SF 4296

as introduced - 93rd Legislature (2023 - 2024) Posted on 02/27/2024 09:58am

A bill for an act
relating to health; modifying required training for staff of licensed assisted living
facilities; amending Minnesota Statutes 2022, section 144G.63, subdivision 4;
proposing coding for new law in Minnesota Statutes, chapter 144G.

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

Section 1.

Minnesota Statutes 2022, section 144G.63, subdivision 4, is amended to read:

Subd. 4.

Training required relating to dementia new text begin , mental illness, and de-escalation new text end .

All
direct care staff and supervisors providing direct services must demonstrate an understanding
of the training specified in deleted text begin section deleted text end new text begin sections new text end 144G.64 new text begin and 144G.65 new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025.
new text end

Sec. 2.

new text begin [144G.65] TRAINING IN MENTAL ILLNESS AND DE-ESCALATION.
new text end

new text begin Subdivision 1. new text end

new text begin Training for supervisors. new text end

new text begin (a) Within 120 working hours of the
employment start date, all supervisors of direct care staff must complete at least eight hours
of initial training on the topics specified in subdivision 6.
new text end

new text begin (b) New supervisors may satisfy the training required under this subdivision by producing
written proof of previously completed required training within the past 18 months.
new text end

new text begin Subd. 2. new text end

new text begin Training for direct care staff. new text end

new text begin (a) Within 120 working hours of the employment
start date, all direct care staff must complete at least eight hours of initial training on the
topics specified in subdivision 6. Until the initial training is complete, a direct care staff
member must not provide direct care unless someone is available who can act as a resource,
assist if issues arise, and is either another direct care staff member who has completed the
eight hours of required training and is on-site or a supervisor.
new text end

new text begin (b) New direct care employees may satisfy the training required under this subdivision
by producing written proof of previously completed required training within the past 18
months.
new text end

new text begin Subd. 3. new text end

new text begin Training for staff who do not provide direct care. new text end

new text begin (a) Within 160 working
hours of the employment start date, all assisted living facility employees who do not provide
direct care, including maintenance, housekeeping, and food service staff, must complete at
least four hours of initial training on all the topics specified in subdivision 6.
new text end

new text begin (b) New staff members may satisfy the training required under this subdivision by
producing written proof of previously completed required training within the past 18 months.
new text end

new text begin Subd. 4. new text end

new text begin Annual training for all staff. new text end

new text begin All assisted living staff required to complete
initial training under subdivisions 1 to 3 must complete at least two hours of additional
training for each year of employment following completion of the initial training. Annual
training must cover some, but not necessarily all, of the topics listed under subdivision 6.
new text end

new text begin Subd. 5. new text end

new text begin New staff members. new text end

new text begin A supervisor who has completed the training required
under subdivision 1 or a person who conducts the initial training must be available for
consultation with a new staff member on issues related to mental illness and de-escalation
during the first 160 hours of the new staff member's employment start date.
new text end

new text begin Subd. 6. new text end

new text begin Content of training. new text end

new text begin The initial training on mental illness and de-escalation
required under this section must include:
new text end

new text begin (1) an explanation of the principles of trauma-informed care;
new text end

new text begin (2) instruction on incorporating knowledge about trauma into care plans, policies,
procedures, and practices to avoid retraumatization;
new text end

new text begin (3) de-escalation techniques and communication;
new text end

new text begin (4) crisis resolution, including a procedure for contacting county crisis response teams;
new text end

new text begin (5) suicide prevention, including use of the 988 suicide and crisis lifeline;
new text end

new text begin (6) recognizing symptoms of common mental illness diagnoses, including but not limited
to mood disorders, anxiety disorders, trauma and stressor-related disorders, personality and
psychotic disorders, substance use disorder, and substance misuse;
new text end

new text begin (7) creating and executing person-centered care plans for residents with mental illness;
new text end

new text begin (8) information on medications and their side effects, the risks of overmedication or
improper use of medications, and nonpharmacological interventions; and
new text end

new text begin (9) support strategies, resources, and referral sources for residents experiencing diagnoses
co-occurring with mental illness, including dementia.
new text end

new text begin Subd. 7. new text end

new text begin Information to prospective residents. new text end

new text begin The facility must provide to prospective
residents in written or electronic form a description of its training program on mental illness
and de-escalation, the categories of staff trained, the frequency and amount of training, and
the basic topics covered.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025.
new text end