the acquisition of human immunodeficiency virus (HIV) under section 
42.21 	151.37, subdivision 17.

42.22 	EFFECTIVE DATE. This section is effective January 1, 2025.

42.23 	Sec. 2. Minnesota Statutes 2022, section 151.01, subdivision 27, is amended to read:
42.24 		Subd. 27.Practice of pharmacy. "Practice of pharmacy" means:
42.25 	(1) interpretation and evaluation of prescription drug orders;
42.26 	(2) compounding, labeling, and dispensing drugs and devices (except labeling by a 
42.27 	manufacturer or packager of nonprescription drugs or commercially packaged legend drugs 
42.28 	and devices);
42.29 	(3) participation in clinical interpretations and monitoring of drug therapy for assurance 
42.30 	of safe and effective use of drugs, including the performance of laboratory tests that are 
43.1 	waived under the federal Clinical Laboratory Improvement Act of 1988, United States Code, 
43.2 	title 42, section 263a et seq., provided that a pharmacist may interpret the results of laboratory 
43.3 	tests but may modify drug therapy only pursuant to a protocol or collaborative practice 
43.4 	agreement;
43.5 	(4) participation in drug and therapeutic device selection; drug administration for first 
43.6 	dosage and medical emergencies; intramuscular and subcutaneous drug administration under 
43.7 	a prescription drug order; drug regimen reviews; and drug or drug-related research;
43.8 	(5) drug administration, through intramuscular and subcutaneous administration used 
43.9 	to treat mental illnesses as permitted under the following conditions:
43.10 	(i) upon the order of a prescriber and the prescriber is notified after administration is 
43.11 	complete; or
43.12 	(ii) pursuant to a protocol or collaborative practice agreement as defined by section 
43.13 	151.01, subdivisions 27b and 27c, and participation in the initiation, management, 
43.14 	modification, administration, and discontinuation of drug therapy is according to the protocol 
43.15 	or collaborative practice agreement between the pharmacist and a dentist, optometrist, 
43.16 	physician, physician assistant, podiatrist, or veterinarian, or an advanced practice registered 
43.17 	nurse authorized to prescribe, dispense, and administer under section 148.235. Any changes 
43.18 	in drug therapy or medication administration made pursuant to a protocol or collaborative 
43.19 	practice agreement must be documented by the pharmacist in the patient's medical record 
43.20 	or reported by the pharmacist to a practitioner responsible for the patient's care;
43.21 	(6) participation in administration of influenza vaccines and vaccines approved by the 
43.22 	United States Food and Drug Administration related to COVID-19 or SARS-CoV-2 to all 
43.23 	eligible individuals six years of age and older and all other vaccines to patients 13 years of 
43.24 	age and older by written protocol with a physician licensed under chapter 147, a physician 
43.25 	assistant authorized to prescribe drugs under chapter 147A, or an advanced practice registered 
43.26 	nurse authorized to prescribe drugs under section 148.235, provided that:
43.27 	(i) the protocol includes, at a minimum:
43.28 	(A) the name, dose, and route of each vaccine that may be given;
43.29 	(B) the patient population for whom the vaccine may be given;
43.30 	(C) contraindications and precautions to the vaccine;
43.31 	(D) the procedure for handling an adverse reaction;
44.1 	(E) the name, signature, and address of the physician, physician assistant, or advanced 
44.2 	practice registered nurse;
44.3 	(F) a telephone number at which the physician, physician assistant, or advanced practice 
44.4 	registered nurse can be contacted; and
44.5 	(G) the date and time period for which the protocol is valid;
44.6 	(ii) the pharmacist has successfully completed a program approved by the Accreditation 
44.7 	Council for Pharmacy Education specifically for the administration of immunizations or a 
44.8 	program approved by the board;
44.9 	(iii) the pharmacist utilizes the Minnesota Immunization Information Connection to 
44.10 	assess the immunization status of individuals prior to the administration of vaccines, except 
44.11 	when administering influenza vaccines to individuals age nine and older;
44.12 	(iv) the pharmacist reports the administration of the immunization to the Minnesota 
44.13 	Immunization Information Connection; and
44.14 	(v) the pharmacist complies with guidelines for vaccines and immunizations established 
44.15 	by the federal Advisory Committee on Immunization Practices, except that a pharmacist 
44.16 	does not need to comply with those portions of the guidelines that establish immunization 
44.17 	schedules when administering a vaccine pursuant to a valid, patient-specific order issued 
44.18 	by a physician licensed under chapter 147, a physician assistant authorized to prescribe 
44.19 	drugs under chapter 147A, or an advanced practice registered nurse authorized to prescribe 
44.20 	drugs under section 148.235, provided that the order is consistent with the United States 
44.21 	Food and Drug Administration approved labeling of the vaccine;
44.22 	(7) participation in the initiation, management, modification, and discontinuation of 
44.23 	drug therapy according to a written protocol or collaborative practice agreement between: 
44.24 	(i) one or more pharmacists and one or more dentists, optometrists, physicians, physician 
44.25 	assistants, podiatrists, or veterinarians; or (ii) one or more pharmacists and one or more 
44.26 	physician assistants authorized to prescribe, dispense, and administer under chapter 147A, 
44.27 	or advanced practice registered nurses authorized to prescribe, dispense, and administer 
44.28 	under section 148.235. Any changes in drug therapy made pursuant to a protocol or 
44.29 	collaborative practice agreement must be documented by the pharmacist in the patient's 
44.30 	medical record or reported by the pharmacist to a practitioner responsible for the patient's 
44.31 	care;
44.32 	(8) participation in the storage of drugs and the maintenance of records;
45.1 	(9) patient counseling on therapeutic values, content, hazards, and uses of drugs and 
45.2 	devices;
45.3 	(10) offering or performing those acts, services, operations, or transactions necessary 
45.4 	in the conduct, operation, management, and control of a pharmacy;
45.5 	(11) participation in the initiation, management, modification, and discontinuation of 
45.6 	therapy with opiate antagonists, as defined in section 604A.04, subdivision 1, pursuant to:
45.7 	(i) a written protocol as allowed under clause (7); or
45.8 	(ii) a written protocol with a community health board medical consultant or a practitioner 
45.9 	designated by the commissioner of health, as allowed under section 151.37, subdivision 13;
45.10 	(12) prescribing self-administered hormonal contraceptives; nicotine replacement 
45.11 	medications; and opiate antagonists for the treatment of an acute opiate overdose pursuant 
45.12 	to section 151.37, subdivision 14, 15, or 16; and
45.13 	(13) participation in the placement of drug monitoring devices according to a prescription, 
45.14 	protocol, or collaborative practice agreement.;
45.15 	(14) prescribing, dispensing, and administering drugs for preventing the acquisition of 
45.16 	HIV if the pharmacist meets the requirements in section 151.37, subdivision 17; and
45.17 	(15) ordering, conducting, and interpreting laboratory tests necessary for therapies that 
45.18 	use drugs for preventing the acquisition of HIV, if the pharmacist meets the requirements 
45.19 	in section 151.37, subdivision 17.

45.20 	EFFECTIVE DATE. This section is effective January 1, 2025.

45.21 	Sec. 3. Minnesota Statutes 2022, section 151.37, is amended by adding a subdivision to 
45.22 	read:
45.23 		Subd. 17.Drugs for preventing the acquisition of HIV. (a) A pharmacist is authorized 
45.24 	to prescribe and administer drugs to prevent the acquisition of human immunodeficiency 
45.25 	virus (HIV) in accordance with this subdivision.
45.26 	(b) By January 1, 2025, the Board of Pharmacy shall develop a standardized protocol 
45.27 	for a pharmacist to follow in prescribing the drugs described in paragraph (a). In developing 
45.28 	the protocol, the board may consult with community health advocacy groups, the Board of 
45.29 	Medical Practice, the Board of Nursing, the commissioner of health, professional pharmacy 
45.30 	associations, and professional associations for physicians, physician assistants, and advanced 
45.31 	practice registered nurses.
46.1 	(c) Before a pharmacist is authorized to prescribe a drug described in paragraph (a), the 
46.2 	pharmacist must successfully complete a training program specifically developed for 
46.3 	prescribing drugs for preventing the acquisition of HIV that is offered by a college of 
46.4 	pharmacy, a continuing education provider that is accredited by the Accreditation Council 
46.5 	for Pharmacy Education, or a program approved by the board. To maintain authorization 
46.6 	to prescribe, the pharmacist shall complete continuing education requirements as specified 
46.7 	by the board.
46.8 	(d) Before prescribing a drug described in paragraph (a), the pharmacist shall follow the 
46.9 	appropriate standardized protocol developed under paragraph (b) and, if appropriate, may 
46.10 	dispense to a patient a drug described in paragraph (a).
46.11 	(e) Before dispensing a drug described in paragraph (a) that is prescribed by the 
46.12 	pharmacist, the pharmacist must provide counseling to the patient on the use of the drugs 
46.13 	and must provide the patient with a fact sheet that includes the indications and 
46.14 	contraindications for the use of these drugs, the appropriate method for using these drugs, 
46.15 	the need for medical follow-up, and any additional information listed in Minnesota Rules, 
46.16 	part 6800.0910, subpart 2, that is required to be provided to a patient during the counseling 
46.17 	process.
46.18 	(f) A pharmacist is prohibited from delegating the prescribing authority provided under 
46.19 	this subdivision to any other person. A pharmacist intern registered under section 151.101 
46.20 	may prepare the prescription, but before the prescription is processed or dispensed, a 
46.21 	pharmacist authorized to prescribe under this subdivision must review, approve, and sign 
46.22 	the prescription.
46.23 	(g) Nothing in this subdivision prohibits a pharmacist from participating in the initiation, 
46.24 	management, modification, and discontinuation of drug therapy according to a protocol as 
46.25 	authorized in this section and in section 151.01, subdivision 27.

46.26 	EFFECTIVE DATE. This section is effective January 1, 2025, except that paragraph 
46.27 	(b) is effective the day following final enactment.

46.28 	ARTICLE 9
46.29 	BOARD OF OPTOMETRY

46.30 	Section 1. Minnesota Statutes 2022, section 148.56, subdivision 1, is amended to read:
46.31 		Subdivision 1.Optometry defined. (a) Any person shall be deemed to be practicing 
46.32 	optometry within the meaning of sections 148.52 to 148.62 who shall in any way:
47.1 	(1) advertise as an optometrist;
47.2 	(2) employ any means, including the use of autorefractors or other automated testing 
47.3 	devices, for the measurement of the powers of vision or the adaptation of lenses or prisms 
47.4 	for the aid thereof;
47.5 	(3) possess testing appliances for the purpose of the measurement of the powers of vision;
47.6 	(4) diagnose any disease, optical deficiency or deformity, or visual or muscular anomaly 
47.7 	of the visual system consisting of the human eye and its accessory or subordinate anatomical 
47.8 	parts;
47.9 	(5) prescribe lenses, including plano or cosmetic contact lenses, or prisms for the 
47.10 	correction or the relief of same;
47.11 	(6) employ or prescribe ocular exercises, orthoptics, or habilitative and rehabilitative 
47.12 	therapeutic vision care; or
47.13 	(7) prescribe or administer legend drugs to aid in the diagnosis, cure, mitigation, 
47.14 	prevention, treatment, or management of disease, deficiency, deformity, or abnormality of 
47.15 	the human eye and adnexa included in the curricula of accredited schools or colleges of 
47.16 	optometry, and as limited by Minnesota statute and adopted rules by the Board of Optometry, 
47.17 	or who holds oneself out as being able to do so.
47.18 	(b) In the course of treatment, nothing in this section shall allow:
47.19 	(1) legend drugs to be administered intravenously, intramuscularly, or by injection, 
47.20 	except for treatment of anaphylaxis;
47.21 	(2) invasive surgery including, but not limited to, surgery using lasers;
47.22 	(3) Schedule II and III oral legend drugs and oral steroids to be administered or 
47.23 	prescribed; or
47.24 	(4) oral antivirals to be prescribed or administered for more than ten days; or steroids 
47.25 	to be prescribed or administered for more than 14 days without consultation with a physician.
47.26 	(5) oral carbonic anhydrase inhibitors to be prescribed or administered for more than 
47.27 	seven days.

48.1 	ARTICLE 10
48.2 	BOARD OF MEDICAL PRACTICE

48.3 	Section 1. Minnesota Statutes 2023 Supplement, section 144.99, subdivision 1, is amended 
48.4 	to read:
48.5 		Subdivision 1.Remedies available. The provisions of chapters 103I and 157 and sections 
48.6 	115.71 to 115.77; 144.12, subdivision 1, paragraphs (1), (2), (5), (6), (10), (12), (13), (14), 
48.7 	and (15); 144.1201 to 144.1204; 144.121; 144.1215; 144.1222; 144.35; 144.381 to 144.385; 
48.8 	144.411 to 144.417; 144.495; 144.71 to 144.74; 144.9501 to 144.9512; 144.97 to 144.98; 
48.9 	144.992;147.037, subdivision 1b, paragraph (c); 326.70 to 326.785; 327.10 to 327.131; 
48.10 	and 327.14 to 327.28 and all rules, orders, stipulation agreements, settlements, compliance 
48.11 	agreements, licenses, registrations, certificates, and permits adopted or issued by the 
48.12 	department or under any other law now in force or later enacted for the preservation of 
48.13 	public health may, in addition to provisions in other statutes, be enforced under this section.

48.14 	EFFECTIVE DATE. This section is effective January 1, 2025.

48.15 	Sec. 2. Minnesota Statutes 2022, section 147.037, is amended by adding a subdivision to 
48.16 	read:
48.17 		Subd. 1b.Limited license. (a) The board must issue a limited license to any person who 
48.18 	satisfies the requirements of subdivision 1, paragraphs (a) to (c) and (e) to (g), and who:
48.19 	(1) pursuant to a license or other authorization to practice, has practiced medicine, as 
48.20 	defined in section 147.081, subdivision 3, clauses (2) to (4), for at least 60 months in the 
48.21 	previous ten years outside of the United States;
48.22 	(2) submits sufficient evidence of an offer to practice within the context of a collaborative 
48.23 	agreement within a hospital or clinical setting where the limited license holder and physicians 
48.24 	work together to provide patient care;
48.25 	(3) provides services in a designated rural area or underserved urban community as 
48.26 	defined in section 144.1501; and
48.27 	(4) submits two letters of recommendation in support of a limited license, which must 
48.28 	include one letter from a physician with whom the applicant previously worked and one 
48.29 	letter from an administrator of the hospital or clinical setting in which the applicant previously 
48.30 	worked. The letters of recommendation must attest to the applicant's good medical standing.
48.31 	(b) A person issued a limited license under this subdivision must not be required to 
48.32 	present evidence satisfactory to the board of the completion of one year of graduate clinical 
49.1 	medical training in a program accredited by a national accrediting organization approved 
49.2 	by the board.
49.3 	(c) An employer of a limited license holder must pay the limited license holder at least 
49.4 	an amount equivalent to a medical resident in a comparable field. The employer must carry 
49.5 	medical malpractice insurance covering a limited license holder for the duration of the 
49.6 	employment. The commissioner of health may issue a correction order under section 144.99, 
49.7 	subdivision 3, requiring an employer to comply with this paragraph. An employer must not 
49.8 	retaliate against or discipline an employee for raising a complaint or pursuing enforcement 
49.9 	relating to this paragraph.
49.10 	(d) The board must issue a full and unrestricted license to practice medicine to a person 
49.11 	who holds a limited license issued pursuant to paragraph (a) and who has:
49.12 	(1) held the limited license for two years and is in good standing to practice medicine 
49.13 	in this state;
49.14 	(2) practiced for a minimum of 1,692 hours per year for each of the previous two years; 
49.15 	and
49.16 	(3) submitted a letter of recommendation in support of a full and unrestricted license 
49.17 	from any physician who participated in the collaborative agreement.
49.18 	(e) A limited license holder must submit to the board, every six months or upon request, 
49.19 	a statement certifying whether the person is still employed as a physician in this state and 
49.20 	whether the person has been subjected to professional discipline as a result of the person's 
49.21 	practice. The board may suspend or revoke a limited license if a majority of the board 
49.22 	determines that the licensee is no longer employed as a physician in this state by an employer. 
49.23 	The licensee must be granted an opportunity to be heard prior to the board's determination. 
49.24 	A licensee may change employers during the duration of the limited license if the licensee 
49.25 	has another offer of employment. In the event that a change of employment occurs, the 
49.26 	licensee must still work the number of hours required under paragraph (d), clause (2), to be 
49.27 	eligible for a full and unrestricted license to practice medicine.
49.28 	(f) For purposes of this subdivision, "collaborative agreement" means a mutually agreed 
49.29 	upon plan for the overall working relationship and collaborative arrangement between a 
49.30 	holder of a limited license and one or more physicians licensed under this chapter that 
49.31 	designates the scope of services that can be provided to manage the care of patients. The 
49.32 	limited license holder and one of the collaborating physicians must have experience in 
49.33 	providing care to patients with the same or similar medical conditions. The collaborating 
49.34 	physician is not required to be physically present, but the limited license holder must have 
50.1 	one-on-one practice reviews provided in person or through eye-to-eye electronic media 
50.2 	while maintaining visual contact with each collaborating physician for at least two hours 
50.3 	per month, and the collaborating physician and limited license holder can easily contact 
50.4 	each other by radio, telephone, or other telecommunication device.
50.5 	(g) The board must not grant a license under this section unless the applicant possesses 
50.6 	federal immigration status that allows the applicant to practice as a physician in the United 
50.7 	States.

50.8 	EFFECTIVE DATE. This section is effective January 1, 2025.

50.9 	Sec. 3. Minnesota Statutes 2022, section 147B.01, is amended by adding a subdivision to 
50.10 	read:
50.11 		Subd. 2a.Acupuncture. "Acupuncture" means a unique treatment technique that uses 
50.12 	modern and traditional medical methods of diagnosis and treatment. It includes the insertion 
50.13 	of filiform or acupuncture needles through the skin and may include the use of other 
50.14 	biophysical methods of acupuncture point stimulation, including the use of heat, massage, 
50.15 	or manual therapy techniques or electrical stimulation. Acupuncture includes but is not 
50.16 	limited to therapies termed "dry needling," "trigger point therapy," "intramuscular therapy," 
50.17 	"auricular detox treatment," and similar terms referring to the insertion of needles past the 
50.18 	skin for pain management, disease or symptom modification, or other related treatments.

50.19 	Sec. 4. Minnesota Statutes 2022, section 147B.01, subdivision 3, is amended to read:
50.20 		Subd. 3.Acupuncture and herbal medicine practice. "Acupuncture and herbal medicine
50.21 	practice" means a comprehensive system of primary health care using Oriental medical 
50.22 	theory and its unique methods of diagnosis and treatment. Its treatment techniques include 
50.23 	the insertion of acupuncture needles through the skin and the use of other biophysical 
50.24 	methods of acupuncture point stimulation, including the use of heat, Oriental massage 
50.25 	techniques, electrical stimulation, herbal supplemental therapies, dietary guidelines, breathing 
50.26 	techniques, and exercise based on Oriental medical principles that uses traditional and 
50.27 	modern diagnosis, methodology, and treatment techniques based on acupuncture and herbal 
50.28 	medicine theory, principles, and methods. Treatment techniques include but are not limited 
50.29 	to acupuncture, cupping, dermal friction, therapeutic massage, herbal therapies, dietary 
50.30 	guidelines, mind-body exercises, and other appropriate techniques.

51.1 	Sec. 5. Minnesota Statutes 2022, section 147B.01, subdivision 4, is amended to read:
51.2 		Subd. 4.Acupuncture needle. "Acupuncture needle" means a needle designed 
51.3 	exclusively for acupuncture the purposes of insertion past the skin to alleviate pain, provide 
51.4 	symptom relief, or modulate disease processes. It has a solid core, with a tapered point, and 
51.5 	is 0.12 mm to 0.45 mm in thickness. It is constructed of stainless steel, gold, silver, or other 
51.6 	board-approved materials as long as the materials can be sterilized according to 
51.7 	recommendations of the National Centers for Disease Control and Prevention.

51.8 	Sec. 6. Minnesota Statutes 2022, section 147B.01, subdivision 9, is amended to read:
51.9 		Subd. 9.Breathing techniques. "Breathing techniques" means Oriental breathing 
51.10 	exercises taught to a patient as part of a treatment plan.

51.11 	Sec. 7. Minnesota Statutes 2022, section 147B.01, subdivision 14, is amended to read:
51.12 		Subd. 14.Herbal therapies or herbal medicine. "Herbal therapies" are or "herbal 
51.13 	medicine" means the use of herbs and patent herbal remedies as supplements as part of the 
51.14 	treatment plan of the patient.

51.15 	Sec. 8. Minnesota Statutes 2022, section 147B.03, subdivision 2, is amended to read:
51.16 		Subd. 2.Board approval. The board shall approve a continuing education program if 
51.17 	the program meets the following requirements:
51.18 	(1) it directly relates to the practice of acupuncture;
51.19 	(2) each member of the faculty shows expertise in the subject matter by holding a degree 
51.20 	or certificate from an educational institution, has verifiable experience in traditional Oriental
51.21 	acupuncture and herbal medicine, or has special training in the subject area;
51.22 	(3) the program lasts at least one contact hour;
51.23 	(4) there are specific written objectives describing the goals of the program for the 
51.24 	participants; and
51.25 	(5) the program sponsor maintains attendance records for four years.

51.26 	Sec. 9. Minnesota Statutes 2022, section 147B.03, subdivision 3, is amended to read:
51.27 		Subd. 3.Continuing education topics. (a) Continuing education program topics may 
51.28 	include, but are not limited to, Oriental medical acupuncture and herbal medicine theory 
51.29 	and techniques including Oriental massage; Oriental nutrition; Oriental herbology and diet 
52.1 	therapy; Oriental exercise; western sciences such as anatomy, physiology, biochemistry, 
52.2 	microbiology, psychology, nutrition,and history of medicine; and medical terminology or 
52.3 	coding.
52.4 	(b) Practice management courses are excluded under this section.

52.5 	Sec. 10. Minnesota Statutes 2022, section 147B.05, subdivision 1, is amended to read:
52.6 		Subdivision 1.Creation. The advisory council to the Board of Medical Practice for 
52.7 	acupuncture consists of seven members appointed by the board to three-year terms. Four 
52.8 	members must be licensed acupuncture practitioners licensed in Minnesota, one member 
52.9 	must be a licensed physician or osteopathic physician who also practices acupuncture, one 
52.10 	member must be a licensed chiropractor who is NCCAOM certified, and one member must 
52.11 	be a member of the public who has received acupuncture treatment as a primary therapy 
52.12 	from a NCCAOM certified acupuncturist.

52.13 	Sec. 11. Minnesota Statutes 2022, section 147B.06, subdivision 1, is amended to read:
52.14 		Subdivision 1.Practice standards. (a) Before treatment of a patient, an acupuncture 
52.15 	practitioner shall ask whether the patient has been examined by a licensed physician or other 
52.16 	professional, as defined by section 145.61, subdivision 2, with regard to the patient's illness 
52.17 	or injury, and shall review the diagnosis as reported.
52.18 	(b) The practitioner shall obtain informed consent from the patient, after advising the 
52.19 	patient of the following information which must be supplied to the patient in writing before 
52.20 	or at the time of the initial visit:
52.21 	(1) the practitioner's qualifications including:
52.22 	(i) education;
52.23 	(ii) license information; and
52.24 	(iii) outline of the scope of practice of acupuncturists in Minnesota; and
52.25 	(2) side effects which may include the following:
52.26 	(i) some pain in the treatment area;
52.27 	(ii) minor bruising;
52.28 	(iii) infection;
52.29 	(iv) needle sickness; or
52.30 	(v) broken needles.
53.1 	(c) The practitioner shall obtain acknowledgment by the patient in writing that the patient 
53.2 	has been advised to consult with the patient's primary care physician about the acupuncture 
53.3 	treatment if the patient circumstances warrant or the patient chooses to do so.
53.4 	(d) (c) The practitioner shall inquire whether the patient has a pacemaker or bleeding 
53.5 	disorder.

53.6 	Sec. 12. Minnesota Statutes 2022, section 147B.06, subdivision 4, is amended to read:
53.7 		Subd. 4.Scope of practice. The scope of practice of acupuncture and herbal medicine 
53.8 	includes, but is not limited to, the following:
53.9 	(1) using Oriental medical theory to assess and diagnose a patient evaluation, 
53.10 	management, and treatment services using methods and techniques described in section 
53.11 	147B.01, subdivisions 2a, 3, and 14;
53.12 	(2) using Oriental medical theory to develop a plan to treat a patient. The treatment 
53.13 	techniques that may be chosen include: diagnostic examination, testing, and procedures 
53.14 	including physical examination, basic diagnostic imaging, and basic laboratory or other 
53.15 	diagnostic tests for the purposes of guiding treatment within the scope of practice of 
53.16 	acupuncture, herbal medicine, and herbal therapies, as described in section 147B.01, 
53.17 	subdivisions 2a, 3, and 14, provided that when results fall outside of the education, training, 
53.18 	and expertise of the licensed acupuncturists, or suggest serious or emergent conditions, the 
53.19 	acupuncturist will facilitate referrals to other appropriate health care providers;
53.20 	(i) insertion of sterile acupuncture needles through the skin;
53.21 	(ii) acupuncture stimulation including, but not limited to, electrical stimulation or the 
53.22 	application of heat;
53.23 	(iii) cupping;
53.24 	(iv) dermal friction;
53.25 	(v) acupressure;
53.26 	(vi) herbal therapies;
53.27 	(vii) dietary counseling based on traditional Chinese medical principles;
53.28 	(viii) breathing techniques;
53.29 	(ix) exercise according to Oriental medical principles; or
53.30 	(x) Oriental massage.
54.1 	(3) services included in the practice of acupuncture and herbal medicine, as defined in 
54.2 	section 147B.01, subdivision 3;
54.3 	(4) stimulation of acupuncture points, areas of the body, or substances in the body using 
54.4 	acupuncture needles, heat, cold, color, light, infrared and ultraviolet, low-level or cold lasers, 
54.5 	sound, vibration, pressure, magnetism, electricity, electromagnetic energy, bleeding, suction, 
54.6 	or other devices or means;
54.7 	(5) use of physical medicine modalities, procedures, and devices such as cupping, dermal 
54.8 	friction, acupressure, and massage, as described in section 147B.01, subdivisions 2a, 3, and 
54.9 	14;
54.10 	(6) use of therapeutic exercises, breathing techniques, meditation, and biofeedback 
54.11 	devices and other devices that utilize heat, cold, color, light, infrared and ultraviolet, low-level 
54.12 	or cold lasers, sound, vibration, pressure, magnetism, electricity, and electromagnetic energy 
54.13 	for therapeutic purposes;
54.14 	(7) dietary counseling using methods and techniques of acupuncture and herbal medicine; 
54.15 	and
54.16 	(8) counseling and education regarding physical, emotional, and spiritual balance in 
54.17 	lifestyle using methods and techniques described in section 147B.01, subdivision 3.

54.18 	Sec. 13. Minnesota Statutes 2022, section 147B.06, subdivision 5, is amended to read:
54.19 		Subd. 5.Patient records. An acupuncturist shall maintain a patient record for each 
54.20 	patient treated, including:
54.21 	(1) a copy of the informed consent;
54.22 	(2) evidence of a patient interview concerning the patient's medical history and current 
54.23 	physical condition;
54.24 	(3) evidence of a traditional acupuncture examination and diagnosis;
54.25 	(4) record of the treatment including points treated; and
54.26 	(5) evidence of evaluation and instructions given to the patient.

54.27 	Sec. 14. REPEALER.
 54.28 	Minnesota Statutes 2022, section 147B.01, subdivision 18, is repealed.

55.1 	ARTICLE 11
55.2 	BOARD OF NURSING

55.3 	Section 1. Minnesota Statutes 2022, section 147D.03, subdivision 1, is amended to read:
55.4 		Subdivision 1.General. Within the meaning of sections 147D.01 to 147D.27, a person 
55.5 	who shall publicly profess to be a traditional midwife and who, for a fee, shall assist or 
55.6 	attend to a woman in pregnancy, childbirth outside a hospital, and postpartum, shall be 
55.7 	regarded as practicing traditional midwifery. A certified midwife licensed by the Board of 
55.8 	Nursing under chapter 148G is not subject to the provisions of this chapter.

55.9 	Sec. 2. Minnesota Statutes 2022, section 148.241, is amended to read:
55.10 	148.241 EXPENSES.
55.11 		Subdivision 1.Appropriation. The expenses of administering sections 148.171 to 
55.12 	148.285and chapter 148G shall be paid from the appropriation made to the Minnesota 
55.13 	Board of Nursing.
55.14 		Subd. 2.Expenditure. All amounts appropriated to the board shall be held subject to 
55.15 	the order of the board to be used only for the purpose of meeting necessary expenses incurred 
55.16 	in the performance of the purposes of sections 148.171 to 148.285 and chapter 148G, and 
55.17 	the duties imposed thereby as well as the promotion of nursing or certified midwifery 
55.18 	education and standards of nursing or certified midwifery care in this state.

55.19 	Sec. 3. [148G.01] TITLE.
55.20 	This chapter shall be referred to as the Minnesota Certified Midwife Practice Act.

55.21 	Sec. 4. [148G.02] SCOPE.
55.22 	This chapter applies to all applicants and licensees, all persons who use the title certified 
55.23 	midwife, and all persons in or out of this state who provide certified midwifery services to 
55.24 	patients who reside in this state, unless there are specific applicable exemptions provided 
55.25 	by law.

55.26 	Sec. 5. [148G.03] DEFINITIONS.
55.27 		Subdivision 1.Scope. For purposes of this chapter, the definitions in this section have 
55.28 	the meanings given.
55.29 		Subd. 2.Board. "Board" means the Minnesota Board of Nursing.
56.1 		Subd. 3.Certification. "Certification" means the formal recognition by the American 
56.2 	Midwifery Certification Board of the knowledge, skills, and experience demonstrated by 
56.3 	the achievement of standards identified by the American College of Nurse Midwives or any 
56.4 	successor organization.
56.5 		Subd. 4.Certified midwife. "Certified midwife" means an individual who holds a current 
56.6 	and valid national certification as a certified midwife from the American Midwifery 
56.7 	Certification Board or any successor organization, and who is licensed by the board under 
56.8 	this chapter.
56.9 		Subd. 5.Certified midwifery practice. "Certified midwifery practice" means:
56.10 	(1) managing, diagnosing, and treating women's primary health care, including pregnancy, 
56.11 	childbirth, postpartum period, care of the newborn, family planning, partner care management 
56.12 	relating to sexual health, and gynecological care of women across the life span;
56.13 	(2) ordering, performing, supervising, and interpreting diagnostic studies within the 
56.14 	scope of certified midwifery practice, excluding interpreting computed tomography scans, 
56.15 	magnetic resonance imaging scans, positron emission tomography scans, nuclear scans, and 
56.16 	mammography;
56.17 	(3) prescribing pharmacologic and nonpharmacologic therapies appropriate to midwifery 
56.18 	practice;
56.19 	(4) consulting with, collaborating with, or referring to other health care providers as 
56.20 	warranted by the needs of the patient; and
56.21 	(5) performing the role of educator in the theory and practice of midwifery.
56.22 		Subd. 6.Collaborating. "Collaborating" means the process in which two or more health 
56.23 	care professionals work together to meet the health care needs of a patient, as warranted by 
56.24 	the needs of the patient.
56.25 		Subd. 7.Consulting. "Consulting" means the process in which a certified midwife who 
56.26 	maintains primary management responsibility for a patient's care seeks advice or opinion 
56.27 	of a physician, an advanced practice registered nurse, or another member of the health care 
56.28 	team.
56.29 		Subd. 8.Encumbered. "Encumbered" means: (1) a license or other credential that is 
56.30 	revoked, suspended, or contains limitations on the full and unrestricted practice of certified 
56.31 	midwifery when the revocation, suspension, or limitation is imposed by a state licensing 
56.32 	board or other state regulatory entity; or (2) a license or other credential that is voluntarily 
56.33 	surrendered.
57.1 		Subd. 9.Licensure period. "Licensure period" means the interval of time during which 
57.2 	the certified midwife is authorized to engage in certified midwifery. The initial licensure 
57.3 	period is from six to 29 full calendar months starting on the day of licensure and ending on 
57.4 	the last day of the certified midwife's month of birth in an even-numbered year if the year 
57.5 	of birth is an even-numbered year, or in an odd-numbered year if the year of birth is in an 
57.6 	odd-numbered year. Subsequent licensure renewal periods are 24 months. For licensure 
57.7 	renewal, the period starts on the first day of the month following expiration of the previous 
57.8 	licensure period. The period ends the last day of the certified midwife's month of birth in 
57.9 	an even- or odd-numbered year according to the certified midwife's year of birth.
57.10 		Subd. 10.Licensed practitioner. "Licensed practitioner" means a physician licensed 
57.11 	under chapter 147, an advanced practice registered nurse licensed under sections 148.171 
57.12 	to 148.235, or a certified midwife licensed under this chapter.
57.13 		Subd. 11.Midwifery education program. "Midwifery education program" means a 
57.14 	university or college that provides a program of theory and practice that leads to the 
57.15 	preparation and eligibility for certification in midwifery and is accredited  by the Accreditation 
57.16 	Commission for Midwifery Education or any successor organization recognized by the 
57.17 	United States Department of Education or the Council for Higher Education Accreditation.
57.18 		Subd. 12.Patient. "Patient" means a recipient of care provided by a certified midwife, 
57.19 	including an individual, family, group, or community.
57.20 		Subd. 13.Prescribing. "Prescribing" means the act of generating a prescription for the 
57.21 	preparation of, use of, or manner of using a drug or therapeutic device under section 148G.09. 
57.22 	Prescribing does not include recommending the use of a drug or therapeutic device that is 
57.23 	not required by the federal Food and Drug Administration to meet the labeling requirements 
57.24 	for prescription drugs and devices.
57.25 		Subd. 14.Prescription. "Prescription" means a written direction or an oral direction 
57.26 	reduced to writing provided to or for a patient for the preparation or use of a drug or 
57.27 	therapeutic device. The requirements of section 151.01, subdivisions 16, 16a, and 16b, apply 
57.28 	to prescriptions for drugs.
57.29 		Subd. 15.Referral. "Referral" means the process in which a certified midwife directs 
57.30 	a patient to a physician or another health care professional for management of a particular 
57.31 	problem or aspect of the patient's care.
57.32 		Subd. 16.Supervision. "Supervision" means monitoring and establishing the initial 
57.33 	direction, setting expectations, directing activities and courses of action, evaluating, and 
57.34 	changing a course of action in certified midwifery care.

58.1 	Sec. 6. [148G.04] CERTIFIED MIDWIFE LICENSING.
58.2 		Subdivision 1.Licensure. (a) No person shall practice as a certified midwife or serve 
58.3 	as the faculty of record for clinical instruction in a midwifery distance learning program 
58.4 	unless the certified midwife is licensed by the board under this chapter.
58.5 	(b) An applicant for a license to practice as a certified midwife must apply to the board 
58.6 	in a format prescribed by the board and pay a fee in an amount determined under section 
58.7 	148G.11.
58.8 	(c) To be eligible for licensure, an applicant must:
58.9 	(1) not hold an encumbered license or other credential as a certified midwife or equivalent 
58.10 	professional designation in any state or territory;
58.11 	(2) hold a current and valid certification as a certified midwife from the American 
58.12 	Midwifery Certification Board or any successor organization acceptable to the board and 
58.13 	provide primary source verification of certification to the board in a format prescribed by 
58.14 	the board;
58.15 	(3) have completed a graduate level midwifery program that includes clinical experience, 
58.16 	is accredited by the Accreditation Commission for Midwifery Education or any successor 
58.17 	organization recognized by the United States Department of Education or the Council for 
58.18 	Higher Education Accreditation, and leads to a graduate degree. The applicant must submit 
58.19 	primary source verification of program completion to the board in a format prescribed by 
58.20 	the board. The primary source verification must verify the applicant completed three separate 
58.21 	graduate-level courses in physiology and pathophysiology; advanced health assessment; 
58.22 	and advanced pharmacology, including pharmacodynamics, pharmacokinetics, and 
58.23 	pharmacotherapeutics of all broad categories of agents;
58.24 	(4) report any criminal conviction, nolo contendere plea, Alford plea, or other plea 
58.25 	arrangement in lieu of conviction; and
58.26 	(5) not have committed any acts or omissions that are grounds for disciplinary action in 
58.27 	another jurisdiction or, if these acts were committed and would be grounds for disciplinary 
58.28 	action as set forth in section 148G.13, the board has found after an investigation that sufficient 
58.29 	remediation was made.
58.30 		Subd. 2.Clinical practice component. If more than five years have elapsed since the 
58.31 	applicant has practiced in the certified midwife role, the applicant must complete a 
58.32 	reorientation plan as a certified midwife. The plan must include supervision during the 
58.33 	clinical component by a licensed practitioner with experience in providing care to patients 
59.1 	with the same or similar health care needs. The applicant must submit the plan and the name 
59.2 	of the practitioner to the board. The plan must include a minimum of 500 hours of supervised 
59.3 	certified midwifery practice. The certified midwife must submit verification of completion 
59.4 	of the clinical reorientation to the board when the reorientation is complete.

59.5 	Sec. 7. [148G.05] LICENSURE RENEWAL; RELICENSURE.
59.6 		Subdivision 1.Renewal; current applicants. (a) A certified midwife must apply for 
59.7 	renewal of the certified midwife's license before the certified midwife's licensure period 
59.8 	ends. To be considered timely, the board must receive the certified midwife's application 
59.9 	on or before the last day of the certified midwife's licensure period. A certified midwife's 
59.10 	license lapses if the certified midwife's application is untimely.
59.11 	(b) An applicant for certified midwifery renewal must provide the board evidence of 
59.12 	current certification or recertification as a certified midwife by the American Midwifery 
59.13 	Certification Board or any successor organization.
59.14 	(c) An applicant for certified midwifery renewal must submit to the board the fee under 
59.15 	section 148G.11, subdivision 2.
59.16 		Subd. 2.Clinical practice component. If more than five years have elapsed since the 
59.17 	applicant has practiced as a certified midwife, the applicant must complete a reorientation 
59.18 	plan as a certified midwife. The plan must include supervision during the clinical component 
59.19 	by a licensed practitioner with experience in providing care to patients with the same or 
59.20 	similar health care needs. The licensee must submit the plan and the name of the practitioner 
59.21 	to the board. The plan must include a minimum of 500 hours of supervised certified 
59.22 	midwifery practice. The certified midwife must submit verification of completion of the 
59.23 	clinical reorientation to the board when the reorientation is complete.
59.24 		Subd. 3.Relicensure; lapsed applicants. A person whose license has lapsed desiring 
59.25 	to resume practice as a certified midwife must apply for relicensure, submit to the board 
59.26 	satisfactory evidence of compliance with the procedures and requirements established by 
59.27 	the board, and pay the board the relicensure fee under section 148G.11, subdivision 4, for 
59.28 	the current period. A penalty fee under section 148G.11, subdivision 3, is required from a 
59.29 	person who practiced certified midwifery without current licensure. The board must relicense 
59.30 	a person who meets the requirements of this subdivision.

60.1 	Sec. 8. [148G.06] FAILURE OR REFUSAL TO PROVIDE INFORMATION.
60.2 		Subdivision 1.Notification requirement. An individual licensed as a certified midwife 
60.3 	must notify the board when the individual renews their certification. If a licensee fails to 
60.4 	provide notification, the licensee is prohibited from practicing as a certified midwife.
60.5 		Subd. 2.Denial of license. Refusal of an applicant to supply information necessary to 
60.6 	determine the applicant's qualifications, failure to demonstrate qualifications, or failure to 
60.7 	satisfy the requirements for a license contained in this chapter or rules of the board may 
60.8 	result in denial of a license. The burden of proof is upon the applicant to demonstrate the 
60.9 	qualifications and satisfaction of the requirements.

60.10 	Sec. 9. [148G.07] NAME CHANGE AND CHANGE OF ADDRESS.
60.11 	A certified midwife must maintain a current name and address with the board and must 
60.12 	notify the board in writing within 30 days of any change in name or address. All notices or 
60.13 	other correspondence mailed to or served upon a certified midwife by the board at the 
60.14 	licensee's address on file with the board are considered received by the licensee.

60.15 	Sec. 10. [148G.08] IDENTIFICATION OF CERTIFIED MIDWIVES.
60.16 	Only those persons who hold a current license to practice certified midwifery in this 
60.17 	state may use the title of certified midwife. A certified midwife licensed by the board must 
60.18 	use the designation of CM for professional identification and in documentation of services 
60.19 	provided.

60.20 	Sec. 11. [148G.09] PRESCRIBING DRUGS AND THERAPEUTIC DEVICES.
60.21 		Subdivision 1.Diagnosing, prescribing, and ordering. Certified midwives, within the 
60.22 	scope of certified midwifery practice, are authorized to:
60.23 	(1) diagnose, prescribe, and institute therapy or referrals of patients to health care agencies 
60.24 	and providers;
60.25 	(2) prescribe, procure, sign for, record, administer, and dispense over-the-counter, legend, 
60.26 	and controlled substances, including sample drugs; and
60.27 	(3) plan and initiate a therapeutic regimen that includes ordering and prescribing durable 
60.28 	medical devices and equipment, nutrition, diagnostic services, and supportive services, 
60.29 	including but not limited to home health care, physical therapy, and occupational therapy.
60.30 		Subd. 2.Drug Enforcement Administration requirements. (a) Certified midwives 
60.31 	must:
61.1 	(1) comply with federal Drug Enforcement Administration (DEA) requirements related 
61.2 	to controlled substances; and
61.3 	(2) file the certified midwife's DEA registrations and numbers with the board, if any.
61.4 	(b) The board must maintain current records of all certified midwives with DEA 
61.5 	registration and numbers.

61.6 	Sec. 12. [148G.10] FEES.
61.7 	The fees specified in section 148G.11 are nonrefundable and must be deposited in the 
61.8 	state government special revenue fund.

61.9 	Sec. 13. [148G.11] FEE AMOUNTS.
61.10 		Subdivision 1.Licensure. The fee for licensure is $105.
61.11 		Subd. 2.Renewal. The fee for licensure renewal is $85.
61.12 		Subd. 3.Practicing without current certification. The penalty fee for a person who 
61.13 	practices certified midwifery without a current certification or recertification, or who practices 
61.14 	certified midwifery without current certification or recertification on file with the board, is 
61.15 	$200 for the first month or part of a month and an additional $100 for each subsequent 
61.16 	month or parts of months of practice. The penalty fee must be calculated from the first day 
61.17 	the certified midwife practiced without a current certified midwife license and certification 
61.18 	to the last day of practice without a current license and certification, or from the first day 
61.19 	the certified midwife practiced without a current license and certification on file with the 
61.20 	board until the day the current license and certification is filed with the board.
61.21 		Subd. 4.Relicensure. The fee for relicensure is $105. The fee for practicing without 
61.22 	current licensure is two times the amount of the current renewal fee for any part of the first 
61.23 	calendar month, plus the current renewal fee for any part of each subsequent month up to 
61.24 	24 months.
61.25 		Subd. 5.Dishonored check fee. The service fee for a dishonored check is as provided 
61.26 	in section 604.113.

61.27 	Sec. 14. [148G.12] APPROVED MIDWIFERY EDUCATION PROGRAM.
61.28 		Subdivision 1.Initial approval. An institution desiring to conduct a certified midwifery 
61.29 	program must submit evidence to the board that the institution is prepared to:
62.1 	(1) provide a program of theory and practice in certified midwifery leading to eligibility 
62.2 	for certification in midwifery;
62.3 	(2) achieve preaccreditation and eventual full accreditation by the American Commission 
62.4 	for Midwifery Education or any successor organization recognized by the United States 
62.5 	Department of Education or the Council for Higher Education Accreditation. Instruction 
62.6 	and required experience may be obtained in one or more institutions or agencies outside 
62.7 	the applying institution if the program retains accountability for all clinical and nonclinical 
62.8 	teaching; and
62.9 	(3) meet other standards established by law and by the board.
62.10 		Subd. 2.Continuing approval. The board must, through the board's representative, 
62.11 	annually survey all midwifery programs in the state for current accreditation status by the 
62.12 	American Commission for Midwifery Education or any successor organization recognized 
62.13 	by the United States Department of Education or the Council for Higher Education 
62.14 	Accreditation. If the results of the survey show that a certified midwifery program meets 
62.15 	all standards for continuing accreditation, the board must continue approval of the certified 
62.16 	midwifery program.
62.17 		Subd. 3.Loss of approval. If the board determines that an accredited certified midwifery 
62.18 	program is not maintaining the standards required by the American Commission on 
62.19 	Midwifery Education or any successor organization, the board must obtain  the defect in 
62.20 	writing from the accrediting body. If a program fails to correct the defect to the satisfaction 
62.21 	of the accrediting body and the accrediting body revokes the program's accreditation, the 
62.22 	board must remove the program from the list of approved certified midwifery programs.
62.23 		Subd. 4.Reinstatement of approval. The board must reinstate approval of a certified 
62.24 	midwifery program upon submission of satisfactory evidence that the certified midwifery's 
62.25 	program of theory and practice meets the standards required by the accrediting body.

62.26 	Sec. 15. [148G.13] GROUNDS FOR DISCIPLINARY ACTION.
62.27 		Subdivision 1.Grounds listed. The board may deny, revoke, suspend, limit, or condition 
62.28 	the license of any person to practice certified midwifery under this chapter or otherwise 
62.29 	discipline a licensee or applicant as described in section 148G.14. The following are grounds 
62.30 	for disciplinary action:
62.31 	(1) failure to demonstrate the qualifications or satisfy the requirements for a license 
62.32 	contained in this chapter or rules of the board. In the case of a person applying for a license, 
63.1 	the burden of proof is upon the applicant to demonstrate the qualifications or satisfaction 
63.2 	of the requirements;
63.3 	(2) employing fraud or deceit in procuring or attempting to procure a license to practice 
63.4 	certified midwifery;
63.5 	(3) conviction of a felony or gross misdemeanor reasonably related to the practice of 
63.6 	certified midwifery. Conviction, as used in this subdivision, includes a conviction of an 
63.7 	offense that if committed in this state would be considered a felony or gross misdemeanor 
63.8 	without regard to its designation elsewhere, or a criminal proceeding where a finding or 
63.9 	verdict of guilt is made or returned, but the adjudication of guilt is either withheld or not 
63.10 	entered;
63.11 	(4) revocation, suspension, limitation, conditioning, or other disciplinary action against 
63.12 	the person's certified midwife credential in another state, territory, or country; failure to 
63.13 	report to the board that charges regarding the person's certified midwifery license, 
63.14 	certification, or other credential are pending in another state, territory, or country; or failure 
63.15 	to report to the board having been refused a license or other credential by another state, 
63.16 	territory, or country;
63.17 	(5) failure or inability to practice as a certified midwife with reasonable skill and safety, 
63.18 	or departure from or failure to conform to standards of acceptable and prevailing certified 
63.19 	midwifery, including failure of a certified midwife to adequately supervise or monitor the 
63.20 	performance of acts by any person working at the certified midwife's direction;
63.21 	(6) engaging in unprofessional conduct, including but not limited to a departure from 
63.22 	or failure to conform to statutes relating to certified midwifery practice or to the minimal 
63.23 	standards of acceptable and prevailing certified midwifery practice, or in any certified 
63.24 	midwifery practice that may create unnecessary danger to a patient's life, health, or safety. 
63.25 	Actual injury to a patient need not be established under this clause;
63.26 	(7) supervision or accepting the supervision of a midwifery function or a prescribed 
63.27 	health care function when the acceptance could reasonably be expected to result in unsafe 
63.28 	or ineffective patient care;
63.29 	(8) actual or potential inability to practice certified midwifery with reasonable skill and 
63.30 	safety to patients by reason of illness; use of alcohol, drugs, chemicals, or any other material; 
63.31 	or as a result of any mental or physical condition;
64.1 	(9) adjudication as mentally incompetent, mentally ill, a chemically dependent person, 
64.2 	or a person dangerous to the public by a court of competent jurisdiction, within or outside 
64.3 	of this state;
64.4 	(10) engaging in any unethical conduct, including but not limited to conduct likely to 
64.5 	deceive, defraud, or harm the public, or demonstrating a willful or careless disregard for 
64.6 	the health, welfare, or safety of a patient. Actual injury need not be established under this 
64.7 	clause;
64.8 	(11) engaging in conduct with a patient that is sexual or may reasonably be interpreted 
64.9 	by the patient as sexual, in any verbal behavior that is seductive or sexually demeaning to 
64.10 	a patient, or in sexual exploitation of a patient or former patient;
64.11 	(12) obtaining money, property, or services from a patient, other than reasonable fees 
64.12 	for services provided to the patient, through the use of undue influence, harassment, duress, 
64.13 	deception, or fraud;
64.14 	(13) revealing a privileged communication from or relating to a patient except when 
64.15 	otherwise required or permitted by law;
64.16 	(14) engaging in abusive or fraudulent billing practices, including violations of federal 
64.17 	Medicare and Medicaid laws or state medical assistance laws;
64.18 	(15) improper management of patient records, including failure to maintain adequate 
64.19 	patient records, to comply with a patient's request made pursuant to sections 144.291 to 
64.20 	144.298, or to furnish a patient record or report required by law;
64.21 	(16) knowingly aiding, assisting, advising, or allowing an unlicensed person to engage 
64.22 	in the unlawful practice of certified midwifery;
64.23 	(17) violating a rule adopted by the board, an order of the board, or a state or federal 
64.24 	law relating to the practice of certified midwifery, or a state or federal narcotics or controlled 
64.25 	substance law;
64.26 	(18) knowingly providing false or misleading information to a patient that is directly 
64.27 	related to the care of that patient unless done for an accepted therapeutic purpose such as 
64.28 	the administration of a placebo;
64.29 	(19) aiding suicide or aiding attempted suicide in violation of section 609.215 as 
64.30 	established by any of the following:
64.31 	(i) a copy of the record of criminal conviction or plea of guilty for a felony in violation 
64.32 	of section 609.215, subdivision 1 or 2;
65.1 	(ii) a copy of the record of a judgment of contempt of court for violating an injunction 
65.2 	issued under section 609.215, subdivision 4;
65.3 	(iii) a copy of the record of a judgment assessing damages under section 609.215, 
65.4 	subdivision 5; or
65.5 	(iv) a finding by the board that the person violated section 609.215, subdivision 1 or 2. 
65.6 	The board must investigate any complaint of a violation of section 609.215, subdivision 1 
65.7 	or 2;
65.8 	(20) practicing outside the scope of certified midwifery practice as defined under section 
65.9 	148G.03, subdivision 5;
65.10 	(21) making a false statement or knowingly providing false information to the board, 
65.11 	failing to make reports as required by section 148G.15, or failing to cooperate with an 
65.12 	investigation of the board as required by section 148G.17;
65.13 	(22) engaging in false, fraudulent, deceptive, or misleading advertising;
65.14 	(23) failure to inform the board of the person's certification or recertification status as 
65.15 	a certified midwife;
65.16 	(24) engaging in certified midwifery practice without a license and current certification 
65.17 	or recertification by the American Midwifery Certification Board or any successor 
65.18 	organization; or
65.19 	(25) failure to maintain appropriate professional boundaries with a patient. A certified 
65.20 	midwife must not engage in practices that create an unacceptable risk of patient harm or of 
65.21 	the impairment of a certified midwife's objectivity or professional judgment. A certified 
65.22 	midwife must not act or fail to act in a way that, as judged by a reasonable and prudent 
65.23 	certified midwife, inappropriately encourages the patient to relate to the certified midwife 
65.24 	outside of the boundaries of the professional relationship, or in a way that interferes with 
65.25 	the patient's ability to benefit from certified midwife services. A certified midwife must not 
65.26 	use the professional relationship with a patient, student, supervisee, or intern to further the 
65.27 	certified midwife's personal, emotional, financial, sexual, religious, political, or business 
65.28 	benefit or interests.
65.29 		Subd. 2.Conviction of a felony-level criminal sexual offense. (a) Except as provided 
65.30 	in paragraph (e), the board must not grant or renew a license to practice certified midwifery 
65.31 	to any person who has been convicted on or after August 1, 2014, of any of the provisions 
65.32 	of section 609.342, subdivision 1 or 1a; 609.343, subdivision 1 or 1a; 609.344, subdivision 
66.1 	1 or subdivision 1a, paragraphs (c) to (g); or 609.345, subdivision 1 or subdivision 1a, 
66.2 	paragraphs (c) to (g); or a similar statute in another jurisdiction.
66.3 	(b) A license to practice certified midwifery is automatically revoked if the licensee is 
66.4 	convicted of an offense listed in paragraph (a).
66.5 	(c) A license to practice certified midwifery that has been denied or revoked under this 
66.6 	subdivision is not subject to chapter 364.
66.7 	(d) For purposes of this subdivision, "conviction" means a plea of guilty, a verdict of 
66.8 	guilty by a jury, or a finding of guilty by the court, unless the court stays imposition or 
66.9 	execution of the sentence and final disposition of the case is accomplished at a nonfelony 
66.10 	level.
66.11 	(e) The board may establish criteria whereby an individual convicted of an offense listed 
66.12 	in paragraph (a) may become licensed if the criteria:
66.13 	(1) utilize a rebuttable presumption that the applicant is not suitable for licensing;
66.14 	(2) provide a standard for overcoming the presumption; and
66.15 	(3) require that a minimum of ten years has elapsed since the applicant's sentence was 
66.16 	discharged.
66.17 	(f) The board must not consider an application under paragraph (e) if the board determines 
66.18 	that the victim involved in the offense was a patient or a client of the applicant at the time 
66.19 	of the offense.
66.20 		Subd. 3.Evidence. In disciplinary actions alleging a violation of subdivision 1, clause 
66.21 	(3) or (4), or subdivision 2, a copy of the judgment or proceeding under the seal of the court 
66.22 	administrator or of the administrative agency that entered the same is admissible into evidence 
66.23 	without further authentication and constitutes prima facie evidence of the violation concerned.
66.24 		Subd. 4.Examination; access to medical data. (a) If the board has probable cause to 
66.25 	believe that grounds for disciplinary action exist under subdivision 1, clause (8) or (9), it 
66.26 	may direct the applicant or certified midwife to submit to a mental or physical examination 
66.27 	or chemical dependency evaluation. For the purpose of this subdivision, when a certified 
66.28 	midwife licensed under this chapter is directed in writing by the board to submit to a mental 
66.29 	or physical examination or chemical dependency evaluation, that person is considered to 
66.30 	have consented and to have waived all objections to admissibility on the grounds of privilege. 
66.31 	Failure of the applicant or certified midwife to submit to an examination when directed 
66.32 	constitutes an admission of the allegations against the applicant or certified midwife, unless 
66.33 	the failure was due to circumstances beyond the person's control, and the board may enter 
67.1 	a default and final order without taking testimony or allowing evidence to be presented. A 
67.2 	certified midwife affected under this paragraph must, at reasonable intervals, be given an 
67.3 	opportunity to demonstrate that the competent practice of certified midwifery can be resumed 
67.4 	with reasonable skill and safety to patients. Neither the record of proceedings nor the orders 
67.5 	entered by the board in a proceeding under this paragraph may be used against a certified 
67.6 	midwife in any other proceeding.
67.7 	(b) Notwithstanding sections 13.384, 144.651, and 595.02, or any other law limiting 
67.8 	access to medical or other health data, the board may obtain medical data and health records 
67.9 	relating to a certified midwife or applicant for a license without that person's consent if the 
67.10 	board has probable cause to believe that grounds for disciplinary action exist under 
67.11 	subdivision 1, clause (8) or (9). The medical data may be requested from a provider, as 
67.12 	defined in section 144.291, subdivision 2, paragraph (h); an insurance company; or a 
67.13 	government agency, including the Department of Human Services. A provider, insurance 
67.14 	company, or government agency must comply with any written request of the board under 
67.15 	this subdivision and is not liable in any action for damages for releasing the data requested 
67.16 	by the board if the data are released pursuant to a written request under this subdivision, 
67.17 	unless the information is false and the provider giving the information knew or had reason 
67.18 	to believe the information was false. Information obtained under this subdivision is classified 
67.19 	as private data on individuals as defined in section 13.02.

67.20 	Sec. 16. [148G.14] FORMS OF DISCIPLINARY ACTION; AUTOMATIC 
67.21 	SUSPENSION; TEMPORARY SUSPENSION; REISSUANCE.
67.22 		Subdivision 1.Forms of disciplinary action. If the board finds that grounds for 
67.23 	disciplinary action exist under section 148G.13, it may take one or more of the following 
67.24 	actions:
67.25 	(1) deny the license application or licensure renewal;
67.26 	(2) revoke the license;
67.27 	(3) suspend the license;
67.28 	(4) impose limitations on the certified midwife's practice of certified midwifery including 
67.29 	but not limited to limitation of scope of practice or the requirement of practice under 
67.30 	supervision;
67.31 	(5) impose conditions on the retention of the license, including but not limited to the 
67.32 	imposition of retraining or rehabilitation requirements or the conditioning of continued 
68.1 	practice on demonstration of knowledge or skills by appropriate examination, monitoring, 
68.2 	or other review;
68.3 	(6) impose a civil penalty not exceeding $10,000 for each separate violation. The amount 
68.4 	of the civil penalty must be fixed so as to deprive the certified midwife of any economic 
68.5 	advantage gained by reason of the violation charged; to reimburse the board for the cost of 
68.6 	counsel, investigation, and proceeding; and to discourage repeated violations;
68.7 	(7) order the certified midwife to provide unremunerated service;
68.8 	(8) censure or reprimand the certified midwife; or
68.9 	(9) any other action justified by the facts in the case.
68.10 		Subd. 2.Automatic suspension of license. (a) Unless the board orders otherwise, a 
68.11 	license to practice certified midwifery is automatically suspended if:
68.12 	(1) a guardian of a certified midwife is appointed by order of a court under sections 
68.13 	524.5-101 to 524.5-502;
68.14 	(2) the certified midwife is committed by order of a court under chapter 253B; or
68.15 	(3) the certified midwife is determined to be mentally incompetent, mentally ill, 
68.16 	chemically dependent, or a person dangerous to the public by a court of competent 
68.17 	jurisdiction within or outside of this state.
68.18 	(b) The license remains suspended until the certified midwife is restored to capacity by 
68.19 	a court and, upon petition by the certified midwife, the suspension is terminated by the 
68.20 	board after a hearing or upon agreement between the board and the certified midwife.
68.21 		Subd. 3.Temporary suspension of license. In addition to any other remedy provided 
68.22 	by law, the board may, through its designated board member under section 214.10, 
68.23 	subdivision 2, temporarily suspend the license of a certified midwife without a hearing if 
68.24 	the board finds that there is probable cause to believe the certified midwife has violated a 
68.25 	statute or rule the board is empowered to enforce and continued practice by the certified 
68.26 	midwife would create a serious risk of harm to others. The suspension takes effect upon 
68.27 	written notice to the certified midwife, served by first-class mail, specifying the statute or 
68.28 	rule violated. The suspension must remain in effect until the board issues a temporary stay 
68.29 	of suspension or a final order in the matter after a hearing or upon agreement between the 
68.30 	board and the certified midwife. At the time it issues the suspension notice, the board must 
68.31 	schedule a disciplinary hearing to be held under the Administrative Procedure Act. The 
68.32 	board must provide the certified midwife at least 20 days' notice of any hearing held under 
69.1 	this subdivision. The board must schedule the hearing to begin no later than 30 days after 
69.2 	the issuance of the suspension order.
69.3 		Subd. 4.Reissuance. The board may reinstate and reissue a license certificate to practice 
69.4 	certified midwifery, but as a condition may impose any disciplinary or corrective measure 
69.5 	that it might originally have imposed. Any person whose license has been revoked, 
69.6 	suspended, or limited may have the license reinstated and a new license issued when, at the 
69.7 	discretion of the board, the action is warranted, provided that the board must require the 
69.8 	person to pay the costs of the proceedings resulting in the revocation, suspension, or limitation 
69.9 	of the license; the reinstatement of the license; and the fee for the current licensure period. 
69.10 	The cost of proceedings includes but is not limited to the cost paid by the board to the Office 
69.11 	of Administrative Hearings and the Office of the Attorney General for legal and investigative 
69.12 	services; the costs of a court reporter and witnesses, reproduction of records, board staff 
69.13 	time, travel, and expenses; and the costs of board members' per diem reimbursements, travel 
69.14 	costs, and expenses.

69.15 	Sec. 17. [148G.15] REPORTING OBLIGATIONS.
69.16 		Subdivision 1.Permission to report. A person who has knowledge of any conduct 
69.17 	constituting grounds for discipline under section 148G.13 may report the alleged violation 
69.18 	to the board.
69.19 		Subd. 2.Institutions. The chief nursing executive or chief administrative officer of any 
69.20 	hospital, clinic, prepaid medical plan, or other health care institution or organization located 
69.21 	in this state must report to the board any action taken by the institution or organization or 
69.22 	any of its administrators or committees to revoke, suspend, limit, or condition a certified 
69.23 	midwife's privilege to practice in the institution, or as part of the organization, any denial 
69.24 	of privileges, any dismissal from employment, or any other disciplinary action. The institution 
69.25 	or organization must also report the resignation of any certified midwife before the conclusion 
69.26 	of any disciplinary proceeding, or before commencement of formal charges, but after the 
69.27 	certified midwife had knowledge that formal charges were contemplated or in preparation. 
69.28 	The reporting described by this subdivision is required only if the action pertains to grounds 
69.29 	for disciplinary action under section 148G.13.
69.30 		Subd. 3.Licensed professionals. A person licensed by a health-related licensing board 
69.31 	as defined in section 214.01, subdivision 2, must report to the board personal knowledge 
69.32 	of any conduct the person reasonably believes constitutes grounds for disciplinary action 
69.33 	under section 148G.13 by any certified midwife, including conduct indicating that the 
69.34 	certified midwife may be incompetent, may have engaged in unprofessional or unethical 
70.1 	conduct, or may be mentally or physically unable to engage safely in the practice of certified 
70.2 	midwifery.
70.3 		Subd. 4.Insurers. (a) By the first day of February, May, August, and November, each 
70.4 	insurer authorized to sell insurance described in section 60A.06, subdivision 1, clause (13), 
70.5 	and providing professional liability insurance to certified midwives must submit to the board 
70.6 	a report concerning any certified midwife against whom a malpractice award has been made 
70.7 	or who has been a party to a settlement. The report must contain at least the following 
70.8 	information:
70.9 	(1) the total number of settlements or awards;
70.10 	(2) the date a settlement or award was made;
70.11 	(3) the allegations contained in the claim or complaint leading to the settlement or award;
70.12 	(4) the dollar amount of each malpractice settlement or award and whether that amount 
70.13 	was paid as a result of a settlement or of an award; and
70.14 	(5) the name and address of the practice of the certified midwife against whom an award 
70.15 	was made or with whom a settlement was made.
70.16 	(b) An insurer must also report to the board any information it possesses that tends to 
70.17 	substantiate a charge that a certified midwife may have engaged in conduct in violation of 
70.18 	this chapter.
70.19 		Subd. 5.Courts. The court administrator of district court or another court of competent 
70.20 	jurisdiction must report to the board any judgment or other determination of the court that 
70.21 	adjudges or includes a finding that a certified midwife is a person who is mentally ill, 
70.22 	mentally incompetent, chemically dependent, dangerous to the public, guilty of a felony or 
70.23 	gross misdemeanor, guilty of a violation of federal or state narcotics laws or controlled 
70.24 	substances act, guilty of operating a motor vehicle while under the influence of alcohol or 
70.25 	a controlled substance, or guilty of an abuse or fraud under Medicare or Medicaid; or if the 
70.26 	court appoints a guardian of the certified midwife under sections 524.5-101 to 524.5-502 
70.27 	or commits a certified midwife under chapter 253B.
70.28 		Subd. 6.Deadlines; forms. Reports required by subdivisions 2 to 5 must be submitted 
70.29 	no later than 30 days after the occurrence of the reportable event or transaction. The board 
70.30 	may provide forms for the submission of reports required by this section, may require that 
70.31 	the reports be submitted on the forms provided, and may adopt rules necessary to ensure 
70.32 	prompt and accurate reporting. The board must review all reports, including those submitted 
70.33 	after the deadline.
71.1 		Subd. 7.Failure to report. Any person, institution, insurer, or organization that fails to 
71.2 	report as required under subdivisions 2 to 6 is subject to civil penalties for failing to report 
71.3 	as required by law.

71.4 	Sec. 18. [148G.16] IMMUNITY.
71.5 		Subdivision 1.Reporting. Any person, health care facility, business, or organization is 
71.6 	immune from civil liability or criminal prosecution for submitting in good faith a report to 
71.7 	the board under section 148G.15 or for otherwise reporting in good faith to the board 
71.8 	violations or alleged violations of this chapter. All such reports are investigative data as 
71.9 	defined in chapter 13.
71.10 		Subd. 2.Investigation. (a) Members of the board and persons employed by the board 
71.11 	or engaged in the investigation of violations and in the preparation and management of 
71.12 	charges of violations of this chapter on behalf of the board, or persons participating in the 
71.13 	investigation or testifying regarding charges of violations, are immune from civil liability 
71.14 	and criminal prosecution for any actions, transactions, or publications in the execution of, 
71.15 	or relating to, their duties under this chapter.
71.16 	(b) Members of the board and persons employed by the board or engaged in maintaining 
71.17 	records and making reports regarding adverse health care events are immune from civil 
71.18 	liability and criminal prosecution for any actions, transactions, or publications in the 
71.19 	execution of, or relating to, their duties under this chapter.

71.20 	Sec. 19. [148G.17] CERTIFIED MIDWIFE COOPERATION.
71.21 	A certified midwife who is the subject of an investigation by or on behalf of the board 
71.22 	must cooperate fully with the investigation. Cooperation includes responding fully and 
71.23 	promptly to any question raised by or on behalf of the board relating to the subject of the 
71.24 	investigation and providing copies of patient or other records in the certified midwife's 
71.25 	possession, as reasonably requested by the board, to assist the board in its investigation and 
71.26 	to appear at conferences and hearings scheduled by the board. The board must pay for copies 
71.27 	requested. If the board does not have written consent from a patient permitting access to 
71.28 	the patient's records, the certified midwife must delete any data in the record that identify 
71.29 	the patient before providing it to the board. The board must maintain any records obtained 
71.30 	pursuant to this section as investigative data under chapter 13. The certified midwife must 
71.31 	not be excused from giving testimony or producing any documents, books, records, or 
71.32 	correspondence on the grounds of self-incrimination, but the testimony or evidence must 
71.33 	not be used against the certified midwife in any criminal case.

72.1 	Sec. 20. [148G.18] DISCIPLINARY RECORD ON JUDICIAL REVIEW.
72.2 	Upon judicial review of any board disciplinary action taken under this chapter, the 
72.3 	reviewing court must seal the administrative record, except for the board's final decision, 
72.4 	and must not make the administrative record available to the public.

72.5 	Sec. 21. [148G.19] EXEMPTIONS.
72.6 	The provisions of this chapter do not prohibit:
72.7 	(1) the furnishing of certified midwifery assistance in an emergency;
72.8 	(2) the practice of certified midwifery by any legally qualified certified midwife of 
72.9 	another state who is employed by the United States government or any bureau, division, or 
72.10 	agency thereof while in the discharge of official duties;
72.11 	(3) the practice of any profession or occupation licensed by the state, other than certified 
72.12 	midwifery, by any person licensed to practice the profession or occupation, or the 
72.13 	performance by a person of any acts properly coming within the scope of the profession, 
72.14 	occupation, or license;
72.15 	(4) the practice of traditional midwifery as specified under section 147D.03;
72.16 	(5) certified midwifery practice by a student practicing under the supervision of an 
72.17 	instructor while the student is enrolled in an approved certified midwifery education program; 
72.18 	or
72.19 	(6) certified midwifery practice by a certified midwife licensed in another state, territory, 
72.20 	or jurisdiction who is in Minnesota temporarily:
72.21 	(i) providing continuing or in-service education;
72.22 	(ii) serving as a guest lecturer;
72.23 	(iii) presenting at a conference; or
72.24 	(iv) teaching didactic content via distance education to a student located in Minnesota 
72.25 	who is enrolled in a formal, structured course of study, such as a course leading to a higher 
72.26 	degree in midwifery.

72.27 	Sec. 22. [148G.20] VIOLATIONS; PENALTY.
72.28 		Subdivision 1.Violations described. It is unlawful for any person, corporation, firm, 
72.29 	or association to:
73.1 	(1) sell or fraudulently obtain or furnish any certified midwifery diploma, license, or 
73.2 	record, or aid or abet therein;
73.3 	(2) practice certified midwifery under cover of any diploma, permit, license certified 
73.4 	midwife credential, or record illegally or fraudulently obtained or signed or issued unlawfully 
73.5 	or under fraudulent representation;
73.6 	(3) practice certified midwifery unless the person is licensed to do so under this chapter;
73.7 	(4) use the professional title certified midwife or licensed certified midwife unless 
73.8 	licensed to practice certified midwifery under this chapter;
73.9 	(5) use any abbreviation or other designation tending to imply licensure as a certified 
73.10 	midwife unless licensed to practice certified midwifery under this chapter;
73.11 	(6) practice certified midwifery in a manner prohibited by the board in any limitation 
73.12 	of a license issued under this chapter;
73.13 	(7) practice certified midwifery during the time a license issued under this section is 
73.14 	suspended or revoked;
73.15 	(8) knowingly employ persons in the practice of certified midwifery who have not been 
73.16 	issued a current license to practice as a certified midwife in this state; or
73.17 	(9) conduct a certified midwifery program for the education of persons to become certified 
73.18 	midwives unless the program has been approved by the board.
73.19 		Subd. 2.Penalty. Any person, corporation, or association violating any provision of 
73.20 	subdivision 1 is guilty of a gross misdemeanor and must be punished according to law.
73.21 		Subd. 3.Penalty; certified midwives. In addition to subdivision 2, a certified midwife 
73.22 	who practices certified midwifery without a current license and certification or recertification, 
73.23 	or without current certification or recertification on file with the board, must pay a penalty 
73.24 	fee of $200 for the first month or part of a month and an additional $100 for each subsequent 
73.25 	month or parts of months of practice. The amount of the penalty fee must be calculated 
73.26 	from the first day the certified midwife practiced without a current certified midwife license 
73.27 	and certification to the last day of practice without a current license and certification, or 
73.28 	from the first day the certified midwife practiced without a current license and certification 
73.29 	on file with the board until the day the current license and certification is filed with the 
73.30 	board.

74.1 	Sec. 23. [148G.21] UNAUTHORIZED PRACTICE OF MIDWIFERY.
74.2 	The practice of certified midwifery by any person who is not licensed to practice certified 
74.3 	midwifery under this chapter, or whose license has been suspended or revoked, or whose 
74.4 	national certification credential has expired, is inimical to the public health and welfare and 
74.5 	constitutes a public nuisance. Upon a complaint being made by the board or any prosecuting 
74.6 	officer, and upon a proper showing of the facts, the district court of the county where such 
74.7 	practice occurred may enjoin such acts and practice. The injunction proceeding is in addition 
74.8 	to, and not in lieu of, all other penalties and remedies provided by law.

74.9 	Sec. 24. Minnesota Statutes 2022, section 152.12, subdivision 1, is amended to read:
74.10 		Subdivision 1.Prescribing, dispensing, administering controlled substances in 
74.11 	Schedules II through V. A licensed doctor of medicine, a doctor of osteopathic medicine, 
74.12 	duly licensed to practice medicine, a doctor of dental surgery, a doctor of dental medicine, 
74.13 	a licensed doctor of podiatry, a licensed advanced practice registered nurse, a licensed 
74.14 	certified midwife, a licensed physician assistant, or a licensed doctor of optometry limited 
74.15 	to Schedules IV and V, and in the course of professional practice only, may prescribe, 
74.16 	administer, and dispense a controlled substance included in Schedules II through V of section 
74.17 	152.02, may cause the same to be administered by a nurse, an intern or an assistant under 
74.18 	the direction and supervision of the doctor, and may cause a person who is an appropriately 
74.19 	certified and licensed health care professional to prescribe and administer the same within 
74.20 	the expressed legal scope of the person's practice as defined in Minnesota Statutes.

74.21 	Sec. 25. Minnesota Statutes 2022, section 256B.0625, is amended by adding a subdivision 
74.22 	to read:
74.23 		Subd. 28c.Certified midwifery practice services. Medical assistance covers services 
74.24 	performed by a licensed certified midwife if:
74.25 	(1) the service provided on an inpatient basis is not included as part of the cost for 
74.26 	inpatient services included in the facility payment;
74.27 	(2) the service is otherwise covered under this chapter as a physician service; and
74.28 	(3) the service is within the scope of practice of the certified midwife's license as defined 
74.29 	under chapter 148G.

74.30 	Sec. 26. EFFECTIVE DATE.
 74.31 	This article is effective July 1, 2025.

75.1 	ARTICLE 12
75.2 	SPEECH-LANGUAGE PATHOLOGY ASSISTANT LICENSURE

75.3 	Section 1. Minnesota Statutes 2022, section 144.0572, subdivision 1, is amended to read:
75.4 		Subdivision 1.Criminal history background check requirements. (a) Beginning 
75.5 	January 1, 2018, an applicant for initial licensure, temporary licensure, or relicensure after 
75.6 	a lapse in licensure as an audiologist or speech-language pathologist, a speech-language 
75.7 	pathology assistant, or an applicant for initial certification as a hearing instrument dispenser, 
75.8 	must submit to a criminal history records check of state data completed by the Bureau of 
75.9 	Criminal Apprehension (BCA) and a national criminal history records check, including a 
75.10 	search of the records of the Federal Bureau of Investigation (FBI).
75.11 	(b) Beginning January 1, 2020, an applicant for a renewal license or certificate as an 
75.12 	audiologist, speech-language pathologist, or hearing instrument dispenser who was licensed 
75.13 	or obtained a certificate before January 1, 2018, must submit to a criminal history records 
75.14 	check of state data completed by the BCA and a national criminal history records check, 
75.15 	including a search of the records of the FBI.
75.16 	(c) An applicant must submit to a background study under chapter 245C.
75.17 	(d) The criminal history records check must be structured so that any new crimes that 
75.18 	an applicant or licensee or certificate holder commits after the initial background check are 
75.19 	flagged in the BCA's or FBI's database and reported back to the commissioner of human 
75.20 	services.

75.21 	EFFECTIVE DATE. This section is effective July 1, 2025.

75.22 	Sec. 2. Minnesota Statutes 2022, section 148.511, is amended to read:
75.23 	148.511 SCOPE.
75.24 	Sections 148.511 to 148.5198 apply to persons who are applicants for licensure, who 
75.25 	use protected titles, who represent that they are licensed, or who engage in the practice of 
75.26 	speech-language pathology or audiology or practice as a speech-language pathology assistant. 
75.27 	Sections 148.511 to 148.5198 do not apply to school personnel licensed by the Professional 
75.28 	Educator Licensing and Standards Board and practicing within the scope of their school 
75.29 	license under Minnesota Rules, part 8710.6000, or the paraprofessionals who assist these 
75.30 	individuals.

76.1 	Sec. 3. Minnesota Statutes 2022, section 148.512, subdivision 17a, is amended to read:
76.2 		Subd. 17a.Speech-language pathology assistant. "Speech-language pathology assistant" 
76.3 	means a person who meets the qualifications under section 148.5181 and provides 
76.4 	speech-language pathology services under the supervision of a licensed speech-language 
76.5 	pathologist in accordance with section 148.5192.

76.6 	EFFECTIVE DATE. This section is effective July 1, 2025.

76.7 	Sec. 4. Minnesota Statutes 2022, section 148.513, subdivision 1, is amended to read:
76.8 		Subdivision 1.Unlicensed practice prohibited. A person must not engage in the practice 
76.9 	of speech-language pathology or audiology or practice as a speech-language pathology 
76.10 	assistant unless the person is licensed as a speech-language pathologist or, an audiologist, 
76.11 	or a speech-language pathology assistant under sections 148.511 to 148.5198or is practicing 
76.12 	as a speech-language pathology assistant in accordance with section 148.5192. For purposes 
76.13 	of this subdivision, a speech-language pathology assistant's duties are limited to the duties 
76.14 	described in accordance with section 148.5192, subdivision 2.

76.15 	EFFECTIVE DATE. This section is effective July 1, 2025.

76.16 	Sec. 5. Minnesota Statutes 2022, section 148.513, subdivision 2, is amended to read:
76.17 		Subd. 2.Protected titles and restrictions on use; speech-language pathologists and 
76.18 	audiologists. (a) Notwithstanding paragraph (b) (c), the use of the following terms or initials 
76.19 	which represent the following terms, alone or in combination with any word or words, by 
76.20 	any person to form an occupational title is prohibited unless that person is licensed as a 
76.21 	speech-language pathologist or audiologist under sections 148.511 to 148.5198:
76.22 	(1) speech-language;
76.23 	(2) speech-language pathologist, S, SP, or SLP;
76.24 	(3) speech pathologist;
76.25 	(4) language pathologist;
76.26 	(5) audiologist, A, or AUD;
76.27 	(6) speech therapist;
76.28 	(7) speech clinician;
76.29 	(8) speech correctionist;
76.30 	(9) language therapist;
77.1 	(10) voice therapist;
77.2 	(11) voice pathologist;
77.3 	(12) logopedist;
77.4 	(13) communicologist;
77.5 	(14) aphasiologist;
77.6 	(15) phoniatrist;
77.7 	(16) audiometrist;
77.8 	(17) audioprosthologist;
77.9 	(18) hearing therapist;
77.10 	(19) hearing clinician; or
77.11 	(20) hearing aid audiologist.
77.12 	(b) Use of the term "Minnesota licensed" in conjunction with the titles protected under 
77.13 	this paragraph (a) by any person is prohibited unless that person is licensed as a 
77.14 	speech-language pathologist or audiologist under sections 148.511 to 148.5198.
77.15 	(b) (c) A speech-language pathology assistant practicing under section 148.5192 sections 
77.16 	148.511 to 148.5198 must not represent, indicate, or imply to the public that the assistant 
77.17 	is a licensed speech-language pathologist and shall only utilize one of the following titles: 
77.18 	"speech-language pathology assistant," "SLP assistant," or "SLP asst." the titles provided 
77.19 	in subdivision 2b.

77.20 	EFFECTIVE DATE. This section is effective July 1, 2025.

77.21 	Sec. 6. Minnesota Statutes 2022, section 148.513, is amended by adding a subdivision to 
77.22 	read:
77.23 		Subd. 2b.Protected titles and restrictions on use; speech-language pathology 
77.24 	assistant. (a) The use of the following terms or initials which represent the following terms, 
77.25 	alone or in combination with any word or words, by any person to form an occupational 
77.26 	title is prohibited unless that person is licensed under section 148.5181:
77.27 	(1) speech-language pathology assistant;
77.28 	(2) SLP assistant; or
77.29 	(3) SLP asst.
78.1 	(b) Use of the term "Minnesota licensed" in conjunction with the titles protected under 
78.2 	this subdivision by any person is prohibited unless that person is licensed under section 
78.3 	148.5181.
78.4 	(c) A speech-language pathology assistant practicing under section 148.5192 must not 
78.5 	represent, indicate, or imply to the public that the assistant is a licensed speech-language 
78.6 	pathologist and must only utilize the title provided in paragraph (a).

78.7 	EFFECTIVE DATE. This section is effective July 1, 2025.

78.8 	Sec. 7. Minnesota Statutes 2022, section 148.513, subdivision 3, is amended to read:
78.9 		Subd. 3.Exemption. (a) Nothing in sections 148.511 to 148.5198 prohibits the practice 
78.10 	of any profession or occupation licensed, certified, or registered by the state by any person 
78.11 	duly licensed, certified, or registered to practice the profession or occupation or to perform 
78.12 	any act that falls within the scope of practice of the profession or occupation.
78.13 	(b) Subdivision 1 does not apply to a student participating in supervised field work or 
78.14 	supervised course work that is necessary to meet the requirements of section sections
78.15 	148.515, subdivision 2or 3, or 148.5181, subdivision 2, if the person is designated by a 
78.16 	title which clearly indicates the person's status as a student trainee.
78.17 	(c) Subdivisions 1 and, 2, and 2a do not apply to a person visiting and then leaving the 
78.18 	state and using titles restricted under this section while in the state, if the titles are used no 
78.19 	more than 30 days in a calendar year as part of a professional activity that is limited in scope 
78.20 	and duration and is in association with an audiologist or speech-language pathologist licensed 
78.21 	under sections 148.511 to 148.5198.

78.22 	Sec. 8. Minnesota Statutes 2022, section 148.514, subdivision 2, is amended to read:
78.23 		Subd. 2.General licensure qualifications. An applicant for licensure must possess the 
78.24 	qualifications required in one of the following clauses:
78.25 	(1) a person who applies for licensure and does not meet the requirements in clause (2) 
78.26 	or (3), must meet the requirements in section 148.515 or 148.5181, subdivision 2;
78.27 	(2) a person who applies for licensure and who has a current certificate of clinical 
78.28 	competence issued by the American Speech-Language-Hearing Association, or board 
78.29 	certification by the American Board of Audiology, must meet the requirements of section 
78.30 	148.516; or
79.1 	(3) a person who applies for licensure by reciprocity must meet the requirements under 
79.2 	section 148.517 or 148.5181, subdivision 3.

79.3 	EFFECTIVE DATE. This section is effective July 1, 2025.

79.4 	Sec. 9. Minnesota Statutes 2022, section 148.515, subdivision 1, is amended to read:
79.5 		Subdivision 1.Applicability. Except as provided in section 148.516 or 148.517, an 
79.6 	applicant for speech-language pathology or audiology must meet the requirements in this 
79.7 	section.

79.8 	EFFECTIVE DATE. This section is effective July 1, 2025.

79.9 	Sec. 10. Minnesota Statutes 2022, section 148.518, is amended to read:
79.10 	148.518 LICENSURE FOLLOWING LAPSE OF LICENSURE STATUS.
79.11 		Subdivision 1.Speech-language pathology or audiology lapse.  For An applicant whose 
79.12 	licensure status has lapsed, the applicant and who is applying for a speech-language pathology 
79.13 	or audiology license must:
79.14 	(1) apply for licensure renewal according to section 148.5191 and document compliance 
79.15 	with the continuing education requirements of section 148.5193 since the applicant's license 
79.16 	lapsed;
79.17 	(2) fulfill the requirements of section 148.517;
79.18 	(3) apply for renewal according to section 148.5191, provide evidence to the 
79.19 	commissioner that the applicant holds a current and unrestricted credential for the practice 
79.20 	of speech-language pathology from the Professional Educator Licensing and Standards 
79.21 	Board or for the practice of speech-language pathology or audiology in another jurisdiction 
79.22 	that has requirements equivalent to or higher than those in effect for Minnesota, and provide 
79.23 	evidence of compliance with Professional Educator Licensing and Standards Board or that 
79.24 	jurisdiction's continuing education requirements;
79.25 	(4) apply for renewal according to section 148.5191 and submit verified documentation 
79.26 	of successful completion of 160 hours of supervised practice approved by the commissioner. 
79.27 	To participate in a supervised practice, the applicant shall first apply and obtain temporary 
79.28 	licensing according to section 148.5161; or
79.29 	(5) apply for renewal according to section 148.5191 and provide documentation of 
79.30 	obtaining a qualifying score on the examination described in section 148.515, subdivision 
79.31 	4, within one year of the application date for license renewal.
80.1 		Subd. 2.Speech-language pathology assistant licensure lapse. An applicant applying 
80.2 	for speech-language pathology assistant licensure and whose licensure status has lapsed 
80.3 	must:
80.4 	(1) apply for licensure renewal according to section 148.5191 and document compliance 
80.5 	with the continuing education requirements of section 148.5193 since the applicant's license 
80.6 	lapsed;
80.7 	(2) apply for renewal according to section 148.5191, and provide evidence to the 
80.8 	commissioner that the applicant has an associate's degree from a speech-language pathology 
80.9 	assistant program that is accredited by the Higher Learning Commission of the North Central 
80.10 	Association of Colleges;
80.11 	(3) apply for renewal according to section 148.5191 and provide evidence to the 
80.12 	commissioner that the applicant has a bachelor's degree in the discipline of communication 
80.13 	sciences or disorders and a speech-language pathology assistant certificate program, including 
80.14 	relevant coursework and supervised field experience according to section 148.5181; or
80.15 	(4) apply for licensure renewal according to section 148.5191 and document compliance 
80.16 	with the continuing education requirements of section 148.5193 since the applicant's license 
80.17 	lapsed.

80.18 	EFFECTIVE DATE. This section is effective July 1, 2025.

80.19 	Sec. 11. [148.5181] LICENSURE; SPEECH-LANGUAGE PATHOLOGY 
80.20 	ASSISTANTS.
80.21 		Subdivision 1.Applicability. Except as provided in subdivisions 3 and 4, an applicant 
80.22 	for licensure as a speech-language pathology assistant must meet the requirements of this 
80.23 	section.
80.24 		Subd. 2.Educational requirements. (a) To be eligible for speech-language pathology 
80.25 	assistant licensure, an applicant must submit to the commissioner a transcript from an 
80.26 	educational institution documenting satisfactory completion of either:
80.27 	(1) an associate's degree from a speech-language pathology assistant program that is 
80.28 	accredited by the Higher Learning Commission of the North Central Association of Colleges 
80.29 	or its equivalent as approved by the commissioner and that includes at least 100 hours of 
80.30 	supervised field work experience in speech-language pathology assisting; or
80.31 	(2) a bachelor's degree in the discipline of communication sciences or disorders and a 
80.32 	speech-language pathology assistant certificate program that includes:
81.1 	(i) coursework in an introduction to speech-language pathology assisting, adult 
81.2 	communication disorders and treatment, speech sound disorders and language disorders at 
81.3 	a speech-language pathology assistant level; and
81.4 	(ii) at least 100 hours of supervised field work experience in speech-language pathology 
81.5 	assisting.
81.6 	(b) Within one month following expiration of a license, an applicant for licensure renewal 
81.7 	as a speech-language pathology assistant must provide, on a form provided by the 
81.8 	commissioner, evidence to the commissioner of a minimum of 20 contact hours of continuing 
81.9 	education obtained within the two years immediately preceding licensure expiration. A 
81.10 	minimum of 13 contact hours of continuing education must be directly related to the licensee's 
81.11 	area of licensure. Seven contact hours of continuing education may be in areas generally 
81.12 	related to the licensee's area of licensure. Licensees who are issued licenses for a period of 
81.13 	less than two years must prorate the number of contact hours required for licensure renewal 
81.14 	based on the number of months licensed during the biennial licensure period. Licensees 
81.15 	must receive contact hours for continuing education activities only for the biennial licensure 
81.16 	period in which the continuing education activity was performed.
81.17 		Subd. 3.Licensure by reciprocity. The commissioner shall issue a speech-language 
81.18 	pathology assistant license to a person who holds a current speech-language pathology 
81.19 	assistant license in another state if the following conditions are met:
81.20 	(1) payment of the commissioner's current fee for licensure; and
81.21 	(2) the applicant submits evidence of licensure in good standing from another state that 
81.22 	maintains a system and standard of examinations for speech-language pathology assistants 
81.23 	which meets or exceeds the current requirements for licensure in Minnesota.

81.24 	EFFECTIVE DATE. This section is effective July 1, 2025.

81.25 	Sec. 12. Minnesota Statutes 2022, section 148.519, subdivision 1, is amended to read:
81.26 		Subdivision 1.Applications for licensure; speech-language pathologists and 
81.27 	audiologists. (a) An applicant for licensure as a speech-language pathologist or audiologist 
81.28 	must:
81.29 	(1) submit a completed application for licensure on forms provided by the commissioner. 
81.30 	The application must include the applicant's name, certification number under chapter 153A, 
81.31 	if applicable, business address and telephone number, or home address and telephone number 
81.32 	if the applicant practices speech-language pathology or audiology out of the home, and a 
81.33 	description of the applicant's education, training, and experience, including previous work 
82.1 	history for the five years immediately preceding the date of application. The commissioner 
82.2 	may ask the applicant to provide additional information necessary to clarify information 
82.3 	submitted in the application; and
82.4 	(2) submit documentation of the certificate of clinical competence issued by the American 
82.5 	Speech-Language-Hearing Association, board certification by the American Board of 
82.6 	Audiology, or satisfy the following requirements:
82.7 	(i) submit a transcript showing the completion of a master's or doctoral degree or its 
82.8 	equivalent meeting the requirements of section 148.515, subdivision 2;
82.9 	(ii) submit documentation of the required hours of supervised clinical training;
82.10 	(iii) submit documentation of the postgraduate clinical or doctoral clinical experience 
82.11 	meeting the requirements of section 148.515, subdivision 4; and
82.12 	(iv) submit documentation of receiving a qualifying score on an examination meeting 
82.13 	the requirements of section 148.515, subdivision 6.
82.14 	(b) In addition, an applicant must:
82.15 	(1) sign a statement that the information in the application is true and correct to the best 
82.16 	of the applicant's knowledge and belief;
82.17 	(2) submit with the application all fees required by section 148.5194;
82.18 	(3) sign a waiver authorizing the commissioner to obtain access to the applicant's records 
82.19 	in this or any other state in which the applicant has engaged in the practice of speech-language 
82.20 	pathology or audiology; and
82.21 	(4) consent to a fingerprint-based criminal history background check as required under 
82.22 	section 144.0572, pay all required fees, and cooperate with all requests for information. An 
82.23 	applicant must complete a new criminal history background check if more than one year 
82.24 	has elapsed since the applicant last applied for a license.

82.25 	EFFECTIVE DATE. This section is effective July 1, 2025.

82.26 	Sec. 13. Minnesota Statutes 2022, section 148.519, is amended by adding a subdivision 
82.27 	to read:
82.28 		Subd. 1a.Applications for licensure; speech-language pathology assistants. An 
82.29 	applicant for licensure as a speech-language pathology assistant must:
82.30 	(1) submit a completed application on forms provided by the commissioner. The 
82.31 	application must include the applicant's name, business address and telephone number, 
83.1 	home address and telephone number, and a description of the applicant's education, training, 
83.2 	and experience, including previous work history for the five years immediately preceding 
83.3 	the application date. The commissioner may ask the applicant to provide additional 
83.4 	information needed to clarify information submitted in the application;
83.5 	(2) submit a transcript showing the completion of the requirements set forth in section 
83.6 	148.5181;
83.7 	(3) submit a signed statement that the information in the application is true and correct 
83.8 	to the best of the applicant's knowledge and belief;
83.9 	(4) submit all fees required under section 148.5194;
83.10 	(5) submit a signed waiver authorizing the commissioner to obtain access to the applicant's 
83.11 	records in this or any other state in which the applicant has worked as a speech-language 
83.12 	pathology assistant; and
83.13 	(6) consent to a fingerprint-based criminal history background check as required under 
83.14 	section 144.0572, pay all required fees, and cooperate with all requests for information. An 
83.15 	applicant must complete a new criminal history background check if more than one year 
83.16 	has lapsed since the applicant last applied for a license.

83.17 	EFFECTIVE DATE. This section is effective July 1, 2025.

83.18 	Sec. 14. Minnesota Statutes 2022, section 148.5191, subdivision 1, is amended to read:
83.19 		Subdivision 1.Renewal requirements. To renew licensure, an applicant for license 
83.20 	renewal as a speech-language pathologist or audiologist must:
83.21 	(1) biennially complete a renewal application on a form provided by the commissioner 
83.22 	and submit the biennial renewal fee;
83.23 	(2) meet the continuing education requirements of section 148.5193 and submit evidence 
83.24 	of attending continuing education courses, as required in section 148.5193, subdivision 6; 
83.25 	and
83.26 	(3) submit additional information if requested by the commissioner to clarify information 
83.27 	presented in the renewal application. The information must be submitted within 30 days 
83.28 	after the commissioner's request.

84.1 	Sec. 15. Minnesota Statutes 2022, section 148.5191, is amended by adding a subdivision 
84.2 	to read:
84.3 		Subd. 1a.Renewal requirements; speech-language pathology assistant. To renew 
84.4 	licensure, an applicant for license renewal as a speech-language pathology assistant must:
84.5 	(1) biennially complete a renewal application on a form provided by the commissioner 
84.6 	and submit the biennial renewal fee;
84.7 	(2) meet the continuing education requirements of section 148.5193, subdivision 1a, 
84.8 	and submit evidence of attending continuing education courses, as required in section 
84.9 	148.5193, subdivision 1a; and
84.10 	(3) submit additional information if requested by the commissioner to clarify information 
84.11 	presented in the renewal application. The information must be submitted within 30 days 
84.12 	after the commissioner's request.

84.13 	EFFECTIVE DATE. This section is effective July 1, 2025.

84.14 	Sec. 16. Minnesota Statutes 2022, section 148.5192, subdivision 1, is amended to read:
84.15 		Subdivision 1.Delegation requirements. A licensed speech-language pathologist may 
84.16 	delegate duties to a licensed speech-language pathology assistant in accordance with this 
84.17 	section following an initial introduction to a client with the speech-language pathologist 
84.18 	and speech-language pathology assistant present. Duties may only be delegated to an 
84.19 	individual who has documented with a transcript from an educational institution satisfactory 
84.20 	completion of either:
84.21 	(1) an associate degree from a speech-language pathology assistant program that is 
84.22 	accredited by the Higher Learning Commission of the North Central Association of Colleges 
84.23 	or its equivalent as approved by the commissioner; or
84.24 	(2) a bachelor's degree in the discipline of communication sciences or disorders with 
84.25 	additional transcript credit in the area of instruction in assistant-level service delivery 
84.26 	practices and completion of at least 100 hours of supervised field work experience as a 
84.27 	speech-language pathology assistant student.

84.28 	EFFECTIVE DATE. This section is effective July 1, 2025.

84.29 	Sec. 17. Minnesota Statutes 2022, section 148.5192, subdivision 2, is amended to read:
84.30 		Subd. 2.Delegated duties; prohibitions. (a) A speech-language pathology assistant 
84.31 	may perform only those duties delegated by a licensed speech-language pathologist and 
85.1 	must be limited to duties within the training and experience of the speech-language pathology 
85.2 	assistant.
85.3 	(b) Duties may include the following as delegated by the supervising speech-language 
85.4 	pathologist:
85.5 	(1) assist with speech language and hearing screenings;
85.6 	(2) implement documented treatment plans or protocols developed by the supervising 
85.7 	speech-language pathologist;
85.8 	(3) document client performance, including writing progress notes;
85.9 	(4) assist with assessments of clients;
85.10 	(5) assist with preparing materials and scheduling activities as directed;
85.11 	(6) perform checks and maintenance of equipment;
85.12 	(7) support the supervising speech-language pathologist in research projects, in-service 
85.13 	training, and public relations programs; and
85.14 	(8) collect data for quality improvement.
85.15 	(c) A speech-language pathology assistant may not:
85.16 	(1) perform standardized or nonstandardized diagnostic tests, perform formal or informal 
85.17 	evaluations, or interpret test results;
85.18 	(2) screen or diagnose clients for feeding or swallowing disorders, including using a 
85.19 	checklist or tabulating results of feeding or swallowing evaluations, or demonstrate 
85.20 	swallowing strategies or precautions to clients or the clients' families demonstrate strategies 
85.21 	included in the feeding and swallowing plan developed by the speech-language pathologist 
85.22 	or share such information with students, patients, clients, families, staff, and caregivers;
85.23 	(3) participate in parent conferences, case conferences, or any interdisciplinary team 
85.24 	without the presence of the supervising speech-language pathologist or other licensed 
85.25 	speech-language pathologist as authorized by the supervising speech-language pathologist
85.26 	meetings without approval from the speech-language pathologist or misrepresent themselves 
85.27 	as a speech-language pathologist at such a conference or meeting. The speech-language 
85.28 	pathologist and speech-language pathology assistant are required to meet prior to the parent 
85.29 	conferences, case conferences, or interdisciplinary team meetings to determine the 
85.30 	information to be shared;
86.1 	(4) provide client or family counseling or consult with the client or the family regarding 
86.2 	the client status or service;
86.3 	(5) write, develop, or modify a client's individualized treatment plan or individualized 
86.4 	education program;
86.5 	(6) select clients for service;
86.6 	(7) discharge clients from service;
86.7 	(8) disclose clinical or confidential information either orally or in writing to anyone 
86.8 	other than the supervising speech-language pathologist information to other team members 
86.9 	without permission from the supervising speech-language pathologist; or
86.10 	(9) make referrals for additional services.
86.11 	(d) A speech-language pathology assistant must not only sign any formal documents, 
86.12 	including treatment plans, education plans, reimbursement forms, or reports, when cosigned 
86.13 	by the supervising speech-language pathologist. The speech-language pathology assistant 
86.14 	must sign or initial all treatment notes written by the assistant, which must then also be 
86.15 	cosigned by the supervising speech-language pathologist.

86.16 	Sec. 18. Minnesota Statutes 2022, section 148.5192, subdivision 3, is amended to read:
86.17 		Subd. 3.Supervision requirements. (a) A supervising speech-language pathologist 
86.18 	shall authorize and accept full responsibility for the performance, practice, and activity of 
86.19 	a speech-language pathology assistant. The amount and type of supervision required must 
86.20 	be based on the skills and experience of the speech-language pathology assistant. A minimum 
86.21 	of one hour every 30 days of consultative supervision time must be documented for each 
86.22 	speech-language pathology assistant.
86.23 	(b) A supervising speech-language pathologist must:
86.24 	(1) be licensed under sections 148.511 to 148.5198;
86.25 	(2) hold a certificate of clinical competence from the American Speech-Language-Hearing 
86.26 	Association or its equivalent as approved by the commissioner; and
86.27 	(3) have completed at least one ten hours of continuing education unit in supervision.
86.28 	(c) The supervision of a speech-language pathology assistant shall be maintained on the 
86.29 	following schedule:
87.1 	(1) for the first 90 workdays, within a 40-hour work week, 30 percent of the work 
87.2 	performed by the speech-language pathology assistant must be supervised and at least 20 
87.3 	percent of the work performed must be under direct supervision; and
87.4 	(2) for the work period after the initial 90-day period, within a 40-hour work week, 20 
87.5 	percent of the work performed must be supervised and at least ten percent of the work 
87.6 	performed must be under direct supervision Once every 60 days, the supervising 
87.7 	speech-language pathologist must treat or cotreat with the speech-language pathology 
87.8 	assistant each client on the speech-language pathology assistant's caseload.
87.9 	(d) For purposes of this section, "direct supervision" means on-site, in-view observation 
87.10 	and guidance by the supervising speech-language pathologist during the performance of a 
87.11 	delegated duty that occurs either on-site and in-view or through the use of real-time, two-way 
87.12 	interactive audio and visual communication. The supervision requirements described in this 
87.13 	section are minimum requirements. Additional supervision requirements may be imposed 
87.14 	at the discretion of the supervising speech-language pathologist.
87.15 	(e) A supervising speech-language pathologist must be available to communicate with 
87.16 	a speech-language pathology assistant at any time the assistant is in direct contact with a 
87.17 	client.
87.18 	(f) A supervising speech-language pathologist must document activities performed by 
87.19 	the assistant that are directly supervised by the supervising speech-language pathologist. 
87.20 	At a minimum, the documentation must include:
87.21 	(1) information regarding the quality of the speech-language pathology assistant's 
87.22 	performance of the delegated duties; and
87.23 	(2) verification that any delegated clinical activity was limited to duties authorized to 
87.24 	be performed by the speech-language pathology assistant under this section.
87.25 	(g) A supervising speech-language pathologist must review and cosign all informal 
87.26 	treatment notes signed or initialed by the speech-language pathology assistant.
87.27 	(h) A full-time, speech-language pathologist may supervise no more than one two
87.28 	full-time, speech-language pathology assistant assistants or the equivalent of one two
87.29 	full-time assistant assistants.

87.30 	EFFECTIVE DATE. This section is effective July 1, 2025.

88.1 	Sec. 19. Minnesota Statutes 2022, section 148.5193, subdivision 1, is amended to read:
88.2 		Subdivision 1.Number of contact hours required; speech-language pathologists 
88.3 	and audiologists. (a) An applicant for licensure renewal as a speech-language pathologist 
88.4 	or audiologist must meet the requirements for continuing education stipulated by the 
88.5 	American Speech-Language-Hearing Association or the American Board of Audiology, or 
88.6 	satisfy the requirements described in paragraphs (b) to (e).
88.7 	(b) Within one month following expiration of a license, an applicant for licensure renewal 
88.8 	as either a speech-language pathologist or an audiologist must provide evidence to the 
88.9 	commissioner of a minimum of 30 contact hours of continuing education obtained within 
88.10 	the two years immediately preceding licensure expiration. A minimum of 20 contact hours 
88.11 	of continuing education must be directly related to the licensee's area of licensure. Ten 
88.12 	contact hours of continuing education may be in areas generally related to the licensee's 
88.13 	area of licensure. Licensees who are issued licenses for a period of less than two years shall 
88.14 	prorate the number of contact hours required for licensure renewal based on the number of 
88.15 	months licensed during the biennial licensure period. Licensees shall receive contact hours 
88.16 	for continuing education activities only for the biennial licensure period in which the 
88.17 	continuing education activity was performed.
88.18 	(c) An applicant for licensure renewal as both a speech-language pathologist and an 
88.19 	audiologist must attest to and document completion of a minimum of 36 contact hours of 
88.20 	continuing education offered by a continuing education sponsor within the two years 
88.21 	immediately preceding licensure renewal. A minimum of 15 contact hours must be received 
88.22 	in the area of speech-language pathology and a minimum of 15 contact hours must be 
88.23 	received in the area of audiology. Six contact hours of continuing education may be in areas 
88.24 	generally related to the licensee's areas of licensure. Licensees who are issued licenses for 
88.25 	a period of less than two years shall prorate the number of contact hours required for licensure 
88.26 	renewal based on the number of months licensed during the biennial licensure period. 
88.27 	Licensees shall receive contact hours for continuing education activities only for the biennial 
88.28 	licensure period in which the continuing education activity was performed.
88.29 	(d) If the licensee is licensed by the Professional Educator Licensing and Standards 
88.30 	Board:
88.31 	(1) activities that are approved in the categories of Minnesota Rules, part 8710.7200, 
88.32 	subpart 3, items A and B, and that relate to speech-language pathology, shall be considered:
88.33 	(i) offered by a sponsor of continuing education; and
88.34 	(ii) directly related to speech-language pathology;
89.1 	(2) activities that are approved in the categories of Minnesota Rules, part 8710.7200, 
89.2 	subpart 3, shall be considered:
89.3 	(i) offered by a sponsor of continuing education; and
89.4 	(ii) generally related to speech-language pathology; and
89.5 	(3) one clock hour as defined in Minnesota Rules, part 8710.7200, subpart 1, is equivalent 
89.6 	to 1.0 contact hours of continuing education.
89.7 	(e) Contact hours may not be accumulated in advance and transferred to a future 
89.8 	continuing education period.

89.9 	EFFECTIVE DATE. This section is effective July 1, 2025.

89.10 	Sec. 20. Minnesota Statutes 2022, section 148.5193, is amended by adding a subdivision 
89.11 	to read:
89.12 		Subd. 1a.Continuing education; speech-language pathology assistants. An applicant 
89.13 	for licensure renewal as a speech-language pathology assistant must meet the requirements 
89.14 	for continuing education established by the American Speech-Language-Hearing Association 
89.15 	and submit evidence of attending continuing education courses. A licensee must receive 
89.16 	contact hours for continuing education activities only for the biennial licensure period in 
89.17 	which the continuing education activity was completed. Continuing education contact hours 
89.18 	obtained in one licensure period must not be transferred to a future licensure period.

89.19 	EFFECTIVE DATE. This section is effective July 1, 2025.

89.20 	Sec. 21. Minnesota Statutes 2022, section 148.5194, is amended by adding a subdivision 
89.21 	to read:
89.22 		Subd. 3b.Speech-language pathology assistant licensure fees. The fee for initial 
89.23 	licensure as a speech-language pathology assistant is $........ The fee for licensure renewal 
89.24 	for a speech-language pathology assistant is $........

89.25 	EFFECTIVE DATE. This section is effective July 1, 2025.

89.26 	Sec. 22. Minnesota Statutes 2022, section 148.5194, subdivision 8, is amended to read:
89.27 		Subd. 8.Penalty fees. (a) The penalty fee for practicing speech-language pathology or 
89.28 	audiology, practicing as a speech-language pathology assistant, or using protected titles 
89.29 	without a current license after the credential has expired and before it is renewed is the 
90.1 	amount of the license renewal fee for any part of the first month, plus the license renewal 
90.2 	fee for any part of any subsequent month up to 36 months.
90.3 	(b) The penalty fee for applicants who engage in the unauthorized practice of 
90.4 	speech-language pathology or audiology, practice as a speech-language pathology assistant,
90.5 	or using use of protected titles before being issued a license is the amount of the license 
90.6 	application fee for any part of the first month, plus the license application fee for any part 
90.7 	of any subsequent month up to 36 months. This paragraph does not apply to applicants not 
90.8 	qualifying for a license who engage in the unauthorized practice of speech language 
90.9 	pathology or audiology or in the unauthorized practice as a speech-language pathology 
90.10 	assistant.
90.11 	(c) The penalty fee for practicing speech-language pathology or audiology and failing 
90.12 	to submit a continuing education report by the due date with the correct number or type of 
90.13 	hours in the correct time period is $100 plus $20 for each missing clock hour. The penalty 
90.14 	fee for a licensed speech-language pathology assistant who fails to submit a continuing 
90.15 	education report by the due date with the correct number or type of hours in the correct time 
90.16 	period is $100 plus $20 for each missing clock hour. "Missing" means not obtained between 
90.17 	the effective and expiration dates of the certificate, the one-month period following the 
90.18 	certificate expiration date, or the 30 days following notice of a penalty fee for failing to 
90.19 	report all continuing education hours. The licensee must obtain the missing number of 
90.20 	continuing education hours by the next reporting due date.
90.21 	(d) Civil penalties and discipline incurred by licensees prior to August 1, 2005, for 
90.22 	conduct described in paragraph (a), (b), or (c) shall be recorded as nondisciplinary penalty 
90.23 	fees. For conduct described in paragraph (a) or (b) occurring after August 1, 2005, and 
90.24 	exceeding six months, payment of a penalty fee does not preclude any disciplinary action 
90.25 	reasonably justified by the individual case.

90.26 	EFFECTIVE DATE. This section is effective July 1, 2025.

90.27 	Sec. 23. Minnesota Statutes 2023 Supplement, section 148.5195, subdivision 3, is amended 
90.28 	to read:
90.29 		Subd. 3.Grounds for disciplinary action by commissioner. The commissioner may 
90.30 	take any of the disciplinary actions listed in subdivision 4 on proof that the individual has:
90.31 	(1) intentionally submitted false or misleading information to the commissioner or the 
90.32 	advisory council;
91.1 	(2) failed, within 30 days, to provide information in response to a written request by the 
91.2 	commissioner or advisory council;
91.3 	(3) performed services of a speech-language pathologist or, audiologist, or 
91.4 	speech-language pathology assistant in an incompetent or negligent manner;
91.5 	(4) violated sections 148.511 to 148.5198;
91.6 	(5) failed to perform services with reasonable judgment, skill, or safety due to the use 
91.7 	of alcohol or drugs, or other physical or mental impairment;
91.8 	(6) violated any state or federal law, rule, or regulation, and the violation is a felony or 
91.9 	misdemeanor, an essential element of which is dishonesty, or which relates directly or 
91.10 	indirectly to the practice of speech-language pathology or audiology or to the practice of a 
91.11 	speech-language pathology assistant. Conviction for violating any state or federal law which 
91.12 	relates to speech-language pathology or, audiology, or to the practice of a speech-language 
91.13 	pathology assistant is necessarily considered to constitute a violation, except as provided 
91.14 	in chapter 364;
91.15 	(7) aided or abetted another person in violating any provision of sections 148.511 to 
91.16 	148.5198;
91.17 	(8) been or is being disciplined by another jurisdiction, if any of the grounds for the 
91.18 	discipline is the same or substantially equivalent to those under sections 148.511 to 148.5198;
91.19 	(9) not cooperated with the commissioner or advisory council in an investigation 
91.20 	conducted according to subdivision 1;
91.21 	(10) advertised in a manner that is false or misleading;
91.22 	(11) engaged in conduct likely to deceive, defraud, or harm the public; or demonstrated 
91.23 	a willful or careless disregard for the health, welfare, or safety of a client;
91.24 	(12) failed to disclose to the consumer any fee splitting or any promise to pay a portion 
91.25 	of a fee to any other professional other than a fee for services rendered by the other 
91.26 	professional to the client;
91.27 	(13) engaged in abusive or fraudulent billing practices, including violations of federal 
91.28 	Medicare and Medicaid laws, Food and Drug Administration regulations, or state medical 
91.29 	assistance laws;
91.30 	(14) obtained money, property, or services from a consumer through the use of undue 
91.31 	influence, high pressure sales tactics, harassment, duress, deception, or fraud;
91.32 	(15) performed services for a client who had no possibility of benefiting from the services;
92.1 	(16) failed to refer a client for medical evaluation or to other health care professionals 
92.2 	when appropriate or when a client indicated symptoms associated with diseases that could 
92.3 	be medically or surgically treated;
92.4 	(17) had the certification required by chapter 153A denied, suspended, or revoked 
92.5 	according to chapter 153A;
92.6 	(18) used the term doctor of audiology, doctor of speech-language pathology, AuD, or 
92.7 	SLPD without having obtained the degree from an institution accredited by the North Central 
92.8 	Association of Colleges and Secondary Schools, the Council on Academic Accreditation 
92.9 	in Audiology and Speech-Language Pathology, the United States Department of Education, 
92.10 	or an equivalent;
92.11 	(19) failed to comply with the requirements of section 148.5192 regarding supervision 
92.12 	of speech-language pathology assistants; or
92.13 	(20) if the individual is an audiologist or certified prescription hearing aid dispenser:
92.14 	(i) prescribed to a consumer or potential consumer the use of a prescription hearing aid, 
92.15 	unless the prescription from a physician, an audiologist, or a certified dispenser is in writing, 
92.16 	is based on an audiogram that is delivered to the consumer or potential consumer when the 
92.17 	prescription is made, and bears the following information in all capital letters of 12-point 
92.18 	or larger boldface type: "THIS PRESCRIPTION MAY BE FILLED BY, AND 
92.19 	PRESCRIPTION HEARING AIDS MAY BE PURCHASED FROM, THE LICENSED 
92.20 	AUDIOLOGIST OR CERTIFIED DISPENSER OF YOUR CHOICE";
92.21 	(ii) failed to give a copy of the audiogram, upon which the prescription is based, to the 
92.22 	consumer when the consumer requests a copy;
92.23 	(iii) failed to provide the consumer rights brochure required by section 148.5197, 
92.24 	subdivision 3;
92.25 	(iv) failed to comply with restrictions on sales of prescription hearing aids in sections 
92.26 	148.5197, subdivision 3, and 148.5198;
92.27 	(v) failed to return a consumer's prescription hearing aid used as a trade-in or for a 
92.28 	discount in the price of a new prescription hearing aid when requested by the consumer 
92.29 	upon cancellation of the purchase agreement;
92.30 	(vi) failed to follow Food and Drug Administration or Federal Trade Commission 
92.31 	regulations relating to dispensing prescription hearing aids;
93.1 	(vii) failed to dispense a prescription hearing aid in a competent manner or without 
93.2 	appropriate training;
93.3 	(viii) delegated prescription hearing aid dispensing authority to a person not authorized 
93.4 	to dispense a prescription hearing aid under this chapter or chapter 153A;
93.5 	(ix) failed to comply with the requirements of an employer or supervisor of a prescription 
93.6 	hearing aid dispenser trainee;
93.7 	(x) violated a state or federal court order or judgment, including a conciliation court 
93.8 	judgment, relating to the activities of the individual's prescription hearing aid dispensing; 
93.9 	or
93.10 	(xi) failed to include on the audiogram the practitioner's printed name, credential type, 
93.11 	credential number, signature, and date.

93.12 	EFFECTIVE DATE. This section is effective July 1, 2025.

93.13 	Sec. 24. Minnesota Statutes 2022, section 148.5195, subdivision 5, is amended to read:
93.14 		Subd. 5.Consequences of disciplinary actions. Upon the suspension or revocation of 
93.15 	licensure, the speech-language pathologist or audiologist, or speech-language pathology 
93.16 	assistant, shall cease to practice speech-language pathology or audiology, or practice as a 
93.17 	speech-language pathology assistant, to use titles protected under sections 148.511 to 
93.18 	148.5198, and to represent to the public that the speech-language pathologist or audiologist, 
93.19 	or speech-language pathology assistant, is licensed by the commissioner.

93.20 	EFFECTIVE DATE. This section is effective July 1, 2025.

93.21 	Sec. 25. Minnesota Statutes 2022, section 148.5195, subdivision 6, is amended to read:
93.22 		Subd. 6.Reinstatement requirements after disciplinary action. A speech-language 
93.23 	pathologist or audiologist, or speech-language pathology assistant, who has had licensure 
93.24 	suspended may petition on forms provided by the commissioner for reinstatement following 
93.25 	the period of suspension specified by the commissioner. The requirements of section 
93.26 	148.5191 for renewing licensure must be met before licensure may be reinstated.

93.27 	EFFECTIVE DATE. This section is effective July 1, 2025.

94.1 	Sec. 26. Minnesota Statutes 2023 Supplement, section 148.5196, subdivision 1, is amended 
94.2 	to read:
94.3 		Subdivision 1.Membership. The commissioner shall appoint 12 13 persons to a 
94.4 	Speech-Language Pathologist and Audiologist Advisory Council. The 12 13 persons must 
94.5 	include:
94.6 	(1) three public members, as defined in section 214.02. Two of the public members shall 
94.7 	be either persons receiving services of a speech-language pathologist or audiologist, or 
94.8 	family members of or caregivers to such persons, and at least one of the public members 
94.9 	shall be either a hearing aid user or an advocate of one;
94.10 	(2) three speech-language pathologists licensed under sections 148.511 to 148.5198, 
94.11 	one of whom is currently and has been, for the five years immediately preceding the 
94.12 	appointment, engaged in the practice of speech-language pathology in Minnesota and each 
94.13 	of whom is employed in a different employment setting including, but not limited to, private 
94.14 	practice, hospitals, rehabilitation settings, educational settings, and government agencies;
94.15 	(3) one speech-language pathologist licensed under sections 148.511 to 148.5198, who 
94.16 	is currently and has been, for the five years immediately preceding the appointment, 
94.17 	employed by a Minnesota public school district or a Minnesota public school district 
94.18 	consortium that is authorized by Minnesota Statutes and who is licensed in speech-language 
94.19 	pathology by the Professional Educator Licensing and Standards Board;
94.20 	(4) three audiologists licensed under sections 148.511 to 148.5198, two of whom are 
94.21 	currently and have been, for the five years immediately preceding the appointment, engaged 
94.22 	in the practice of audiology and the dispensing of prescription hearing aids in Minnesota 
94.23 	and each of whom is employed in a different employment setting including, but not limited 
94.24 	to, private practice, hospitals, rehabilitation settings, educational settings, industry, and 
94.25 	government agencies;
94.26 	(5) one nonaudiologist prescription hearing aid dispenser recommended by a professional 
94.27 	association representing prescription hearing aid dispensers; and
94.28 	(6) one physician licensed under chapter 147 and certified by the American Board of 
94.29 	Otolaryngology, Head and Neck Surgery; and
94.30 	(7) one speech-language pathology assistant licensed under sections 148.511 to 148.5198.

94.31 	EFFECTIVE DATE. This section is effective July 1, 2025.

95.1 	Sec. 27. Minnesota Statutes 2022, section 148.5196, subdivision 3, is amended to read:
95.2 		Subd. 3.Duties. The advisory council shall:
95.3 	(1) advise the commissioner regarding speech-language pathologist and audiologist 
95.4 	licensure standards;
95.5 	(2) advise the commissioner regarding the delegation of duties to, the licensure standards 
95.6 	for, and the training required for speech-language pathology assistants;
95.7 	(3) advise the commissioner on enforcement of sections 148.511 to 148.5198;
95.8 	(4) provide for distribution of information regarding speech-language pathologist and,
95.9 	audiologist, and speech-language pathology assistant licensure standards;
95.10 	(5) review applications and make recommendations to the commissioner on granting or 
95.11 	denying licensure or licensure renewal;
95.12 	(6) review reports of investigations relating to individuals and make recommendations 
95.13 	to the commissioner as to whether licensure should be denied or disciplinary action taken 
95.14 	against the individual;
95.15 	(7) advise the commissioner regarding approval of continuing education activities 
95.16 	provided by sponsors using the criteria in section 148.5193, subdivision 2; and
95.17 	(8) perform other duties authorized for advisory councils under chapter 214, or as directed 
95.18 	by the commissioner.

95.19 	EFFECTIVE DATE. This section is effective July 1, 2025.

95.20 	Sec. 28. Minnesota Statutes 2023 Supplement, section 245C.031, subdivision 4, is amended 
95.21 	to read:
95.22 		Subd. 4.Applicants, licensees, and other occupations regulated by the commissioner 
95.23 	of health. The commissioner shall conduct an alternative background study, including a 
95.24 	check of state data, and a national criminal history records check of the following individuals. 
95.25 	For studies under this section, the following persons shall complete a consent form and 
95.26 	criminal history disclosure form:
95.27 	(1) An applicant for initial licensure, temporary licensure, or relicensure after a lapse in 
95.28 	licensure as an audiologist or, speech-language pathologist, or speech-language pathologist 
95.29 	assistant, or an applicant for initial certification as a hearing instrument dispenser who must 
95.30 	submit to a background study under section 144.0572.
96.1 	(2) An applicant for a renewal license or certificate as an audiologist, speech-language 
96.2 	pathologist, or hearing instrument dispenser who was licensed or obtained a certificate 
96.3 	before January 1, 2018.

96.4 	EFFECTIVE DATE. This section is effective July 1, 2025.

96.5 	ARTICLE 13
96.6 	APPROPRIATION

96.7 	Section 1. APPROPRIATION.
 96.8 	$....... in fiscal year 2025 is appropriated from the state government special revenue fund 
96.9 	to the Board of Psychology to implement Minnesota Statutes, sections 148.9981 to 148.9995.

96.10 	EFFECTIVE DATE. This section is effective July 1, 2024.

APPENDIX 

Repealed Minnesota Statutes: S4570-2 

147A.09 SCOPE OF PRACTICE.Subd. 5.Scope of practice limitations; psychiatric care for children with emotional disturbance or adults with serious mental illness. 
Notwithstanding subdivision 1, a physician assistant may only provide ongoing psychiatric treatment for children with emotional disturbance, as defined in section 245.4871, subdivision 15, or adults with serious mental illness in collaboration with a physician licensed under chapter 147. For purposes of providing ongoing psychiatric treatment for children with emotional disturbance or adults with serious mental illness, the practice agreement between the physician assistant and one or more physicians licensed under chapter 147 must define the collaboration between the physician assistant and the collaborating physician, including appropriate consultation or referral to psychiatry. 

147B.01 DEFINITIONS.Subd. 18.Oriental medicine. 
"Oriental medicine" means a system of healing arts that perceives the circulation and balance of energy in the body as being fundamental to the well-being of the individual. It implements the theory through specialized methods of analyzing the energy status of the body and treating the body with acupuncture and other related modalities for the purpose of strengthening the body, improving energy balance, maintaining or restoring health, improving physiological function, and reducing pain. 

148D.061 PROVISIONAL LICENSES.Subd. 9.Revocation of provisional license. 
The board may immediately revoke the provisional license of a licensee who violates any requirements of this section. The revocation must be made for cause. A licensee whose provisional license is revoked must immediately return the provisional license to the board. 

156.12 PRACTICE OF VETERINARY MEDICINE.Subd. 6.Faculty licensure. 
(a) Veterinary Medical Center clinicians at the College of Veterinary Medicine, University of Minnesota, who are engaged in the practice of veterinary medicine as defined in subdivision 1 and who treat animals owned by clients of the Veterinary Medical Center must possess the same license required by other veterinary practitioners in the state of Minnesota except for persons covered by paragraphs (b) and (c). 

(b) A specialty practitioner in a hard-to-fill faculty position who has been employed at the College of Veterinary Medicine, University of Minnesota, for five years or more prior to 2003 or is specialty board certified by the American Veterinary Medical Association or the European Board of Veterinary Specialization may be granted a specialty faculty Veterinary Medical Center clinician license which will allow the licensee to practice veterinary medicine in the state of Minnesota in the specialty area of the licensee's training and only within the scope of employment at the Veterinary Medical Center. 

(c) A specialty practitioner in a hard-to-fill faculty position at the College of Veterinary Medicine, University of Minnesota, who has graduated from a board-approved foreign veterinary school may be granted a temporary faculty Veterinary Medical Center clinician license. The temporary faculty Veterinary Medical Center clinician license expires in two years and allows the licensee to practice veterinary medicine as defined in subdivision 1 and treat animals owned by clients of the Veterinary Medical Center. The temporary faculty Veterinary Medical Center clinician license allows the licensee to practice veterinary medicine in the state of Minnesota in the specialty area of the licensee's training and only within the scope of employment at the Veterinary Medical Center while under the direct supervision of a veterinarian currently licensed and actively practicing veterinary medicine in Minnesota, as defined in section 156.04. The direct supervising veterinarian must not have any current or past conditions, restrictions, or probationary status imposed on the veterinarian's license by the board within the past five years. The holder of a temporary faculty Veterinary Medical Center clinician license who is enrolled in a PhD program may apply for up to two additional consecutive two-year extensions of an expiring temporary faculty Veterinary Medical Center clinician license. Any other holder of a temporary faculty Veterinary Medical Center clinician license may apply for one two-year extension of the expiring temporary faculty Veterinary Medical Center clinician license. Temporary faculty Veterinary Medical Center clinician licenses that are allowed to expire may not be renewed. The board shall grant an extension to a licensee who demonstrates suitable progress toward completing the requirements of their academic program, specialty board certification, or full licensure in Minnesota by a graduate of a foreign veterinary college. 

(d) Temporary and specialty faculty Veterinary Medical Center clinician licensees must abide by all the laws governing the practice of veterinary medicine in the state of Minnesota and are subject to the same disciplinary action as any other veterinarian licensed in the state of Minnesota. 

(e) The fee for a license issued under this subdivision is the same as for a regular license to practice veterinary medicine in Minnesota. License payment deadlines, late payment fees, and other license requirements are also the same as for regular licenses.