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SF 979

1st Engrossment - 84th Legislature (2005 - 2006) Posted on 12/15/2009 12:00am

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - 1st Engrossment

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A bill for an act
relating to health; establishing a healthy biomonitoring program; requiring
reports; appropriating money; proposing coding for new law in Minnesota
Statutes, chapter 144.

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

Section 1.

new text begin [144.995] HEALTHY MINNESOTANS BIOMONITORING
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Citation. new text end

new text begin Sections 144.995 to 144.999 may be cited as the healthy
Minnesotans biomonitoring program.
new text end

new text begin Subd. 2. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of sections 144.995 to 144.999, the following
definitions apply.
new text end

new text begin (b) "Biomonitoring" means the process by which the presence and concentration
of toxic chemicals and their metabolites are identified within a biospecimen as a means
to assess the accumulation of pollutants in a human body.
new text end

new text begin (c) "Biospecimen" means a sample of human blood, hair, urine, breast milk, body
fat, or other body tissue or any other biophysical substance that is reasonably available as
a medium to measure the presence and concentration of toxic chemicals.
new text end

new text begin (d) "Commissioner" means the commissioner of health.
new text end

new text begin (e) "Panel" means the Healthy Minnesotans Biomonitoring Program Advisory Panel
established under section 144.996.
new text end

new text begin (f) "Toxic chemical" means a chemical:
new text end

new text begin (1) for which data provided by scientific, peer-reviewed animal, cell, or human
studies have demonstrated the chemical is known or strongly suspected to negatively
impact human health by contributing to an increase in serious illness or mortality; and
new text end

new text begin (2) that has been identified according to section 144.997.
new text end

new text begin Subd. 3. new text end

new text begin Establishment; duties. new text end

new text begin (a) The commissioner shall establish the healthy
Minnesotans biomonitoring program. The program shall provide community-based
biomonitoring on a strictly voluntary and confidential basis by utilizing biospecimens, as
appropriate, to identify toxic chemicals that may be present in the environment.
new text end

new text begin (b) Initially, to the extent that funds are available, the program shall examine breast
milk in three economically, racially, and geographically diverse communities and identify
any toxic chemical that is present in the breast milk. The commissioner shall expand
the program, to the extent that funds are available, by examining other biospecimens in
additional communities.
new text end

new text begin (c) When a toxic chemical is detected in a program participant, the commissioner, in
consultation with the commissioners of agriculture, natural resources, and the Pollution
Control Agency, and other public or private entities, as appropriate, shall examine the
possible presence of the toxic chemical in the surrounding environment and possible
routes of exposure and disease outcomes and shall develop recommendations to reduce or
minimize possible contamination or exposure to the toxic chemical.
new text end

new text begin Subd. 4. new text end

new text begin Participation. new text end

new text begin (a) Participation in the biomonitoring program is voluntary.
All participants shall be evaluated for the presence of toxic chemicals as a component of
the biomonitoring process. Participants shall receive consultation, health care referrals,
and follow-up counseling and shall be offered educational materials, including, but not
limited to, information regarding possible routes of exposure, ways to reduce exposure,
and the availability of state and local resources.
new text end

new text begin (b) Data collected under the biomonitoring program are health data for purposes of
section 13.3805 and shall not be made public without the written and informed consent of
the individual to whom it pertains.
new text end

new text begin Subd. 5. new text end

new text begin Program guidelines. new text end

new text begin (a) The commissioner, in consultation with the
panel, shall develop:
new text end

new text begin (1) model protocols or program guidelines that address the science and practice of
biomonitoring to be utilized and procedures for changing those protocols to incorporate
new and more accurate or efficient technologies as they become available. The model
protocols shall be developed utilizing a peer review process in a manner that is
participatory and community-based in design, implementation, and evaluation;
new text end

new text begin (2) guidelines for ensuring confidentiality; informed consent; follow-up counseling
and support; and communicating findings to participants, communities, and the general
public;
new text end

new text begin (3) educational and outreach materials that are culturally appropriate for
dissemination to program participants and communities. Priority shall be given to the
development of materials specifically designed to ensure that parents are informed about
all of the benefits of breastfeeding so that the program does not result in an unjustified fear
of toxins in breast milk, which might inadvertently lead parents to avoid breastfeeding.
The materials shall communicate relevant scientific findings; data on the accumulation of
pollutants; possible routes of exposure; population-based health effects and toxicity; the
benefits of linking the accumulation of pollutants to community health; and the required
responses by local, state, and other governmental entities in regulating toxicant exposures;
new text end

new text begin (4) a training program that is culturally sensitive specifically for health care
providers, health educators, and other program administrators; and
new text end

new text begin (5) a designation process for state and private laboratories that are qualified to
analyze biospecimens and report the findings.
new text end

new text begin (b) The commissioner may enter into contractual agreements with health clinics,
community-based organizations, or experts in a particular field to perform any of the
activities described under this subdivision.
new text end

Sec. 2.

new text begin [144.996] HEALTHY MINNESOTANS BIOMONITORING PROGRAM
ADVISORY PANEL.
new text end

new text begin Subdivision 1. new text end

new text begin Creation. new text end

new text begin (a) The commissioner shall establish the Healthy
Minnesotans Biomonitoring Program Advisory Panel. The panel shall be composed of
two committees, the scientific committee and the community representative committee,
with a membership of eight voting members on each committee. The community
representative committee shall also include nonvoting members appointed according
to subdivision 2, paragraph (d).
new text end

new text begin (b) The commissioner shall appoint, from the panel's membership, the chair of each
of the committees, who shall also serve as cochairs of the panel.
new text end

new text begin (c) The panel shall meet as often as it deems necessary but at a minimum on a
quarterly basis.
new text end

new text begin (d) Members of the panel and the committees shall serve without compensation but
shall be reimbursed for travel and other necessary expenses incurred through performance
of their duties under sections 144.995 to 144.997.
new text end

new text begin Subd. 2. new text end

new text begin Membership. new text end

new text begin (a) Eight of the voting members shall be appointed by
the commissioner, four of the voting members shall be appointed under the rules of the
senate, and four of the voting members shall be appointed under the rules of the house of
representatives. Nonvoting members shall be appointed by the commissioner according
to paragraph (d). All members shall be appointed to the panel by July 1, 2006. Each
voting member shall be appointed for a three-year term. All appointments made by the
commissioner shall be approved by the governor.
new text end

new text begin (b) The scientific committee shall be composed of eight members with background
or training in interpreting biomonitoring studies or in related fields or science, including,
but not limited to, the fields of health tracking, social science, laboratory science,
occupational health, industrial hygiene, toxicology, epidemiology, environmental health,
environmental hazards, and public health.
new text end

new text begin (c) The community representative committee shall be composed of eight members
from the following nongovernmental organizations:
new text end

new text begin (1) one member from a breast cancer awareness organization;
new text end

new text begin (2) one member from an organization with a focus on environmental health;
new text end

new text begin (3) one member from an organization with a focus on environmental justice;
new text end

new text begin (4) one member from an organization with a focus on child environmental health;
new text end

new text begin (5) one member from an organization promoting breastfeeding;
new text end

new text begin (6) one member from a labor organization;
new text end

new text begin (7) one member from private industry with a verifiable and consistent commitment
to sustainable core business practices that reduce environmental toxins; and
new text end

new text begin (8) one member from a public health organization.
new text end

new text begin (d) The commissioner shall appoint the following additional nonvoting members to
the community representative committee:
new text end

new text begin (1) one representative from the Maternal and Child Health Division of the
Department of Health; and
new text end

new text begin (2) one member from each participating community.
new text end

new text begin Members appointed under this paragraph may be reappointed at any time and are not
subject to the three-year term.
new text end

new text begin Subd. 3. new text end

new text begin Committee duties. new text end

new text begin (a) The scientific committee shall make
recommendations to the panel on:
new text end

new text begin (1) chemicals that should be added to or deleted from the list of chemicals identified
under section 144.997;
new text end

new text begin (2) priorities for biomonitoring in Minnesota;
new text end

new text begin (3) the adequacy and appropriate interpretation of biomonitoring investigations
carried out under the program; and
new text end

new text begin (4) collecting and analyzing data, including the tracking of diseases for which there
is scientific evidence of an environmental etiology.
new text end

new text begin (b) The community representative committee shall make recommendations to the
panel on:
new text end

new text begin (1) study sites or communities for the program;
new text end

new text begin (2) identifying possible community partners;
new text end

new text begin (3) training programs and educational and outreach materials; and
new text end

new text begin (4) dissemination of findings to biomonitoring program participants and to the
general public.
new text end

Sec. 3.

new text begin [144.997] TOXIC CHEMICALS.
new text end

new text begin Subdivision 1. new text end

new text begin Identification. new text end

new text begin The commissioner shall identify and list toxic
chemicals that shall be included within the scope of the healthy Minnesotans biomonitoring
program. To be included on the list, all of the following criteria must be met:
new text end

new text begin (1) the chemical is recommended for inclusion by the scientific committee under
section 144.996;
new text end

new text begin (2) the scientific, peer-reviewed data from animal, cell, or human studies have
demonstrated the chemical is known or strongly suspected to negatively impact human
health by contributing to an increase in serious illness or mortality;
new text end

new text begin (3) Minnesotans are exposed to the chemical; and
new text end

new text begin (4) the chemical is listed as a toxic chemical on either a state or federal list.
new text end

new text begin Subd. 2. new text end

new text begin Implementation. new text end

new text begin (a) The commissioner shall prioritize the toxic chemicals
under subdivision 1 according to the threat the chemicals pose to public health.
new text end

new text begin (b) The commissioner shall initially implement the biomonitoring activities of the
program with regard to the 20 toxic chemicals that present the greatest public health risk.
new text end

new text begin (c) The commissioner shall add additional chemicals in order of priority to the
extent funds are available.
new text end

Sec. 4.

new text begin [144.998] BIOMONITORING FISCAL PROVISIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Creation of account. new text end

new text begin A healthy Minnesotans biomonitoring program
account is established in the state government special revenue fund. The account consists
of money appropriated by the legislature and any other funds identified for use by the
healthy Minnesotans biomonitoring program. All interest earned on money deposited into
the account shall be retained in the account. Money in the account is appropriated to the
commissioner for the purpose of implementing the healthy Minnesotan biomonitoring
program.
new text end

new text begin Subd. 2. new text end

new text begin Other funding. new text end

new text begin The commissioner shall seek funding from federal and
private sources.
new text end

Sec. 5.

new text begin [144.999] BIOMONITORING REPORTS.
new text end

new text begin (a) By January 15, 2008, the commissioner shall submit a report to the legislature
summarizing the initial activities of the healthy Minnesotans biomonitoring program,
including a program description, the methodology used, and the initial outcomes.
new text end

new text begin (b) Thereafter, the commissioner shall prepare a biennial report describing the
effectiveness of the program, including analysis of the health and environmental exposure
data collected to adequately monitor the activities under section 144.995. The report shall
be made available to local public health departments and the general public in a summary
format that protects the confidentiality of program participants. The commissioner shall
disseminate the report via the Department of Health's Web site.
new text end