1st Engrossment - 79th Legislature (1995 - 1996) Posted on 12/15/2009 12:00am
1.1 A bill for an act 1.2 relating to health; permitting the establishment of a 1.3 medical education and research trust fund; modifying 1.4 the provisions related to managed care organizations; 1.5 modifying the provisions related to children's camps; 1.6 modifying the licensing provisions for alcohol and 1.7 drug counselors; modifying the regulatory provisions 1.8 for food and beverage establishments, hotels, motels, 1.9 lodging establishments, and resorts; removing certain 1.10 reporting requirements for hospitals and surgical 1.11 centers; eliminating the directory of the healing 1.12 arts; clarifying the religious denomination 1.13 exceptions; modifying the definition of recreational 1.14 camping area; requiring a report on immunization law 1.15 and policy; modifying the risk adjustment association; 1.16 amending Minnesota Statutes 1994, sections 62Q.075, 1.17 subdivision 2; 144.572; 144.71, subdivisions 1 and 2; 1.18 144.72, subdivisions 1 and 2; 144.73, subdivision 1; 1.19 144.74; 144A.09, subdivision 1; 144A.20, subdivision 1.20 2; 148C.09, by adding a subdivision; and 327.14, 1.21 subdivision 8; Minnesota Statutes 1995 Supplement, 1.22 sections 62Q.03, subdivision 8; 148C.01, subdivisions 1.23 12 and 13; 148C.02, subdivisions 1 and 2; 148C.03, 1.24 subdivision 1; 148C.04, subdivisions 3, 4, and by 1.25 adding a subdivision; 148C.05, subdivision 1; 148C.06; 1.26 148C.11, subdivisions 1 and 3; 157.011, subdivision 1; 1.27 157.15, subdivisions 4, 5, 6, 9, 12, 13, 14, and by 1.28 adding subdivisions; 157.16; 157.17, subdivision 2; 1.29 157.20, subdivision 1, and by adding a subdivision; 1.30 and 157.21; proposing coding for new law in Minnesota 1.31 Statutes, chapter 62J; repealing Minnesota Statutes 1.32 1994, sections 144.691, subdivision 4; 146.14; and 1.33 146.20; Minnesota Statutes 1995 Supplement, sections 1.34 157.03; 157.15, subdivision 2; 157.18; and 157.19. 1.35 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.36 Section 1. [62J.69] [MEDICAL EDUCATION AND RESEARCH TRUST 1.37 FUND.] 1.38 Subdivision 1. [DEFINITIONS.] For purposes of this 1.39 section, the following definitions apply: 1.40 (a) "Medical education" means the accredited clinical 2.1 training of physicians (medical students and residents), 2.2 dentists, advanced practice nurses (clinical nurse specialist, 2.3 certified registered nurse anesthetists, nurse practitioners, 2.4 and certified nurse midwives), and physician assistants. 2.5 (b) "Clinical training" means accredited training that 2.6 occurs in both inpatient and ambulatory care settings. 2.7 (c) "Trainee" means students involved in an accredited 2.8 clinical training program for medical education as defined in 2.9 paragraph (a). 2.10 (d) "Health care research" means approved clinical, 2.11 outcomes, and health services investigations that are funded by 2.12 patient out-of-pocket expenses or a third-party payer. 2.13 (e) "Commissioner" means the commissioner of health. 2.14 (f) "Teaching institutions" means any hospital, medical 2.15 center, clinic, or other organization that currently sponsors or 2.16 conducts accredited medical education programs or clinical 2.17 research in Minnesota. 2.18 Subd. 2. [ALLOCATION AND FUNDING FOR MEDICAL EDUCATION AND 2.19 RESEARCH.] (a) The commissioner may establish a trust fund for 2.20 the purposes of funding medical education and research 2.21 activities in the state of Minnesota. 2.22 (b) By January 1, 1997, the commissioner may appoint a 2.23 commission to provide advice and oversight on the distribution 2.24 of funds from the medical education and research trust fund. If 2.25 a commission is appointed the commissioner shall: (1) consider 2.26 the interest of all stakeholders when selecting commission 2.27 members; (2) select members that represent both urban and rural 2.28 interest; and (3) select members that include ambulatory care as 2.29 well as inpatient perspectives. The commissioner shall appoint 2.30 to the commission representatives of the following groups: 2.31 medical researchers, public and private academic medical 2.32 centers, managed care organizations, Blue Cross and Blue Shield 2.33 of Minnesota, commercial carriers, Minnesota Medical 2.34 Association, nursing, employers, and other relevant 2.35 stakeholders, including consumers. The commission is governed 2.36 by section 15.059 for membership terms and removal of members 3.1 and will sunset on June 30, 1999. 3.2 (c) Eligible applicants for funds are accredited medical 3.3 education teaching institutions, consortia, and programs. 3.4 Applications must be received by September 30 of each year for 3.5 distribution by January 1 of the following year. An application 3.6 for funds must include the following: 3.7 (1) the official name and address of the institution, 3.8 facility, or program that is applying for funding; 3.9 (2) the name, title, and business address of those persons 3.10 responsible for administering the funds; 3.11 (3) the total number, type, and specialty orientation of 3.12 eligible trainees in each accredited medical education program 3.13 applying for funds; 3.14 (4) audited clinical training costs per trainee for each 3.15 medical education program; 3.16 (5) a description of current sources of funding for medical 3.17 education costs including a description and dollar amount of all 3.18 state and federal financial support; 3.19 (6) other revenue received for the purposes of clinical 3.20 training; 3.21 (7) a statement identifying unfunded costs; and 3.22 (8) other supporting information the commissioner, with 3.23 advice from the advisory commission, determines is necessary for 3.24 the equitable distribution of funds. 3.25 (d) The commissioner shall distribute medical education 3.26 funds to all qualifying applicants based on the following basic 3.27 criteria: (1) total medical education funds available; (2) 3.28 total trainees in each eligible education program; (3) the 3.29 statewide average cost per trainee, by type of trainee, in each 3.30 medical education program; and (4) a program incentive factor to 3.31 be determined each year by the commissioner in consultation with 3.32 the advisory commission. The program incentive factor should 3.33 reflect the priorities and needs of the state in terms of health 3.34 care workforce. The incentive factor may not be used if the 3.35 commissioner finds (i) that workforce needs and priorities have 3.36 not been adequately documented, or (ii) that market forces are 4.1 adequately addressing workforce requirements. Funds distributed 4.2 shall not be used to displace current funding appropriations 4.3 from federal or state sources. 4.4 (e) Medical education programs receiving funds from the 4.5 trust fund must submit annual cost and program reports based on 4.6 criteria established by the commissioner. The reports must 4.7 include: 4.8 (1) the total number of eligible trainees in the program; 4.9 (2) the type of programs and residencies funded; 4.10 (3) the average cost per trainee and a detailed breakdown 4.11 of the components of those costs; 4.12 (4) other state or federal appropriations received for the 4.13 purposes of clinical training; 4.14 (5) other revenue received for the purposes of clinical 4.15 training; and 4.16 (6) other information the commissioner, with advice from 4.17 the advisory commission, deems appropriate to evaluate the 4.18 effectiveness of the use of funds for clinical training. 4.19 The commissioner, with advice from the advisory commission, 4.20 will provide an annual summary report to the legislature on 4.21 program implementation due February 15 of each year. 4.22 (f) The commissioner is authorized to distribute funds made 4.23 available through: 4.24 (1) voluntary contributions by employers or other entities; 4.25 (2) allocations for the department of human services to 4.26 support medical education and research; and 4.27 (3) other sources as identified and deemed appropriate by 4.28 the legislature for inclusion in the trust fund. 4.29 (g) The commission shall continue to study and make 4.30 recommendations on: 4.31 (1) the funding of medical research consistent with work 4.32 currently mandated by the legislature and under way at the 4.33 department of health; 4.34 (2) the costs and benefits associated with medical 4.35 education and research; and 4.36 (3) workforce requirements and state priorities. 5.1 Sec. 2. Minnesota Statutes 1995 Supplement, section 5.2 62Q.03, subdivision 8, is amended to read: 5.3 Subd. 8. [GOVERNANCE.](a)The association shall be 5.4 governedby an interim 19-member board as follows: one provider5.5member appointed by the Minnesota Hospital Association; one5.6provider member appointed by the Minnesota Medical Association;5.7one provider member appointed by the governor; three members5.8appointed by the Minnesota Council of HMOs to include an HMO5.9with at least 50 percent of total membership enrolled through a5.10public program; three members appointed by Blue Cross and Blue5.11Shield of Minnesota, to include a member from a Blue Cross and5.12Blue Shield of Minnesota affiliated health plan with fewer than5.1350,000 enrollees and located outside the Minneapolis-St. Paul5.14metropolitan area; two members appointed by the Insurance5.15Federation of Minnesota; one member appointed by the Minnesota5.16Association of Counties; and three public members appointed by5.17the governor, to include at least one representative of a public5.18program. The commissioners of health, commerce, human services,5.19and employee relations shall be nonvoting ex officio members.5.20(b) The board may elect officers and establish committees5.21as necessary.5.22(c) A majority of the members of the board constitutes a5.23quorum for the transaction of business.5.24(d) Approval by a majority of the board members present is5.25required for any action of the board.5.26(e) Interim board members shall be appointed by July 1,5.271994, and shall serve until a new board is elected according to5.28the plan of operation developed by the association.5.29(f) A member may designate a representative to act as a5.30member of the interim board in the member's absenceaccording to 5.31 the plan of operation as established in subdivision 8a of this 5.32 section. 5.33 Sec. 3. Minnesota Statutes 1994, section 62Q.075, 5.34 subdivision 2, is amended to read: 5.35 Subd. 2. [REQUIREMENT.] BeginningJuly 1, 1995October 31, 5.36 1997, all managed care organizations shallannuallyfile 6.1 biennially with the action plans required under section 62Q.07 a 6.2 plan describing the actions the managed care organization has 6.3 taken and those it intends to take to contribute to achieving 6.4 public health goals for each service area in which an enrollee 6.5 of the managed care organization resides. This plan must be 6.6 jointly developed in collaboration with the local public health 6.7 units, appropriate regional coordinating boards, and other 6.8 community organizations providing health services within the 6.9 same service area as the managed care organization. Local 6.10 government units with responsibilities and authority defined 6.11 under chapters 145A and 256E may designate individuals to 6.12 participate in the collaborative planning with the managed care 6.13 organization to provide expertise and represent community needs 6.14 and goals as identified under chapters 145A and 256E. 6.15 Sec. 4. Minnesota Statutes 1994, section 144.572, is 6.16 amended to read: 6.17 144.572 [INSTITUTIONS EXCEPTED.] 6.18 No rule nor requirement shall be made, nor standard 6.19 established under sections 144.50 to 144.56 for any sanitarium,6.20 conductedin accordance with the practice and principles of the6.21body known as the Church of Christ, Scientistby and for the 6.22 adherents of any recognized church or religious denomination for 6.23 the purpose of providing care and treatment for those who select 6.24 and depend upon spiritual means through prayer alone, in lieu of 6.25 medical care, for healing, except as to the sanitary and safe 6.26 condition of the premises, cleanliness of operation, and its 6.27 physical equipment. 6.28 Sec. 5. Minnesota Statutes 1994, section 144.71, 6.29 subdivision 1, is amended to read: 6.30 Subdivision 1. [HEALTH AND SAFETY.] The purpose of 6.31 sections 144.71 to 144.74 is to protect the health and safety of 6.32childrenpersons in attendance atchildren'syouth camps. 6.33 Sec. 6. Minnesota Statutes 1994, section 144.71, 6.34 subdivision 2, is amended to read: 6.35 Subd. 2. [DEFINITION.] For the purpose of such sections 6.36 achildren'syouth camp is defined as a parcel or parcels of 7.1 land with permanent buildings, tents or other structures 7.2 together with appurtenances thereon, established or maintained 7.3 as living quarters where both food and beverage service and 7.4 lodging or the facilities therefor are provided for ten or more 7.5 people, operated continuously for a period of five days or more 7.6 each year for educational, recreational or vacation purposes, 7.7 and the use of the camp is offered to minors free of charge or 7.8 for payment of a fee. 7.9 Sec. 7. Minnesota Statutes 1994, section 144.72, 7.10 subdivision 1, is amended to read: 7.11 Subdivision 1. [PERMITS.] The state commissioner of health 7.12 is authorized to issue permits for the operation ofsuch7.13children'syouth campsand such campswhich are required to 7.14 obtainsuchthe permits. 7.15 Sec. 8. Minnesota Statutes 1994, section 144.72, 7.16 subdivision 2, is amended to read: 7.17 Subd. 2. [APPLICATION.] On or before June first annually, 7.18 every person, partnership, limited liability company or 7.19 corporation, operating or seeking to operate achildren'syouth 7.20 camp, shall make application in writing to the commissioner for 7.21 a permit to conduct achildren'syouth camp. Such application 7.22 shall be in such form and shall contain such information as the 7.23 commissioner may find necessary to determine that thechildren's7.24 youth camp will be operated and maintained in such a manner as 7.25 to protect and preserve the health and safety of the persons 7.26 using the camp. Where a person, partnership, limited liability 7.27 company or corporation operates or is seeking to operate more 7.28 than onechildren'syouth camp, a separate application shall be 7.29 made for each camp. 7.30 Sec. 9. Minnesota Statutes 1994, section 144.73, 7.31 subdivision 1, is amended to read: 7.32 Subdivision 1. [INSPECTION OF CAMPS.] It shall be the duty 7.33 of the state commissioner of health to make an annual inspection 7.34 of eachchildren'syouth camp, and where, upon inspection it is 7.35 found that there is a failure to protect the health and safety 7.36 of the persons using the camp, or a failure to comply with the 8.1 camp rules prescribed by the commissioner, the commissioner 8.2 shall give notice to the camp operator of such failure, which 8.3 notice shall set forth the reason or reasons for such failure. 8.4 Sec. 10. Minnesota Statutes 1994, section 144.74, is 8.5 amended to read: 8.6 144.74 [RULES, STANDARDS.] 8.7 The state commissioner of health is authorized to adopt and 8.8 enforce such reasonable rules and standards as the commissioner 8.9 determines necessary to protect the health and safety of 8.10childrenpersons in attendance atchildren'syouth camps. Such 8.11 rules and standards may include reasonable restrictions and 8.12 limitations on the following: 8.13 (1) Camp sites and buildings, including location, layout, 8.14 lighting, ventilation, heating, plumbing, drainage and sleeping 8.15 quarters; 8.16 (2) Sanitary facilities, including water supply, toilet and 8.17 shower facilities, sewage and excreta disposal, waste and 8.18 garbage disposal, and the control of insects and rodents, and 8.19 (3) Food service, including storage, refrigeration, 8.20 sanitary preparation and handling of food, the cleanliness of 8.21 kitchens and the proper functioning of equipment. 8.22 Sec. 11. Minnesota Statutes 1994, section 144A.09, 8.23 subdivision 1, is amended to read: 8.24 Subdivision 1. [CHURCH OF CHRIST, SCIENTISTSPIRITUAL 8.25 MEANS FOR HEALING.] No rule established under sections 144A.01 8.26 to 144A.16 other than a rule relating to sanitation and safety 8.27 of premises, to cleanliness of operation or to physical 8.28 equipment, shall apply to a nursing home conductedin accordance8.29with the teachings of the body known as the Church of Christ,8.30Scientistby and for the adherents of any recognized church or 8.31 religious denomination for the purpose of providing care and 8.32 treatment for those who select and depend upon spiritual means 8.33 through prayer alone, in lieu of medical care, for healing. 8.34 Sec. 12. Minnesota Statutes 1994, section 144A.20, 8.35 subdivision 2, is amended to read: 8.36 Subd. 2. [EXCEPTION.] Notwithstanding any law to the 9.1 contrary, no person desiring to be licensed to administer a 9.2 nursing home operatedexclusively in accordance with the9.3teachings of the body known as the Church of Christ,9.4Scientistby and for the adherents of any recognized church or 9.5 religious denomination for the purpose of providing care and 9.6 treatment for those who select and depend upon spiritual means 9.7 through prayer alone, in lieu of medical care, for healing, 9.8 shall be required to demonstrate proficiency in any medical 9.9 technique or meet any medical educational qualification or 9.10 medical standard which is not in accord with the type of 9.11 remedial care and treatment provided in a nursing home operated 9.12 exclusively in accordance with the teachings of that body. 9.13 Sec. 13. Minnesota Statutes 1995 Supplement, section 9.14 148C.01, subdivision 12, is amended to read: 9.15 Subd. 12. [SUPERVISED ALCOHOL AND DRUG COUNSELING 9.16 EXPERIENCE.] Except during the transition period, "supervised 9.17 alcohol and drug counseling experience" means practical 9.18 experience gained by a student, volunteer, or intern, and 9.19 supervised by a person either licensed under this chapter or 9.20 exempt under its provisions; either before, during, or after the 9.21 student completes a program from an accredited school 9.22 oreducationeducational program of alcohol and drug counseling. 9.23 Sec. 14. Minnesota Statutes 1995 Supplement, section 9.24 148C.01, subdivision 13, is amended to read: 9.25 Subd. 13. [ALCOHOL AND DRUG COUNSELING PRACTICUM.] 9.26 "Alcohol and drug counseling practicum" means formal experience 9.27 gained by a student and supervised by a person either licensed 9.28 under this chapter or exempt under its provisions, in an 9.29 accredited school or educational program of alcohol and drug 9.30 counseling as part of the education requirements of this chapter. 9.31 Sec. 15. Minnesota Statutes 1995 Supplement, section 9.32 148C.02, subdivision 1, is amended to read: 9.33 Subdivision 1. [MEMBERSHIP.] The alcohol and drug 9.34 counselors licensing advisory council consists of 13 members. 9.35 The commissioner shall appoint: 9.36 (1) except for those members initially appointed, seven 10.1 members who must be licensed alcohol and drugdependency10.2 counselors; 10.3 (2) three members who must be public members as defined by 10.4 section 214.02; 10.5 (3) one member who must be a director or coordinator of an 10.6 accredited alcohol and drug dependency training program; and 10.7 (4) one member who must be a former consumer of alcohol and 10.8 drug dependency counseling service and who must have received 10.9 the service more than three years before the person's 10.10 appointment. 10.11 The American Indian advisory committee to the department of 10.12 human services chemical dependency office shall appoint the 10.13 remaining member. 10.14 Sec. 16. Minnesota Statutes 1995 Supplement, section 10.15 148C.02, subdivision 2, is amended to read: 10.16 Subd. 2. [DUTIES.] (a) The advisory council shall: 10.17 (1) provide advice and recommendations to the commissioner 10.18 on the development of rules for the licensure of alcohol and 10.19 drug counselors; 10.20 (2) provide advice and recommendations to the commissioner 10.21 on the development of standards and procedures for the 10.22 competency testing, licensing, and review of alcohol and drug 10.23 counselors' professional conduct; 10.24 (3) provide advice and recommendations to the commissioner 10.25 in disciplinary cases in the areas of counselor competency 10.26 issues, counselor practice issues, and counselor impairment 10.27 issues. 10.28 (b) The advisory council shall form an education committee, 10.29 including a chair,andwhich shall advise the commissioner on 10.30 the review and administration of the education requirements in 10.31sectionsections 148C.04 and 148C.05, subdivision 2. 10.32 Sec. 17. Minnesota Statutes 1995 Supplement, section 10.33 148C.03, subdivision 1, is amended to read: 10.34 Subdivision 1. [GENERAL.] The commissioner shall, after 10.35 consultation with the advisory council or a subcommittee or the 10.36 special licensing criteria committee established under section 11.1 148C.11, subdivision 3, paragraph (b): 11.2 (a) adopt and enforce rules for licensure of alcohol and 11.3 drug counselors, including establishing standards and methods of 11.4 determining whether applicants and licensees are qualified under 11.5 section 148C.04. The rules must provide for examinations and 11.6 establish standards for the regulation of professional conduct. 11.7 The rules must be designed to protect the public; 11.8 (b) hold or contract for the administration of examinations 11.9 at least twice a year to assess applicants' knowledge and 11.10 skills. The examinations must be written and oral and may be 11.11 administered by the commissioner or by a private organization 11.12 under contract with the commissioner to administer the licensing 11.13 examinations. Examinations must minimize cultural bias and must 11.14 be balanced in various theories relative to practice of alcohol 11.15 and drug counseling; 11.16 (c) issue licenses to individuals qualified under sections 11.17 148C.01 to 148C.11; 11.18 (d) issue copies of the rules for licensure to all 11.19 applicants; 11.20 (e) adopt rules to establish and implement procedures, 11.21 including a standard disciplinary process and rules of 11.22 professional conduct; 11.23 (f) carry out disciplinary actions against licensees; 11.24 (g) establish, with the advice and recommendations of the 11.25 advisory council, written internal operating procedures for 11.26 receiving and investigating complaints and for taking 11.27 disciplinary actions as appropriate. Establishment of the 11.28 operating procedures are not subject to rulemaking procedures 11.29 under chapter 14; 11.30 (h) educate the public about the existence and content of 11.31 the rules forchemical dependencyalcohol and drug counselor 11.32 licensing to enable consumers to file complaints against 11.33 licensees who may have violated the rules; 11.34 (i) evaluate the rules in order to refine and improve the 11.35 methods used to enforce the commissioner's standards; 11.36 (j) set, collect, and adjust license fees for alcohol and 12.1 drug counselors so that the total fees collected will as closely 12.2 as possible equal anticipated expenditures during the biennium, 12.3 as provided in section 16A.1285; fees for initial and renewal 12.4 application and examinations; late fees for counselors who 12.5 submit license renewal applications after the renewal deadline; 12.6 and a surcharge fee. The surcharge fee must include an amount 12.7 necessary to recover, over a five-year period, the 12.8 commissioner's direct expenditures for the adoption of the rules 12.9 providing for the licensure of alcohol and drug counselors. All 12.10 fees received shall be deposited in the state treasury and 12.11 credited to the special revenue fund; and 12.12 (k) prepare reports on activities related to the licensure 12.13 of alcohol and drug counselors according to this subdivision by 12.14 October 1 of each even-numbered year. Copies of the reports 12.15 shall be delivered to the legislature in accordance with section 12.16 3.195 and to the governor. The reports shall contain the 12.17 following information on the commissioner's activities relating 12.18 to the licensure ofchemical dependencyalcohol and drug 12.19 counselors, for the two-year period ending the previous June 30: 12.20 (1) a general statement of the activities; 12.21 (2) the number of staff hours spent on the activities; 12.22 (3) the receipts and disbursements of funds; 12.23 (4) the names of advisory council members and their 12.24 addresses, occupations, and dates of appointment and 12.25 reappointment; 12.26 (5) the names and job classifications of employees; 12.27 (6) a brief summary of rules proposed or adopted during the 12.28 reporting period with appropriate citations to the State 12.29 Register and published rules; 12.30 (7) the number of persons having each type of license 12.31 issued by the commissioner as of June 30 in the year of the 12.32 report; 12.33 (8) the locations and dates of the administration of 12.34 examinations by the commissioner; 12.35 (9) the number of persons examined by the commissioner with 12.36 the persons subdivided into groups showing age categories, sex, 13.1 and states of residency; 13.2 (10) the number of persons licensed by the commissioner 13.3 after taking the examinations referred to in clause (8) with the 13.4 persons subdivided by age categories, sex, and states of 13.5 residency; 13.6 (11) the number of persons not licensed by the commissioner 13.7 after taking the examinations referred to in clause (8) with the 13.8 persons subdivided by age categories, sex, and states of 13.9 residency; 13.10 (12) the number of persons not taking the examinations 13.11 referred to in clause (8) who were licensed by the commissioner 13.12 or who were denied licensing, the reasons for the licensing or 13.13 denial, and the persons subdivided by age categories, sex, and 13.14 states of residency; 13.15 (13) the number of persons previously licensed by the 13.16 commissioner whose licenses were revoked, suspended, or 13.17 otherwise altered in status with brief statements of the reasons 13.18 for the revocation, suspension, or alteration; 13.19 (14) the number of written and oral complaints and other 13.20 communications received by the commissioner which allege or 13.21 imply a violation of a statute or rule which the commissioner is 13.22 empowered to enforce; 13.23 (15) a summary, by specific category, of the substance of 13.24 the complaints and communications referred to in clause (14) 13.25 and, for each specific category, the responses or dispositions; 13.26 and 13.27 (16) any other objective information which the commissioner 13.28 believes will be useful in reviewing the commissioner's 13.29 activities. 13.30 Sec. 18. Minnesota Statutes 1995 Supplement, section 13.31 148C.04, subdivision 3, is amended to read: 13.32 Subd. 3. [LICENSING REQUIREMENTSFOR ALCOHOL AND DRUG13.33COUNSELORS; EVIDENCEFOR THE FIRST FIVE YEARS.](a)For five 13.34 years after the effective date of the rules authorized in 13.35 section 148C.03, the applicant, unless qualifiedfor initial13.36licensure under this subdivisionunder section 148C.06 during 14.1 the two-year period authorized therein, under section 148C.07, 14.2 or under subdivision 4, must furnish evidence satisfactory to 14.3 the commissioner that the applicant has met all the requirements 14.4 in clauses (1) to (3). The applicant must have: 14.5 (1)Except as provided in subdivision 4, the applicant must14.6havereceived an associate degree including 270 clock hours of 14.7 alcohol and drug counseling education from an accredited school 14.8 or educational program and 880 clock hours ofchemical14.9dependencyalcohol and drug counseling practicum; 14.10 (2)The applicant must havecompleted a written case 14.11 presentation and satisfactorily passed an oral examination that 14.12 demonstrates competence in the core functions; and 14.13 (3)The applicant must havesatisfactorily passed a written 14.14 examination as established by the commissioner. 14.15(b) Unless the applicant qualifies for licensure under this14.16subdivision, an applicant must furnish evidence satisfactory to14.17the commissioner that the applicant has met the requirements of14.18paragraph (a), clauses (1) to (3).14.19Beginning two years after the effective date of the rules14.20authorized in section 148C.03, subdivision 1, no person may be14.21licensed without meeting the requirements in section 148C.04,14.22subdivision 4, paragraph (a), clauses (2) and (3), or the14.23special licensing criteria established pursuant to section14.24148C.11, subdivision 4.14.25 Sec. 19. Minnesota Statutes 1995 Supplement, section 14.26 148C.04, subdivision 4, is amended to read: 14.27 Subd. 4. [ADDITIONALLICENSING REQUIREMENTS AFTER FIVE 14.28 YEARS.] Beginning five years after the effective date of the 14.29 rules authorized in section 148C.03, subdivision 1, an applicant 14.30 for licensure musthave receivedsubmit evidence to the 14.31 commissioner that the applicant has met one of the following 14.32 requirements: 14.33 (1) The applicant must have: 14.34 (i) received a bachelor's degree from an accredited school 14.35 or educational program,and must have completedincluding 480 14.36 clock hours of alcohol and drug counseling education from an 15.1 accredited school or educational program and 880 clock hours of 15.2 alcohol and drug counseling practicum, 15.3 (ii) completed a written case presentation and 15.4 satisfactorily passed an oral examination that demonstrates 15.5 competence in the core functions, and 15.6 (iii) satisfactorily passed a written examination as 15.7 established by the commissioner; or 15.8 (2) The applicant must meet the requirements of section 15.9 148C.07. 15.10 Sec. 20. Minnesota Statutes 1995 Supplement, section 15.11 148C.04, is amended by adding a subdivision to read: 15.12 Subd. 5. [ADDITIONAL LICENSING REQUIREMENTS.] Applicants 15.13 must also meet the special licensing requirements in section 15.14 148C.11, subdivision 4, and in the rules authorized in section 15.15 148C.03, subdivision 1, when applicable. 15.16 Sec. 21. Minnesota Statutes 1995 Supplement, section 15.17 148C.05, subdivision 1, is amended to read: 15.18 Subdivision 1. [RENEWAL REQUIREMENTS.] To renew a license, 15.19 an applicant must: 15.20 (1)annuallycomplete a renewal application every two years 15.21 on a form provided by the commissioner and submit theannual15.22 biennial renewal fee by the deadline; and 15.23 (2) submit additional information if requested by the 15.24 commissioner to clarify information presented in the renewal 15.25 application. This information must be submitted within 30 days 15.26 of the commissioner's request. 15.27 Sec. 22. Minnesota Statutes 1995 Supplement, section 15.28 148C.06, is amended to read: 15.29 148C.06 [TRANSITION PERIOD.] 15.30 For two years from the effective date of the rules 15.31 authorized in section 148C.03, subdivision 1, the commissioner 15.32 shall issue a license to an applicant if the applicant meets one 15.33 of the following qualifications: 15.34 (a) is credentialed as a certified chemical dependency 15.35 counselor (CCDC) or certified chemical dependency counselor 15.36 reciprocal (CCDCR) by the Institute for Chemical Dependency 16.1 Professionals of Minnesota, Inc.; 16.2 (b) has 6,000 hours of supervised alcohol and drug 16.3 counselor experience as defined by the core functions, 270 clock 16.4 hours of alcohol and drug training with a minimum of 60 hours of 16.5 this training occurring within the past five years, 300 hours of 16.6 alcohol and drugpracticuminternship, and has successfully 16.7 completed the requirements in section 148C.04, subdivision 3, 16.8 paragraph (a), clauses (2) and (3); 16.9 (c) has 10,000 hours of supervised alcohol and drug 16.10 counselor experience as defined by the core functions, 270 clock 16.11 hours of alcohol and drug training with a minimum of 60 hours of 16.12 this training occurring within the past five years, and has 16.13 successfully completed the requirements in section 148C.04, 16.14 subdivision 3, paragraph (a), clause (2) or (3), or is 16.15 credentialed as a certified chemical dependency practitioner 16.16 (CCDP) by the Institute for Chemical Dependency Professionals of 16.17 Minnesota, Inc.; 16.18 (d) has 14,000 hours of supervised alcohol and drug 16.19 counselor experience as defined by the core functions and 270 16.20 clock hours of alcohol and drug training with a minimum of 60 16.21 hours of this training occurring within the past five years; or 16.22 (e) has met the special licensing criteria established 16.23 pursuant to section 148C.11. 16.24 Sec. 23. Minnesota Statutes 1994, section 148C.09, is 16.25 amended by adding a subdivision to read: 16.26 Subd. 1a. [BACKGROUND INVESTIGATION.] The applicant must 16.27 sign a release authorizing the commissioner to obtain 16.28 information from the bureau of criminal apprehension, the 16.29 Federal Bureau of Investigation, the office of mental health 16.30 practice, the department of human services, the office of health 16.31 facilities complaints, and other agencies specified in the 16.32 rules. After the commissioner has given written notice to an 16.33 individual who is the subject of a background investigation, the 16.34 agencies shall assist the commissioner with the investigation by 16.35 giving the commissioner criminal conviction data, reports about 16.36 abuse or neglect of clients, and other information specified in 17.1 the rules. 17.2 Sec. 24. Minnesota Statutes 1995 Supplement, section 17.3 148C.11, subdivision 1, is amended to read: 17.4 Subdivision 1. [OTHER PROFESSIONALS.] Nothing in sections 17.5 148C.01 to 148C.10 shall prevent members of other professions or 17.6 occupations from performing functions for which they are 17.7 qualified or licensed. This exception includes, but is not 17.8 limited to, licensed physicians, registered nurses, licensed 17.9 practical nurses, psychological practitioners, members of the 17.10 clergy, attorneys, probation officers, marriage and family 17.11 therapists, social workers, licensed professional counselors, 17.12 school counselors employed by a school district while acting 17.13 within the scope of their employment as a school counselor, and 17.14 registered occupational therapists or certified occupational 17.15 therapist assistants. These persons must not, however, use a 17.16 title incorporating the words "alcohol and drug counselor" or 17.17 "licensed alcohol and drug counselor" or otherwise hold 17.18 themselves out to the public by any title or description stating 17.19 or implying that they are licensed to engage in the practice of 17.20 alcohol and drug counseling. 17.21 Sec. 25. Minnesota Statutes 1995 Supplement, section 17.22 148C.11, subdivision 3, is amended to read: 17.23 Subd. 3. [FEDERALLY RECOGNIZED TRIBES.] (a) Alcohol and 17.24 drug counselors licensed to practice alcohol and drug counseling 17.25 according to standards established by federally recognized 17.26 tribes, while practicing under tribal jurisdiction, are exempt 17.27 from the requirements of this chapter. In practicing alcohol 17.28 and drug counseling under tribal jurisdiction, individuals 17.29 licensed under that authority shall be afforded the same rights, 17.30 responsibilities, and recognition as persons licensed pursuant 17.31 to this chapter. 17.32 (b) The commissioner shall develop special licensing 17.33 criteria for issuance of a license to alcohol and drug 17.34 counselors who: (1) are members of ethnic minority groups; or 17.35 (2) are employed by private, nonprofit agencies, including 17.36 agencies operated by private, nonprofit hospitals, whose primary 18.1 agency service focus addresses ethnic minority populations. 18.2 These licensing criteria may differ from the licensing criteria 18.3 specified in section 148C.04. To develop these criteria, the 18.4 commissioner shall establish a committee comprised of but not 18.5 limited to representatives from the council on hearing impaired, 18.6 the council on affairs of Spanish-speaking people, the council 18.7 on Asian-Pacific Minnesotans, the council on Black Minnesotans, 18.8 and the Indian affairs council. 18.9 Sec. 26. Minnesota Statutes 1995 Supplement, section 18.10 157.011, subdivision 1, is amended to read: 18.11 Subdivision 1. [ESTABLISHMENTS.] The commissioner shall 18.12 adopt rules establishing standards for food,and beverage 18.13 service establishments,andhotels, motels, lodging 18.14 establishments, and resorts. 18.15 Sec. 27. Minnesota Statutes 1995 Supplement, section 18.16 157.15, subdivision 4, is amended to read: 18.17 Subd. 4. [BOARDING ESTABLISHMENT.] "Boarding 18.18 establishment" means abuilding, structure, enclosure, or any18.19part thereof used as, maintained as, advertised as, or held out18.20to be a placefood and beverage service establishment where food 18.21 ornonalcoholicbeverages, or both, are furnished to five or 18.22 more regular boarders, whether with or without sleeping 18.23 accommodations, for periods of one week or more. 18.24 Sec. 28. Minnesota Statutes 1995 Supplement, section 18.25 157.15, subdivision 5, is amended to read: 18.26 Subd. 5. [FOOD AND BEVERAGE SERVICE ESTABLISHMENT.] "Food 18.27 and beverage service establishment" means arestaurant,18.28alcoholic beverage establishment, boarding establishment, mobile18.29food unit, seasonal food stand, food cart, or special event food18.30standbuilding, structure, enclosure, or any part of a building, 18.31 structure, or enclosure used as, maintained as, advertised as, 18.32 or held out to be an operation that prepares, serves, or 18.33 otherwise provides food or beverages, or both, for human 18.34 consumption. 18.35 Sec. 29. Minnesota Statutes 1995 Supplement, section 18.36 157.15, subdivision 6, is amended to read: 19.1 Subd. 6. [FOOD CART.] "Food cart" means a food and 19.2 beverage service establishment that is a nonmotorized vehicle 19.3limited to serving food that is not defined by rule as19.4potentially hazardous food, except precooked frankfurters and19.5other ready-to-eat link sausagesself-propelled by the operator. 19.6 Sec. 30. Minnesota Statutes 1995 Supplement, section 19.7 157.15, subdivision 9, is amended to read: 19.8 Subd. 9. [MOBILE FOOD UNIT.] "Mobile food unit" means a 19.9 food and beverage service establishment that is a vehicle 19.10 mounted unit, either motorized or trailered, operating no more 19.11 than 14 days annually at any one place, and readily movable, 19.12 without disassembling, for transport to another locationand19.13remaining for no more than 14 days, annually, at any one place. 19.14 Sec. 31. Minnesota Statutes 1995 Supplement, section 19.15 157.15, is amended by adding a subdivision to read: 19.16 Subd. 10a. [POTENTIALLY HAZARDOUS FOOD.] "Potentially 19.17 hazardous food" means any food that consists in whole or in part 19.18 of milk or milk products, eggs, meat, poultry, fish, shellfish, 19.19 mollusk, edible crustacea, or other ingredients, including 19.20 synthetic ingredients, in a form capable of supporting rapid and 19.21 progressive growth of infectious or toxigenic microorganisms. 19.22 The term does not include clean, whole, uncracked, odor-free, 19.23 shell eggs or foods which have a pH level of 4.6 or below or a 19.24 water activity (aW) value of 0.85 or less. 19.25 Sec. 32. Minnesota Statutes 1995 Supplement, section 19.26 157.15, subdivision 12, is amended to read: 19.27 Subd. 12. [RESTAURANT.] "Restaurant" means abuilding,19.28structure, enclosure, or any part thereof used as, maintained19.29as, advertised as, or held out to be a place where food or19.30nonalcoholic beverages are served or prepared for service to the19.31publicfood and beverage service establishment, whether the 19.32 establishment serves alcoholic or nonalcoholic beverages, which 19.33 operates from a location for more than 14 days annually. 19.34 Restaurant does not include a food cart. 19.35 Sec. 33. Minnesota Statutes 1995 Supplement, section 19.36 157.15, is amended by adding a subdivision to read: 20.1 Subd. 12a. [SEASONAL PERMANENT FOOD STAND.] "Seasonal 20.2 permanent food stand" means a food and beverage service 20.3 establishment which is a permanent food service stand or 20.4 building, but which operates no more than 14 days annually. 20.5 Sec. 34. Minnesota Statutes 1995 Supplement, section 20.6 157.15, subdivision 13, is amended to read: 20.7 Subd. 13. [SEASONAL TEMPORARY FOOD STAND.] "Seasonal 20.8 temporary food stand" means a food and beverage service 20.9 establishment that is a food standthatwhich is disassembled 20.10 and moved from location to location,remainingbut which 20.11 operates no more than 14 days,annually,at any oneplace; or a20.12permanent food service stand or building that operates no more20.13than 14 days annuallylocation. 20.14 Sec. 35. Minnesota Statutes 1995 Supplement, section 20.15 157.15, subdivision 14, is amended to read: 20.16 Subd. 14. [SPECIAL EVENT FOOD STAND.] "Special event food 20.17 stand" means a food and beverage service establishment which is 20.18 used in conjunction with celebrations and special events,used20.19not more than twice annually, and remainingand which operates 20.20 once or twice annually for no more thanthree consecutiveseven 20.21 total daysat any one location. 20.22 Sec. 36. Minnesota Statutes 1995 Supplement, section 20.23 157.16, is amended to read: 20.24 157.16 [LICENSES REQUIRED; FEES.] 20.25 Subdivision 1. [LICENSE REQUIRED ANNUALLY.] A license is 20.26 required annually for every person, firm, or corporation engaged 20.27 in the business of conducting a food and beverage service 20.28 establishment hotel, motel,restaurant, alcoholic beverage20.29establishment, boarding establishment,lodging establishment, or 20.30 resort, mobile food unit, seasonal food stand, food cart, or20.31special event food stand or who thereafter engages in conducting20.32any such business. Any person wishing to operate a place of 20.33 business licensed in this section shall first make application, 20.34 pay the required fee specified in this section, and receive 20.35 approval for operation, including plan review approval. 20.36 Application shall be made on forms provided by the commissioner 21.1 and shall require the applicant to state the full name and 21.2 address of the owner of the building, structure, or enclosure, 21.3 the lessee and manager of the food and beverage service 21.4 establishment, hotel, motel,restaurant, alcoholic beverage21.5establishment, boarding establishment,lodging establishment, or 21.6 resort, mobile food unit, seasonal food stand, food cart, or21.7special event food stand; the name under which the business is 21.8 to be conducted; and any other information as may be required by 21.9 the commissioner to complete the application for license. 21.10 Subd. 2. [LICENSE RENEWAL.] Initial and renewal licenses 21.11 for all food and beverage service establishments, hotels, 21.12 motels,restaurants, alcoholic beverage establishments,lodging 21.13 establishments,boarding establishments,and resorts, mobile21.14food units, seasonal food stands, and food cartsshall be issued 21.15 for the calendar year for which application is made and shall 21.16 expire on December 31 of such year. Any person who operates a 21.17 place of business after the expiration date of a license or 21.18 without having submitted an application and paid the fee shall 21.19 be deemed to have violated the provisions of this chapter and 21.20 shall be subject to enforcement action, as provided in the 21.21 health enforcement consolidation act, sections 144.989 to 21.22 144.993. In addition, a penalty of $25 shall be added to the 21.23 total of the license fee for any food and beverage service 21.24 establishment operating without a license as a mobile food unit, 21.25 a seasonal temporary or seasonal permanent food stand,and food21.26cart operating without a licenseor a special event food stand, 21.27 and a penalty of $50 shall be added to the total of the license 21.28 fee for allother food, beverage, andrestaurants, food carts, 21.29 hotels, motels, lodging establishments, and resorts operating 21.30 without a license. 21.31 Subd. 3. [ESTABLISHMENT FEES; DEFINITIONS.]For the21.32purposes of establishing food, beverage, and lodging21.33establishment fees, the following definitions have the meanings21.34given them.(a) The following fees are required for food and 21.35 beverage service establishments, hotels, motels, lodging 21.36 establishments, and resorts licensed under this chapter. Food 22.1 and beverage service establishments must pay the highest 22.2 applicable fee under paragraph (d), clause (1), (2), (3), or 22.3 (4), and establishments serving alcohol must pay the highest 22.4 applicable fee under paragraph (d), clause (6) or (7). 22.5 (b) All food and beverage service establishments, except 22.6 special event food stands, and all hotels, motels, lodging 22.7 establishments, and resorts shall pay an annual base fee of $100. 22.8 (c) A special event food stand shall pay a flat fee of $60 22.9 annually. "Special event food stand" means a fee category where 22.10 food is prepared or served in conjunction with celebrations or 22.11 special events from a special event food stand as defined in 22.12 section 157.15. 22.13 (d) In addition to the base fee in paragraph (b), each food 22.14 and beverage service establishment, other than a special event 22.15 food stand, and each hotel, motel, lodging establishment, and 22.16 resort shall pay an additional annual fee for each fee category 22.17 as specified in this paragraph: 22.18 (1) Limited food menu selection, $30. 22.19(a)"Limited food menu selection" means a fee category that 22.20 provides one or more of the following: 22.21(1)(i) prepackaged food that receives heat treatment and 22.22 is served in the package; 22.23(2)(ii) frozen pizza that is heated and served; 22.24(3)(iii) a continental breakfast such as rolls, coffee, 22.25 juice, milk, and cold cereal; 22.26(4)(iv) soft drinks, coffee, or nonalcoholic beverages; or 22.27(5) does not prepare food on site, however serves food that22.28was prepared elsewhere and provides(v) cleaningoffor eating, 22.29 drinking, or cooking utensils, when the only food served is 22.30 prepared off site. 22.31 (2) Small menu selection with limited equipment, including 22.32 boarding establishments, $55. 22.33(b)"Small menu selection with limited equipment" means a 22.34 fee category that has no salad bar andprovidesmeets one or 22.35 more of the following: 22.36(1)(i) possesses food service equipment thatis limited to23.1 consists of no more than a deep fat fryer, a grill, two hot 23.2 holding containers, and one or more microwave ovens; 23.3(2) service of(ii) serves dipped ice cream or soft serve 23.4 frozen desserts; 23.5(3) service of(iii) serves breakfast in an owner-occupied 23.6 bed and breakfast establishment; or 23.7(4)(iv) is a boarding establishment. 23.8 (3) Small establishment with full menu selection, $150. 23.9(c)"Small establishment with full menu selection" means a 23.10 fee category thatprovidesmeets one or more of the following: 23.11(1)(i) possesses food service equipment that includes a 23.12 range, oven, steam table, salad bar, or salad preparation area; 23.13(2)(ii) possesses food service equipment that includes 23.14 more than one deep fat fryer, one grill, or two hot holding 23.15 containers; or 23.16(3)(iii) is an establishment where food is prepared at one 23.17 location and served at one or more separate locations. 23.18 (4) Large establishment with full menu selection, $250. 23.19(d)"Large establishment with full menu selection" means 23.20 either 23.21 (i) a fee category that (1) meets the criteria inparagraph23.22(c), clause (1) or (2)clause (3), subclause (i) or (ii), for a 23.23 small establishment with full menu selectionand: (1), (2) seats 23.24 more than 175 people; (2), and (3) offers the full menu 23.25 selection an average of five or more days a week during the 23.26 weeks of operation; ormeans23.27 (ii) aservicefee category that (1) meets the criteria in 23.28paragraph (c),clause (3), subclause (iii), for a small 23.29 establishment with full menu selection;, and(3)(2) prepares 23.30 and serves 500 or more meals per day. 23.31(e) "Temporary food service" means a fee category where23.32food is prepared and served from a mobile food unit, seasonal23.33food stand, or food cart.23.34(f) "Alcohol service from bar" means a fee category where23.35alcoholic mixed drinks are served, or where beer or wine are23.36served from a bar.24.1 (5) Other food and beverage service, including food carts, 24.2 mobile food units, seasonal temporary food stands, and seasonal 24.3 permanent food stands, $30. 24.4 (6) Beer or wine table service, $30. 24.5(g)"Beer or wine table service" means a fee category where 24.6 the only alcoholic beverage service is beer or wine, served to 24.7 customers seated at tables. 24.8(h) "Individual water" means a fee category with a water24.9supply other than a community public water supply as defined in24.10Minnesota Rules, chapter 4720.24.11(i) "Individual sewer" means a fee category with an24.12individual sewage treatment system which uses subsurface24.13treatment and disposal.24.14 (7) Alcoholic beverage service, other than beer or wine 24.15 table service, $75. 24.16 "Alcohol service other than beer or wine table service" 24.17 means a fee category where alcoholic mixed drinks are served or 24.18 where beer or wine are served from a bar. 24.19 (8) Lodging per sleeping accommodation unit, $4, including 24.20 hotels, motels, lodging establishments, and resorts, up to a 24.21 maximum of $400. 24.22(j)"Lodging per sleeping accommodation unit" means a fee 24.23 category including the number of guest rooms, cottages, or other 24.24 rental units of a hotel, motel, lodging establishment, or 24.25 resort; or the number of beds in a dormitory. 24.26 (9) First public swimming pool, $100; each additional 24.27 public swimming pool, $50. 24.28(k)"Public swimming pool" means a fee category that has 24.29 the meaning given in Minnesota Rules, part 4717.0250, subpart 8. 24.30 (10) First spa, $50; each additional spa, $25. 24.31(l)"Spa pool" means a fee category that has the meaning 24.32 given in Minnesota Rules, part 4717.0250, subpart 9. 24.33(m) "Special event food stand" means a fee category where24.34food is prepared and served in conjunction with celebrations or24.35special events, but not more than twice annually, and where the24.36facility is used no more than three consecutive days per event.25.1 (11) Private sewer or water, $30. 25.2 "Individual private water" means a fee category with a 25.3 water supply other than a community public water supply as 25.4 defined in Minnesota Rules, chapter 4720. "Individual private 25.5 sewer" means a fee category with an individual sewage treatment 25.6 system which uses subsurface treatment and disposal. 25.7 (e) A fee is not required for a food and beverage service 25.8 establishment operated by a school as defined in sections 120.05 25.9 and 120.101. 25.10 (f) A fee of $150 for review of the construction plans must 25.11 accompany the initial license application for food and beverage 25.12 service establishments, hotels, motels, lodging establishments, 25.13 or resorts. 25.14 (g) When existing food and beverage service establishments, 25.15 hotels, motels, lodging establishments, or resorts are 25.16 extensively remodeled, a fee of $150 must be submitted with the 25.17 remodeling plans. 25.18 (h) Seasonal temporary food stands and special event food 25.19 stands are not required to pay a fee for either an initial 25.20 construction plan review or a remodeling plan review. 25.21 Subd. 4. [POSTING REQUIREMENTS.] Every food and beverage 25.22 service establishment, hotel, motel, lodging establishment, or 25.23 resort must have the license posted in a conspicuous place at 25.24 the establishment. 25.25 Sec. 37. Minnesota Statutes 1995 Supplement, section 25.26 157.17, subdivision 2, is amended to read: 25.27 Subd. 2. [REGISTRATION.] At the time of licensure or 25.28 license renewal, aboardboarding and lodging establishment or a 25.29 lodging establishment that provides supportive services or 25.30 health supervision services mustregisterbe registered with the 25.31 commissioner, and must register annually thereafter. The 25.32 registration must include the name, address, and telephone 25.33 number of the establishment, the name of the operator, the types 25.34 of services that are being provided, a description of the 25.35 residents being served, the type and qualifications of staff in 25.36 the facility, and other information that is necessary to 26.1 identify the needs of the residents and the types of services 26.2 that are being provided. The commissioner shall develop and 26.3 furnish to the boarding and lodging establishment or lodging 26.4 establishment the necessary form for submitting the 26.5 registration. The requirement for registration is effective 26.6 until the rules required by sections 144B.01 to 144B.17 are 26.7 effective. 26.8 Sec. 38. Minnesota Statutes 1995 Supplement, section 26.9 157.20, subdivision 1, is amended to read: 26.10 Subdivision 1. [INSPECTIONS.] It shall be the duty of the 26.11 commissioner to inspect, or cause to be inspected, every food 26.12 and beverage service establishment, hotel, motel,restaurant,26.13alcoholic beverage establishment, boarding establishment,26.14 lodging establishment, or resort,mobile food unit, seasonal26.15food stand, food cart, and special event food stand in this26.16state. For the purpose of conducting inspections, the 26.17 commissioner shall have the right to enter and have access 26.18 thereto at any time during the conduct of business. 26.19 Sec. 39. Minnesota Statutes 1995 Supplement, section 26.20 157.20, is amended by adding a subdivision to read: 26.21 Subd. 2a. [RISK CATEGORIES.] (a) [HIGH-RISK 26.22 ESTABLISHMENT.] "High-risk establishment" means any food and 26.23 beverage service establishment, hotel, motel, lodging 26.24 establishment, or resort that: 26.25 (1) serves potentially hazardous foods that require 26.26 extensive processing on the premises, including manual handling, 26.27 cooling, reheating, or holding for service; 26.28 (2) prepares foods several hours or days before service; 26.29 (3) serves menu items that epidemologic experience has 26.30 demonstrated to be common vehicles of food-borne illness; 26.31 (4) has a public swimming pool; or 26.32 (5) draws its drinking water from a surface water supply. 26.33 (b) [MEDIUM-RISK ESTABLISHMENT.] "Medium-risk establishment" 26.34 means a food and beverage service establishment, hotel, motel, 26.35 lodging establishment, or resort that: 26.36 (1) serves potentially hazardous foods but with minimal 27.1 holding between preparation and service; or 27.2 (2) serves foods, such as pizza, that require extensive 27.3 handling followed by heat treatment. 27.4 (c) [LOW-RISK ESTABLISHMENT.] "Low-risk establishment" 27.5 means a food and beverage service establishment, hotel, motel, 27.6 lodging establishment, or resort that is not a high-risk or 27.7 medium-risk establishment. 27.8 (d) [RISK EXCEPTIONS.] Mobile food units, seasonal 27.9 permanent and seasonal temporary food stands, food carts, and 27.10 special event food stands are not inspected on an established 27.11 schedule and therefore are not defined as high-risk, 27.12 medium-risk, or low-risk establishments. 27.13 Sec. 40. Minnesota Statutes 1995 Supplement, section 27.14 157.21, is amended to read: 27.15 157.21 [INSPECTION RECORDS.] 27.16 The commissioner shall keep inspection records for all food 27.17 and beverage service establishments, hotels, motels, 27.18restaurants, alcoholic beverage establishments, boarding27.19establishments,lodging establishments, and resorts,mobile food27.20units, seasonal food stands, food carts, and special event food27.21stands,together with the name of the owner and operator. 27.22 Sec. 41. Minnesota Statutes 1994, section 327.14, 27.23 subdivision 8, is amended to read: 27.24 Subd. 8. [RECREATIONAL CAMPING AREA.] "Recreational 27.25 camping area" means any area, whether privately or publicly 27.26 owned, used on a daily, nightly, weekly, or longer basis for the 27.27 accommodation of five or more tents or recreational camping 27.28 vehicles free of charge or for compensation. "Recreational 27.29 camping area" excludes children's camps, industrial camps, 27.30 migrant labor camps, as defined in Minnesota Statutes and state 27.31 commissioner of health rules, United States forest service 27.32 camps, state forest service camps, state wildlife management 27.33 areas or state-owned public access areas which are restricted in 27.34 use to picnicking and boat landing, and a temporary holding area 27.35 for self-contained recreational camping vehicles created by and 27.36 adjacent to a motor sports facility if the area is ordered by 28.1 the chief law enforcement officer of the jurisdiction in the 28.2 interest of public safety. 28.3 Sec. 42. [REPORT ON IMMUNIZATION LAW AND POLICY.] 28.4 By January 15, 1997, the commissioner of health shall 28.5 report recommendations to the legislature and governor relating 28.6 to Minnesota immunization law and policy regarding 28.7 vaccine-preventable diseases for which immunization is not 28.8 currently required by law, including, but not limited to, 28.9 hepatitis A, hepatitis B, varicella, and other vaccine- 28.10 preventable diseases identified by the commissioner. 28.11 Sec. 43. [INSTRUCTION TO REVISOR.] 28.12 In each section of Minnesota Statutes referred to in column 28.13 A, the revisor of statutes shall delete the reference in column 28.14 B and insert the reference in column C. The references in 28.15 column C may be changed by the revisor to the section of 28.16 Minnesota Statutes in which the bill sections are compiled. 28.17 Column A Column B Column C 28.18 28A.15, subdivision 5 157.03 157.16 28.19 157.15, subdivision 1 157.03 157.011 28.20 160.295, subdivision 3 157.03 157.16 28.21 256B.0913, subdivision 5 157.03 157.011 28.22 299F.46, subdivision 1 157.03 157.011 28.23 Sec. 44. [REPEALER.] 28.24 Minnesota Statutes 1994, sections 144.691, subdivision 4; 28.25 146.14; and 146.20; Minnesota Statutes 1995 Supplement, sections 28.26 157.03; 157.15, subdivision 2; 157.18; and 157.19, are repealed.