HF 84

as introduced - 91st Legislature, 2020 2nd Special Session (2020 - 2020) Posted on 07/21/2020 01:26am

A bill for an act
relating to health; modifying electronic monitoring requirements; modifying Board
of Executives for Long-Term Service and Supports fees; establishing private
enforcement of certain rights; establishing a private cause of action for retaliation
in certain long-term care settings; modifying infection control requirements in
certain long-term care settings; modifying hospice and assisted living bills of
rights; establishing consumer protections for clients receiving assisted living
services; prohibiting termination of assisted living services during a peacetime
emergency; establishing procedures for transfer of clients receiving certain
long-term care services during a peacetime emergency; requiring the commissioner
of health to establish a state plan to control SARS-CoV-2 infections in certain
long-term care settings; establishing the Long-Term Care COVID-19 Task Force;
changing provisions for nursing homes, home care, and assisted living; requiring
a report; appropriating money; amending Minnesota Statutes 2018, sections 144.56,
by adding subdivisions; 144.652, by adding a subdivision; 144A.04, by adding
subdivisions; 144A.751, subdivision 1; 144G.03, by adding subdivisions; Minnesota
Statutes 2019 Supplement, sections 144.6502, subdivision 3, by adding a
subdivision; 144.6512, by adding subdivisions; 144A.291, subdivision 2;
144A.4798, subdivision 3, by adding subdivisions; 144G.07, by adding
subdivisions; 144G.08, subdivisions 7, 9, 23, by adding a subdivision; 144G.09,
subdivision 3; 144G.10, subdivision 1, by adding a subdivision; 144G.42,
subdivision 9, by adding subdivisions; 144G.45, subdivisions 2, 5; 144G.91, by
adding a subdivision; 144G.92, subdivision 5, by adding a subdivision; Laws 2019,
chapter 60, article 1, section 46; article 5, section 2; proposing coding for new law
in Minnesota Statutes, chapters 144A; 144G.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2018, section 144.56, is amended by adding a subdivision
to read:

new text begin Subd. 2d. new text end

new text begin SARSr-CoV infection control. new text end

new text begin (a) A boarding care home must establish and
maintain a comprehensive SARSr-CoV infection control program that complies with accepted
health care, medical, and nursing standards for infection control according to the most
current SARS-CoV-2 infection control guidelines or their successor versions issued by the
United States Centers for Disease Control and Prevention, Centers for Medicare and Medicaid
Services, and the commissioner. This program must include a SARSr-CoV infection control
plan that covers all paid and unpaid employees, contractors, students, volunteers, residents,
and visitors. The commissioner shall provide technical assistance regarding implementation
of the guidelines.
new text end

new text begin (b) The boarding care home must maintain written evidence of compliance with this
subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 2.

Minnesota Statutes 2018, section 144.56, is amended by adding a subdivision to
read:

new text begin Subd. 2e. new text end

new text begin Severe acute respiratory syndrome-related coronavirus response plan. new text end

new text begin (a)
A boarding care home must establish, implement, and maintain a severe acute respiratory
syndrome-related coronavirus response plan. The severe acute respiratory syndrome-related
coronavirus response plan must be consistent with the requirements of subdivision 2d and
at a minimum must address the following:
new text end

new text begin (1) baseline and serial SARSr-CoV testing of all paid and unpaid employees, contractors,
students, volunteers, residents, and visitors;
new text end

new text begin (2) use of personal protective equipment by all paid and unpaid employees, contractors,
students, volunteers, residents, and visitors;
new text end

new text begin (3) separation or isolation of residents infected with SARS-CoV-2 or a similar
SARSr-CoV from residents who are not;
new text end

new text begin (4) balancing the rights of residents with controlling the spread of SARS-CoV-2 or
similar SARSr-CoV infections;
new text end

new text begin (5) resident relocations, including steps to be taken to mitigate trauma for relocated
residents receiving memory care;
new text end

new text begin (6) clearly informing residents of the boarding care home's policies regarding the effect
of hospice orders, provider orders for life-sustaining treatment, do not resuscitate orders,
and do not intubate orders on any treatment of COVID-19 disease or similar severe acute
respiratory syndromes;
new text end

new text begin (7) mitigating the effects of separation or isolation of residents, including virtual visitation,
outdoor visitation, and for residents who cannot go outdoors, indoor visitation;
new text end

new text begin (8) compassionate care visitation;
new text end

new text begin (9) consideration of any campus model, multiple buildings on the same property, or any
mix of independent senior living units in the same building as assisted living units;
new text end

new text begin (10) steps to be taken when a resident is suspected of having a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (11) steps to be taken when a resident tests positive for a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (12) protocols for emergency medical responses involving residents with SARS-CoV-2
or similar SARSr-CoV infections, including infection control procedures following the
departure of ambulance service personnel or other first responders;
new text end

new text begin (13) notifying the commissioner when staffing levels are critically low; and
new text end

new text begin (14) taking into account dementia-related concerns.
new text end

new text begin (b) A boarding care home must provide the commissioner with a copy of a severe acute
respiratory syndrome-related coronavirus response plan meeting the requirements of this
subdivision.
new text end

new text begin (c) A boarding care home must make its severe acute respiratory syndrome-related
coronavirus response plan available to staff, residents, and families of residents.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 3.

Minnesota Statutes 2019 Supplement, section 144.6502, subdivision 3, is amended
to read:

Subd. 3.

Consent to electronic monitoring.

(a) Except as otherwise provided in this
subdivision, a resident must consent to electronic monitoring in the resident's room or private
living unit in writing on a notification and consent form. If the resident has not affirmatively
objected to electronic monitoring and new text begin the resident representative attests that new text end the resident's
medical professional deleted text begin determines deleted text end new text begin determined new text end that the resident currently lacks the ability to
understand and appreciate the nature and consequences of electronic monitoring, the resident
representative may consent on behalf of the resident. For purposes of this subdivision, a
resident affirmatively objects when the resident orally, visually, or through the use of
auxiliary aids or services declines electronic monitoring. The resident's response must be
documented on the notification and consent form.

(b) Prior to a resident representative consenting on behalf of a resident, the resident must
be asked if the resident wants electronic monitoring to be conducted. The resident
representative must explain to the resident:

(1) the type of electronic monitoring device to be used;

(2) the standard conditions that may be placed on the electronic monitoring device's use,
including those listed in subdivision 6;

(3) with whom the recording may be shared under subdivision 10 or 11; and

(4) the resident's ability to decline all recording.

(c) A resident, or resident representative when consenting on behalf of the resident, may
consent to electronic monitoring with any conditions of the resident's or resident
representative's choosing, including the list of standard conditions provided in subdivision
6. A resident, or resident representative when consenting on behalf of the resident, may
request that the electronic monitoring device be turned off or the visual or audio recording
component of the electronic monitoring device be blocked at any time.

(d) Prior to implementing electronic monitoring, a resident, or resident representative
when acting on behalf of the resident, must obtain the written consent on the notification
and consent form of any other resident residing in the shared room or shared private living
unit. A roommate's or roommate's resident representative's written consent must comply
with the requirements of paragraphs (a) to (c). Consent by a roommate or a roommate's
resident representative under this paragraph authorizes the resident's use of any recording
obtained under this section, as provided under subdivision 10 or 11.

(e) Any resident conducting electronic monitoring must immediately remove or disable
an electronic monitoring device prior to a new roommate moving into a shared room or
shared private living unit, unless the resident obtains the roommate's or roommate's resident
representative's written consent as provided under paragraph (d) prior to the roommate
moving into the shared room or shared private living unit. Upon obtaining the new
roommate's signed notification and consent form and submitting the form to the facility as
required under subdivision 5, the resident may resume electronic monitoring.

(f) The resident or roommate, or the resident representative or roommate's resident
representative if the representative is consenting on behalf of the resident or roommate, may
withdraw consent at any time and the withdrawal of consent must be documented on the
original consent form as provided under subdivision 5, paragraph (d).

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 4.

Minnesota Statutes 2019 Supplement, section 144.6502, is amended by adding a
subdivision to read:

new text begin Subd. 7a. new text end

new text begin Installation during isolation. new text end

new text begin (a) Anytime visitation is restricted or a resident
is isolated for any reason, including during a public health emergency, and the resident or
resident representative chooses to conduct electronic monitoring, a facility must place and
set up any device, provided the resident or resident representative delivers the approved
device to the facility with clear instructions for setting up the device and the resident or
resident representative assumes all risk in the event the device malfunctions.
new text end

new text begin (b) If a facility places an electronic monitoring device under this subdivision, the
requirements of this chapter, including requirements of subdivision 7, continue to apply.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 5.

Minnesota Statutes 2019 Supplement, section 144.6512, is amended by adding a
subdivision to read:

new text begin Subd. 6. new text end

new text begin Other laws. new text end

new text begin Nothing in this section affects the rights and remedies available
under section 626.557, subdivisions 10, 17, and 20.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 6.

Minnesota Statutes 2019 Supplement, section 144.6512, is amended by adding a
subdivision to read:

new text begin Subd. 7. new text end

new text begin Cause of action. new text end

new text begin A cause of action for violations of this section may be brought
and nothing in this section precludes a person from pursuing such an action. Any
determination of retaliation by the commissioner under subdivision 5 may be used as evidence
of retaliation in any cause of action under this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 7.

Minnesota Statutes 2018, section 144.652, is amended by adding a subdivision to
read:

new text begin Subd. 3. new text end

new text begin Enforcement of the health care bill of rights by nursing home residents. new text end

new text begin In
addition to the remedies otherwise provided by or available under law, a resident of a nursing
home or a legal representative on behalf of a resident, in addition to seeking any remedy
otherwise available under law, may bring a civil action against a nursing home and recover
actual damages or $3,000, whichever is greater, plus costs, including costs of investigation,
and reasonable attorney fees, and receive other equitable relief as determined by the court
for violation of section 144.651, subdivision 14, 20, 22, 26, or 30.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 8.

Minnesota Statutes 2018, section 144A.04, is amended by adding a subdivision to
read:

new text begin Subd. 3c. new text end

new text begin SARSr-CoV infection control. new text end

new text begin (a) A nursing home provider must establish
and maintain a comprehensive SARSr-CoV infection control program that complies with
accepted health care, medical, and nursing standards for infection control according to the
most current SARS-CoV-2 infection control guidelines or their successor versions issued
by the United States Centers for Disease Control and Prevention, Centers for Medicare and
Medicaid Services, and the commissioner. This program must include a SARSr-CoV infection
control plan that covers all paid and unpaid employees, contractors, students, volunteers,
residents, and visitors. The commissioner shall provide technical assistance regarding
implementation of the guidelines.
new text end

new text begin (b) The nursing home provider must maintain written evidence of compliance with this
subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 9.

Minnesota Statutes 2018, section 144A.04, is amended by adding a subdivision to
read:

new text begin Subd. 3d. new text end

new text begin Severe acute respiratory syndrome-related coronavirus response plan. new text end

new text begin (a)
A nursing home provider must establish, implement, and maintain a severe acute respiratory
syndrome-related coronavirus response plan. The severe acute respiratory syndrome-related
coronavirus response plan must be consistent with the requirements of subdivision 3c and
at a minimum must address the following:
new text end

new text begin (1) baseline and serial SARSr-CoV testing of all paid and unpaid employees, contractors,
students, volunteers, residents, and visitors;
new text end

new text begin (2) use of personal protective equipment by all paid and unpaid employees, contractors,
students, volunteers, residents, and visitors;
new text end

new text begin (3) separation or isolation of residents infected with SARS-CoV-2 or a similar
SARSr-CoV from residents who are not;
new text end

new text begin (4) balancing the rights of residents with controlling the spread of SARS-CoV-2 or
similar SARSr-CoV infections;
new text end

new text begin (5) resident relocations, including steps to be taken to mitigate trauma for relocated
residents receiving memory care;
new text end

new text begin (6) clearly informing residents of the nursing home provider's policies regarding the
effect of hospice orders, provider orders for life-sustaining treatment, do not resuscitate
orders, and do not intubate orders on any treatment of COVID-19 disease or similar severe
acute respiratory syndromes;
new text end

new text begin (7) mitigating the effects of separation or isolation of residents, including virtual visitation,
outdoor visitation, and for residents who cannot go outdoors, indoor visitation;
new text end

new text begin (8) compassionate care visitation;
new text end

new text begin (9) consideration of any campus model, multiple buildings on the same property, or any
mix of independent senior living units in the same building as assisted living units;
new text end

new text begin (10) steps to be taken when a resident is suspected of having a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (11) steps to be taken when a resident tests positive for a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (12) protocols for emergency medical responses involving residents with SARS-CoV-2
or similar SARSr-CoV infections, including infection control procedures following the
departure of ambulance service personnel or other first responders;
new text end

new text begin (13) notifying the commissioner when staffing levels are critically low; and
new text end

new text begin (14) taking into account dementia-related concerns.
new text end

new text begin (b) A nursing home provider must provide the commissioner with a copy of a severe
acute respiratory syndrome-related coronavirus response plan meeting the requirements of
this subdivision.
new text end

new text begin (c) A nursing home provider must make its severe acute respiratory syndrome-related
coronavirus response plan available to staff, residents, and families of residents.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 10.

Minnesota Statutes 2019 Supplement, section 144A.291, subdivision 2, is amended
to read:

Subd. 2.

Amounts.

(a) Fees may not exceed the following amounts but may be adjusted
lower by board direction and are for the exclusive use of the board as required to sustain
board operations. The maximum amounts of fees are:

(1) application for licensure, $200;

(2) for a prospective applicant for a review of education and experience advisory to the
license application, $100, to be applied to the fee for application for licensure if the latter
is submitted within one year of the request for review of education and experience;

(3) state examination, $125;

(4) initial license, $250 if issued between July 1 and December 31, $100 if issued between
January 1 and June 30;

(5) acting deleted text begin administrator deleted text end permit, $400;

(6) renewal license, $250;

(7) duplicate license, $50;

(8) reinstatement fee, $250;

deleted text begin (9) health services executive initial license, $200;
deleted text end

deleted text begin (10) health services executive renewal license, $200;
deleted text end

deleted text begin (11) deleted text end new text begin (9) new text end reciprocity verification fee, $50;

deleted text begin (12) deleted text end new text begin (10) new text end second shared deleted text begin administrator deleted text end assignment, $250;

deleted text begin (13) deleted text end new text begin (11) new text end continuing education fees:

(i) greater than six hours, $50; and

(ii) seven hours or more, $75;

deleted text begin (14) deleted text end new text begin (12) new text end education review, $100;

deleted text begin (15) deleted text end new text begin (13) new text end fee to a sponsor for review of individual continuing education seminars,
institutes, workshops, or home study courses:

(i) for less than seven clock hours, $30; and

(ii) for seven or more clock hours, $50;

deleted text begin (16) deleted text end new text begin (14) new text end fee to a licensee for review of continuing education seminars, institutes,
workshops, or home study courses not previously approved for a sponsor and submitted
with an application for license renewal:

(i) for less than seven clock hours total, $30; and

(ii) for seven or more clock hours total, $50;

deleted text begin (17) deleted text end new text begin (15) new text end late renewal fee, $75;

deleted text begin (18) deleted text end new text begin (16) new text end fee to a licensee for verification of licensure status and examination scores,
$30;

deleted text begin (19) deleted text end new text begin (17) new text end registration as a registered continuing education sponsor, $1,000; and

deleted text begin (20) deleted text end new text begin (18) new text end mail labels, $75.

(b) The revenue generated from the fees must be deposited in an account in the state
government special revenue fund.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 11.

new text begin [144A.4415] PRIVATE ENFORCEMENT OF RIGHTS.
new text end

new text begin For a violation of section 144A.44, paragraph (a), clause (2), (14), (19), or (22), or section
144A.4791, subdivision 11, paragraph (d), a resident or resident's designated representative
may bring a civil action against an assisted living establishment and recover actual damages
or $3,000, whichever is greater, plus costs, including costs of investigation, and reasonable
attorney fees, and receive other equitable relief as determined by the court in addition to
seeking any other remedy otherwise available under law.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 12.

Minnesota Statutes 2019 Supplement, section 144A.4798, subdivision 3, is
amended to read:

Subd. 3.

Infection control program.

A home care provider must establish and maintain
an effective infection control program that complies with accepted health care, medical,
and nursing standards for infection control new text begin , including during a disease pandemic new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 13.

Minnesota Statutes 2019 Supplement, section 144A.4798, is amended by adding
a subdivision to read:

new text begin Subd. 4. new text end

new text begin SARSr-CoV infection control. new text end

new text begin (a) A home care provider must establish and
maintain a comprehensive SARSr-CoV infection control program that complies with accepted
health care, medical, and nursing standards for infection control according to the most
current SARS-CoV-2 infection control guidelines or the successor version issued by the
United States Centers for Disease Control and Prevention, Centers for Medicare and Medicaid
Services, and the commissioner. This program must include a SARSr-CoV infection control
plan that covers all paid and unpaid employees, contractors, students, volunteers, clients,
and visitors. The commissioner shall provide technical assistance regarding implementation
of the guidelines.
new text end

new text begin (b) A home care provider must maintain written evidence of compliance with this
subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 14.

Minnesota Statutes 2019 Supplement, section 144A.4798, is amended by adding
a subdivision to read:

new text begin Subd. 5. new text end

new text begin Severe acute respiratory syndrome-related coronavirus response plan. new text end

new text begin (a)
A home care provider must establish, implement, and maintain a severe acute respiratory
syndrome-related coronavirus response plan. The severe acute respiratory syndrome-related
coronavirus response plan must be consistent with the requirements of subdivision 4 and
at a minimum must address the following:
new text end

new text begin (1) baseline and serial SARSr-CoV testing of all paid and unpaid employees, contractors,
students, volunteers, clients, and visitors;
new text end

new text begin (2) use of personal protective equipment by all paid and unpaid employees, contractors,
students, volunteers, clients, and visitors;
new text end

new text begin (3) balancing the rights of clients with controlling the spread of SARS-CoV-2 or similar
SARSr-CoV infections;
new text end

new text begin (4) clearly informing clients of the home care provider's policies regarding the effect of
hospice orders, provider orders for life-sustaining treatment, do-not resuscitate orders, and
do-not intubate orders on any treatment of COVID-19 disease or similar severe acute
respiratory syndromes;
new text end

new text begin (5) steps to be taken when a client is suspected of having a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (6) steps to be taken when a client tests positive for SARS-CoV-2 or similar SARSr-CoV
infection;
new text end

new text begin (7) protocols for emergency medical responses involving clients with SARS-CoV-2 or
similar SARSr-CoV infections, including infection control procedures following the departure
of ambulance service personnel or other first responders;
new text end

new text begin (8) notifying the commissioner when staffing levels are critically low; and
new text end

new text begin (9) taking into account dementia-related concerns.
new text end

new text begin (b) A home care provider must provide the commissioner with a copy of a severe acute
respiratory syndrome-related coronavirus response plan meeting the requirements of this
subdivision and subdivision 6.
new text end

new text begin (c) A home care provider must make its severe acute respiratory syndrome-related
coronavirus response plan available to staff, clients, and families of clients.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 15.

Minnesota Statutes 2019 Supplement, section 144A.4798, is amended by adding
a subdivision to read:

new text begin Subd. 6. new text end

new text begin Disease prevention and infection control in congregate settings. new text end

new text begin (a) A home
care provider providing services to a client who resides either in an assisted living facility
licensed under section 144G.10 or in a housing with services establishment registered under
chapter 144D, regardless of the provider's status as an arranged home care provider as
defined in section 144D.01, subdivision 2a, must coordinate and cooperate with the assisted
living director of the assisted living facility in which a client of the unaffiliated home care
provider resides or with the person primarily responsible for oversight and management of
a housing with services establishment, as designated by the owner of the housing with
services establishment, in which a client of the home care provider resides, to ensure that
the home care provider meets all the requirements of this section while providing services
in these congregate settings.
new text end

new text begin (b) In addition to meeting the requirements of subdivision 5, a home care provider
providing services to a client who resides in either an assisted living facility licensed under
section 144G.10 or a housing with services establishment registered under chapter 144D,
regardless of the provider's status as an arranged home care provider as defined in section
144D.01, subdivision 2a, must also address in the provider's severe acute respiratory
syndrome-related coronavirus response plan the following:
new text end

new text begin (1) baseline and serial SARSr-CoV testing of all paid and unpaid employees, contractors,
students, volunteers, clients, and visitors of a congregate setting in which the home care
provider provides services;
new text end

new text begin (2) use of personal protective equipment by all paid and unpaid employees, contractors,
students, volunteers, clients, and visitors of a congregate setting in which the home care
provider provides services;
new text end

new text begin (3) separation or isolation of clients infected with SARS-CoV-2 or a similar SARSr-CoV
from clients who are not infected in a congregate setting in which the home care provider
serves clients;
new text end

new text begin (4) client relocations, including steps to be taken to mitigate trauma for relocated clients
receiving memory care;
new text end

new text begin (5) mitigating the effects of separation or isolation of clients, including virtual visitation,
outdoor visitation, and for clients who cannot go outdoors, indoor visitation in a congregate
setting in which the home care provider serves clients;
new text end

new text begin (6) compassionate care visitation in a congregate setting in which the home care provider
serves clients;
new text end

new text begin (7) consideration of any campus model, multiple buildings on the same property, or any
mix of independent senior living units in the same building as units in which home care
services are provided;
new text end

new text begin (8) steps to be taken when a client in a congregate setting in which the home care provider
serves clients is suspected of having a SARS-CoV-2 or similar SARSr-CoV infection; and
new text end

new text begin (9) steps to be taken when a client in a congregate setting in which the home care provider
serves clients tests positive for SARS-CoV-2 or similar SARSr-CoV infection.
new text end

new text begin (c) A home care provider providing services to a client who resides in either an assisted
living facility licensed under section 144A.10 or a housing with services establishment
registered under chapter 144D, regardless of the provider's status as an arranged home care
provider as defined in section 144D.01, subdivision 2a, must make the home care provider's
severe acute respiratory syndrome-related coronavirus response plan available to the assisted
living director of the assisted living facility in which a client of the unaffiliated home care
provider resides or to the person primarily responsible for oversight and management of a
housing with services establishment, as designated by the owner of the housing with services
establishment, in which a client of the home care provider resides.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 16.

Minnesota Statutes 2018, section 144A.751, subdivision 1, is amended to read:

Subdivision 1.

Statement of rights.

An individual who receives hospice care has the
right to:

(1) receive written information about rights in advance of receiving hospice care or
during the initial evaluation visit before the initiation of hospice care, including what to do
if rights are violated;

(2) receive care and services according to a suitable hospice plan of care and subject to
accepted hospice care standards and to take an active part in creating and changing the plan
and evaluating care and services;

(3) be told in advance of receiving care about the services that will be provided, the
disciplines that will furnish care, the frequency of visits proposed to be furnished, other
choices that are available, and the consequence of these choices, including the consequences
of refusing these services;

(4) be told in advance, whenever possible, of any change in the hospice plan of care and
to take an active part in any change;

(5) refuse services or treatment;

(6) know, in advance, any limits to the services available from a provider, and the
provider's grounds for a termination of services;

(7) know in advance of receiving care whether the hospice services may be covered by
health insurance, medical assistance, Medicare, or other health programs in which the
individual is enrolled;

(8) receive, upon request, a good faith estimate of the reimbursement the provider expects
to receive from the health plan company in which the individual is enrolled. A good faith
estimate must also be made available at the request of an individual who is not enrolled in
a health plan company. This payment information does not constitute a legally binding
estimate of the cost of services;

(9) know that there may be other services available in the community, including other
end of life services and other hospice providers, and know where to go for information
about these services;

(10) choose freely among available providers and change providers after services have
begun, within the limits of health insurance, medical assistance, Medicare, or other health
programs;

(11) have personal, financial, and medical information kept private and be advised of
the provider's policies and procedures regarding disclosure of such information;

(12) be allowed access to records and written information from records according to
sections 144.291 to 144.298;

(13) be served by people who are properly trained and competent to perform their duties;

(14) be treated with courtesy and respect and to have the patient's property treated with
respect;

(15) voice grievances regarding treatment or care that is, or fails to be, furnished or
regarding the lack of courtesy or respect to the patient or the patient's property;

(16) be free from physical and verbal abuse;

(17) reasonable, advance notice of changes in services or charges, including at least ten
days' advance notice of the termination of a service by a provider, except in cases where:

(i) the recipient of services engages in conduct that alters the conditions of employment
between the hospice provider and the individual providing hospice services, or creates an
abusive or unsafe work environment for the individual providing hospice services;

(ii) an emergency for the informal caregiver or a significant change in the recipient's
condition has resulted in service needs that exceed the current service provider agreement
and that cannot be safely met by the hospice provider; or

(iii) the recipient is no longer certified as terminally ill;

(18) a coordinated transfer when there will be a change in the provider of services;

(19) know how to contact an individual associated with the provider who is responsible
for handling problems and to have the provider investigate and attempt to resolve the
grievance or complaint;

(20) know the name and address of the state or county agency to contact for additional
information or assistance;

(21) assert these rights personally, or have them asserted by the hospice patient's family
when the patient has been judged incompetent, without retaliation; deleted text begin and
deleted text end

(22) have pain and symptoms managed to the patient's desired level of comfort deleted text begin . deleted text end new text begin ;
new text end

new text begin (23) revoke hospice election at any time; and
new text end

new text begin (24) receive curative treatment for any condition unrelated to the condition that prompted
hospice election.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 17.

Minnesota Statutes 2018, section 144G.03, is amended by adding a subdivision
to read:

new text begin Subd. 7. new text end

new text begin Disease prevention and infection control. new text end

new text begin A person or entity receiving assisted
living title protection under this chapter and the person primarily responsible for oversight
and management of a housing with services establishment, as designated by the owner of
the housing with services establishment, must coordinate and cooperate with a home care
provider providing services to a client who resides in the establishment, regardless of the
home care provider's status as an arranged home care provider as defined in section 144D.01,
subdivision 2a, to ensure that the home care provider meets all the requirements of section
144A.4798.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 18.

Minnesota Statutes 2018, section 144G.03, is amended by adding a subdivision
to read:

new text begin Subd. 8. new text end

new text begin Tuberculosis (TB) infection control. new text end

new text begin (a) A person or entity receiving assisted
living title protection under this chapter must establish and maintain a comprehensive
tuberculosis infection control program according to the most current tuberculosis infection
control guidelines issued by the United States Centers for Disease Control and Prevention
(CDC), Division of Tuberculosis Elimination, as published in the CDC's Morbidity and
Mortality Weekly Report. This program must include a tuberculosis infection control plan
that covers all paid and unpaid employees, contractors, students, and volunteers. The
commissioner shall provide technical assistance regarding implementation of the guidelines.
new text end

new text begin (b) A person or entity receiving assisted living title protection under this chapter may
comply with the requirements of this subdivision by participating in a comprehensive
tuberculosis infection control program of an arranged home care provider.
new text end

new text begin (c) A person or entity receiving assisted living title protection under this chapter must
maintain written evidence of compliance with this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 19.

Minnesota Statutes 2018, section 144G.03, is amended by adding a subdivision
to read:

new text begin Subd. 9. new text end

new text begin Communicable diseases. new text end

new text begin A person or entity receiving assisted living title
protection under this chapter must follow current state requirements for prevention, control,
and reporting of communicable diseases in Minnesota Rules, parts 4605.7040, 4605.7044,
4605.7050, 4605.7075, 4605.7080, and 4605.7090.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 20.

Minnesota Statutes 2018, section 144G.03, is amended by adding a subdivision
to read:

new text begin Subd. 10. new text end

new text begin Infection control program. new text end

new text begin (a) A person or entity receiving assisted living
title protection under this chapter must establish and maintain an effective infection control
program that complies with accepted health care, medical, and nursing standards for infection
control.
new text end

new text begin (b) A person or entity receiving assisted living title protection under this chapter may
comply with the requirements of this subdivision by participating in an effective infection
control program of an arranged home care provider.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 21.

Minnesota Statutes 2018, section 144G.03, is amended by adding a subdivision
to read:

new text begin Subd. 11. new text end

new text begin SARSr-CoV infection control. new text end

new text begin (a) A person or entity receiving assisted living
title protection under this chapter must establish and maintain a comprehensive SARSr-CoV
infection control program that complies with accepted health care, medical, and nursing
standards for infection control according to the most current SARS-CoV-2 infection control
guidelines or their successor versions issued by the United States Centers for Disease Control
and Prevention, Centers for Medicare and Medicaid Services, and the commissioner. This
program must include a SARSr-CoV infection control plan that covers all paid and unpaid
employees, contractors, students, volunteers, clients, and visitors. The commissioner shall
provide technical assistance regarding implementation of the guidelines.
new text end

new text begin (b) A person or entity receiving assisted living title protection under this chapter may
comply with the requirements of this subdivision by participating in a comprehensive
SARSr-CoV infection control program of an arranged home care provider.
new text end

new text begin (c) A person or entity receiving assisted living title protection under this chapter must
maintain written evidence of compliance with this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 22.

Minnesota Statutes 2018, section 144G.03, is amended by adding a subdivision
to read:

new text begin Subd. 12. new text end

new text begin Severe acute respiratory syndrome-related coronavirus response plan. new text end

new text begin (a)
A person or entity receiving assisted living title protection under this chapter must establish,
implement, and maintain a severe acute respiratory syndrome-related coronavirus response
plan. The severe acute respiratory syndrome-related coronavirus response plan must be
consistent with the requirements of subdivision 11 and at a minimum must address the
following:
new text end

new text begin (1) baseline and serial SARSr-CoV testing of all paid and unpaid employees, contractors,
students, volunteers, clients, and visitors;
new text end

new text begin (2) use of personal protective equipment by all paid and unpaid employees, contractors,
students, volunteers, clients, and visitors;
new text end

new text begin (3) separation or isolation of clients infected with SARS-CoV-2 or a similar SARSr-CoV
from clients who are not;
new text end

new text begin (4) balancing the rights of residents with controlling the spread of SARS-CoV-2 or
similar SARSr-CoV infections;
new text end

new text begin (5) client relocations, including steps to be taken to mitigate trauma for relocated clients
receiving memory care;
new text end

new text begin (6) clearly informing clients of the home care provider's policies regarding the effect of
hospice orders, provider orders for life-sustaining treatment, do not resuscitate orders, and
do not intubate orders on any treatment of COVID-19 disease or similar severe acute
respiratory syndromes;
new text end

new text begin (7) mitigating the effects of separation or isolation of clients, including virtual visitation,
outdoor visitation, and for clients who cannot go outdoors, indoor visitation;
new text end

new text begin (8) compassionate care visitation;
new text end

new text begin (9) consideration of any campus model, multiple buildings on the same property, or any
mix of independent senior living units in the same building as assisted living units;
new text end

new text begin (10) steps to be taken when a client is suspected of having a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (11) steps to be taken when a client tests positive for a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (12) protocols for emergency medical responses involving clients with SARS-CoV-2
or similar SARSr-CoV infections, including infection control procedures following the
departure of ambulance service personnel or other first responders;
new text end

new text begin (13) notifying the commissioner when staffing levels are critically low; and
new text end

new text begin (14) taking into account dementia-related concerns.
new text end

new text begin (b) A person or entity receiving assisted living title protection under this chapter must
provide the commissioner with a copy of a severe acute respiratory syndrome-related
coronavirus response plan meeting the requirements of this subdivision.
new text end

new text begin (c) A person or entity receiving assisted living title protection under this chapter must
make its severe acute respiratory syndrome-related coronavirus response plan available to
staff, clients, and families of clients.
new text end

new text begin (d) A person or entity receiving assisted living title protection under this chapter may
comply with the requirements of this subdivision by participating in a comprehensive
SARSr-CoV infection control program of an arranged home care provider.
new text end

new text begin (e) The commissioner may impose a fine not to exceed $1,000 on the housing with
services registrant for a violation of this subdivision. A registrant may appeal an imposed
fine under the contested case procedure in section 144A.475, subdivisions 3a, 4, and 7.
Fines collected under this section shall be deposited in the state treasury and credited to the
state government special revenue fund. Continued noncompliance with the requirements
of this subdivision may result in revocation or nonrenewal of the housing with services
registration. The commissioner shall make public the list of all housing with services
establishments that have complied with paragraph (b).
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 23.

Minnesota Statutes 2019 Supplement, section 144G.07, is amended by adding a
subdivision to read:

new text begin Subd. 6. new text end

new text begin Other laws. new text end

new text begin Nothing in this section affects the rights and remedies available
under section 626.557, subdivisions 10, 17, and 20.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 24.

Minnesota Statutes 2019 Supplement, section 144G.07, is amended by adding a
subdivision to read:

new text begin Subd. 7. new text end

new text begin Cause of action. new text end

new text begin A cause of action for violations of this section may be brought
and nothing in this section precludes a person from pursuing such an action. Any
determination of retaliation by the commissioner under subdivision 5 may be used as evidence
of retaliation in any cause of action under this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 25.

Minnesota Statutes 2019 Supplement, section 144G.08, subdivision 7, is amended
to read:

Subd. 7.

Assisted living facility.

"Assisted living facility" means a deleted text begin licensed deleted text end facility that
provides sleeping accommodations and assisted living services to one or more adults.
Assisted living facility includes assisted living facility with dementia care, and does not
include:

(1) emergency shelter, transitional housing, or any other residential units serving
exclusively or primarily homeless individuals, as defined under section 116L.361;

(2) a nursing home licensed under chapter 144A;

(3) a hospital, certified boarding care, or supervised living facility licensed under sections
144.50 to 144.56;

(4) a lodging establishment licensed under chapter 157 and Minnesota Rules, parts
9520.0500 to 9520.0670, or under chapter 245D or 245G;

(5) services and residential settings licensed under chapter 245A, including adult foster
care and services and settings governed under the standards in chapter 245D;

(6) a private home in which the residents are related by kinship, law, or affinity with the
provider of services;

(7) a duly organized condominium, cooperative, and common interest community, or
owners' association of the condominium, cooperative, and common interest community
where at least 80 percent of the units that comprise the condominium, cooperative, or
common interest community are occupied by individuals who are the owners, members, or
shareholders of the units;

(8) a temporary family health care dwelling as defined in sections 394.307 and 462.3593;

(9) a setting offering services conducted by and for the adherents of any recognized
church or religious denomination for its members exclusively through spiritual means or
by prayer for healing;

(10) housing financed pursuant to sections 462A.37 and 462A.375, units financed with
low-income housing tax credits pursuant to United States Code, title 26, section 42, and
units financed by the Minnesota Housing Finance Agency that are intended to serve
individuals with disabilities or individuals who are homeless, except for those developments
that market or hold themselves out as assisted living facilities and provide assisted living
services;

(11) rental housing developed under United States Code, title 42, section 1437, or United
States Code, title 12, section 1701q;

(12) rental housing designated for occupancy by only elderly or elderly and disabled
residents under United States Code, title 42, section 1437e, or rental housing for qualifying
families under Code of Federal Regulations, title 24, section 983.56;

(13) rental housing funded under United States Code, title 42, chapter 89, or United
States Code, title 42, section 8011; deleted text begin or
deleted text end

(14) a covered setting as defined in section 325F.721, subdivision 1, paragraph (b) deleted text begin . deleted text end new text begin ; or
new text end

new text begin (15) any establishment that exclusively or primarily serves as a shelter or temporary
shelter for victims of domestic or any other form of violence.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 26.

Minnesota Statutes 2019 Supplement, section 144G.08, is amended by adding a
subdivision to read:

new text begin Subd. 7a. new text end

new text begin Assisted living facility license. new text end

new text begin "Assisted living facility license" means a
certificate issued by the commissioner under section 144G.10 that authorizes the licensee
to manage, control, and operate an assisted living facility for a specified period of time and
in accordance with the terms of the license and the rules of the commissioner.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 27.

Minnesota Statutes 2019 Supplement, section 144G.08, subdivision 9, is amended
to read:

Subd. 9.

Assisted living services.

"Assisted living services" includes one or more of
the following:

(1) assisting with dressing, self-feeding, oral hygiene, hair care, grooming, toileting, and
bathing;

(2) providing standby assistance;

(3) providing verbal or visual reminders to the resident to take regularly scheduled
medication, which includes bringing the resident previously set up medication, medication
in original containers, or liquid or food to accompany the medication;

(4) providing verbal or visual reminders to the resident to perform regularly scheduled
treatments and exercises;

(5) preparing deleted text begin modified deleted text end new text begin specialized new text end diets ordered by a licensed health professional;

(6) services of an advanced practice registered nurse, registered nurse, licensed practical
nurse, physical therapist, respiratory therapist, occupational therapist, speech-language
pathologist, dietitian or nutritionist, or social worker;

(7) tasks delegated to unlicensed personnel by a registered nurse or assigned by a licensed
health professional within the person's scope of practice;

(8) medication management services;

(9) hands-on assistance with transfers and mobility;

(10) treatment and therapies;

(11) assisting residents with eating when the residents have complicated eating problems
as identified in the resident record or through an assessment such as difficulty swallowing,
recurrent lung aspirations, or requiring the use of a tube or parenteral or intravenous
instruments to be fed;

(12) providing other complex or specialty health care services; and

(13) supportive services in addition to the provision of at least one of the services listed
in clauses (1) to (12).

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 28.

Minnesota Statutes 2019 Supplement, section 144G.08, subdivision 23, is amended
to read:

Subd. 23.

Direct ownership interest.

"Direct ownership interest" means an individual
or deleted text begin organization deleted text end new text begin legal entity new text end with the possession of at least five percent equity in capital,
stock, or profits of the licensee, or who is a member of a limited liability company of the
licensee.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 29.

Minnesota Statutes 2019 Supplement, section 144G.09, subdivision 3, is amended
to read:

Subd. 3.

Rulemaking authorized.

(a) The commissioner shall adopt rules for all assisted
living facilities that promote person-centered planning and service delivery and optimal
quality of life, and that ensure resident rights are protected, resident choice is allowed, and
public health and safety is ensured.

(b) On July 1, 2019, the commissioner shall begin rulemaking.

(c) The commissioner shall adopt rules that include but are not limited to the following:

(1) staffing appropriate for each licensure category to best protect the health and safety
of residents no matter their vulnerability new text begin , including staffing ratios new text end ;

(2) training prerequisites and ongoing training, including dementia care training and
standards for demonstrating competency;

(3) procedures for discharge planning and ensuring resident appeal rights;

(4) initial assessments, continuing assessments, and a uniform assessment tool;

(5) emergency disaster and preparedness plans;

(6) uniform checklist disclosure of services;

(7) a definition of serious injury that results from maltreatment;

(8) conditions and fine amounts for planned closures;

(9) procedures and timelines for the commissioner regarding termination appeals between
facilities and the Office of Administrative Hearings;

(10) establishing base fees and per-resident fees for each category of licensure;

(11) considering the establishment of a maximum amount for any one fee;

(12) procedures for relinquishing an assisted living facility with dementia care license
and fine amounts for noncompliance; and

(13) procedures to efficiently transfer existing housing with services registrants and
home care licensees to the new assisted living facility licensure structure.

(d) The commissioner shall publish the proposed rules by December 31, 2019, and shall
publish final rules by December 31, 2020.

new text begin (e) Notwithstanding section 14.125, the commissioner's authority to adopt rules authorized
in this subdivision does not expire at the end of the 18-month time limit that began on July
1, 2019.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 30.

Minnesota Statutes 2019 Supplement, section 144G.10, subdivision 1, is amended
to read:

Subdivision 1.

License required.

new text begin (a) new text end Beginning August 1, 2021, deleted text begin no assisted living
facility may operate in Minnesota unless it is licensed under this chapter.
deleted text end

deleted text begin The licensee is legally responsible for the management, control, and operation of the
facility, regardless of the existence of a management agreement or subcontract. Nothing in
this chapter shall in any way affect the rights and remedies available under other law. deleted text end new text begin unless
licensed under this chapter, no individual, organization, or government entity may:
new text end

new text begin (1) manage, control, or operate an assisted living facility in Minnesota; or
new text end

new text begin (2) advertise, market, or otherwise promote its facility as providing assisted living
services or specialized care for individuals with Alzheimer's disease or other dementias.
new text end

new text begin (b) The licensee is legally responsible for the management, control, and operation of the
facility, regardless of the existence of a management agreement or subcontract. Nothing in
this chapter shall in any way affect the rights and remedies available under other law.
new text end

new text begin (c) Upon approving an application for an assisted living facility license, the commissioner
shall issue a single assisted living facility license for each facility located at a separate
address, except as provided in paragraph (d).
new text end

new text begin (d) Upon approving an application for an assisted living facility located on a campus
and at the request of the applicant, the commissioner may issue an assisted living facility
license for the campus at the address of the campus' main building. An assisted living facility
license for a campus shall identify the address and licensed resident capacity of each building
located on the campus in which assisted living services are provided.
new text end

new text begin (e) Before any building to be included on a campus advertises, markets, or promotes
itself as providing specialized care for individuals with Alzheimer's disease or other dementias
or a secured dementia care unit, the individual, organization, or government entity must
apply for the assisted living with dementia care level of licensure for that campus license
or apply for a separate assisted living facility with dementia care level of licensure. These
services may not be provided at the building until the license is issued by the commissioner.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 31.

Minnesota Statutes 2019 Supplement, section 144G.10, is amended by adding a
subdivision to read:

new text begin Subd. 1a. new text end

new text begin Definitions. new text end

new text begin (a) For the purposes of this section, the terms defined in this
subdivision have the meanings given them.
new text end

new text begin (b) "Adjacent" means sharing a portion of a legal boundary.
new text end

new text begin (c) "Campus" means an assisted living facility that provides sleeping accommodations
and assisted living services operated by the same licensee in:
new text end

new text begin (1) two or more buildings, each with a separate address, located on the same property
identified by a single property identification number;
new text end

new text begin (2) a single building having two or more addresses, located on the same property,
identified by a single property identification number; or
new text end

new text begin (3) two or more buildings at different addresses, identified by different property
identification numbers, when the buildings are located on adjacent properties.
new text end

new text begin (d) "Campus' main building" means a building designated by the commissioner as the
main building of a campus and to which the commissioner may issue an assisted living
facility license for a campus.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 32.

new text begin [144G.191] ASSISTED LIVING FACILITY LICENSING
IMPLEMENTATION; PROVISIONAL LICENSES; TRANSITION PERIOD FOR
CURRENT PROVIDERS.
new text end

new text begin Subdivision 1. new text end

new text begin Provisional licenses. new text end

new text begin (a) Beginning March 1, 2021, applications for
provisional assisted living facility licenses under section 144G.16 may be submitted. No
provisional assisted living facility licenses under this chapter shall be effective prior to
August 1, 2021.
new text end

new text begin (b) Beginning June 1, 2021, no initial housing with services establishment registration
applications shall be accepted under chapter 144D.
new text end

new text begin (c) Beginning June 1, 2021, no temporary comprehensive home care provider license
applications shall be accepted for providers that do not intend to provide home care services
under sections 144A.43 to 144A.484 on or after August 1, 2021.
new text end

new text begin Subd. 2. new text end

new text begin New construction; building permit. new text end

new text begin (a) All prospective assisted living facility
license applicants seeking a license for new construction who have submitted a complete
building permit application to the appropriate building code jurisdiction on or before July
31, 2021, may meet construction requirements in effect when the application was submitted.
new text end

new text begin (b) All prospective assisted living facility license applicants seeking a license for new
construction who have submitted a complete building permit application to the appropriate
building code jurisdiction on or after August 1, 2021, must meet the construction
requirements under section 144G.45.
new text end

new text begin (c) For the purposes of paragraph (a), in areas of jurisdiction where there is no building
code authority, a complete application for an electrical or plumbing permit is acceptable in
lieu of the building permit application.
new text end

new text begin (d) For the purposes of paragraph (a), in jurisdictions where building plan review
applications are separated from building permit applications, a complete application for
plan review is acceptable in lieu of the building permit application.
new text end

new text begin Subd. 3. new text end

new text begin New construction; plan review. new text end

new text begin Beginning March 1, 2021, prospective assisted
living facility license applicants under new construction may submit to the commissioner
plans and specifications described in section 144G.45, subdivision 6, for plan review of the
new construction requirements under section 144G.45.
new text end

new text begin Subd. 4. new text end

new text begin Current comprehensive home care providers; provision of assisted living
services. new text end

new text begin (a) Comprehensive home care providers that do not intend to provide home care
services under chapter 144A on or after August 1, 2021, shall be issued a prorated license
period upon renewal, effective for license renewals beginning on or after September 1,
2020. The prorated license period shall be effective from the provider's current comprehensive
home care license renewal date through July 31, 2021.
new text end

new text begin (b) Comprehensive home care providers with prorated license periods shall pay a prorated
fee based on the number of months the comprehensive home care license is in effect.
new text end

new text begin (c) A comprehensive home care provider using the prorated license period in paragraph
(a), or who otherwise does not intend to provide home care services under chapter 144A
on or after August 1, 2021, must notify the recipients of changes to their home care services
in writing at least 60 days before the expiration of its license, or no later than May 31, 2021,
whichever is earlier. The notice must:
new text end

new text begin (1) state that the provider will no longer be providing home care services under chapter
144A;
new text end

new text begin (2) include the date when the provider will no longer be providing these services;
new text end

new text begin (3) include the name, e-mail address, and telephone number of the individual associated
with the comprehensive home care provider that the recipient of home care services may
contact to discuss the notice;
new text end

new text begin (4) include the contact information consisting of the telephone number, e-mail address,
mailing address, and website for the Office of Ombudsman for Long-Term Care and the
Office of Ombudsman for Mental Health and Developmental Disabilities; and
new text end

new text begin (5) for recipients of home care services who receive home and community-based waiver
services under section 256B.49 and chapter 256S, this written notice must also be provided
to the resident's case manager at the same time that it is provided to the resident.
new text end

new text begin A comprehensive home care provider that obtains an assisted living facility license but does
so under a different business name as a result of reincorporation, and continues to provide
services to the recipient, is not subject to the 60-day notice required under this paragraph.
However, the provider must otherwise provide notice to the recipient as required under
sections 144A.44, 144A.441, and 144A.442, as applicable, and section 144A.4791.
new text end

new text begin Subd. 5. new text end

new text begin Current housing with services establishment registration to an assisted
living facility license; conversion to licensure. new text end

new text begin (a) Beginning January 1, 2021, all current
housing with services establishments registered under chapter 144D and intending to provide
assisted living services on or after August 1, 2021, must apply for an assisted living facility
license under this chapter. The initial assisted living facility license issued will not be a
provisional license as identified under subdivision 1. The applicant on the assisted living
facility license application may, but need not, be the same as the current housing with
services establishment registrant.
new text end

new text begin (b) Notwithstanding the housing with services contract requirements identified in section
144D.04, any existing housing with services establishment registered under chapter 144D
that does not intend to convert its registration to an assisted living facility license under this
chapter must provide written notice to its residents at least 60 days before the expiration of
its registration, or no later than May 31, 2021, whichever is earlier. The notice must:
new text end

new text begin (1) state that the housing with services establishment does not intend to convert to an
assisted living facility;
new text end

new text begin (2) include the date when the housing with services establishment will no longer provide
housing with services;
new text end

new text begin (3) include the name, e-mail address, and telephone number of the individual associated
with the housing with services establishment that the recipient of home care services may
contact to discuss the notice;
new text end

new text begin (4) include the contact information consisting of the telephone number, e-mail address,
mailing address, and website for the state Office of Ombudsman for Long-Term Care and
the Office of Ombudsman for Mental Health and Developmental Disabilities; and
new text end

new text begin (5) for residents who receive home and community-based waiver services under section
256B.49 and chapter 256S, the written notice must also be provided to the resident's case
manager at the same time that it is provided to the resident.
new text end

new text begin A housing with services provider that obtains an assisted living facility license, but does so
under a different business name as a result of reincorporation, and continues to provide
services to the recipient, is not subject to the 60-day notice required under this paragraph.
However, the provider must otherwise provide notice to the recipient as required under
sections 144D.04 and 144D.045, as applicable, and section 144D.09.
new text end

new text begin (c) By August 1, 2021, all registered housing with services establishments providing
assisted living as defined in section 144G.01, subdivision 2, prior to August 1, 2021, must
have an assisted living facility license under this chapter.
new text end

new text begin (d) Effective August 1, 2021, any housing with services establishment registered under
chapter 144D that has not converted its registration to an assisted living facility license
under this chapter is prohibited from providing assisted living services.
new text end

new text begin Subd. 6. new text end

new text begin Conversion to assisted living licensure; renewal periods; prorated
licenses. new text end

new text begin (a) Applicants converting from a housing with services establishment registration
under chapter 144D to an assisted living facility license under this chapter must be provided
a new renewal date upon application for an assisted living facility license. The initial assisted
living facility license issued will not be a provisional license as identified under subdivision
1. The commissioner shall assign a new, randomly generated renewal date to evenly disperse
assisted living facility license renewal dates throughout a calendar year.
new text end

new text begin (b) Applicants converting from a housing with services establishment registration to an
assisted living facility license that receive new license renewal dates occurring in November
or December must choose one of two options:
new text end

new text begin (1) receive one assisted living facility license upon conversion effective August 1, 2021,
and prorated for 15- or 16-month periods, respectively; or
new text end

new text begin (2) receive one assisted living facility license upon conversion, effective August 1, 2021,
prorated for three- or four-month periods, respectively.
new text end

new text begin (c) Applicants converting from a housing with services establishment registration to an
assisted living facility license that receive new license renewal dates occurring in January
through July shall receive one assisted living facility license upon conversion effective
August 1, 2021, and prorated for five- to 11-month periods, respectively.
new text end

new text begin (d) Applicants converting from a housing with services establishment registration to an
assisted living facility license that receive a new license renewal date occurring in August
shall receive one assisted living facility license upon conversation effective for a full
12-month period.
new text end

new text begin (e) An assisted living facility shall receive its first assisted living facility license renewal
application for a full 12-month effective period approximately 90 days prior to the expiration
of the facility's prorated license.
new text end

new text begin (f) Applicants with a current housing with services establishment registration who intend
to obtain more than one assisted living facility license under this chapter may request that
the commissioner allow all applicable renewal dates to occur on the same date or may
request all applicable renewal dates to occur at different points throughout a calendar year.
new text end

new text begin (g) All prorated licensing fee amounts for applicants converting from a housing with
services establishment to an assisted living facility license must be determined by calculating
the appropriate annual fee based on section 144.122, paragraph (d), and dividing the total
annual fee amount by the number of months the prorated license is effective.
new text end

new text begin Subd. 7. new text end

new text begin Conversion to assisted living licensure; background studies. new text end

new text begin (a) Any
individual listed on an application of a registered housing with services establishment
converting to an assisted living facility license who is not on the existing housing with
services registration and either has a direct ownership interest or is a managerial official is
subject to the background study requirements of section 144.057. No individual may be
involved in the management, operation, or control of an assisted living facility if the
individual has been disqualified under chapter 245C.
new text end

new text begin (b) The commissioner shall not issue a license if any controlling individual, including
a managerial official, has been unsuccessful in having a background study disqualification
set aside under section 144.057 and chapter 245C.
new text end

new text begin (c) If the individual requests reconsideration of a disqualification under section 144.057
or chapter 245C and the commissioner sets aside or rescinds the disqualification, the
individual is eligible to be involved in the management, operation, or control of the assisted
living facility.
new text end

new text begin (d) If an individual has a disqualification under section 245C.15, subdivision 1, and the
disqualification is affirmed, the individual's disqualification is barred from a set aside and
the individual must not be involved in the management, operation, or control of the assisted
living facility.
new text end

new text begin (e) Data collected under this subdivision shall be classified as private data on individuals
under section 13.02, subdivision 12.
new text end

new text begin Subd. 8. new text end

new text begin Changes of ownership; current housing with services establishment
registrations. new text end

new text begin (a) If an applicant converting from a housing with services establishment
registration to an assisted living facility license anticipates a change of ownership transaction
effective on or after August 1, 2021, the applicant must submit an assisted living facility
change of ownership application with the assisted living facility license application and the
assisted living licensure fees in section 144.122, paragraph (d).
new text end

new text begin (b) Applications for changes of ownership under paragraph (a) must be submitted to the
commissioner at least 60 calendar days prior to the anticipated effective date of the sale or
transaction.
new text end

new text begin Subd. 9. new text end

new text begin Expiration. new text end

new text begin This section expires August 1, 2022.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 33.

Minnesota Statutes 2019 Supplement, section 144G.42, subdivision 9, is amended
to read:

Subd. 9.

Tuberculosis prevention and control.

new text begin (a) new text end The facility must establish and
maintain a comprehensive tuberculosis infection control program according to the most
current tuberculosis infection control guidelines issued by the United States Centers for
Disease Control and Prevention (CDC), Division of Tuberculosis Elimination, as published
in the CDC's Morbidity and Mortality Weekly Report (MMWR). The program must include
a tuberculosis infection control plan that covers all paid and unpaid employees, contractors,
students, and regularly scheduled volunteers. The commissioner shall provide technical
assistance regarding implementation of the guidelines.

new text begin (b) The facility must maintain written evidence of compliance with this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 34.

Minnesota Statutes 2019 Supplement, section 144G.42, is amended by adding a
subdivision to read:

new text begin Subd. 9a. new text end

new text begin Communicable diseases. new text end

new text begin The facility must follow current state requirements
for prevention, control, and reporting of communicable diseases as defined in Minnesota
Rules, parts 4605.7040, 4605.7044, 4605.7050, 4605.7075, 4605.7080, and 4605.7090.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 35.

Minnesota Statutes 2019 Supplement, section 144G.42, is amended by adding a
subdivision to read:

new text begin Subd. 9b. new text end

new text begin Infection control program. new text end

new text begin (a) The facility must establish and maintain an
effective infection control program that complies with accepted health care, medical, and
nursing standards for infection control, including during a disease pandemic.
new text end

new text begin (b) The facility must maintain written evidence of compliance with this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 36.

Minnesota Statutes 2019 Supplement, section 144G.42, is amended by adding a
subdivision to read:

new text begin Subd. 9c. new text end

new text begin SARSr-CoV infection control. new text end

new text begin (a) A facility must establish and maintain a
comprehensive SARSr-CoV infection control program that complies with accepted health
care, medical, and nursing standards for infection control according to the most current
SARS-CoV-2 infection control guidelines or their successor versions issued by the United
States Centers for Disease Control and Prevention, Centers for Medicare and Medicaid
Services, and the commissioner. This program must include a SARSr-CoV infection control
plan that covers all paid and unpaid employees, contractors, students, volunteers, residents,
and visitors. The commissioner shall provide technical assistance regarding implementation
of the guidelines.
new text end

new text begin (b) The facility must maintain written evidence of compliance with this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 37.

Minnesota Statutes 2019 Supplement, section 144G.42, is amended by adding a
subdivision to read:

new text begin Subd. 9d. new text end

new text begin Severe acute respiratory syndrome-related coronavirus response plan. new text end

new text begin (a)
A facility must establish, implement, and maintain a severe acute respiratory
syndrome-related coronavirus response plan. The severe acute respiratory syndrome-related
coronavirus response plan must be consistent with the requirements of subdivision 9c and
at a minimum must address the following:
new text end

new text begin (1) baseline and serial SARSr-CoV testing of all paid and unpaid employees, contractors,
students, volunteers, clients and visitors;
new text end

new text begin (2) use of personal protective equipment by all paid and unpaid employees, contractors,
students, volunteers, clients, and visitors;
new text end

new text begin (3) separation or isolation of clients infected with SARS-CoV-2 or a similar SARSr-CoV
from clients who are not;
new text end

new text begin (4) balancing the rights of residents with controlling the spread of SARS-CoV-2 or
similar SARSr-CoV infections;
new text end

new text begin (5) client relocations, including steps to be taken to mitigate trauma for relocated clients
receiving memory care;
new text end

new text begin (6) clearly informing clients of the facility's policies regarding the effect of hospice
orders, provider orders for life-sustaining treatment, do not resuscitate orders, and do not
intubate orders on any treatment of COVID-19 disease or similar severe acute respiratory
syndromes;
new text end

new text begin (7) mitigating the effects of separation or isolation of residents, including virtual visitation,
outdoor visitation, and for residents who cannot go outdoors, indoor visitation;
new text end

new text begin (8) compassionate care visitation;
new text end

new text begin (9) consideration of any campus model, multiple buildings on the same property, or any
mix of independent senior living units in the same building as assisted living units;
new text end

new text begin (10) steps to be taken when a client is suspected of having a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (11) steps to be taken when a client tests positive for a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (12) protocols for emergency medical responses involving clients with SARS-CoV-2
or similar SARSr-CoV infections, including infection control procedures following the
departure of ambulance service personnel or other first responders;
new text end

new text begin (13) notifying the commissioner when staffing levels are critically low; and
new text end

new text begin (14) taking into account dementia-related concerns.
new text end

new text begin (b) A facility must provide the commissioner with a copy of a severe acute respiratory
syndrome-related coronavirus response plan meeting the requirements of this subdivision.
new text end

new text begin (c) A facility must make its severe acute respiratory syndrome-related coronavirus
response plan available to staff, clients, and families of clients.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 38.

Minnesota Statutes 2019 Supplement, section 144G.45, subdivision 2, is amended
to read:

Subd. 2.

Fire protection and physical environment.

(a) Each assisted living facility
must deleted text begin have a comprehensive fire protection system that includes deleted text end new text begin comply with the State Fire
Code in Minnesota Rules, chapter 7511, and new text end :

(1) deleted text begin protection throughout by an approved supervised automatic sprinkler system according
to building code requirements established in Minnesota Rules, part 1305.0903, or smoke
detectors in each occupied room installed and maintained in accordance with the National
Fire Protection Association (NFPA) Standard 72 deleted text end new text begin for dwellings or sleeping units, as defined
in the Minnesota State Fire Code: (i) provide smoke alarms in each room used for sleeping
purposes; (ii) provide smoke alarms outside of each separate sleeping area in the immediate
vicinity of bedrooms; (iii) provide smoke alarms on each story within a dwelling unit,
including basements, but not including crawl spaces and unoccupied attics; (iv) where more
than one smoke alarm is required within an individual dwelling unit or sleeping unit,
interconnect all smoke alarms so that actuation of one alarm causes all alarms in the
individual dwelling unit or sleeping unit to operate; and (v) ensure the power supply for
existing smoke alarms complies with the State Fire Code, except that newly introduced
smoke alarms in existing buildings may be battery operated new text end ;

(2) new text begin install new text end portable fire extinguishers deleted text begin installed and deleted text end tested in accordance with the NFPA
Standard 10; and

(3) new text begin keep new text end the physical environment, including walls, floors, ceiling, all furnishings,
grounds, systems, and equipment deleted text begin that is kept deleted text end in a continuous state of good repair and
operation with regard to the health, safety, comfort, and well-being of the residents in
accordance with a maintenance and repair program.

(b) Fire drills in assisted living facilities shall be conducted in accordance with the
residential board and care requirements in the Life Safety Code, except that fire drills in
secured dementia care units shall be conducted in accordance with section 144G.81,
subdivision 2.

(c) Existing construction or elements, including assisted living facilities that were
registered as housing with services establishments under chapter 144D prior to August 1,
2021, shall be permitted to deleted text begin be continued deleted text end new text begin continue new text end in use provided such use does not constitute
a distinct hazard to life. Any existing elements that an authority having jurisdiction deems
a distinct hazard to life must be corrected. The facility must document in the facility's records
any actions taken to comply with a correction order, and must submit to the commissioner
for review and approval prior to correction.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 39.

Minnesota Statutes 2019 Supplement, section 144G.45, subdivision 5, is amended
to read:

Subd. 5.

Assisted living facilities; Life Safety Code.

(a) All assisted living facilities
with six or more residents must meet the applicable provisions of the deleted text begin most current deleted text end new text begin 2018 new text end
edition of the NFPA Standard 101, Life Safety Code, Residential Board and Care
Occupancies chapter. The minimum design standard shall be met for all new licenses, new
construction, modifications, renovations, alterations, changes of use, or additions.

(b) If the commissioner decides to update the Life Safety Code for purposes of this
subdivision, the commissioner must notify the chairs and ranking minority members of the
legislative committees and divisions with jurisdiction over health care and public safety of
the planned update by January 15 of the year in which the new Life Safety Code will become
effective. Following notice from the commissioner, the new edition shall become effective
for assisted living facilities beginning August 1 of that year, unless provided otherwise in
law. The commissioner shall, by publication in the State Register, specify a date by which
facilities must comply with the updated Life Safety Code. The date by which facilities must
comply shall not be sooner than six months after publication of the commissioner's notice
in the State Register.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 40.

Minnesota Statutes 2019 Supplement, section 144G.91, is amended by adding a
subdivision to read:

new text begin Subd. 5a. new text end

new text begin Choice of provider. new text end

new text begin Residents have the right to choose freely among available
providers and to change providers after services have begun, within the limits of health
insurance, long-term care insurance, medical assistance, other health programs, or public
programs.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 41.

Minnesota Statutes 2019 Supplement, section 144G.92, subdivision 5, is amended
to read:

Subd. 5.

Other laws.

Nothing in this section affects the rights new text begin and remedies new text end available
deleted text begin to a resident deleted text end under section 626.557 new text begin , subdivisions 10, 17, and 20 new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 42.

Minnesota Statutes 2019 Supplement, section 144G.92, is amended by adding a
subdivision to read:

new text begin Subd. 6. new text end

new text begin Cause of action. new text end

new text begin A cause of action for violations of this section may be brought
and nothing in this section precludes a person from pursuing such an action. Any
determination of retaliation by the commissioner under subdivision 4 may be used as evidence
of retaliation in any cause of action under this subdivision.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021.
new text end

Sec. 43.

new text begin [144G.925] PRIVATE ENFORCEMENT OF RIGHTS.
new text end

new text begin (a) For a violation of section 144G.91, subdivision 6, 8, 12, or 21, a resident or resident's
designated representative may bring a civil action against an assisted living establishment
and recover actual damages or $3,000, whichever is greater, plus costs, including costs of
investigation, and reasonable attorney fees, and receive other equitable relief as determined
by the court in addition to seeking any other remedy otherwise available under law.
new text end

new text begin (b) For a violation of section 144G.51, a resident is entitled to a permanent injunction,
and any other legal or equitable relief as determined by the court, including but not limited
to reformation of the contract and restitution for harm suffered, plus reasonable attorney
fees and costs.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 44.

Laws 2019, chapter 60, article 1, section 46, is amended to read:

Sec. 46. PRIORITIZATION OF ENFORCEMENT ACTIVITIES.

Within available appropriations to the commissioner of health for enforcement activities
for fiscal years 2020 deleted text begin and deleted text end new text begin , new text end 2021, new text begin and 2022, new text end the commissioner of health shall prioritize
enforcement activities taken under Minnesota Statutes, section 144A.442.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 45.

Laws 2019, chapter 60, article 5, section 2, is amended to read:

Sec. 2. COMMISSIONER OF HEALTH.

Subdivision 1.

General fund appropriation.

(a) $9,656,000 in fiscal year 2020 and
$9,416,000 in fiscal year 2021 are appropriated from the general fund to the commissioner
of health to implement regulatory activities relating to vulnerable adults and assisted living
licensure.

(b) Of the amount in paragraph (a), $7,438,000 in fiscal year 2020 and $4,302,000 in
fiscal year 2021 are for improvements to the current regulatory activities, systems, analysis,
reporting, and communications relating to regulation of vulnerable adults. The base for this
appropriation is $5,800,000 in fiscal year 2022 and $5,369,000 in fiscal year 2023.

(c) Of the amount in paragraph (a), $2,218,000 in fiscal year 2020 and $5,114,000 in
fiscal year 2021 are to establish assisted living licensure under Minnesota Statutes, deleted text begin section
144I.01 deleted text end new text begin sections 144G.08 to 144G.9999. The fiscal year 2021 appropriation is available
until June 30, 2023 new text end . This is a onetime appropriation.

Subd. 2.

State government special revenue fund appropriation.

$1,103,000 in fiscal
year 2020 and $1,103,000 in fiscal year 2021 are appropriated from the state government
special revenue fund to improve the frequency of home care provider inspections and to
implement assisted living licensure activities under Minnesota Statutes, deleted text begin section 144I.01 deleted text end new text begin
sections 144G.08 to 144G.9999 new text end . The base for this appropriation is $8,131,000 in fiscal year
2022 and $8,339,000 in fiscal year 2023.

Subd. 3.

Transfer.

The commissioner shall transfer fine revenue previously deposited
to the state government special revenue fund under Minnesota Statutes, section 144A.474,
subdivision 11, estimated to be $632,000 to a dedicated special revenue account in the state
treasury established for the purposes of implementing the recommendations of the Home
Care Advisory Council under Minnesota Statutes, section 144A.4799.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2020.
new text end

Sec. 46. new text begin SUSPENDING SERVICE TERMINATIONS, TRANSFERS, AND
DISCHARGES DURING THE COVID-19 PEACETIME EMERGENCY.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) The definitions in this subdivision apply to this section.
new text end

new text begin (b) "Arranged home care provider" has the meaning given in Minnesota Statutes, section
144D.01, subdivision 2a.
new text end

new text begin (c) "Client" has the meaning given in Minnesota Statutes, section 144G.01, subdivision
3.
new text end

new text begin (d) "Facility" means:
new text end

new text begin (1) a housing with services establishment registered under Minnesota Statutes, section
144D.02, and operating under title protection under Minnesota Statutes, sections 144G.01
to 144G.07; or
new text end

new text begin (2) a housing with services establishment registered under Minnesota Statutes, section
144D.02, and required to disclose special care status under Minnesota Statutes, section
325F.72.
new text end

new text begin (e) "Home care provider" has the meaning given in Minnesota Statutes, section 144A.43,
subdivision 4.
new text end

new text begin (f) "Service plan" has the meaning given in Minnesota Statutes, section 144A.43,
subdivision 27.
new text end

new text begin (g) "Services" means services provided to a client by a home care provider according
to a service plan.
new text end

new text begin Subd. 2. new text end

new text begin Suspension of home care service terminations. new text end

new text begin For the duration of the
peacetime emergency declared in Executive Order 20-01 or until Executive Order 20-01 is
rescinded, an arranged home care provider providing home care services to a client residing
in a facility must not terminate its client's services or service plan, unless one of the conditions
specified in Minnesota Statutes, section 144G.52, subdivision 5, paragraph (b), clauses (1)
to (3), are met. Nothing in this subdivision prohibits the transfer of a client under section
47.
new text end

new text begin Subd. 3. new text end

new text begin Suspension of discharges and transfers. new text end

new text begin For the duration of the peacetime
emergency declared in Executive Order 20-01 or until Executive Order 20-01 is rescinded,
nursing homes, boarding care homes, and long-term acute care hospitals must not discharge
or transfer residents except for transfers in accordance with guidance issued by the Centers
for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, and
the Minnesota Department of Health for the purposes of controlling SARS-CoV-2 infections,
or unless the failure to discharge or transfer the resident would endanger the health or safety
of the resident or other individuals in the facility.
new text end

new text begin Subd. 4. new text end

new text begin Pending discharge and transfer appeals. new text end

new text begin For the duration of the peacetime
emergency declared in Executive Order 20-01 or until Executive Order 20-01 is rescinded,
final decisions on appeals of transfers and appeals under section 52, subdivisions 5 to 11,
and Minnesota Statutes, section 144A.135, are stayed.
new text end

new text begin Subd. 5. new text end

new text begin Penalties. new text end

new text begin A person who willfully violates subdivisions 2 and 3 of this section
is guilty of a misdemeanor and upon conviction must be punished by a fine not to exceed
$1,000, or by imprisonment for not more than 90 days.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 47. new text begin TRANSFERS FOR COHORTING PURPOSES DURING THE COVID-19
PEACETIME EMERGENCY.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) The definitions in this subdivision apply to this section.
new text end

new text begin (b) "Dedicated COVID-19 care site" means:
new text end

new text begin (1) a dedicated facility for the care of individuals who have SARS-CoV-2 or similar
infections; and
new text end

new text begin (2) dedicated locations in a facility for the care of individuals who have SARS-CoV-2
or similar infections.
new text end

new text begin (c) "Facility" means:
new text end

new text begin (1) a housing with services establishment registered under Minnesota Statutes, section
144D.02, and operating under title protection under Minnesota Statutes, sections 144G.01
to 144G.07;
new text end

new text begin (2) a housing with services establishment registered under Minnesota Statutes, section
144D.02, and required to disclose special care status under Minnesota Statutes, section
325F.72;
new text end

new text begin (3) a nursing home licensed under Minnesota Statutes, chapter 144A; or
new text end

new text begin (4) a boarding care home licensed under Minnesota Statutes, sections 144.50 to 144.58.
new text end

new text begin Facility does not mean a hospital.
new text end

new text begin (d) "Resident" means:
new text end

new text begin (1) a person residing in a nursing home;
new text end

new text begin (2) a person residing in a boarding care home;
new text end

new text begin (3) a housing with services resident who receives assisted living that is subject to the
requirements of Minnesota Statutes, sections 144G.01 to 144G.07; or
new text end

new text begin (4) a resident of a housing with services establishment required to disclose special care
status under Minnesota Statutes, section 325F.72.
new text end

new text begin Subd. 2. new text end

new text begin Prohibited transfers and discharges. new text end

new text begin A hospital may not discharge or transfer
any patient who previously tested positive for SARS-CoV-2, regardless of the patient's
symptoms, to a facility other than a dedicated COVID-19 care site, unless the hospital
documents a test confirming the patient does not have a SARS-CoV-2 infection.
new text end

new text begin Subd. 3. new text end

new text begin Transfers for cohorting purposes. new text end

new text begin (a) A facility may transfer a resident to
another facility or location in a facility for the following cohorting purposes:
new text end

new text begin (1) transferring residents with symptoms of a respiratory infection or confirmed diagnosis
of COVID-19 to a dedicated COVID-19 care site; or
new text end

new text begin (2) transferring residents without symptoms of a respiratory infection or confirmed
diagnosis of COVID-19 or related infection to another facility or location in a facility
dedicated to caring for such residents and preventing them from acquiring COVID-19 for
the purposes of creating a dedicated COVID-19 care site.
new text end

new text begin The transferring facility must receive confirmation that the receiving facility agrees to accept
the resident to be transferred. Confirmation may be in writing or oral. If verbal, the
transferring facility must document who from the receiving facility communicated agreement
and the date and time this person communicated agreement.
new text end

new text begin (b) A spouse who resides with a transferred resident may elect to accompany the
transferred resident to the receiving facility to continue to reside with the resident transferred
for cohorting purposes. The transferring facility must disclose to the spouse of the transferred
resident the known risks to the spouse of accompanying the resident to the receiving facility.
new text end

new text begin Subd. 4. new text end

new text begin Required cohorting practices. new text end

new text begin (a) A facility must cohort residents with positive
tests for SARS-CoV-2, regardless of symptoms, in a dedicated COVID-19 care site until
such time as a resident has a confirmed negative test for SARS-CoV-2. A resident with a
confirmed negative test for SARS-CoV-2 may return to the facility or room from which the
resident was transferred, provided the facility or room is not a dedicated COVID-19 care
site.
new text end

new text begin (b) A facility that establishes a dedicated COVID-19 care site must dedicate staff,
supplies, and equipment exclusively to either the dedicated COVID-19 care site or to the
part of the facility that is not a dedicated COVID-19 care site. A facility must not permit
staff, supplies, or equipment to move between a dedicated COVID-19 care site and a building
or part of a facility that is not a dedicated COVID-19 care site.
new text end

new text begin (c) A facility must not permit a resident with a positive test for SARS-CoV-2 to share
a room or living unit with a resident who is not SARS-CoV-2 positive, unless the residents
are spouses or otherwise provide informed consent.
new text end

new text begin Subd. 5. new text end

new text begin Notice required. new text end

new text begin A transferring facility shall provide the transferred resident
and the legal or designated representatives of the transferred resident, if any, with a written
notice of transfer that includes the following information:
new text end

new text begin (1) the effective date of transfer;
new text end

new text begin (2) the reason permissible under subdivision 3 for the transfer;
new text end

new text begin (3) the name and contact information of a representative of the transferring facility with
whom the resident may discuss the transfer;
new text end

new text begin (4) the name and contact information of a representative of the receiving facility with
whom the resident may discuss the transfer;
new text end

new text begin (5) a statement that the transferring facility will participate in a coordinated move and
transfer of the care of the resident to the receiving facility, as required under section 52,
subdivision 16, and under Minnesota Statutes, section 144A.44, subdivision 1, clause (18);
new text end

new text begin (6) a statement that a transfer for cohorting purposes does not constitute a termination
of a lease, services, or a service plan; and
new text end

new text begin (7) a statement that a resident has a right to return to the transferring facility as provided
under subdivision 11.
new text end

new text begin Subd. 6. new text end

new text begin Waived transfer requirements for cohorting purposes. new text end

new text begin The following
requirements related to rights of residents, as defined in subdivision 1, paragraph (d), clauses
(3) and (4), are waived, or modified as indicated, only for purposes related to transfers to
another facility under subdivision 3:
new text end

new text begin (1) the right to take an active part in developing, modifying, and evaluating the plan and
services under Minnesota Statutes, section 144A.44, clause (2);
new text end

new text begin (2) rights under Minnesota Statutes, section 144A.44, clause (3);
new text end

new text begin (3) rights under Minnesota Statutes, section 144A.44, clause (4);
new text end

new text begin (4) rights under Minnesota Statutes, section 144A.44, clause (9);
new text end

new text begin (5) rights under Minnesota Statutes, section 144A.44, clause (15);
new text end

new text begin (6) timelines for completing assessments under Minnesota Statutes, section 144A.4791,
subdivision 8. A receiving facility must complete client assessments following a transfer
for cohorting purposes as soon as practicable; and
new text end

new text begin (7) timelines for completing service plans under Minnesota Statutes, section 144A.4791,
subdivision 9. A receiving facility must complete client service plans following a transfer
for cohorting purposes as soon as practicable and must review and use the care plan for a
transferred client provided by the transferring facility, adjusting it as necessary to protect
the health and safety of the client.
new text end

new text begin Subd. 7. new text end

new text begin Mandatory transfer of medical assistance clients for cohorting purposes. new text end

new text begin (a)
The commissioner of health has the authority to transfer medical assistance residents to
another facility for the purposes under subdivision 3.
new text end

new text begin (b) The commissioner of human services may not deny reimbursement to a facility
receiving a resident under this section for a private room or private living unit.
new text end

new text begin Subd. 8. new text end

new text begin Coordinated transfer required. new text end

new text begin Nothing in this section shall be considered
inconsistent with a resident's right to a coordinated move and transfer of care as required
under section 52, subdivision 16.
new text end

new text begin Subd. 9. new text end

new text begin Transfers not considered terminations. new text end

new text begin Nothing in this section shall be
considered inconsistent with a resident's rights under sections 46 and 52. A transfer under
this section is not a termination of a lease, services, or a service plan under section 46 or
52.
new text end

new text begin Subd. 10. new text end

new text begin No right of appeal. new text end

new text begin A resident may not appeal a transfer under subdivision
3.
new text end

new text begin Subd. 11. new text end

new text begin Right to return. new text end

new text begin If a resident is absent from a facility as a result of a transfer
under subdivision 3, the facility must allow a resident to return to the transferring facility,
provided the resident is determined not to be infectious according to current medical
standards.
new text end

new text begin Subd. 12. new text end

new text begin Appropriate transfers. new text end

new text begin The commissioner of health shall monitor all transfers
made under this section. The commissioner may audit transfers made under this section for
compliance with the requirements of this section and may take enforcement actions for
violations, including issuing fines. A violation of this section as applied to a resident is at
least a level 2 violation as defined in Minnesota Statutes, section 144A.474.
new text end

new text begin Subd. 13. new text end

new text begin Expiration. new text end

new text begin Subdivisions 1 to 9 expire 60 days after the peacetime emergency
declared by the governor under Minnesota Statutes, section 12.31, subdivision 2, for an
outbreak of COVID-19, is terminated or rescinded by proper authority.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 48. new text begin LONG-TERM CARE SEVERE ACUTE RESPIRATORY
SYNDROME-RELATED CORONAVIRUS TASK FORCE.
new text end

new text begin Subdivision 1. new text end

new text begin Membership. new text end

new text begin (a) A Long-Term Care Severe Acute Respiratory
Syndrome-Related Coronavirus Task Force consists of the following members:
new text end

new text begin (1) two senators, including one senator appointed by the senate majority leader and one
senator appointed by the senate minority leader, who shall each be ex officio nonvoting
members;
new text end

new text begin (2) two members of the house of representatives, including one member appointed by
the speaker of the house and one member appointed by the minority leader of the house of
representatives, who shall each be ex officio nonvoting members;
new text end

new text begin (3) four family members of an assisted living client or of a nursing home resident,
appointed by the governor;
new text end

new text begin (4) four assisted living clients or nursing home residents, appointed by the governor;
new text end

new text begin (5) one medical doctor board-certified in infectious disease, appointed by the Minnesota
Medical Association;
new text end

new text begin (6) two medical doctors board-certified in geriatric medicine, appointed by the Minnesota
Network of Hospice and Palliative Care;
new text end

new text begin (7) one registered nurse or advanced practice registered nurse who provides care in a
nursing home or assisted living services, appointed by the Minnesota Chapter of the American
Assisted Living Nurses Association;
new text end

new text begin (8) two licensed practical nurses who provide care in a nursing home or assisted living
services, appointed by the Minnesota Chapter of the American Assisted Living Nurses
Association;
new text end

new text begin (9) one certified home health aide providing assisted living services or one certified
nursing assistant providing care in a nursing home, appointed by the Minnesota Home Care
Association;
new text end

new text begin (10) one personal care assistant who provides care in a nursing home or a facility in
which assisted living services are provided;
new text end

new text begin (11) one medical director of a licensed nursing home, appointed by the Minnesota
Association of Geriatrics Inspired Clinicians;
new text end

new text begin (12) one medical director of a licensed hospice provider, appointed by the Minnesota
Association of Geriatrics Inspired Clinicians;
new text end

new text begin (13) one licensed nursing home administrator, appointed by the Minnesota Board of
Executives for Long Term Services and Supports;
new text end

new text begin (14) one licensed assisted living director, appointed by the Minnesota Board of Executives
for Long Term Services and Support;
new text end

new text begin (15) two representatives of organizations representing long-term care providers, one
appointed by LeadingAge Minnesota and one appointed by Care Providers of Minnesota;
new text end

new text begin (16) one representative of a corporate owner of a licensed nursing home or of a housing
with services establishment operating under Minnesota Statutes, chapter 144G, assisted
living title protection, appointed by the Minnesota HomeCare Association;
new text end

new text begin (17) two representatives of an organization representing clients or families of clients
receiving assisted living services or residents or families of residents of nursing homes, one
appointed by Elder Voices Family Advocates and one appointed by AARP Minnesota;
new text end

new text begin (18) one representative of an organization representing clients and residents living with
dementia, appointed by the Minnesota-North Dakota Chapter of the Alzheimer's Association;
new text end

new text begin (19) one representative of an organization representing people experiencing maltreatment,
appointed by the Minnesota Elder Justice Center;
new text end

new text begin (20) one attorney specializing in housing law, appointed by Mid-Minnesota Legal Aid,
Southern Minnesota Regional Legal Services;
new text end

new text begin (21) one attorney specializing in elder law or disability benefits law, appointed by the
Governing Council of the Elder Law Section of the Minnesota State Bar Association;
new text end

new text begin (22) one chaplain in a long-term care setting, appointed by the Association of Professional
Chaplains (Minnesota);
new text end

new text begin (23) the commissioner of human services or a designee, who shall be an ex officio
nonvoting member;
new text end

new text begin (24) the commissioner of health or a designee, who shall be an ex officio nonvoting
member; and
new text end

new text begin (25) the ombudsman for long-term care or designee, who shall be an ex officio nonvoting
member.
new text end

new text begin (b) Appointing authorities must make initial appointments to the Long-Term Care Severe
Acute Respiratory Syndrome-Related Coronavirus Task Force by August 1, 2020.
new text end

new text begin Subd. 2. new text end

new text begin Duties. new text end

new text begin The Long-Term Care Severe Acute Respiratory Syndrome-Related
Coronavirus Task Force is established to study various methods of balancing the rights of
assisted living clients and nursing home residents with the risk of outbreaks of SARS-CoV-2
or similar SARSr-CoV infections and COVID-19 disease or similar severe acute respiratory
syndromes, and to advise the commissioners of health and human services on the use of
their temporary emergency authorities with respect to providing long-term care during a
peacetime emergency related to a severe acute respiratory syndrome-related coronavirus or
severe acute respiratory syndromes. Goals of the task force are to minimize the number of
deaths in long-term care facilities resulting from COVID-19 disease or similar severe acute
respiratory syndromes and to alleviate isolation. At a minimum, the task force must study:
new text end

new text begin (1) how to minimize isolating assisted living clients and nursing home residents who
are neither suspected or confirmed to have active SARS-CoV-2 or similar SARSr-CoV
infections;
new text end

new text begin (2) how to separate assisted living clients and nursing home residents who are suspected
or confirmed to have active SARS-CoV-2 or similar SARSr-CoV infections from those
clients and residents who are neither suspected or confirmed to have active SARS-CoV-2
or similar SARSr-CoV infections;
new text end

new text begin (3) how to create facilities dedicated to caring for assisted living clients and nursing
home residents with symptoms of a respiratory infection or confirmed diagnosis of
COVID-19 disease or similar severe acute respiratory syndromes;
new text end

new text begin (4) how to create facilities dedicated to caring for assisted living clients and nursing
home residents without symptoms of a respiratory infection or confirmed not to have
COVID-19 disease or similar severe acute respiratory syndromes to prevent them from
acquiring COVID-19 disease or similar severe acute respiratory syndromes;
new text end

new text begin (5) how to create facilities dedicated to caring for, isolating, and observing for up to 14
days assisted living clients and nursing home residents with known exposure to SARS-CoV-2
or a similar SARSr-CoV; and
new text end

new text begin (6) best practices related to executing hospice orders, provider orders for life-sustaining
treatment, do not resuscitate orders, and do not intubate orders when treating an assisted
living or nursing home resident for COVID-19 disease or similar severe acute respiratory
syndromes.
new text end

new text begin Subd. 3. new text end

new text begin Advisory opinions. new text end

new text begin The task force may issue advisory opinions to the
commissioners of health and human services regarding the commissioners' use of temporary
emergency authorities granted under emergency executive orders and in law, as well as
under any existing nonemergency authorities. The task force shall elect by majority vote
an author of each advisory opinion. The task force shall forward any advisory opinions it
issues to the chairs and ranking minority members of the legislative committees with
jurisdiction over health and human services policy and finance.
new text end

new text begin Subd. 4. new text end

new text begin Report. new text end

new text begin By January 15, 2021, the task force must report to the chairs and
ranking minority members of the legislative committees with jurisdiction over health policy
and finance. The report must:
new text end

new text begin (1) summarize the activities of the task force; and
new text end

new text begin (2) make recommendations for legislative action.
new text end

new text begin Subd. 5. new text end

new text begin First meeting; chair. new text end

new text begin The commissioner of health or a designee must convene
the first meeting of the Long-Term Care Severe Acute Respiratory Syndrome-Related
Coronavirus Task Force by August 1, 2020. At the first meeting, the task force shall elect
a chair by a majority vote of those members present. The chair has authority to convene
additional meetings as needed.
new text end

new text begin Subd. 6. new text end

new text begin Meetings. new text end

new text begin The meetings of the task force are subject to Minnesota Statutes,
chapter 13D.
new text end

new text begin Subd. 7. new text end

new text begin Administration. new text end

new text begin The commissioner of health shall provide administrative
services for the task force.
new text end

new text begin Subd. 8. new text end

new text begin Compensation. new text end

new text begin Public members are compensated as provided in Minnesota
Statutes, section 15.059, subdivision 4.
new text end

new text begin Subd. 9. new text end

new text begin Expiration. new text end

new text begin This section expires one year after the implementation of assisted
living licensure under Minnesota Statutes, chapter 144G.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 49. new text begin DIRECTION TO THE COMMISSIONER OF HEALTH; ELECTRONIC
MONITORING CONSENT FORM.
new text end

new text begin The commissioner of health shall modify the Resident Representative Consent Form
and the Roommate Representative Consent Form related to electronic monitoring under
Minnesota Statutes, section 144.6502, by removing the instructions requiring a resident
representative to obtain a written determination by the medical professional of the resident
that the resident currently lacks the ability to understand and appreciate the nature and
consequences of electronic monitoring. The commissioner shall not require a resident
representative to submit a written determination with the consent forms.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 50. new text begin DIRECTION TO THE COMMISSIONER OF HEALTH; CONTROLLING
SEVERE ACUTE RESPIRATORY SYNDROME-RELATED CORONAVIRUS IN
LONG-TERM CARE SETTINGS.
new text end

new text begin Subdivision 1. new text end

new text begin State plan for combating severe acute respiratory syndrome-related
coronavirus. new text end

new text begin (a) The commissioner of health shall create a state plan for combating the
spread of SARS-CoV-2 or similar SARSr-CoV infections and COVID-19 disease or similar
severe acute respiratory syndromes among residents of long-term care settings. For the
purposes of this section, "long-term care setting" or "setting" means: (1) a housing with
services establishment registered under Minnesota Statutes, section 144D.02, and operating
under title protection under Minnesota Statutes, sections 144G.01 to 144G.07; (2) a housing
with services establishment registered under Minnesota Statutes, section 144D.02, and
required to disclose special care status under Minnesota Statutes, section 325F.72; (3) a
nursing home licensed under Minnesota Statutes, chapter 144A; (4) a boarding care home
licensed under Minnesota Statutes, sections 144.50 to 144.58; or (5) independent senior
living. For the purposes of this section, "resident" means any individual residing in a
long-term care setting. The commissioner must consult with the Long-Term Care Severe
Acute Respiratory Syndrome-Related Coronavirus Task Force regarding the creation of
and modifications or amendments to the state plan.
new text end

new text begin (b) In the plan, the commissioner of health must provide long-term care settings with
guidance on alleviating isolation of residents who are not suspected or known to have an
active SARS-CoV-2 or similar SARSr-CoV infection or COVID-19 disease or similar severe
acute respiratory syndromes, including recommendations on how to safely ease restrictions
on visitors entering the setting and on free movement of clients and residents within the
setting and the community.
new text end

new text begin (c) In the state plan, the commissioner must at a minimum address the following:
new text end

new text begin (1) baseline and serial SARSr-CoV testing of all paid and unpaid employees, contractors,
students, volunteers, residents, and visitors;
new text end

new text begin (2) use of personal protective equipment by all paid and unpaid employees, contractors,
students, volunteers, residents, and visitors;
new text end

new text begin (3) separation or isolation of residents infected with SARS-CoV-2 or a similar
SARSr-CoV from residents who are not;
new text end

new text begin (4) balancing the rights of residents with controlling the spread of SARS-CoV-2 or
similar SARSr-CoV infections;
new text end

new text begin (5) resident relocations, including steps to be taken to mitigate trauma for relocated
residents receiving memory care;
new text end

new text begin (6) clearly informing residents of the setting's policies regarding the effect of hospice
orders, provider orders for life-sustaining treatment, do not resuscitate orders, and do not
intubate orders on any treatment of COVID-19 disease or similar severe acute respiratory
syndromes;
new text end

new text begin (7) mitigating the effects of separation or isolation of residents, including virtual visitation,
outdoor visitation, and for residents who cannot go outdoors, indoor visitation;
new text end

new text begin (8) compassionate care visitation;
new text end

new text begin (9) consideration of any campus model, multiple buildings on the same property, or any
mix of independent senior living units in the same building as assisted living units;
new text end

new text begin (10) steps to be taken when a resident is suspected of having a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (11) steps to be taken when a resident tests positive for a SARS-CoV-2 or similar
SARSr-CoV infection;
new text end

new text begin (12) protocols for emergency medical responses involving residents with SARS-CoV-2
or similar SARSr-CoV infections, including infection control procedures following the
departure of ambulance service personnel or other first responders;
new text end

new text begin (13) notifying the commissioner when staffing levels are critically low; and
new text end

new text begin (14) taking into account dementia-related concerns.
new text end

new text begin Subd. 2. new text end

new text begin Enforcement of disease prevention and infection control requirements
during the pandemic. new text end

new text begin The commissioner of health shall develop protocols to ensure during
the pandemic safe and timely surveys of licensed providers and facilities providing service
in a long-term care setting for compliance with all applicable disease prevention and infection
control requirements.
new text end

new text begin Subd. 3. new text end

new text begin Maltreatment investigations during the pandemic. new text end

new text begin The commissioner of
health shall develop protocols to ensure during the pandemic that there are safe and timely
investigations of maltreatment complaints involving residents.
new text end

new text begin Subd. 4. new text end

new text begin Personal protective equipment. new text end

new text begin The commissioner shall develop policies and
procedures to ensure that long-term care settings are given priority access to personal
protective equipment similar to the priority granted to hospitals.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 51. new text begin LONG-TERM CARE COVID-19-RELATED TESTING PROGRAMS.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) The definitions in this subdivision apply to this section.
new text end

new text begin (b) "Allowable costs" means costs associated with COVID-19-related testing services
incurred by a facility while implementing a COVID-19 testing program, provided the testing
products used have received Emergency Use Authorization under section 564 of the federal
Food, Drug, and Cosmetic Act.
new text end

new text begin (c) "COVID-19-related testing services" means any diagnostic product available for the
detection of SARS-CoV-2 or the diagnosis of COVID-19; any product available to determine
whether a person has developed a detectable antibody response to SARS-CoV-2 or had
COVID-19 in the past; specimen collection; specimen transportation; specimen testing; and
any associated services from a health care professional, clinic, or laboratory.
new text end

new text begin (d) "Facility" means a nursing home licensed under Minnesota Statutes, section 144A.02;
a boarding care home licensed under Minnesota Statutes, sections 144.50 to 144.58; a
housing with services establishment registered under Minnesota Statutes, section 144D.02,
and operating under title protection under Minnesota Statutes, section 144G.02; a housing
with services establishment registered under Minnesota Statutes, section 144D.02, and
required to disclose special care status under Minnesota Statutes, section 325F.72; and
independent senior living settings.
new text end

new text begin (e) "Public health care program" means medical assistance under Minnesota Statutes,
chapter 256B, and Laws 2020, chapter 74, article 1, section 12; MinnesotaCare; Medicare;
and medical assistance for uninsured individuals under Laws 2020, chapter 74, article 1,
section 11.
new text end

new text begin (f) "Serial COVID-19 testing" means repeat testing for SARS-CoV-2 infections no more
than three days after baseline testing and periodically thereafter.
new text end

new text begin Subd. 2. new text end

new text begin Testing program required. new text end

new text begin (a) Each facility shall establish, implement, and
maintain a comprehensive COVID-19 infection control program according to the most
current SARS-CoV-2 testing guidance for nursing homes released by the United States
Centers for Disease Control and Prevention (CDC). A comprehensive COVID-19 infection
control program must include a COVID-19 testing program that requires baseline and serial
COVID-19 testing of all residents, staff, visitors, and others entering the facility. All staff
considered health care workers under the facility's tuberculosis screening program must be
included in the facility's COVID-19 testing program. The commissioner of health shall
provide technical assistance regarding implementation of the CDC guidance.
new text end

new text begin (b) The commissioner may impose a fine not to exceed $1,000 on a facility that does
not implement and maintain a testing program as required under this section. A facility may
appeal an imposed fine under the contested case procedure in Minnesota Statutes, section
144A.475, subdivisions 3a, 4, and 7. Fines collected under this section shall be deposited
in the state treasury and credited to the state government special revenue fund. Continued
noncompliance with the requirements of this section may result in revocation or nonrenewal
of facilities' license or registration. The commissioner shall make public the list of all
facilities that are not in compliance with this section.
new text end

new text begin Subd. 3. new text end

new text begin Baseline testing grants. new text end

new text begin Within the limits of money specifically appropriated
to the commissioner of human services under section 53, paragraph (a), the commissioner
of human services shall make COVID-19 baseline testing grants to any facility that has not
completed COVID-19 baseline testing. The commissioner shall determine the amount of
each baseline screening grant, and shall award a grant only if funds are not otherwise
available.
new text end

new text begin Subd. 4. new text end

new text begin Serial screening reimbursement. new text end

new text begin (a) Within the limits of money specifically
appropriated to the commissioner of human services under section 53, paragraph (b), the
commissioner of human services shall reimburse each facility for the allowable costs of
eligible COVID-19-related testing services that a facility cannot otherwise afford upon
submission by a facility of a COVID-19-related testing services cost report.
new text end

new text begin (b) The commissioner of human services shall develop a COVID-19-related testing
services cost report.
new text end

new text begin (c) A facility may submit a COVID-19-related testing services cost report once per
month. If the commissioner of human services determines that a facility is in financial crisis,
the facility may submit a cost report once every two weeks.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 52. new text begin CONSUMER PROTECTIONS FOR ASSISTED LIVING CLIENTS.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) The definitions in this subdivision apply to this section.
new text end

new text begin (b) "Appropriate service provider" means an arranged home care provider that can
adequately provide to a client the services agreed to in the service agreement.
new text end

new text begin (c) "Arranged home care provider" has the meaning given in Minnesota Statutes, section
144D.01, subdivision 2a.
new text end

new text begin (d) "Client" has the meaning given in Minnesota Statutes, section 144G.01, subdivision
3.
new text end

new text begin (e) "Client representative" means one of the following in the order of priority listed, to
the extent the person may reasonably be identified and located:
new text end

new text begin (1) a court-appointed guardian acting in accordance with the powers granted to the
guardian under Minnesota Statutes, chapter 524;
new text end

new text begin (2) a conservator acting in accordance with the powers granted to the conservator under
Minnesota Statutes, chapter 524;
new text end

new text begin (3) a health care agent acting in accordance with the powers granted to the health care
agent under Minnesota Statutes, chapter 145C;
new text end

new text begin (4) an attorney-in-fact acting in accordance with the powers granted to the attorney-in-fact
by a written power of attorney under Minnesota Statutes, chapter 523; or
new text end

new text begin (5) a person who:
new text end

new text begin (i) is not an agent of a facility or an agent of a home care provider; and
new text end

new text begin (ii) is designated by the client orally or in writing to act on the client's behalf.
new text end

new text begin (f) "Facility" means:
new text end

new text begin (1) a housing with services establishment registered under Minnesota Statutes, section
144D.02, and operating under title protection under Minnesota Statutes, sections 144G.01
to 144G.07; or
new text end

new text begin (2) a housing with services establishment registered under Minnesota Statutes, section
144D.02, and required to disclose special care status under Minnesota Statutes, section
325F.72.
new text end

new text begin (g) "Home care provider" has the meaning given in Minnesota Statutes, section 144A.43,
subdivision 4.
new text end

new text begin (h) "Safe location" means a location that does not place a client's health or safety at risk.
A safe location is not a private home where the occupant is unwilling or unable to care for
the client, a homeless shelter, a hotel, or a motel.
new text end

new text begin (i) "Service plan" has the meaning given in Minnesota Statutes, section 144A.43,
subdivision 27.
new text end

new text begin (j) "Services" means services provided to a client by a home care provider according to
a service plan.
new text end

new text begin Subd. 2. new text end

new text begin Prerequisite to termination; meeting. new text end

new text begin (a) A facility and the arranged home
care provider must schedule and participate in a meeting with the client and the client
representative before the arranged home care provider issues a notice of termination of
services.
new text end

new text begin (b) A facility must schedule and participate in a meeting with the client and client
representative before the facility issues a termination of housing.
new text end

new text begin (c) The purposes of the meeting required under paragraph (a) are to:
new text end

new text begin (1) explain in detail the reasons for the proposed termination; and
new text end

new text begin (2) identify and offer reasonable accommodations or modifications, interventions, or
alternatives to avoid the termination including but not limited to securing services from
another home care provider of the client's choosing. A facility or arranged home care provider
is not required to offer accommodations, modifications, interventions, or alternatives that
fundamentally alter the nature of the operation of the facility or arranged home care provider.
new text end

new text begin (d) The meeting required under paragraph (a) must be scheduled to take place at least
seven days before a notice of termination is issued. The facility or arranged home care
provider, as applicable, must make reasonable efforts to ensure that the client and the client
representative are able to attend the meeting.
new text end

new text begin Subd. 3. new text end

new text begin Pretermination meeting; notice. new text end

new text begin (a) The arranged home care provider, the
facility, or both, as applicable, must provide written notice of the meeting to the client and
the client's representative at least five business days in advance.
new text end

new text begin (b) For a client who receives home and community-based waiver services under
Minnesota Statutes, section 256B.49, and chapter 256S, the arranged home care provider
must provide written notice of the meeting to the client's case manager at least five business
days in advance.
new text end

new text begin (c) The meeting must be scheduled to take place at least seven calendar days before a
notice of termination is issued. The arranged home care provider, in collaboration with the
facility, must make reasonable efforts to ensure that the client and the client's representative
are able to attend the meeting.
new text end

new text begin (d) The written notice under paragraphs (a) and (b) must include:
new text end

new text begin (1) the time, date, and location of the meeting;
new text end

new text begin (2) a detailed explanation of the reasons for the proposed termination;
new text end

new text begin (3) a list of facility and arranged home care provider representatives who will attend the
meeting;
new text end

new text begin (4) an explanation that the client may invite family members, representatives, health
professionals, and other individuals to participate in the meeting;
new text end

new text begin (5) contact information for the Office of Ombudsman for Long-Term Care and the Office
of Ombudsman for Mental Health and Developmental Disabilities with a statement that the
ombudsman offices provide advocacy services to clients;
new text end

new text begin (6) the name and contact information of an individual at the facility whom the client
may contact about the meeting or to request an accommodation;
new text end

new text begin (7) notice that attendees may request reasonable accommodations if the client has a
communication disability or speaks a language other than English;
new text end

new text begin (8) notice that if the client's housing or services are terminated, the client has the right
to appeal under subdivision 10; and
new text end

new text begin (9) notice that the client may invite family members, health professionals, a representative
of the Office of Ombudsman for Long-Term Care, or other persons of the client's choosing
to attend the meeting. For clients who receive home and community-based waiver services
under Minnesota Statutes, section 256B.49, and chapter 256S, the facility must notify the
client's case manager of the meeting.
new text end

new text begin (e) The arranged home care provider and the facility must provide written notice to the
client, the client's representative, and the client's case manager of any change to the date,
time, or location of the pretermination meeting.
new text end

new text begin Subd. 4. new text end

new text begin Pretermination meeting requirements; identifying and offering
accommodations, modifications, and alternatives. new text end

new text begin (a) At the meeting described in
subdivision 2, the arranged home care provider, the facility, or both, as applicable, must:
new text end

new text begin (1) explain in detail the reasons for the proposed termination; and
new text end

new text begin (2) collaborate with the client and the client's representative, case manager, and any
other individual invited by the client, to identify and offer any potential reasonable
accommodations, modifications, interventions, or alternatives that can address the issue
identified in clause (1).
new text end

new text begin (b) Within 24 hours after the conclusion of the meeting, the arranged home care provider,
the facility, or both, as applicable, must provide the client with a written summary of the
meeting, including any agreements reached about any accommodation, modification,
intervention, or alternative that will be used to avoid termination.
new text end

new text begin Subd. 5. new text end

new text begin Emergency-relocation notice. new text end

new text begin (a) A facility may remove a client from the
facility in an emergency if necessary due to a client's urgent medical needs or if the client
poses an imminent risk to the health or safety of another client, arranged home care provider
staff member, or facility staff member. An emergency relocation is not a termination.
new text end

new text begin (b) In the event of an emergency relocation, the facility, in coordination with the arranged
home care provider, must provide a written notice that contains, at a minimum:
new text end

new text begin (1) the reason for the relocation;
new text end

new text begin (2) the name and contact information for the location to which the client has been
relocated and any new service provider;
new text end

new text begin (3) the contact information for the Office of Ombudsman for Long-Term Care;
new text end

new text begin (4) if known and applicable, the approximate date or ranges of dates within which the
client is expected to return to the facility, or a statement that a return date is not currently
known; and
new text end

new text begin (5) a statement that, if the facility or arranged home care provider refuse to provide either
housing or services after a relocation, the client has a right to appeal under subdivision 10.
The facility, in coordination with the arranged home care provider, must provide contact
information for the agency to which the resident may submit an appeal.
new text end

new text begin (c) The notice required under paragraph (b) must be delivered as soon as practicable to:
new text end

new text begin (1) the client and the client's representative;
new text end

new text begin (2) for residents who receive home and community-based waiver services under
Minnesota Statutes, section 256B.49, and chapter 256S, the client's case manager; and
new text end

new text begin (3) the Office of Ombudsman for Long-Term Care if the client has been relocated and
has not returned to the facility within four days.
new text end

new text begin (d) Following an emergency relocation, a facility or an arranged home care provider's
refusal to provide housing or services, respectively, constitutes a termination and triggers
the termination process in this section.
new text end

new text begin (e) When an emergency relocation triggers the termination process and an in-person
meeting as described in subdivision 5 is impractical or impossible, the facility and arranged
home care provider may use telephonic, video, or other electronic format.
new text end

new text begin (f) If the meeting is held through telephone, video, or other electronic format, the facility
and arranged home care provider must ensure that the client, the client's representative, and
any case manager or representative of an ombudsman's office are able to participate in the
meeting. The facility and arranged home care provider must make reasonable efforts to
ensure that any person the client invites to the meeting is able to participate.
new text end

new text begin (g) The facility and arranged home care provider must issue the notice in this subdivision
at least 24 hours in advance of the meeting. The notice must include detailed instructions
on how to access the means of communication for the meeting.
new text end

new text begin (h) If notice to the ombudsman is required under paragraph (c), clause (3), the arranged
home care provider, the facility, or both, as applicable, must provide the notice no later than
24 hours after the notice requirement is triggered.
new text end

new text begin Subd. 6. new text end

new text begin Restrictions on housing terminations. new text end

new text begin (a) A facility may not terminate housing
except as provided in this subdivision.
new text end

new text begin (b) Upon 30 days' prior written notice, a facility may initiate a termination of housing
only for:
new text end

new text begin (1) nonpayment of rent, provided the facility informs the client that public benefits may
be available and provides contact information for the Senior LinkAge Line under Minnesota
Statutes, section 256.975, subdivision 7. An interruption to a client's public benefits that
lasts for no more than 60 days does not constitute nonpayment; or
new text end

new text begin (2) a violation of a lawful provision of housing if the client does not cure the violation
within a reasonable amount of time after the facility provides written notice to the client of
the ability to cure. Written notice of the ability to cure may be provided in person or by first
class mail. A facility is not required to provide a client with written notice of the ability to
cure for a violation that threatens the health or safety of the client or another individual in
the facility, including the staff of the arranged home care provider, or for a violation that
constitutes illegal conduct.
new text end

new text begin (c) Upon 15 days' prior written notice, a facility may terminate housing only if the client
has:
new text end

new text begin (1) engaged in conduct that substantially interferes with the rights, health, or safety of
other clients;
new text end

new text begin (2) engaged in conduct that substantially and intentionally interferes with the safety or
physical health of the staff of the arranged home care provider, the facility, or both, as
applicable; or
new text end

new text begin (3) committed an act listed in Minnesota Statutes, section 504B.171, that substantially
interferes with the rights, health, or safety of other clients.
new text end

new text begin (d) Nothing in this subdivision affects the rights and remedies available to facilities and
clients under Minnesota Statutes, chapter 504B.
new text end

new text begin Subd. 7. new text end

new text begin Restrictions on terminations of services. new text end

new text begin (a) An arranged home care provider
may not terminate services of a client in a facility except as provided in this subdivision.
new text end

new text begin (b) Upon 30 days' prior written notice, an arranged home care provider may initiate a
termination of services for nonpayment if the client does not cure the violation within a
reasonable amount of time after the arranged home care provider provides written notice
to the client of the ability to cure. An interruption to a client's public benefits that lasts for
no more than 60 days does not constitute nonpayment.
new text end

new text begin (c) Upon 15 days' prior written notice, an arranged home care provider may terminate
services only if:
new text end

new text begin (1) the client has engaged in conduct that substantially interferes with the client's health
or safety;
new text end

new text begin (2) the client's assessed needs exceed the scope of services agreed upon in the service
plan and are not otherwise offered by the arranged home care provider; or
new text end

new text begin (3) extraordinary circumstances exist, causing the arranged home care provider to be
unable to provide the client with the services agreed to in the service plan that are necessary
to meet the client's needs.
new text end

new text begin Subd. 8. new text end

new text begin Notice of termination required. new text end

new text begin (a) An arranged home care provider, a facility,
or both, as applicable, must issue a written notice of termination according to this subdivision.
The facility and arranged home care provider must send a copy of the termination notice to
the Office of Ombudsman for Long-Term Care and, for residents who receive home and
community-based services under Minnesota Statutes, section 156B. 49, and chapter 256S,
to the client's case manager, as soon as practicable after providing notice to the client. A
facility and arranged home care provider may terminate housing, services, or both, only as
permitted under subdivisions 8 and 9.
new text end

new text begin (b) A facility terminating housing under subdivision 6, paragraph (b), must provide a
written termination notice at least 30 days before the effective date of the termination to the
client and the client's representative.
new text end

new text begin (c) A facility terminating housing under subdivision 6, paragraph (c), must provide a
written termination notice at least 15 days before the effective date of the termination to the
client and the client's representative.
new text end

new text begin (d) An arranged home care provider terminating services under subdivision 7, paragraph
(b), must provide a written termination notice at least 30 days before the effective date of
the termination to the client and the client's representative.
new text end

new text begin (e) An arranged home care provider terminating services under subdivision 7, paragraph
(c), must provide a written termination notice at least 15 days before the effective date of
the termination to the client and the client's representative.
new text end

new text begin (f) If a resident moves out of a facility or cancels services received from the arranged
home care provider, nothing in this section prohibits the facility or arranged home care
provider from enforcing against the client any notice periods with which the client must
comply under the lease or the service agreement.
new text end

new text begin Subd. 9. new text end

new text begin Contents of notice of termination. new text end

new text begin (a) The notice required under subdivision
8 must contain, at a minimum:
new text end

new text begin (1) the effective date of the termination;
new text end

new text begin (2) a detailed explanation of the basis for the termination, including the clinical or other
supporting rationale;
new text end

new text begin (3) a detailed explanation of the conditions under which a new or amended lease or
service agreement may be executed;
new text end

new text begin (4) a statement that the resident has the right to appeal the termination by requesting a
hearing, and information concerning the time frame within which the request must be
submitted and the contact information for the agency to which the request must be submitted;
new text end

new text begin (5) a statement that the arranged home care provider, the facility, or both, as applicable,
must participate in a coordinated move as described in this section;
new text end

new text begin (6) the name and contact information of the person employed by the facility or the
arranged home care provider with whom the client may discuss the termination;
new text end

new text begin (7) information on how to contact the Office of Ombudsman for Long-Term Care to
request an advocate to assist regarding the termination;
new text end

new text begin (8) information on how to contact the Senior LinkAge Line under Minnesota Statutes,
section 256.975, subdivision 7, and an explanation that the Senior LinkAge Line may provide
information about other available housing or service options; and
new text end

new text begin (9) if the termination is only for services, a statement that the resident may remain in
the facility and may secure any necessary services from another provider of the resident's
choosing.
new text end

new text begin (b) An arranged home care provider, the facility, or both, as applicable, must provide
written notice of the client's termination of housing or services, respectively, in person or
by first-class mail. Service of the notice must be proved by affidavit of the person making
it.
new text end

new text begin (c) If sent by mail, the arranged home care provider, the facility, or both, as applicable,
must mail the notice to the client's last known address.
new text end

new text begin (d) An arranged home care provider, the facility, or both, as applicable, providing a
notice to the ombudsman of a client's termination of housing or services must provide the
ombudsman with a copy of the written notice that is provided to the client. The arranged
home care provider, the facility, or both, as applicable, must provide notice to the ombudsman
as soon as practicable, but in any event no later than two business days after notice is
provided to the client. The notice must include a telephone number for the client, or, if the
client does not have a telephone number, the telephone number of the client's representative
or case manager.
new text end

new text begin Subd. 10. new text end

new text begin Right to appeal and permissible grounds to appeal termination. new text end

new text begin (a) A
client has the right to appeal the termination of housing or services termination.
new text end

new text begin (b) A client may appeal a termination initiated under subdivisions 6 and 7 on the ground
that:
new text end

new text begin (1) there is a factual dispute as to whether the arranged home care provider, the facility,
or both, as applicable, had a permissible basis to initiate the termination;
new text end

new text begin (2) the termination would result in great harm or the potential for great harm to the client
as determined by the totality of the circumstances, except in circumstances where there is
a greater risk of harm to other clients or staff of the arranged home care provider, the facility,
or both, as applicable;
new text end

new text begin (3) the client has corrected or demonstrated the ability to correct the reasons for the
termination, or has identified a reasonable accommodation or modification, intervention,
or alternative to the termination; or
new text end

new text begin (4) the arranged home care provider, the facility, or both, as applicable, has terminated
housing, services, or both, in violation of state or federal law.
new text end

new text begin (c) Upon receipt of written notice of termination, a client has 30 calendar days to appeal
the termination.
new text end

new text begin Subd. 11. new text end

new text begin Appeal process. new text end

new text begin (a) The Office of Administrative Hearings must conduct an
expedited hearing no later than practicable under this section, but no later than 14 calendar
days after the office receives the request, unless the parties agree otherwise or the chief
administrative law judge deems the timing to be unreasonable, given the complexity of the
issues presented.
new text end

new text begin (b) In a process to be determined by the commissioner, the client shall contact the
commissioner to request an appeal of the termination within 30 days of written receipt of
the termination notice, which will be timely scheduled with the Office of Administrative
Hearings.
new text end

new text begin (c) The hearing must be held at the facility where the client lives, unless holding the
hearing at that location is impractical, the parties agree to hold the hearing at a different
location, or the chief administrative law judge grants a party's request to appear at another
location or by remote means.
new text end

new text begin (d) The hearing is not a formal contested case proceeding, except when determined
necessary by the chief administrative law judge. If the chief administrative law judge
determines that the hearing shall proceed as a formal contested case proceeding, the hearing
shall be held according to the Minnesota Revenue Recapture Act, Minnesota Rules, parts
1400.8505 to 1400.8612.
new text end

new text begin (e) The administrative law judge shall make a transcript of the hearing.
new text end

new text begin (f) The informal hearing will allow the client to provide an opportunity to present written
or oral objections or defenses to the termination.
new text end

new text begin (g) If either party is represented by an attorney, the administrative law judge shall
emphasize the informality of the hearing.
new text end

new text begin (h) If the client is unable to represent themselves at the hearing, the resident may present
the client's appeal to the administrative law judge on the client's behalf.
new text end

new text begin (i) Parties may be, but are not required to be, represented by counsel. The appearance
of a party without counsel does not constitute the unauthorized practice of law.
new text end

new text begin (j) The arranged home care provider, the facility, or both, as applicable, bears the burden
of proof to establish by a preponderance of the evidence that the termination was permissible
if the appeal is brought on the ground listed in subdivision 12, paragraph (a), clause (4).
new text end

new text begin (k) The client bears the burden of proof to establish by a preponderance of the evidence
that the termination was permissible if the appeal is brought on the grounds listed in
subdivision 12, paragraph (b), clause (2) or (3).
new text end

new text begin (l) The hearing shall be limited to the amount of time necessary for the participants to
expeditiously present the facts about the proposed termination. The administrative law judge
shall issue a final decision as soon as practicable, but no later than ten business days after
the hearing.
new text end

new text begin (m) The administrative law judge's decision may contain any conditions that may be
placed on the client's continued residency or receipt of services, including but not limited
to changes to the service plan or a required increase in services.
new text end

new text begin (n) The client's termination must be rescinded if the client prevails in the appeal.
new text end

new text begin (o) The facility, arranged home care provider, or client may appeal the administrative
law judge's decision to the Minnesota Court of Appeals.
new text end

new text begin Subd. 12. new text end

new text begin Service provision while appeal pending. new text end

new text begin A termination of housing or services
shall not occur while an appeal is pending. If additional services are needed to meet the
health or safety needs of the client while an appeal is pending, the client is responsible for
contracting for those additional services from the facility or another home care provider
licensed under Minnesota Statutes, chapter 144A, and for ensuring the costs for those
additional services are covered.
new text end

new text begin Subd. 13. new text end

new text begin Application of chapter 504B to appeals of terminations. new text end

new text begin A client may not
bring an action under Minnesota Statutes, chapter 504B, to challenge a termination that has
occurred and been upheld under this section.
new text end

new text begin Subd. 14. new text end

new text begin Restriction on lease nonrenewals. new text end

new text begin If a facility decides to not renew a client's
lease, the facility must:
new text end

new text begin (1) provide the client with 60 calendar days' notice of the nonrenewal;
new text end

new text begin (2) ensure a coordinated move as provided under this section;
new text end

new text begin (3) consult and cooperate with the client; the client representative; the case manager of
a client who receives home and community-based waiver services under Minnesota Statutes,
section 256B.49, and chapter 256S; relevant health professionals; and any other person of
the client's choosing, to make arrangements to move the client; and
new text end

new text begin (4) prepare a written plan to prepare for the move.
new text end

new text begin Subd. 15. new text end

new text begin Right to return. new text end

new text begin If a client is absent from a facility for any reason, the facility
shall not refuse to allow a client to return if a lease termination has not been effectuated.
new text end

new text begin Subd. 16. new text end

new text begin Coordinated moves. new text end

new text begin (a) A facility or an arranged home care provider, as
applicable, must arrange a coordinated move for a client according to this subdivision if:
new text end

new text begin (1) a facility terminates a lease or closes the facility;
new text end

new text begin (2) an arranged home care provider terminates services; or
new text end

new text begin (3) an arranged home care provider reduces or eliminates services to the extent that the
client needs to move.
new text end

new text begin (b) If an event listed in paragraph (a) occurs, the arranged home care provider, together
with the facility must:
new text end

new text begin (1) ensure a coordinated move to a safe location that is appropriate for the client and
that is identified by the arranged home care provider;
new text end

new text begin (2) ensure a coordinated move to an appropriate service provider identified by the
arranged home care provider, provided services are still needed and desired by the client;
and
new text end

new text begin (3) consult and cooperate with the client; the client's representative; the case manager
for a client who receives home and community-based waiver services under Minnesota
Statutes, section 256B.49, and chapter 256S; relevant health professionals; and any other
person of the client's choosing, to make arrangements to move the client.
new text end

new text begin (c) The requirements in paragraph (b), clauses (1) and (2), may be satisfied by moving
the client to a different location within the same facility, if appropriate for the client.
new text end

new text begin (d) A client may decline to move to the location the facility identifies or to accept services
from a service provider the arranged home care provider identifies, and may choose instead
to move to a location of the client's choosing or to receive services from a service provider
of the client's choosing.
new text end

new text begin (e) Sixty days before the arranged home care provider reduces or eliminates one or more
services for a particular client, the arranged home care must provide written notice of the
reduction or elimination. If the facility, arranged home care provider, client, or client's
representative determines that the reduction or elimination of services will force the client
to move to a new location, the facility in coordination with the arranged home care provider
must ensure a coordinated move in accordance with this subdivision, and must provide
notice to the Office of Ombudsman for Long-Term Care.
new text end

new text begin (f) The facility or arranged home care provider, as applicable, must prepare a
client-relocation evaluation and client-relocation plan as described in this section to prepare
for the move to the new location or service provider.
new text end

new text begin (g) With the client's knowledge and consent, if the client is relocated to another facility
or to a nursing home, or if care is transferred to another service provider, the arranged home
care provider, the facility, or both, must timely convey to the new facility, nursing home,
or service provider:
new text end

new text begin (1) the client's full name, date of birth, and insurance information;
new text end

new text begin (2) the name, telephone number, and address of the client's representative, if any;
new text end

new text begin (3) the client's current, documented diagnoses that are relevant to the services being
provided;
new text end

new text begin (4) the client's known allergies that are relevant to the services being provided;
new text end

new text begin (5) the name and telephone number of the client's physician, if known, and the current
physician orders that are relevant to the services being provided;
new text end

new text begin (6) all medication administration records that are relevant to the services being provided;
new text end

new text begin (7) the most recent client assessment, if relevant to the services being provided; and
new text end

new text begin (8) copies of health care directives, "do not resuscitate" orders, and any guardianship
orders or powers of attorney.
new text end

new text begin Subd. 17. new text end

new text begin Client-relocation evaluation. new text end

new text begin If the client plans to move out of the facility
due to termination of housing or services, or nonrenewal of housing, the arranged home
care provider and the facility must work in coordination to prepare a written client-relocation
evaluation. The evaluation must include:
new text end

new text begin (a) the client's current service plan;
new text end

new text begin (b) a list of safe and appropriate housing and service providers that are in reasonable in
close proximity to the facility and are able to accept a new client; and
new text end

new text begin (c) the client's needs and choices.
new text end

new text begin Subd. 18. new text end

new text begin Client-relocation plan. new text end

new text begin (a) The arranged home care provider, in coordination
with the facility, must hold a planning conference to develop a relocation plan with the
client, the client's representative and case manager, if any, and other individuals invited by
the client.
new text end

new text begin (b)The client-relocation plan must accommodate the client-relocation evaluation
developed in subdivision 17.
new text end

new text begin (c) The client-relocation plan must include:
new text end

new text begin (1) the date and time that the client will move;
new text end

new text begin (2) how the client and the client's personal property, including pets, will be transported
to the new housing provider;
new text end

new text begin (3) how the facility will care for and store the client's belongings;
new text end

new text begin (4) recommendations to assist the client to adjust to the new living environment;
new text end

new text begin (5) recommendations for addressing the stress that a client with dementia may experience
when moving to a new living environment, if applicable;
new text end

new text begin (6) recommendations for ensuring the safe and proper transfer of the client's medications
and durable medical equipment;
new text end

new text begin (7) arrangements that have been made for the client's follow-up care and meals;
new text end

new text begin (8) a plan for transferring and reconnecting telephone and Internet services; and
new text end

new text begin (9) the party responsible for paying moving expenses and how the expenses will be paid.
new text end

new text begin (d) The facility and arranged home care provider must implement the relocation plan
and comply with the coordinated move requirements in this section.
new text end

new text begin Subd. 19. new text end

new text begin Providing client-relocation information to new provider. new text end

new text begin With the client's
consent, the arranged home care provider and the facility must provide the following
information in writing to the client's receiving facility or other service provider:
new text end

new text begin (1) the name and address of the facility and arranged home care provider, the dates of
the client's admission and discharge, and the name and address of a person at the facility
and arranged home care provider to contact for additional information;
new text end

new text begin (2) the client's most recent service plan, if the client has received services from the
arranged home care provider; and
new text end

new text begin (3) the client's currently active "do not resuscitate" order and "physician order for life
sustaining treatment," if any.
new text end

new text begin Subd. 20. new text end

new text begin Client discharge summary. new text end

new text begin At the time of discharge, the arranged home care
provider in coordination with the facility, must provide the client, and, with the client's
consent, the client's representative and case manager, if applicable, with a written discharge
summary that includes:
new text end

new text begin (1) a summary of the client's stay that includes diagnoses, courses of illnesses, treatments,
and therapies, and pertinent lab, radiology, and consultation results;
new text end

new text begin (2) a final summary of the client's status from the latest assessment or review under
Minnesota Statutes, section 144A.4791, if applicable;
new text end

new text begin (3) reconciliation of all predischarge medications with the client's postdischarge
prescribed and over-the-counter medications; and
new text end

new text begin (4) postdischarge care plan that is developed with the client and, with the client's consent,
the client's representative, which will help the client adjust to a new living environment.
The postdischarge care plan must indicate where the client plans to reside, any arrangements
that have been made for the client's follow-up care, and any post-discharge medical and
non-medical services the client will need.
new text end

new text begin Subd. 21. new text end

new text begin Services pending appeal. new text end

new text begin If a client needs additional services during a pending
termination appeal, the arranged home care provider must contact and inform the client's
case manager, if applicable, of the client's responsibility to contract and ensure payment for
those services.
new text end

new text begin Subd. 22. new text end

new text begin Client assessment. new text end

new text begin If an arranged home care provider seeks to terminate a
client's services on the basis of subdivision 7, paragraph (c), clause (2), the provider must
give the assessment that forms the basis of the termination to the client and include the name
and contact information of any medical professionals who performed the assessment.
new text end

new text begin Subd. 23. new text end

new text begin Appealing on behalf of client. new text end

new text begin A client may appeal the termination directly
or through an individual acting on the client's behalf.
new text end

new text begin Subd. 24. new text end

new text begin No waiver. new text end

new text begin No facility or arranged home care provider may request or require
that a client waive the client's rights or requirements under this section at any time or for
any reason, including as a condition of admission to the facility.
new text end

new text begin Subd. 25. new text end

new text begin Assisted living bill of rights. new text end

new text begin (a) Assisted living clients, as defined in
Minnesota Statutes, section 144G.01, subdivision 3, shall be provided with the home care
bill of rights in Minnesota Statutes, section 144A.44, except that for assisted living clients
the provision in Minnesota Statutes, section 144A.44, subdivision 1, paragraph (1), clause
(17) does not apply and instead assisted living clients must be advised they have the right
to reasonable, advance notice of changes in services or charges.
new text end

new text begin (b) This subdivision supercedes Minnesota Statutes, sections 144A.441 and 144A.442,
until those sections are repealed.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for contracts entered into on or after the
date of enactment for this section and expires July 31, 2021.
new text end

Sec. 53. new text begin APPROPRIATION; COVID-19 SCREENING PROGRAM.
new text end

new text begin (a) $....... in fiscal year 2020 is appropriated from the coronavirus relief fund to the
commissioner of human services for COVID-19 baseline screening grants under section 1.
This is a onetime appropriation.
new text end

new text begin (b) $....... in fiscal year 2021 is appropriated from the coronavirus relief fund to the
commissioner of human services for cost-based reimbursement for COVID-19 serial
screening under section 1. This is a onetime appropriation.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 54. new text begin APPROPRIATION; BOARD OF EXECUTIVES FOR LONG TERM
SERVICES AND SUPPORTS.
new text end

new text begin $467,000 in fiscal year 2021 is appropriated from the state government special revenue
fund to the Board of Executives for Long Term Services and Supports for operations and
is effective the day following final enactment. The base for this appropriation is $722,000
in fiscal year 2022 and $742,000 in fiscal year 2023.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end