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Key: (1) language to be deleted (2) new language

CHAPTER 43--S.F.No. 887

An act

relating to health; classifying criminal history record data on Minnesota Responds Medical Reserve Corps volunteers; requiring certain interviews for investigation of vulnerable adult complaints against HMO; enacting the Minnesota Radon Awareness Act; requiring radon education disclosure for residential real property; changing provisions for tuberculosis standards; changing adverse health events reporting requirements; modifying a poison control provision; providing liability coverage for certain volunteer medical personnel and permitting agreements to conduct criminal background studies; changing provisions for body art establishments and body art technicians; defining occupational therapy practitioners; changing provisions for occupational therapy; amending prescribing authority for legend drugs; providing penalties;

amending Minnesota Statutes 2012, sections 13.381, by adding a subdivision; 62Q.106; 144.1501, subdivision 4; 144.50, by adding a subdivision; 144.55, subdivision 3; 144.56, by adding a subdivision; 144.7065, subdivisions 2, 3, 4, 5, 6, 7, by adding a subdivision; 144A.04, by adding a subdivision; 144A.45, by adding a subdivision; 144A.53, subdivision 2; 144A.752, by adding a subdivision; 144D.08; 145.93, subdivision 3; 145A.04, by adding a subdivision; 145A.06, subdivision 7; 146B.02, subdivisions 2, 8; 146B.03, by adding a subdivision; 146B.07, subdivision 5; 148.6402, by adding a subdivision; 148.6440; 151.37, subdivision 2; proposing coding for new law in Minnesota Statutes, chapters 144; 145A; 513; repealing Minnesota Statutes 2012, sections 144.1487; 144.1488; 144.1489; 144.1490; 144.1491; 146B.03, subdivision 10; 325F.814; 609.2246.

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

Section 1.

Minnesota Statutes 2012, section 13.381, is amended by adding a subdivision to read:

new text begin Subd. 14a. new text end

new text begin Minnesota Responds Medical Reserve Corps. new text end

new text begin Criminal history record data on Minnesota Responds Medical Reserve Corps volunteers are classified under section 145A.061. new text end

Sec. 2.

Minnesota Statutes 2012, section 62Q.106, is amended to read:

62Q.106 DISPUTE RESOLUTION BY COMMISSIONER.

new text begin (a) new text end A complainant may at any time submit a complaint to the appropriate commissioner to investigate. After investigating a complaint, or reviewing a company's decision, the appropriate commissioner may order a remedy as authorized under chapter 45, 60A, or 62D.

new text begin (b) In investigating a complaint filed against a health maintenance organization regarding a vulnerable adult, upon request, the commissioner of health must interview at least one family member of the complainant or the subject of the complaint. If the complainant or the subject of the complaint does not want any family members to be interviewed, this information will be included in the investigative file. new text end

Sec. 3.

Minnesota Statutes 2012, section 144.1501, subdivision 4, is amended to read:

Subd. 4.

Loan forgiveness.

The commissioner of health may select applicants each year for participation in the loan forgiveness program, within the limits of available funding. The commissioner shall distribute available funds for loan forgiveness proportionally among the eligible professions according to the vacancy rate for each profession in the required geographic area, facility type, teaching area, patient group, or specialty type specified in subdivision 2. The commissioner shall allocate funds for physician loan forgiveness so that 75 percent of the funds available are used for rural physician loan forgiveness and 25 percent of the funds available are used for underserved urban communities and pediatric psychiatry loan forgiveness. If the commissioner does not receive enough qualified applicants each year to use the entire allocation of funds for any eligible profession, the remaining funds may be allocated proportionally among the other eligible professions according to the vacancy rate for each profession in the required geographic area, patient group, or facility type specified in subdivision 2. Applicants are responsible for securing their own qualified educational loans. The commissioner shall select participants based on their suitability for practice serving the required geographic area or facility type specified in subdivision 2, as indicated by experience or training. The commissioner shall give preference to applicants closest to completing their training. For each year that a participant meets the service obligation required under subdivision 3, up to a maximum of four years, the commissioner shall make annual disbursements directly to the participant equivalent to 15 percent of the average educational debt for indebted graduates in their profession in the year closest to the applicant's selection for which information is available, not to exceed the balance of the participant's qualifying educational loans. Before receiving loan repayment disbursements and as requested, the participant must complete and return to the commissioner deleted text begin an affidavitdeleted text end new text begin a confirmationnew text end of practice form provided by the commissioner verifying that the participant is practicing as required under subdivisions 2 and 3. The participant must provide the commissioner with verification that the full amount of loan repayment disbursement received by the participant has been applied toward the designated loans. After each disbursement, verification must be received by the commissioner and approved before the next loan repayment disbursement is made. Participants who move their practice remain eligible for loan repayment as long as they practice as required under subdivision 2.

Sec. 4.

new text begin [144.496] MINNESOTA RADON AWARENESS ACT. new text end

new text begin Subdivision 1. new text end

new text begin Citation. new text end

new text begin This section may be cited as the "Minnesota Radon Awareness Act." new text end

new text begin Subd. 2. new text end

new text begin Definitions. new text end

new text begin (a) The following terms used in this section have the meanings given them. new text end

new text begin (b) "Buyer" means a person negotiating or offering to acquire for value, legal or equitable title, or the right to acquire legal or equitable title to residential real property. new text end

new text begin (c) "Mitigation" means measures designed to permanently reduce indoor radon concentrations. new text end

new text begin (d) "Radon test" means a measurement of indoor radon concentrations according to established industry standards for residential real property. new text end

new text begin (e) "Residential real property" means property occupied as, or intended to be occupied as, a single-family residence, including a unit in a common interest community as defined in section 515B.1-103, clause (10), regardless of whether the unit is in a common interest community not subject to chapter 515B. new text end

new text begin (f) "Seller" means a person who owns legal or equitable title to residential real property. new text end

new text begin (g) "Elevated radon concentration" means a radon concentration at or above the United States Environmental Protection Agency's radon action level. new text end

new text begin Subd. 3. new text end

new text begin Radon disclosure. new text end

new text begin (a) Before signing an agreement to sell or transfer residential real property, the seller shall disclose in writing to the buyer any knowledge the seller has of radon concentrations in the dwelling. The disclosure shall include: new text end

new text begin (1) whether a radon test or tests have occurred on the real property; new text end

new text begin (2) the most current records and reports pertaining to radon concentrations within the dwelling; new text end

new text begin (3) a description of any radon concentrations, mitigation, or remediation; new text end

new text begin (4) information regarding the radon mitigation system, including system description and documentation, if such system has been installed in the dwelling; and new text end

new text begin (5) a radon warning statement meeting the requirements of subdivision 4. new text end

new text begin (b) The seller shall provide the buyer with a copy of the Minnesota Department of Health publication entitled "Radon in Real Estate Transactions." new text end

new text begin (c) The seller's radon disclosure requirements in this section apply to the transfer of any interest in residential real estate, whether by sale, exchange, deed, contract for deed, lease with an option to purchase, or any other option. new text end

new text begin (d) The seller's radon disclosure requirements in this section do not apply to any of the following: new text end

new text begin (1) real property that is not residential real property; new text end

new text begin (2) a gratuitous transfer; new text end

new text begin (3) a transfer made pursuant to a court order; new text end

new text begin (4) a transfer to a government or governmental agency; new text end

new text begin (5) a transfer by foreclosure or deed in lieu of foreclosure; new text end

new text begin (6) a transfer to heirs or devisees of a decedent; new text end

new text begin (7) a transfer from a cotenant to one or more other cotenants; new text end

new text begin (8) a transfer made to a spouse, parent, grandparent, child, or grandchild of the seller; new text end

new text begin (9) a transfer between spouses resulting from a decree of marriage dissolution or from a property settlement agreement incidental to that decree; new text end

new text begin (10) an option to purchase a unit in a common interest community, until exercised; new text end

new text begin (11) a transfer to a person who controls or is controlled by the grantor as those terms are defined with respect to a declarant under section 515B.1-103, clause (2); new text end

new text begin (12) a transfer to a tenant who is in possession of the residential real property; or new text end

new text begin (13) a transfer of special declarant rights under section 515B.3-104. new text end

new text begin (e) A seller may provide the written disclosure required under this section to a real estate licensee representing or assisting a prospective buyer. The written disclosure provided to the real estate licensee representing or assisting a prospective buyer is considered to have been provided to the prospective buyer. If the written disclosure is provided to the real estate licensee representing or assisting the prospective buyer, the real estate licensee must provide a copy to the prospective buyer. new text end

new text begin Subd. 4. new text end

new text begin Radon warning statement. new text end

new text begin The radon warning statement must include the following language: new text end

new text begin "Radon Warning Statement new text end

new text begin The Minnesota Department of Health strongly recommends that ALL homebuyers have an indoor radon test performed prior to purchase or taking occupancy, and recommends having the radon levels mitigated if elevated radon concentrations are found. Elevated radon concentrations can easily be reduced by a qualified, certified, or licensed, if applicable, radon mitigator. new text end

new text begin Every buyer of any interest in residential real property is notified that the property may present exposure to dangerous levels of indoor radon gas that may place the occupants at risk of developing radon-induced lung cancer. Radon, a Class A human carcinogen, is the leading cause of lung cancer in nonsmokers and the second leading cause overall. The seller of any interest in residential real property is required to provide the buyer with any information on radon test results of the dwelling." new text end

new text begin Subd. 5. new text end

new text begin Liability; transfer not invalidated. new text end

new text begin (a) A seller who fails to make a radon disclosure as required by this section, and is aware of material facts pertaining to radon concentrations in the dwelling, is liable to the buyer. new text end

new text begin (b) A buyer who is injured by a violation of this section may bring a civil action and recover damages and receive other equitable relief as determined by the court. An action under this subdivision must be commenced within two years after the date on which the buyer closed the purchase or transfer of the real property. new text end

new text begin (c) This section does not invalidate a transfer solely because of the failure of any person to comply with a provision of this section. This section does not prevent a court from ordering a rescission of the transfer. new text end

new text begin Subd. 6. new text end

new text begin Effective date. new text end

new text begin This section is effective January 1, 2014, and applies to agreements to sell or transfer residential real property executed on or after that date. new text end

Sec. 5.

Minnesota Statutes 2012, section 144.50, is amended by adding a subdivision to read:

new text begin Subd. 6a. new text end

new text begin Supervised living facility; tuberculosis prevention and control. new text end

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

new text begin (b) Written compliance with this subdivision must be maintained by the supervised living facility. new text end

Sec. 6.

Minnesota Statutes 2012, section 144.55, subdivision 3, is amended to read:

Subd. 3.

Standards for licensure.

(a) Notwithstanding the provisions of section 144.56, for the purpose of hospital licensure, the commissioner of health shall use as minimum standards the hospital certification regulations promulgated pursuant to Title XVIII of the Social Security Act, United States Code, title 42, section 1395, et seq. The commissioner may use as minimum standards changes in the federal hospital certification regulations promulgated after May 7, 1981, if the commissioner finds that such changes are reasonably necessary to protect public health and safety. The commissioner shall also promulgate in rules additional minimum standards for new construction.

(b) Each hospital and outpatient surgical center shall establish policies and procedures to prevent the transmission of human immunodeficiency virus and hepatitis B virus to patients and within the health care setting. The policies and procedures shall be developed in conformance with the most recent recommendations issued by the United States Department of Health and Human Services, Public Health Service, Centers for Disease Control. The commissioner of health shall evaluate a hospital's compliance with the policies and procedures according to subdivision 4.

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

new text begin (d) Written compliance with this subdivision must be maintained by the outpatient surgical center. new text end

Sec. 7.

Minnesota Statutes 2012, section 144.56, is amended by adding a subdivision to read:

new text begin Subd. 2c. new text end

new text begin Boarding care home; tuberculosis prevention and control. new text end

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

new text begin (b) Written compliance with this subdivision must be maintained by the boarding care home. new text end

Sec. 8.

Minnesota Statutes 2012, section 144.7065, subdivision 2, is amended to read:

Subd. 2.

Surgical events.

Events reportable under this subdivision are:

(1) surgery new text begin or other invasive procedure new text end performed on a wrong body part that is not consistent with the documented informed consent for that patient. Reportable events under this clause do not include situations requiring prompt action that occur in the course of surgery or situations whose urgency precludes obtaining informed consent;

(2) surgery new text begin or other invasive procedure new text end performed on the wrong patient;

(3) the wrong surgical new text begin or other invasive new text end procedure performed on a patient that is not consistent with the documented informed consent for that patient. Reportable events under this clause do not include situations requiring prompt action that occur in the course of surgery or situations whose urgency precludes obtaining informed consent;

(4) retention of a foreign object in a patient after surgery or other new text begin invasive new text end procedure, excluding objects intentionally implanted as part of a planned intervention and objects present prior to surgery that are intentionally retained; and

(5) death during or immediately after surgery new text begin or other invasive procedure new text end of a normal, healthy patient who has no organic, physiologic, biochemical, or psychiatric disturbance and for whom the pathologic processes for which the operation is to be performed are localized and do not entail a systemic disturbance.

Sec. 9.

Minnesota Statutes 2012, section 144.7065, subdivision 3, is amended to read:

Subd. 3.

Product or device events.

Events reportable under this subdivision are:

(1) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with the use of contaminated drugs, devices, or biologics provided by the facility when the contamination is the result of generally detectable contaminants in drugs, devices, or biologics regardless of the source of the contamination or the product;

(2) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with the use or function of a device in patient care in which the device is used or functions other than as intended. "Device" includes, but is not limited to, catheters, drains, and other specialized tubes, infusion pumps, and ventilators; and

(3) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with intravascular air embolism that occurs while being cared for in a facility, excluding deaths associated with neurosurgical procedures known to present a high risk of intravascular air embolism.

Sec. 10.

Minnesota Statutes 2012, section 144.7065, subdivision 4, is amended to read:

Subd. 4.

Patient protection events.

Events reportable under this subdivision are:

(1) deleted text begin an infantdeleted text end new text begin a patient of any age, who does not have decision-making capacity,new text end discharged to the wrong person;

(2) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with patient disappearance, excluding events involving adults who have decision-making capacity; and

(3) patient suicide deleted text begin ordeleted text end new text begin ,new text end attempted suicide resulting in serious deleted text begin disabilitydeleted text end new text begin injury, or self-harm resulting in serious injury or deathnew text end while being cared for in a facility due to patient actions after admission to the facility, excluding deaths resulting from self-inflicted injuries that were the reason for admission to the facility.

Sec. 11.

Minnesota Statutes 2012, section 144.7065, subdivision 5, is amended to read:

Subd. 5.

Care management events.

Events reportable under this subdivision are:

(1) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with a medication error, including, but not limited to, errors involving the wrong drug, the wrong dose, the wrong patient, the wrong time, the wrong rate, the wrong preparation, or the wrong route of administration, excluding reasonable differences in clinical judgment on drug selection and dose;

(2) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with deleted text begin a hemolytic reaction due to the administration of ABO/HLA-incompatibledeleted text end new text begin unsafe administration ofnew text end blood or blood products;

(3) maternal death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with labor or delivery in a low-risk pregnancy while being cared for in a facility, including events that occur within 42 days postdelivery and excluding deaths from pulmonary or amniotic fluid embolism, acute fatty liver of pregnancy, or cardiomyopathy;

(4) deleted text begin patient death or serious disability directly related to hypoglycemia, the onset of which occurs while the patient is being cared for in a facilitydeleted text end new text begin death or serious injury of a neonate associated with labor or delivery in a low-risk pregnancynew text end ;

deleted text begin (5) death or serious disability, including kernicterus, associated with failure to identify and treat hyperbilirubinemia in neonates during the first 28 days of life. "Hyperbilirubinemia" means bilirubin levels greater than 30 milligrams per deciliter; deleted text end

deleted text begin (6)deleted text end new text begin (5)new text end stage 3 or 4new text begin or unstageablenew text end ulcers acquired after admission to a facility, excluding progression from stage 2 to stage 3 if stage 2 was recognized upon admission;

deleted text begin (7) patient death or serious disability due to spinal manipulative therapy; and deleted text end

deleted text begin (8)deleted text end new text begin (6)new text end artificial insemination with the wrong donor sperm or wrong eggdeleted text begin .deleted text end new text begin ;new text end

new text begin (7) patient death or serious injury associated with a fall while being cared for in a facility; new text end

new text begin (8) the irretrievable loss of an irreplaceable biological specimen; and new text end

new text begin (9) patient death or serious injury resulting from the failure to follow up or communicate laboratory, pathology, or radiology test results. new text end

Sec. 12.

Minnesota Statutes 2012, section 144.7065, subdivision 6, is amended to read:

Subd. 6.

Environmental events.

Events reportable under this subdivision are:

(1) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with an electric shock while being cared for in a facility, excluding events involving planned treatments such as electric countershock;

(2) any incident in which a line designated for oxygen or other gas to be delivered to a patient contains the wrong gas or is contaminated by toxic substances;

(3) patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with a burn incurred from any source while being cared for in a facility;new text begin andnew text end

deleted text begin (4) patient death or serious disability associated with a fall while being cared for in a facility; and deleted text end

deleted text begin (5)deleted text end new text begin (4)new text end patient death or serious deleted text begin disabilitydeleted text end new text begin injurynew text end associated with the use or lack of restraints or bedrails while being cared for in a facility.

Sec. 13.

Minnesota Statutes 2012, section 144.7065, subdivision 7, is amended to read:

Subd. 7.

new text begin Potential new text end criminal events.

Events reportable under this subdivision are:

(1) any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed health care provider;

(2) abduction of a patient of any age;

(3) sexual assault on a patient within or on the grounds of a facility; and

(4) death or deleted text begin significantdeleted text end new text begin seriousnew text end injury of a patient or staff member resulting from a physical assault that occurs within or on the grounds of a facility.

Sec. 14.

Minnesota Statutes 2012, section 144.7065, is amended by adding a subdivision to read:

new text begin Subd. 7a. new text end

new text begin Radiologic events. new text end

new text begin Death or serious injury of a patient associated with the introduction of a metallic object into the MRI area are reportable events under this subdivision. new text end

Sec. 15.

Minnesota Statutes 2012, section 144A.04, is amended by adding a subdivision to read:

new text begin Subd. 3b. new text end

new text begin Nursing homes; tuberculosis prevention and control. new text end

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

new text begin (b) Written compliance with this subdivision must be maintained by the nursing home. new text end

Sec. 16.

Minnesota Statutes 2012, section 144A.45, is amended by adding a subdivision to read:

new text begin Subd. 6. new text end

new text begin Home care providers; tuberculosis prevention and control. new text end

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

new text begin (b) Written compliance with this subdivision must be maintained by the home care provider. new text end

Sec. 17.

Minnesota Statutes 2012, section 144A.53, subdivision 2, is amended to read:

Subd. 2.

Complaints.

new text begin (a) new text end The director may receive a complaint from any source concerning an action of an administrative agency, a health care provider, a home care provider, a residential care home, or a health facility. The director may require a complainant to pursue other remedies or channels of complaint open to the complainant before accepting or investigating the complaint.new text begin Investigators are required to interview at least one family member of the vulnerable adult identified in the complaint. If the vulnerable adult is directing his or her own care and does not want the investigator to contact the family, this information must be documented in the investigative file.new text end

new text begin (b) new text end The director shall keep written records of all complaints and any action upon them. After completing an investigation of a complaint, the director shall inform the complainant, the administrative agency having jurisdiction over the subject matter, the health care provider, the home care provider, the residential care home, and the health facility of the action taken.new text begin Complainants must be provided a copy of the public report upon completion of the investigation.new text end

Sec. 18.

Minnesota Statutes 2012, section 144A.752, is amended by adding a subdivision to read:

new text begin Subd. 4. new text end

new text begin Hospice providers; tuberculosis prevention and control. new text end

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

new text begin (b) Written compliance with this subdivision must be maintained by the hospice provider. new text end

Sec. 19.

Minnesota Statutes 2012, section 144D.08, is amended to read:

144D.08 UNIFORM CONSUMER INFORMATION GUIDE.

All housing with services establishments shall make available to all prospective and current residents information consistent with the uniform format and the required components adopted by the commissioner under section 144G.06.new text begin This section does not apply to an establishment registered under section 144D.025 serving the homeless.new text end

Sec. 20.

Minnesota Statutes 2012, section 145.93, subdivision 3, is amended to read:

Subd. 3.

Grant award; designation; payments under grant.

deleted text begin Each odd-numbereddeleted text end new text begin Every fifthnew text end yearnew text begin ,new text end the commissioner shall solicit applications for the poison information centers by giving reasonable public notice of the availability of money appropriated or otherwise available. The commissioner shall select from among the entities, whether profit or nonprofit, or units of government the applicants that best fulfill the criteria specified in subdivision 4. The grant shall be paid to the grantees quarterly beginning on July 1.

Sec. 21.

Minnesota Statutes 2012, section 145A.04, is amended by adding a subdivision to read:

new text begin Subd. 6d. new text end

new text begin Minnesota Responds Medical Reserve Corps; liability coverage. new text end

new text begin A Minnesota Responds Medical Reserve Corps volunteer responding to a request for training or assistance at the call of a board of health must be deemed an employee of the jurisdiction for purposes of workers' compensation, tort claim defense, and indemnification. new text end

Sec. 22.

Minnesota Statutes 2012, section 145A.06, subdivision 7, is amended to read:

Subd. 7.

Commissioner requests for health volunteers.

(a) When the commissioner receives a request for health volunteers from:

(1) a local board of health according to section 145A.04, subdivision 6c;

(2) the University of Minnesota Academic Health Center;

(3) another state or a territory through the Interstate Emergency Management Assistance Compact authorized under section 192.89;

(4) the federal government through ESAR-VHP or another similar program; or

(5) a tribal or Canadian government;

the commissioner shall determine if deployment of Minnesota Responds Medical Reserve Corps volunteers from outside the requesting jurisdiction is in the public interest. If so, the commissioner may ask for Minnesota Responds Medical Reserve Corps volunteers to respond to the request. The commissioner may also ask for Minnesota Responds Medical Reserve Corps volunteers if the commissioner finds that the state needs health volunteers.

(b) The commissioner may request Minnesota Responds Medical Reserve Corps volunteers to work on the Minnesota Mobile Medical Unit (MMU), or on other mobile or temporary units providing emergency patient stabilization, medical transport, or ambulatory care. The commissioner may utilize the volunteers for training, mobilization or demobilization, inspection, maintenance, repair, or other support functions for the MMU facility or for other emergency units, as well as for provision of health care services.

(c) A volunteer's rights and benefits under this chapter as a Minnesota Responds Medical Reserve Corps volunteer is not affected by any vacation leave, pay, or other compensation provided by the volunteer's employer during volunteer service requested by the commissioner. An employer is not liable for actions of an employee while serving as a Minnesota Responds Medical Reserve Corps volunteer.

(d) If the commissioner matches the request under paragraph (a) with Minnesota Responds Medical Reserve Corps volunteers, the commissioner shall facilitate deployment of the volunteers from the sending Minnesota Responds Medical Reserve Corps units to the receiving jurisdiction. The commissioner shall track volunteer deployments and assist sending and receiving jurisdictions in monitoring deployments, and shall coordinate efforts with the division of homeland security and emergency management for out-of-state deployments through the Interstate Emergency Management Assistance Compact or other emergency management compacts.

(e) Where the commissioner has deployed Minnesota Responds Medical Reserve Corps volunteers within or outside the state, the provisions of paragraphs (f) and (g) must apply. Where Minnesota Responds Medical Reserve Corps volunteers were deployed across jurisdictions by mutual aid or similar agreements prior to a commissioner's call, the provisions of paragraphs (f) and (g) must apply retroactively to volunteers deployed as of their initial deployment in response to the event or emergency that triggered a subsequent commissioner's call.

(f) (1) A Minnesota Responds Medical Reserve Corps volunteer responding to a request for new text begin training or new text end assistance at the call of the commissioner must be deemed an employee of the state for purposes of workers' compensation and tort claim defense and indemnification under section 3.736, without regard to whether the volunteer's activity is under the direction and control of the commissioner, the division of homeland security and emergency management, the sending jurisdiction, the receiving jurisdiction, or of a hospital, alternate care site, or other health care provider treating patients from the public health event or emergency.

(2) For purposes of calculating workers' compensation benefits under chapter 176, the daily wage must be the usual wage paid at the time of injury or death for similar services performed by paid employees in the community where the volunteer regularly resides, or the wage paid to the volunteer in the volunteer's regular employment, whichever is greater.

(g) The Minnesota Responds Medical Reserve Corps volunteer must receive reimbursement for travel and subsistence expenses during a deployment approved by the commissioner under this subdivision according to reimbursement limits established for paid state employees. Deployment begins when the volunteer leaves on the deployment until the volunteer returns from the deployment, including all travel related to the deployment. The Department of Health shall initially review and pay those expenses to the volunteer. Except as otherwise provided by the Interstate Emergency Management Assistance Compact in section 192.89 or agreements made thereunder, the department shall bill the jurisdiction receiving assistance and that jurisdiction shall reimburse the department for expenses of the volunteers.

(h) In the event Minnesota Responds Medical Reserve Corps volunteers are deployed outside the state pursuant to the Interstate Emergency Management Assistance Compact, the provisions of the Interstate Emergency Management Assistance Compact must control over any inconsistent provisions in this section.

(i) When a Minnesota Responds Medical Reserve Corps volunteer makes a claim for workers' compensation arising out of a deployment under this section or out of a training exercise conducted by the commissioner, the volunteer's workers compensation benefits must be determined under section 176.011, subdivision 9, clause (25), even if the volunteer may also qualify under other clauses of section 176.011, subdivision 9.

Sec. 23.

new text begin [145A.061] CRIMINAL BACKGROUND STUDIES. new text end

new text begin Subdivision 1. new text end

new text begin Agreements to conduct criminal background studies. new text end

new text begin The commissioner of health may develop agreements to conduct criminal background studies on each person who registers as a volunteer in the Minnesota Responds Medical Reserve Corps and applies for membership in the Minnesota behavioral health or mobile medical teams. The background study is for the purpose of determining the applicant's suitability and eligibility for membership. Each applicant must provide written consent authorizing the Department of Health to obtain the applicant's state criminal background information. new text end

new text begin Subd. 2. new text end

new text begin Opportunity to challenge accuracy of report. new text end

new text begin Before denying the applicant the opportunity to serve as a health volunteer due to information obtained from a background study, the commissioner shall provide the applicant with the opportunity to complete, or challenge the accuracy of, the criminal justice information reported to the commissioner. The applicant shall have 30 calendar days to correct or complete the record prior to the commissioner taking final action based on the report. new text end

new text begin Subd. 3. new text end

new text begin Denial of service. new text end

new text begin The commissioner may deny an application from any applicant who has been convicted of any of the following crimes: new text end

new text begin Section 609.185 (murder in the first degree); section 609.19 (murder in the second degree); section 609.195 (murder in the third degree); section 609.20 (manslaughter in the first degree); section 609.205 (manslaughter in the second degree); section 609.25 (kidnapping); section 609.2661 (murder of an unborn child in the first degree); section 609.2662 (murder of an unborn child in the second degree); section 609.2663 (murder of an unborn child in the third degree); section 609.342 (criminal sexual conduct in the first degree); section 609.343 (criminal sexual conduct in the second degree); section 609.344 (criminal sexual conduct in the third degree); section 609.345 (criminal sexual conduct in the fourth degree); section 609.3451 (criminal sexual conduct in the fifth degree); section 609.3453 (criminal sexual predatory conduct); section 609.352 (solicitation of children to engage in sexual conduct); section 609.352 (communication of sexually explicit materials to children); section 609.365 (incest); section 609.377 (felony malicious punishment of a child); section 609.378 (felony neglect or endangerment of a child); section 609.561 (arson in the first degree); section 609.562 (arson in the second degree); section 609.563 (arson in the third degree); section 609.749, subdivision 3, 4, or 5 (felony stalking); section 152.021 (controlled substance crimes in the first degree); section 152.022 (controlled substance crimes in the second degree); section 152.023 (controlled substance crimes in the third degree); section 152.024 (controlled substance crimes in the fourth degree); section 152.025 (controlled substance crimes in the fifth degree); section 243.166 (violation of predatory offender registration law); section 617.23, subdivision 2, clause (1), or subdivision 3, clause (1) (indecent exposure involving a minor); section 617.246 (use of minors in sexual performance); section 617.247 (possession of pornographic work involving minors); section 609.221 (assault in the first degree); section 609.222 (assault in the second degree); section 609.223 (assault in the third degree); section 609.2231 (assault in the fourth degree); section 609.224 (assault in the fifth degree); section 609.2242 (domestic assault); section 609.2247 (domestic assault by strangulation); section 609.228 (great bodily harm caused by distribution of drugs); section 609.23 (mistreatment of persons confined); section 609.231 (mistreatment of residents or patients); section 609.2325 (criminal abuse); section 609.233 (criminal neglect); section 609.2335 (financial exploitation of a vulnerable adult); section 609.234 (failure to report); section 609.24 (simple robbery); section 609.245 (aggravated robbery); section 609.255 (false imprisonment); section 609.322 (solicitation, inducement, and promotion of prostitution and sex trafficking); section 609.324, subdivision 1 (hiring or engaging minors in prostitution); section 609.465 (presenting false claims to a public officer or body); section 609.466 (medical assistance fraud); section 609.52 (felony theft); section 609.82 (felony fraud in obtaining credit); section 609.527 (felony identity theft); section 609.582 (felony burglary); section 609.611 (felony insurance fraud); section 609.625 (aggravated forgery); section 609.63 (forgery); section 609.631 (felony check forgery); section 609.66, subdivision 1e (felony drive-by shooting); section 609.71 (felony riot); section 609.713 (terroristic threats); section 609.72, subdivision 3 (disorderly conduct by a caregiver against a vulnerable adult); section 609.821 (felony financial transaction card fraud); section 609.855, subdivision 4 (shooting at or in a public transit vehicle or facility); or aiding and abetting, attempting, or conspiring to commit any of the offenses in this subdivision. new text end

new text begin Subd. 4. new text end

new text begin Conviction. new text end

new text begin For purposes of this section, an applicant is considered to have been convicted of a crime if the applicant was convicted, or otherwise found guilty, including by entering an Alford plea; was found guilty but the adjudication of guilt was stayed or withheld; or was convicted but the imposition or execution of a sentence was stayed. new text end

new text begin Subd. 5. new text end

new text begin Data practices. new text end

new text begin All state criminal history record information or data obtained by the commissioner from the Bureau of Criminal Apprehension is private data on individuals under section 13.02, subdivision 12, and restricted to the exclusive use of commissioner for the purpose of evaluating an applicant's eligibility for participation in the behavioral health or mobile field medical team. new text end

new text begin Subd. 6. new text end

new text begin Use of volunteers by commissioner. new text end

new text begin The commissioner may deny a volunteer membership on a mobile medical team or behavioral health team for any reason, and is only required to communicate the reason when membership is denied as a result of information received from a criminal background study. The commissioner is exempt from the Criminal Offenders Rehabilitation Act under chapter 364 in the selection of volunteers for any position or activity including the Minnesota Responds Medical Reserve Corps, the Minnesota behavioral health team, and the mobile medical team. new text end

Sec. 24.

Minnesota Statutes 2012, section 146B.02, subdivision 2, is amended to read:

Subd. 2.

Requirements.

(a) Each application for an initialnew text begin mobile or fixed-sitenew text end establishment license and for renewal must be submitted to the commissioner on a form provided by the commissioner accompanied with the applicable fee required under section 146B.10. The application must contain:

(1) the name(s) of the owner(s) and operator(s) of the establishment;

(2) the location of the establishment;

(3) verification of compliance with all applicable local and state codes;

(4) a description of the general nature of the business; and

(5) any other relevant information deemed necessary by the commissioner.

(b) The commissioner shall issue a provisional establishment license effective until the commissioner determines after inspection that the applicant has met the requirements of this chapter. Upon approval, the commissioner shall issue a body art establishment license effective for three years.

Sec. 25.

Minnesota Statutes 2012, section 146B.02, subdivision 8, is amended to read:

Subd. 8.

Temporary events permit.

(a) An owner or operator of a temporary body art establishment shall submit an application for a temporary events permit to the commissioner at least 14 days before the start of the event. The application must include the specific days and hours of operation. The owner or operator shall comply with the requirements of this chapter.

new text begin (b) Applications received less than 14 days prior to the start of the event may be processed if the commissioner determines it is possible to conduct the required inspection. new text end

deleted text begin (b)deleted text end new text begin (c)new text end The temporary events permit must be prominently displayed in a public area at the location.

deleted text begin (c)deleted text end new text begin (d)new text end The temporary events permit, if approved, is valid for the specified dates and hours listed on the application. No temporary events permit shall be issued for longer than a 21-day period, and may not be extended.

Sec. 26.

Minnesota Statutes 2012, section 146B.03, is amended by adding a subdivision to read:

new text begin Subd. 11. new text end

new text begin Penalty. new text end

new text begin Any person who violates the provisions of subdivision 1 is guilty of a gross misdemeanor. new text end

Sec. 27.

Minnesota Statutes 2012, section 146B.07, subdivision 5, is amended to read:

Subd. 5.

Aftercare.

A technician shall provide each client with verbal and written instructions for the care of the tattooed or pierced site upon the completion of the procedure. The written instructions must advise the clientnew text begin of the difference between normal skin or tissue irritation and infection andnew text end to consult a health care professional deleted text begin at the first signdeleted text end new text begin upon indicationnew text end of infectionnew text begin of the skin or tissuenew text end .

Sec. 28.

Minnesota Statutes 2012, section 148.6402, is amended by adding a subdivision to read:

new text begin Subd. 16a. new text end

new text begin Occupational therapy practitioner. new text end

new text begin "Occupational therapy practitioner" means any individual licensed as either an occupational therapist or occupational therapy assistant under sections 148.6401 to 148.6450. new text end

Sec. 29.

Minnesota Statutes 2012, section 148.6440, is amended to read:

148.6440 PHYSICAL AGENT MODALITIES.

Subdivision 1.

General considerations.

(a) Occupational deleted text begin therapistsdeleted text end new text begin therapy practitionersnew text end who intend to use superficial physical agent modalities must comply with the requirements in subdivision 3. Occupational deleted text begin therapistsdeleted text end new text begin therapy practitioners new text end who intend to use electrotherapy must comply with the requirements in subdivision 4. Occupational deleted text begin therapistsdeleted text end new text begin therapy practitionersnew text end who intend to use ultrasound devices must comply with the requirements in subdivision 5. Occupational therapy new text begin practitioners who are licensed as occupational therapy new text end assistants new text begin and new text end who intend to use physical agent modalities must new text begin also new text end comply with subdivision 6.

(b) Use of superficial physical agent modalities, electrical stimulation devices, and ultrasound devices must be on the order of a physician.

(c) Prior to any use of any physical agent modality, deleted text begin a licenseedeleted text end new text begin an occupational therapy practitionernew text end must obtain approval from the commissioner. The commissioner shall maintain a roster of persons licensed under sections 148.6401 to 148.6450 who are approved to use physical agent modalities.

(d) deleted text begin Licenseesdeleted text end new text begin Occupational therapy practitionersnew text end are responsible for informing the commissioner of any changes in the information required in this section within 30 days of any change.

Subd. 2.

Written documentation required.

(a) An occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end must provide to the commissioner documentation verifying that the occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end has met the educational and clinical requirements described in subdivisions 3 to 5, depending on the modality or modalities to be used. Both theoretical training and clinical application objectives must be met for each modality used. Documentation must include the name and address of the individual or organization sponsoring the activity; the name and address of the facility at which the activity was presented; and a copy of the course, workshop, or seminar description, including learning objectives and standards for meeting the objectives. In the case of clinical application objectives, teaching methods must be documented, including actual supervised practice. Documentation must include a transcript or certificate showing successful completion of the coursework. Coursework completed more than two years prior to the date of application must be retaken. An occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end who is a certified hand therapist shall document satisfaction of the requirements in subdivisions 3 to 5 by submitting to the commissioner a copy of a certificate issued by the Hand Therapy Certification Commission. new text begin Occupational therapy new text end practitioners are prohibited from using physical agent modalities under supervision or independently until granted approval as provided in subdivision 7, except under the provisions in paragraph (b).

(b) If deleted text begin adeleted text end new text begin an occupational therapynew text end practitioner has successfully completed a specific course previously reviewed and approved by the commissioner as provided for in subdivision 7, and has submitted the written documentation required in paragraph (a) within 30 calendar days from the course date, the new text begin occupational therapy new text end practitioner awaiting written approval from the commissioner may use physical agent modalities under the supervision of a new text begin licensed occupational therapist new text end practitioner listed on the roster of persons approved to use physical agent modalities.

Subd. 3.

Requirements for use of superficial physical agent modalities.

(a) An occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end may use superficial physical agent modalities if the occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end has received theoretical training and clinical application training in the use of superficial physical agent modalities and been granted approval as provided in subdivision 7.

(b) Theoretical training in the use of superficial physical agent modalities must:

(1) explain the rationale and clinical indications for use of superficial physical agent modalities;

(2) explain the physical properties and principles of the superficial physical agent modalities;

(3) describe the types of heat and cold transference;

(4) explain the factors affecting tissue response to superficial heat and cold;

(5) describe the biophysical effects of superficial physical agent modalities in normal and abnormal tissue;

(6) describe the thermal conductivity of tissue, matter, and air;

(7) explain the advantages and disadvantages of superficial physical agent modalities; and

(8) explain the precautions and contraindications of superficial physical agent modalities.

(c) Clinical application training in the use of superficial physical agent modalities must include activities requiring the new text begin occupational therapy new text end practitioner to:

(1) formulate and justify a plan for the use of superficial physical agents for treatment appropriate to its use and simulate the treatment;

(2) evaluate biophysical effects of the superficial physical agents;

(3) identify when modifications to the treatment plan for use of superficial physical agents are needed and propose the modification plan;

(4) safely and appropriately administer superficial physical agents under the supervision of a course instructor or clinical trainer;

(5) document parameters of treatment, patient response, and recommendations for progression of treatment for the superficial physical agents; and

(6) demonstrate the ability to work competently with superficial physical agents as determined by a course instructor or clinical trainer.

Subd. 4.

Requirements for use of electrotherapy.

(a) An occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end may use electrotherapy if the occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end has received theoretical training and clinical application training in the use of electrotherapy and been granted approval as provided in subdivision 7.

(b) Theoretical training in the use of electrotherapy must:

(1) explain the rationale and clinical indications of electrotherapy, including pain control, muscle dysfunction, and tissue healing;

(2) demonstrate comprehension and understanding of electrotherapeutic terminology and biophysical principles, including current, voltage, amplitude, and resistance;

(3) describe the types of current used for electrical stimulation, including the description, modulations, and clinical relevance;

(4) describe the time-dependent parameters of pulsed and alternating currents, including pulse and phase durations and intervals;

(5) describe the amplitude-dependent characteristics of pulsed and alternating currents;

(6) describe neurophysiology and the properties of excitable tissue;

(7) describe nerve and muscle response from externally applied electrical stimulation, including tissue healing;

(8) describe the electrotherapeutic effects and the response of nerve, denervated and innervated muscle, and other soft tissue; and

(9) explain the precautions and contraindications of electrotherapy, including considerations regarding pathology of nerve and muscle tissue.

(c) Clinical application training in the use of electrotherapy must include activities requiring the new text begin occupational therapy new text end practitioner to:

(1) formulate and justify a plan for the use of electrical stimulation devices for treatment appropriate to its use and simulate the treatment;

(2) evaluate biophysical treatment effects of the electrical stimulation;

(3) identify when modifications to the treatment plan using electrical stimulation are needed and propose the modification plan;

(4) safely and appropriately administer electrical stimulation under supervision of a course instructor or clinical trainer;

(5) document the parameters of treatment, case example (patient) response, and recommendations for progression of treatment for electrical stimulation; and

(6) demonstrate the ability to work competently with electrical stimulation as determined by a course instructor or clinical trainer.

Subd. 5.

Requirements for use of ultrasound.

(a) An occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end may use an ultrasound device if the occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end has received theoretical training and clinical application training in the use of ultrasound and been granted approval as provided in subdivision 7.

(b) The theoretical training in the use of ultrasound must:

(1) explain the rationale and clinical indications for the use of ultrasound, including anticipated physiological responses of the treated area;

(2) describe the biophysical thermal and nonthermal effects of ultrasound on normal and abnormal tissue;

(3) explain the physical principles of ultrasound, including wavelength, frequency, attenuation, velocity, and intensity;

(4) explain the mechanism and generation of ultrasound and energy transmission through physical matter; and

(5) explain the precautions and contraindications regarding use of ultrasound devices.

(c) The clinical application training in the use of ultrasound must include activities requiring the practitioner to:

(1) formulate and justify a plan for the use of ultrasound for treatment appropriate to its use and stimulate the treatment;

(2) evaluate biophysical effects of ultrasound;

(3) identify when modifications to the treatment plan for use of ultrasound are needed and propose the modification plan;

(4) safely and appropriately administer ultrasound under supervision of a course instructor or clinical trainer;

(5) document parameters of treatment, patient response, and recommendations for progression of treatment for ultrasound; and

(6) demonstrate the ability to work competently with ultrasound as determined by a course instructor or clinical trainer.

Subd. 6.

Occupational therapy assistant use of physical agent modalities.

An occupational therapy new text begin practitioner licensed as an occupational therapy new text end assistant may set up and implement treatment using physical agent modalities if the new text begin licensed occupational therapy new text end assistant meets the requirements of this section, new text begin has applied for and received written approval from the commissioner to use physical agent modalities as provided in subdivision 7, new text end has demonstrated service competency for the particular modality used, and works under the direct supervision of an new text begin occupational therapy practitioner licensed as an new text end occupational therapist who has been granted approval as provided in subdivision 7. An new text begin occupational therapy practitioner licensed as an new text end occupational therapy assistant who uses superficial physical agent modalities must meet the requirements of subdivision 3. An new text begin occupational therapy practitioner licensed as an new text end occupational therapy assistant who uses electrotherapy must meet the requirements of subdivision 4. An new text begin occupational therapy practitioner licensed as an new text end occupational therapy assistant who uses ultrasound must meet the requirements of subdivision 5. An new text begin occupational therapy practitioner licensed as an new text end occupational therapist may not delegate evaluation, reevaluation, treatment planning, and treatment goals for physical agent modalities to an new text begin occupational therapy practitioner licensed as an new text end occupational therapy assistant.

Subd. 7.

Approval.

(a) The advisory council shall appoint a committee to review documentation under subdivisions 2 to 6 to determine if established educational and clinical requirements are met. If, after review of course documentation, the committee verifies that a specific course meets the theoretical and clinical requirements in subdivisions 2 to 6, the commissioner may approve practitioner applications that include the required course documentation evidencing completion of the same course.

(b) Occupational deleted text begin therapistsdeleted text end new text begin therapy practitionersnew text end shall be advised of the status of their request for approval within 30 days. Occupational deleted text begin therapistsdeleted text end new text begin therapy practitionersnew text end must provide any additional information requested by the committee that is necessary to make a determination regarding approval or denial.

(c) A determination regarding a request for approval of training under this subdivision shall be made in writing to the occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end . If denied, the reason for denial shall be provided.

(d) deleted text begin A licenseedeleted text end new text begin An occupational therapy practitionernew text end who was approved by the commissioner as a level two provider prior to July 1, 1999, shall remain on the roster maintained by the commissioner in accordance with subdivision 1, paragraph (c).

(e) To remain on the roster maintained by the commissioner, deleted text begin a licenseedeleted text end new text begin an occupational therapy practitionernew text end who was approved by the commissioner as a level one provider prior to July 1, 1999, must submit to the commissioner documentation of training and experience gained using physical agent modalities since the deleted text begin licensee'sdeleted text end new text begin occupational therapy practitioner'snew text end approval as a level one provider. The committee appointed under paragraph (a) shall review the documentation and make a recommendation to the commissioner regarding approval.

(f) An occupational deleted text begin therapistdeleted text end new text begin therapy practitionernew text end who received training in the use of physical agent modalities prior to July 1, 1999, but who has not been placed on the roster of approved providers may submit to the commissioner documentation of training and experience gained using physical agent modalities. The committee appointed under paragraph (a) shall review documentation and make a recommendation to the commissioner regarding approval.

Sec. 30.

Minnesota Statutes 2012, section 151.37, subdivision 2, is amended to read:

Subd. 2.

Prescribing and filing.

(a) A licensed practitioner in the course of professional practice only, may prescribe, administer, and dispense a legend drug, and may cause the same to be administered by a nurse, a physician assistant, or medical student or resident under the practitioner's direction and supervision, and may cause a person who is an appropriately certified, registered, or licensed health care professional to prescribe, dispense, and administer the same within the expressed legal scope of the person's practice as defined in Minnesota Statutes. A licensed practitioner may prescribe a legend drug, without reference to a specific patient, by directing a nurse, pursuant to section 148.235, subdivisions 8 and 9, physician assistant, medical student or resident, or pharmacist according to section 151.01, subdivision 27, to adhere to a particular practice guideline or protocol when treating patients whose condition falls within such guideline or protocol, and when such guideline or protocol specifies the circumstances under which the legend drug is to be prescribed and administered. An individual who verbally, electronically, or otherwise transmits a written, oral, or electronic order, as an agent of a prescriber, shall not be deemed to have prescribed the legend drug. This paragraph applies to a physician assistant only if the physician assistant meets the requirements of section 147A.18.

(b) The commissioner of health, if a licensed practitioner, or a person designated by the commissioner who is a licensed practitioner, may prescribe a legend drug to an individual or by protocol for mass dispensing purposes where the commissioner finds that the conditions triggering section 144.4197 or 144.4198, subdivision 2, paragraph (b), exist. The commissioner, if a licensed practitioner, or a designated licensed practitioner, may prescribe, dispense, or administer a legend drug or other substance listed in subdivision 10 to control tuberculosis and other communicable diseases. The commissioner may modify state drug labeling requirements, and medical screening criteria and documentation, where time is critical and limited labeling and screening are most likely to ensure legend drugs reach the maximum number of persons in a timely fashion so as to reduce morbidity and mortality.

(c) A licensed practitioner that dispenses for profit a legend drug that is to be administered orally, is ordinarily dispensed by a pharmacist, and is not a vaccine, must file with the practitioner's licensing board a statement indicating that the practitioner dispenses legend drugs for profit, the general circumstances under which the practitioner dispenses for profit, and the types of legend drugs generally dispensed. It is unlawful to dispense legend drugs for profit after July 31, 1990, unless the statement has been filed with the appropriate licensing board. For purposes of this paragraph, "profit" means (1) any amount received by the practitioner in excess of the acquisition cost of a legend drug for legend drugs that are purchased in prepackaged form, or (2) any amount received by the practitioner in excess of the acquisition cost of a legend drug plus the cost of making the drug available if the legend drug requires compounding, packaging, or other treatment. The statement filed under this paragraph is public data under section 13.03. This paragraph does not apply to a licensed doctor of veterinary medicine or a registered pharmacist. Any person other than a licensed practitioner with the authority to prescribe, dispense, and administer a legend drug under paragraph (a) shall not dispense for profit. To dispense for profit does not include dispensing by a community health clinic when the profit from dispensing is used to meet operating expenses.

(d) A prescription or drug order for the following drugs is not valid, unless it can be established that the prescription or order was based on a documented patient evaluation, including an examination, adequate to establish a diagnosis and identify underlying conditions and contraindications to treatment:

(1) controlled substance drugs listed in section 152.02, subdivisions 3 to 5;

(2) drugs defined by the Board of Pharmacy as controlled substances under section 152.02, subdivisions 7, 8, and 12;

(3) muscle relaxants;

(4) centrally acting analgesics with opioid activity;

(5) drugs containing butalbital; or

(6) phoshodiesterase type 5 inhibitors when used to treat erectile dysfunction.

(e) For the purposes of paragraph (d), the requirement for an examination shall be met if an in-person examination has been completed in any of the following circumstances:

(1) the prescribing practitioner examines the patient at the time the prescription or drug order is issued;

(2) the prescribing practitioner has performed a prior examination of the patient;

(3) another prescribing practitioner practicing within the same group or clinic as the prescribing practitioner has examined the patient;

(4) a consulting practitioner to whom the prescribing practitioner has referred the patient has examined the patient; or

(5) the referring practitioner has performed an examination in the case of a consultant practitioner issuing a prescription or drug order when providing services by means of telemedicine.

(f) Nothing in paragraph (d) or (e) prohibits a licensed practitioner from prescribing a drug through the use of a guideline or protocol pursuant to paragraph (a).

(g) Nothing in this chapter prohibits a licensed practitioner from issuing a prescription or dispensing a legend drug in accordance with the Expedited Partner Therapy in the Management of Sexually Transmitted Diseases guidance document issued by the United States Centers for Disease Control.

(h) Nothing in paragraph (d) or (e) limits prescription, administration, or dispensing of legend drugs through a public health clinic or other distribution mechanism approved by the commissioner of health or a board of health in order to prevent, mitigate, or treat a pandemic illness, infectious disease outbreak, or intentional or accidental release of a biological, chemical, or radiological agent.

(i) No pharmacist employed by, under contract to, or working for a pharmacy licensed under section 151.19, subdivision 1, may dispense a legend drug based on a prescription that the pharmacist knows, or would reasonably be expected to know, is not valid under paragraph (d).

(j) No pharmacist employed by, under contract to, or working for a pharmacy licensed under section 151.19, subdivision 2, may dispense a legend drug to a resident of this state based on a prescription that the pharmacist knows, or would reasonably be expected to know, is not valid under paragraph (d).

new text begin (k) Nothing in this chapter prohibits the commissioner of health, if a licensed practitioner, or, if not a licensed practitioner, a designee of the commissioner who is a licensed practitioner, from prescribing legend drugs for field-delivered therapy in the treatment of a communicable disease according to the Centers For Disease Control and Prevention Partner Services Guidelines. new text end

Sec. 31.

new text begin [513.61] RADON DISCLOSURE REQUIREMENTS. new text end

new text begin A seller of residential real property must comply with the radon disclosure requirements under section 144.496. new text end

Sec. 32.

new text begin REPEALER. new text end

new text begin (a) new text end new text begin Minnesota Statutes 2012, sections 144.1487; 144.1488; 144.1489; 144.1490; and 144.1491, new text end new text begin are repealed. new text end

new text begin (b) new text end new text begin Minnesota Statutes 2012, sections 146B.03, subdivision 10; 325F.814; and 609.2246, new text end new text begin are repealed. new text end

Presented to the governor May 3, 2013

Signed by the governor May 7, 2013, 10:50 a.m.

Official Publication of the State of Minnesota
Revisor of Statutes