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HF 3928

1st Engrossment - 91st Legislature (2019 - 2020) Posted on 03/12/2020 04:08pm

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

Bill Text Versions

Engrossments
Introduction Posted on 02/27/2020
1st Engrossment Posted on 03/09/2020

Current Version - 1st Engrossment

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A bill for an act
relating to health; making changes to certain advisory councils and committees;
amending Minnesota Statutes 2018, sections 62J.495, subdivision 2; 144.1481,
subdivision 1; proposing coding for new law in Minnesota Statutes, chapters 115;
145.

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

Section 1.

Minnesota Statutes 2018, section 62J.495, subdivision 2, is amended to read:


Subd. 2.

E-Health Advisory Committee.

(a) The commissioner shall establish an
e-Health Advisory Committee governed by section 15.059 to advise the commissioner on
the following matters:

(1) assessment of the adoption and effective use of health information technology by
the state, licensed health care providers and facilities, and local public health agencies;

(2) recommendations for implementing a statewide interoperable health information
infrastructure, to include estimates of necessary resources, and for determining standards
for clinical data exchange, clinical support programs, patient privacy requirements, and
maintenance of the security and confidentiality of individual patient data;

(3) recommendations for encouraging use of innovative health care applications using
information technology and systems to improve patient care and reduce the cost of care,
including applications relating to disease management and personal health management
that enable remote monitoring of patients' conditions, especially those with chronic
conditions; and

(4) other related issues as requested by the commissioner.

(b) The members of the e-Health Advisory Committee shall include the commissioners,
or commissioners' designees, of health, human services, administration, and commerce and
additional members to be appointed by the commissioner to include persons representing
Minnesota's local public health agencies,new text begin tribal nations,new text end licensed hospitals and other licensed
facilities and providers, private purchasers, the medical and nursing professions, health
insurers and health plans, the state quality improvement organization, academic and research
institutions, consumer advisory organizations with an interest and expertise in health
information technology, and other stakeholders as identified by the commissioner deleted text beginto fulfill
the requirements of section 3013, paragraph (g), of the HITECH Act
deleted text end.

(c) The commissioner shall prepare and issue an annual report not later than January 30
of each year outlining progress to date in implementing a statewide health information
infrastructure and recommending action on policy and necessary resources to continue the
promotion of adoption and effective use of health information technology.

deleted text begin (d) This subdivision expires June 30, 2021.
deleted text end

Sec. 2.

new text begin [115.7412] ADVISORY COUNCIL ON WATER SUPPLY SYSTEMS AND
WASTEWATER TREATMENT FACILITIES.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose; membership. new text end

new text begin The Advisory Council on Water Supply Systems
and Wastewater Treatment Facilities shall advise the commissioners of health and the
Pollution Control Agency regarding classification of water supply systems and wastewater
treatment facilities, qualifications and competency evaluation of water supply system
operators and wastewater treatment facility operators, and additional laws, rules, and
procedures that may be desirable for regulating the operation of water supply systems and
of wastewater treatment facilities. The advisory council is composed of 11 voting members,
of whom:
new text end

new text begin (1) one member must be from the Department of Health, Division of Environmental
Health, appointed by the commissioner of health;
new text end

new text begin (2) one member must be from the Pollution Control Agency appointed by the
commissioner of the Pollution Control Agency;
new text end

new text begin (3) three members must be certified water supply system operators, appointed by the
commissioner of health, one of whom must represent a nonmunicipal community or
nontransient noncommunity water supply system;
new text end

new text begin (4) three members must be certified wastewater treatment facility operators, appointed
by the commissioner of the Pollution Control Agency;
new text end

new text begin (5) one member must be a representative from an organization representing municipalities,
appointed by the commissioner of health with the concurrence of the commissioner of the
Pollution Control Agency; and
new text end

new text begin (6) two members must be members of the public who are not associated with water
supply systems or wastewater treatment facilities. One must be appointed by the
commissioner of health and the other by the commissioner of the Pollution Control Agency.
Consideration should be given to one of these members being a representative of academia
knowledgeable in water or wastewater matters.
new text end

new text begin Subd. 2. new text end

new text begin Geographic representation. new text end

new text begin At least one of the water supply system operators
and at least one of the wastewater treatment facility operators must be from outside the
seven-county metropolitan area and one wastewater operator must come from the
Metropolitan Council.
new text end

new text begin Subd. 3. new text end

new text begin Terms; compensation. new text end

new text begin The terms of the appointed members and the
compensation and removal of all members are governed by section 15.059.
new text end

new text begin Subd. 4. new text end

new text begin Officers. new text end

new text begin When new members are appointed to the council, a chair must be
elected at the next council meeting. The Department of Health representative shall serve as
secretary of the council.
new text end

Sec. 3.

Minnesota Statutes 2018, section 144.1481, subdivision 1, is amended to read:


Subdivision 1.

Establishment; membership.

The commissioner of health shall establish
a deleted text begin15-memberdeleted text endnew text begin 21-membernew text end Rural Health Advisory Committee. The committee shall consist
of the following members, all of whom must reside outside the seven-county metropolitan
area, as defined in section 473.121, subdivision 2:

(1) two members from the house of representatives of the state of Minnesota, one from
the majority party and one from the minority party;

(2) two members from the senate of the state of Minnesota, one from the majority party
and one from the minority party;

(3) a volunteer member of an ambulance service based outside the seven-county
metropolitan area;

(4) a representative of a hospital located outside the seven-county metropolitan area;

(5) a representative of a nursing home located outside the seven-county metropolitan
area;

(6) a medical doctor or doctor of osteopathic medicine licensed under chapter 147;

(7) deleted text begina midlevel practitionerdeleted text endnew text begin an advanced practice professionalnew text end;

(8) a registered nurse or licensed practical nurse;

(9) a licensed new text beginoral new text endhealth deleted text begincaredeleted text end professionalnew text begin;
new text end

new text begin (10) a licensed health care professionalnew text end from an occupation not otherwise represented
on the committee;

deleted text begin (10)deleted text endnew text begin (11)new text end a representative of an institution of higher education located outside the
seven-county metropolitan area that provides training for rural health care providers; deleted text beginand
deleted text end

new text begin (12) a member of a tribal nation;
new text end

new text begin (13) a representative of a local public health agency or community health board;
new text end

new text begin (14) a health professional or advocate with experience working with people with mental
illness;
new text end

new text begin (15) a representative of a community organization that works with individuals
experiencing health disparities;
new text end

new text begin (16) an individual with expertise in economic development, or an employer working
outside the seven-county metropolitan area; and
new text end

deleted text begin (11)deleted text endnew text begin (17)new text end three consumers, at least one of whom must be deleted text beginan advocate fordeleted text endnew text begin from a
community experiencing health disparities or an advocate for
new text end persons who deleted text beginare mentally ill
or developmentally disabled
deleted text endnew text begin have developmental disabilitiesnew text end.

The commissioner will make recommendations for committee membership. Committee
members will be appointed by the governor. In making appointments, the governor shall
ensure that appointments provide geographic balance among those areas of the state outside
the seven-county metropolitan area. The chair of the committee shall be elected by the
members. The advisory committee is governed by section 15.059, except that the members
do not receive per diem compensation.

Sec. 4.

new text begin [145.9231] HEALTH EQUITY ADVISORY AND LEADERSHIP (HEAL)
COUNCIL.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; composition of advisory council. new text end

new text begin (a) The commissioner
shall establish and appoint a Health Equity Advisory and Leadership (HEAL) Council to
provide guidance to the commissioner of health regarding strengthening and improving the
health of communities most impacted by health inequities across the state. The council shall
consist of 18 members who will provide representation from the following groups:
new text end

new text begin (1) African American and African heritage communities;
new text end

new text begin (2) Asian American and Pacific Islander communities;
new text end

new text begin (3) Latina/o/x communities;
new text end

new text begin (4) American Indian communities and Tribal Government/Nations;
new text end

new text begin (5) disability communities;
new text end

new text begin (6) lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities; and
new text end

new text begin (7) representatives who reside outside the seven-county metropolitan area.
new text end

new text begin (b) No members shall be employees of the Minnesota Department of Health.
new text end

new text begin Subd. 2. new text end

new text begin Organization and meetings. new text end

new text begin The advisory council shall be organized and
administered under section 15.059, except that the members do not receive per diem
compensation. Meetings will be held at least quarterly and hosted by the department.
Subcommittees may be developed as necessary. Advisory council meetings are subject to
Open Meeting Law under chapter 13D.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin The advisory council shall:
new text end

new text begin (1) advise the commissioner on health equity issues and the health equity priorities and
concerns of the populations specified in subdivision 1;
new text end

new text begin (2) assist the agency in efforts to advance health equity, including consulting in specific
agency policies and programs, providing ideas and input about potential budget and policy
proposals, and recommending review of particular agency policies, standards, or procedures
that may create or perpetuate health inequities; and
new text end

new text begin (3) assist the agency in developing and monitoring meaningful performance measures
related to advancing health equity.
new text end

new text begin Subd. 4. new text end

new text begin Expiration. new text end

new text begin Notwithstanding section 15.059, subdivision 6, the advisory council
shall remain in existence until health inequities in the state are eliminated. Health inequities
will be considered eliminated when race, ethnicity, income, gender, gender identity,
geographic location, or other identity or social marker will no longer be predictors of health
outcomes in the state. Section 145.928 describes nine health disparities that must be
considered when determining whether health inequities have been eliminated in the state.
new text end