Section 1. new text begin [62K.075] PROVIDER NETWORK NOTIFICATIONS. new text end

new text begin (a) A health carrier must update the carrier's Web site at least once a month with any changes to the carrier's provider network, including provider changes from in-network status to out-of-network status. new text end

new text begin (b) Upon notification from an enrollee, a health carrier must reprocess any claim for services provided by a provider whose status has changed from in-network to out-of-network as an in-network claim if the service was provided after the network change went into effect but before the change was posted as required under paragraph (a) unless the health carrier notified the enrollee of the network change prior to the service being provided. This paragraph does not apply if the health carrier is able to verify that the health carrier's Web site displayed the correct provider network status on the health carrier's Web site at the time the service was provided. new text end

new text begin (c) The limitations of section 62Q.56, subdivision 2a, shall apply to payments required by paragraph (b). new text end

Sec. 2.

Minnesota Statutes 2015 Supplement, section 62U.04, subdivision 11, is amended to read:

Subd. 11.

Restricted uses of the all-payer claims data.

(a) Notwithstanding subdivision 4, paragraph (b), and subdivision 5, paragraph (b), the commissioner or the commissioner's designee shall only use the data submitted under subdivisions 4 and 5 for the following purposes:

(1) to evaluate the performance of the health care home program as authorized under sections 256B.0751, subdivision 6, and 256B.0752, subdivision 2;

(2) to study, in collaboration with the reducing avoidable readmissions effectively (RARE) campaign, hospital readmission trends and rates;

(3) to analyze variations in health care costs, quality, utilization, and illness burden based on geographical areas or populations;

(4) to evaluate the state innovation model (SIM) testing grant received by the Departments of Health and Human Services, including the analysis of health care cost, quality, and utilization baseline and trend information for targeted populations and communities; and

(5) to compile one or more public use files of summary data or tables that must:

(i) be available to the public for no or minimal cost by March 1, 2016, and available by Web-based electronic data download by June 30, 2019;

(ii) not identify individual patients, payers, or providers;

(iii) be updated by the commissioner, at least annually, with the most current data available;

(iv) contain clear and conspicuous explanations of the characteristics of the data, such as the dates of the data contained in the files, the absence of costs of care for uninsured patients or nonresidents, and other disclaimers that provide appropriate context; and

(v) not lead to the collection of additional data elements beyond what is authorized under this section as of June 30, 2015.

(b) The commissioner may publish the results of the authorized uses identified in paragraph (a) so long as the data released publicly do not contain information or descriptions in which the identity of individual hospitals, clinics, or other providers may be discerned.

(c) Nothing in this subdivision shall be construed to prohibit the commissioner from using the data collected under subdivision 4 to complete the state-based risk adjustment system assessment due to the legislature on October 1, 2015.

(d) The commissioner or the commissioner's designee may use the data submitted under subdivisions 4 and 5 for the purpose described in paragraph (a), clause (3), until July 1, deleted text begin 2016deleted text end new text begin 2019new text end .

(e) The commissioner shall consult with the all-payer claims database work group established under subdivision 12 regarding the technical considerations necessary to create the public use files of summary data described in paragraph (a), clause (5).

Sec. 3.

Minnesota Statutes 2014, section 144.605, subdivision 5, is amended to read:

Subd. 5.

Level IV designation.

(a) The commissioner shall grant the appropriate level IV trauma hospital designation to a hospital that successfully completes the designation process under paragraph (b).

(b) The hospital must complete and submit a self-reported survey and application to the Trauma Advisory Council for review, verifying that the hospital meets the criteria as a level IV trauma hospital. When the Trauma Advisory Council is satisfied the application is complete, the deleted text begin council shall review the application and, if the council approves the application, send a letter of recommendation to the commissioner for final approval and designation. The commissioner shall grant a level IV designation and shall arrange a site review visit within three years of the designation and every three years thereafter, to coincide with the three-year reverification process.deleted text end new text begin commissioner shall arrange a site review visit. Upon successful completion of the site review, the review team shall make written recommendations to the Trauma Advisory Council. If approved by the Trauma Advisory Council, a letter of recommendation shall be sent to the commissioner for final approval and designation.new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective October 1, 2016. new text end

Sec. 4.

Minnesota Statutes 2014, section 144.608, subdivision 1, is amended to read:

Subdivision 1.

Trauma Advisory Council established.

(a) A Trauma Advisory Council is established to advise, consult with, and make recommendations to the commissioner on the development, maintenance, and improvement of a statewide trauma system.

(b) The council shall consist of the following members:

(1) a trauma surgeon certified by the American Board of Surgery or the American Osteopathic Board of Surgery who practices in a level I or II trauma hospital;

(2) a general surgeon certified by the American Board of Surgery or the American Osteopathic Board of Surgery whose practice includes trauma and who practices in a designated rural area as defined under section 144.1501, subdivision 1, paragraph (b);

(3) a neurosurgeon certified by the American Board of Neurological Surgery who practices in a level I or II trauma hospital;

(4) a trauma program nurse manager or coordinator practicing in a level I or II trauma hospital;

(5) an emergency physician certified by the American Board of Emergency Medicine or the American Osteopathic Board of Emergency Medicine whose practice includes emergency room care in a level I, II, III, or IV trauma hospital;

(6) a trauma program manager or coordinator who practices in a level III or IV trauma hospital;

(7) a physician certified by the American Board of Family Medicine or the American Osteopathic Board of Family Practice whose practice includes emergency department care in a level III or IV trauma hospital located in a designated rural area as defined under section 144.1501, subdivision 1, paragraph (b);

(8) a nurse practitioner, as defined under section 144.1501, subdivision 1, paragraph (h), or a physician assistant, as defined under section 144.1501, subdivision 1, paragraph (j), whose practice includes emergency room care in a level IV trauma hospital located in a designated rural area as defined under section 144.1501, subdivision 1, paragraph (b);

(9) a deleted text begin pediatriciandeleted text end new text begin physiciannew text end certifiednew text begin in pediatric emergency medicinenew text end by the American Board of Pediatrics or new text begin certified in pediatric emergency medicine by the American Board of Emergency Medicine or certified by new text end the American Osteopathic Board of Pediatrics whose practice new text begin primarily new text end includes emergency department new text begin medical new text end care in a level I, II, III, or IV trauma hospitalnew text begin , or a surgeon certified in pediatric surgery by the American Board of Surgery whose practice involves the care of pediatric trauma patients in a trauma hospitalnew text end ;

(10) an orthopedic surgeon certified by the American Board of Orthopaedic Surgery or the American Osteopathic Board of Orthopedic Surgery whose practice includes trauma and who practices in a level I, II, or III trauma hospital;

(11) the state emergency medical services medical director appointed by the Emergency Medical Services Regulatory Board;

(12) a hospital administrator of a level III or IV trauma hospital located in a designated rural area as defined under section 144.1501, subdivision 1, paragraph (b);

(13) a rehabilitation specialist whose practice includes rehabilitation of patients with major trauma injuries or traumatic brain injuries and spinal cord injuries as defined under section 144.661;

(14) an attendant or ambulance director who is an EMT, EMT-I, or EMT-P within the meaning of section 144E.001 and who actively practices with a licensed ambulance service in a primary service area located in a designated rural area as defined under section 144.1501, subdivision 1, paragraph (b); and

(15) the commissioner of public safety or the commissioner's designee.

Sec. 5.

new text begin [144.945] ZIKA PREPAREDNESS AND RESPONSE. new text end

new text begin The commissioner of health shall seek additional federal funds for the following statewide planning, coordination, preparation, and response activities related to the Zika virus: new text end

new text begin (1) maintaining state and local public health readiness to address Zika-related public health threats; new text end

new text begin (2) conducting diagnostic tests of patients who meet criteria for Zika testing and maintaining enhanced laboratory surveillance activities related to Zika; new text end

new text begin (3) engaging in Zika surveillance activities, including evaluating patients for testing based on criteria, advising health care providers on Zika virus research, providing recommendations and interpretations of test results, and conducting Zika-related public awareness and prevention activities; and new text end

new text begin (4) conducting mosquito surveillance activities under section 144.95 to enhance monitoring of areas where mosquitoes carrying the Zika virus may be found in Minnesota, notwithstanding section 144.95, subdivision 10. new text end

Sec. 6.

Minnesota Statutes 2014, section 144A.471, subdivision 9, is amended to read:

Subd. 9.

Exclusions from home care licensure.

The following are excluded from home care licensure and are not required to provide the home care bill of rights:

(1) an individual or business entity providing only coordination of home care that includes one or more of the following:

(i) determination of whether a client needs home care services, or assisting a client in determining what services are needed;

(ii) referral of clients to a home care provider;

(iii) administration of payments for home care services; or

(iv) administration of a health care home established under section 256B.0751;

(2) an individual who is not an employee of a licensed home care provider if the individual:

(i) only provides services as an independent contractor to one or more licensed home care providers;

(ii) provides no services under direct agreements or contracts with clients; and

(iii) is contractually bound to perform services in compliance with the contracting home care provider's policies and service plans;

(3) a business that provides staff to home care providers, such as a temporary employment agency, if the business:

(i) only provides staff under contract to licensed or exempt providers;

(ii) provides no services under direct agreements with clients; and

(iii) is contractually bound to perform services under the contracting home care provider's direction and supervision;

(4) any home care services conducted by and for the adherents of any recognized church or religious denomination for its members through spiritual means, or by prayer for healing;

(5) an individual who only provides home care services to a relative;

(6) an individual not connected with a home care provider that provides assistance with basic home care needs if the assistance is provided primarily as a contribution and not as a business;

(7) an individual not connected with a home care provider that shares housing with and provides primarily housekeeping or homemaking services to an elderly or disabled person in return for free or reduced-cost housing;

(8) an individual or provider providing home-delivered meal services;

(9) an individual providing senior companion services and other older American volunteer programs (OAVP) established under the Domestic Volunteer Service Act of 1973, United States Code, title 42, chapter 66;

(10) an employee of a nursing homenew text begin or home care providernew text end licensed under this chapter or an employee of a boarding care home licensed under sections 144.50 to 144.56 deleted text begin who respondsdeleted text end new text begin when respondingnew text end to occasional emergency calls from individuals residing in a residential setting that is attached to or located on property contiguous to the nursing home deleted text begin ordeleted text end new text begin ,new text end boarding care homenew text begin , or location where home care services are also providednew text end ;

new text begin (11) an employee of a nursing home or home care provider licensed under this chapter or an employee of a boarding care home licensed under sections 144.50 to 144.56 when providing occasional minor services free of charge to individuals residing in a residential setting that is attached to or located on property contiguous to the nursing home, boarding care home, or location where home care services are also provided; new text end

deleted text begin (11)deleted text end new text begin (12)new text end a member of a professional corporation organized under chapter 319B that does not regularly offer or provide home care services as defined in section 144A.43, subdivision 3;

deleted text begin (12)deleted text end new text begin (13)new text end the following organizations established to provide medical or surgical services that do not regularly offer or provide home care services as defined in section 144A.43, subdivision 3: a business trust organized under sections 318.01 to 318.04, a nonprofit corporation organized under chapter 317A, a partnership organized under chapter 323, or any other entity determined by the commissioner;

deleted text begin (13)deleted text end new text begin (14)new text end an individual or agency that provides medical supplies or durable medical equipment, except when the provision of supplies or equipment is accompanied by a home care service;

deleted text begin (14)deleted text end new text begin (15)new text end a physician licensed under chapter 147;

deleted text begin (15)deleted text end new text begin (16)new text end an individual who provides home care services to a person with a developmental disability who lives in a place of residence with a family, foster family, or primary caregiver;

deleted text begin (16)deleted text end new text begin (17)new text end a business that only provides services that are primarily instructional and not medical services or health-related support services;

deleted text begin (17)deleted text end new text begin (18)new text end an individual who performs basic home care services for no more than 14 hours each calendar week to no more than one client;

deleted text begin (18)deleted text end new text begin (19)new text end an individual or business licensed as hospice as defined in sections 144A.75 to 144A.755 who is not providing home care services independent of hospice service;

deleted text begin (19)deleted text end new text begin (20)new text end activities conducted by the commissioner of health or a community health board as defined in section 145A.02, subdivision 5, including communicable disease investigations or testing; or

deleted text begin (20)deleted text end new text begin (21)new text end administering or monitoring a prescribed therapy necessary to control or prevent a communicable disease, or the monitoring of an individual's compliance with a health directive as defined in section 144.4172, subdivision 6.

Sec. 7.

Minnesota Statutes 2014, section 144A.473, subdivision 2, is amended to read:

Subd. 2.

Temporary license.

(a) For new license applicants, the commissioner shall issue a temporary license for either the basic or comprehensive home care level. A temporary license is effective for new text begin up to new text end one year from the date of issuance. Temporary licensees must comply with sections 144A.43 to 144A.482.

(b) During the temporary license year, the commissioner shall survey the temporary licensee after the commissioner is notified or has evidence that the temporary licensee is providing home care services.

(c) Within five days of beginning the provision of services, the temporary licensee must notify the commissioner that it is serving clients. The notification to the commissioner may be mailed or e-mailed to the commissioner at the address provided by the commissioner. If the temporary licensee does not provide home care services during the temporary license year, then the temporary license expires at the end of the year and the applicant must reapply for a temporary home care license.

(d) A temporary licensee may request a change in the level of licensure prior to being surveyed and granted a license by notifying the commissioner in writing and providing additional documentation or materials required to update or complete the changed temporary license application. The applicant must pay the difference between the application fees when changing from the basic level to the comprehensive level of licensure. No refund will be made if the provider chooses to change the license application to the basic level.

(e) If the temporary licensee notifies the commissioner that the licensee has clients within 45 days prior to the temporary license expiration, the commissioner may extend the temporary license for up to 60 days in order to allow the commissioner to complete the on-site survey required under this section and follow-up survey visits.

Sec. 8.

Minnesota Statutes 2014, section 144A.475, subdivision 3, is amended to read:

Subd. 3.

Notice.

new text begin (a) new text end Prior to any suspension, revocation, or refusal to renew a license, the home care provider shall be entitled to notice and a hearing as provided by sections 14.57 to 14.69. In addition to any other remedy provided by law, the commissioner may, without a prior contested case hearing, temporarily suspend a license or prohibit delivery of services by a provider for not more than 90 daysnew text begin , or issue a conditional licensenew text end if the commissioner determines that there are level 3 deleted text begin or 4deleted text end violations deleted text begin as defined in section 144A.474, subdivision 11, paragraph (b),deleted text end new text begin that do not pose an imminent risk of harm to the health or safety of persons in the provider's care,new text end provided:

(1) advance notice is given to the home care provider;

(2) after notice, the home care provider fails to correct the problem;

(3) the commissioner has reason to believe that other administrative remedies are not likely to be effective; and

(4) there is an opportunity for a contested case hearing within the 30 days unless there is an extension granted by an administrative law judge pursuant to subdivision 3b.

new text begin (b) If the commissioner determines there are: new text end

new text begin (1) level 4 violations; or new text end

new text begin (2) violations that pose an imminent risk of harm to the health or safety of persons in the provider's care, new text end

new text begin the commissioner may immediately temporarily suspend a license, prohibit delivery of services by a provider, or issue a conditional license without meeting the requirements of paragraph (a), clauses (1) to (4). new text end

new text begin For the purposes of this subdivision, "level 3" and "level 4" have the meanings given in section 144A.474, subdivision 11, paragraph (b). new text end

Sec. 9.

Minnesota Statutes 2014, section 144A.475, subdivision 3b, is amended to read:

Subd. 3b.

deleted text begin Temporary suspensiondeleted text end Expedited hearing.

(a) Within five business days of receipt of the license holder's timely appeal of a temporary suspension new text begin or issuance of a conditional licensenew text end , the commissioner shall request assignment of an administrative law judge. The request must include a proposed date, time, and place of a hearing. A hearing must be conducted by an administrative law judge within 30 calendar days of the request for assignment, unless an extension is requested by either party and granted by the administrative law judge for good cause. The commissioner shall issue a notice of hearing by certified mail or personal service at least ten business days before the hearing. Certified mail to the last known address is sufficient. The scope of the hearing shall be limited solely to the issue of whether the temporary suspension new text begin or issuance of a conditional licensenew text end should remain in effect and whether there is sufficient evidence to conclude that the licensee's actions or failure to comply with applicable laws are level 3 or 4 violations as defined in section 144A.474, subdivision 11, paragraph (b)new text begin , or that there were violations that posed an imminent risk of harm to the health and safety of persons in the provider's carenew text end .

(b) The administrative law judge shall issue findings of fact, conclusions, and a recommendation within ten business days from the date of hearing. The parties shall have ten calendar days to submit exceptions to the administrative law judge's report. The record shall close at the end of the ten-day period for submission of exceptions. The commissioner's final order shall be issued within ten business days from the close of the record. When an appeal of a temporary immediate suspension new text begin or conditional licensenew text end is withdrawn or dismissed, the commissioner shall issue a final order affirming the temporary immediate suspension new text begin or conditional licensenew text end within ten calendar days of the commissioner's receipt of the withdrawal or dismissal. The license holder is prohibited from operation during the temporary suspension period.

(c) When the final order under paragraph (b) affirms an immediate suspension, and a final licensing sanction is issued under subdivisions 1 and 2 and the licensee appeals that sanction, the licensee is prohibited from operation pending a final commissioner's order after the contested case hearing conducted under chapter 14.

new text begin (d) A licensee whose license is temporarily suspended must comply with the requirements for notification and transfer of clients in subdivision 5. These requirements remain if an appeal is requested. new text end

Sec. 10.

Minnesota Statutes 2014, section 144A.475, is amended by adding a subdivision to read:

new text begin Subd. 3c. new text end

new text begin Immediate temporary suspension. new text end

new text begin (a) In addition to any other remedies provided by law, the commissioner may, without a prior contested case hearing, immediately temporarily suspend a license or prohibit delivery of services by a provider for not more than 90 days, or issue a conditional license, if the commissioner determines that there are: new text end

new text begin (1) level 4 violations; or new text end

new text begin (2) violations that pose an imminent risk of harm to the health or safety of persons in the provider's care. new text end

new text begin (b) For purposes of this subdivision, "level 4" has the meaning given in section 144A.474, subdivision 11, paragraph (b). new text end

new text begin (c) A notice stating the reasons for the immediate temporary suspension or conditional license and informing the license holder of the right to an expedited hearing under subdivision 3b, must be delivered by personal service to the address shown on the application or the last known address of the license holder. The license holder may appeal an order immediately temporarily suspending a license or issuing a conditional license. The appeal must be made in writing by certified mail or personal service. If mailed, the appeal must be postmarked and sent to the commissioner within five calendar days after the license holder receives notice. If an appeal is made by personal service, it must be received by the commissioner within five calendar days after the license holder received the order. new text end

new text begin (d) A license holder whose license is immediately temporarily suspended must comply with the requirements for notification and transfer of clients in subdivision 5. These requirements remain if an appeal is requested. new text end

Sec. 11.

Minnesota Statutes 2014, section 144A.4791, is amended by adding a subdivision to read:

new text begin Subd. 14. new text end

new text begin Application of other law. new text end

new text begin Home care providers may exercise the authority and are subject to the protections in section 152.34. new text end

Sec. 12.

Minnesota Statutes 2014, section 144A.4792, subdivision 13, is amended to read:

Subd. 13.

Prescriptions.

There must be a current written or electronically recorded prescription as defined in deleted text begin Minnesota Rules, part 6800.0100, subpart 11adeleted text end new text begin section 151.01, subdivision 16anew text end , for all prescribed medications that the comprehensive home care provider is managing for the client.

Sec. 13.

Minnesota Statutes 2014, section 144A.4799, subdivision 1, is amended to read:

Subdivision 1.

Membership.

The commissioner of health shall appoint eight persons to a deleted text begin home care providerdeleted text end new text begin home care and assisted living programnew text end advisory council consisting of the following:

(1) three public members as defined in section 214.02 who shall be either persons who are currently receiving home care services or have family members receiving home care services, or persons who have family members who have received home care services within five years of the application date;

(2) three Minnesota home care licensees representing basic and comprehensive levels of licensure who may be a managerial official, an administrator, a supervising registered nurse, or an unlicensed personnel performing home care tasks;

(3) one member representing the Minnesota Board of Nursing; and

(4) one member representing the ombudsman for long-term care.

Sec. 14.

Minnesota Statutes 2014, section 144A.4799, subdivision 3, is amended to read:

Subd. 3.

Duties.

new text begin (a) new text end At the commissioner's request, the advisory council shall provide advice regarding regulations of Department of Health licensed home care providers in this chapter, including advice on the following:

(1) community standards for home care practices;

(2) enforcement of licensing standards and whether certain disciplinary actions are appropriate;

(3) ways of distributing information to licensees and consumers of home care;

(4) training standards;

(5) deleted text begin identifydeleted text end new text begin identifyingnew text end emerging issues and opportunities in the home care field, including the use of technology in home and telehealth capabilities;

(6) allowable home care licensing modifications and exemptions, including a method for an integrated license with an existing license for rural licensed nursing homes to provide limited home care services in an adjacent independent living apartment building owned by the licensed nursing home; and

new text begin (7) recommendations for studies using the data in section 62U.04, subdivision 4, including but not limited to studies concerning costs related to dementia and chronic disease among an elderly population over 60 and additional long-term care costs, as described in section 62U.10, subdivision 6. new text end

deleted text begin (7)deleted text end new text begin (b) The advisory council shallnew text end perform other duties as directed by the commissioner.

Sec. 15.

Minnesota Statutes 2014, section 144A.482, is amended to read:

144A.482 REGISTRATION OF HOME MANAGEMENT PROVIDERS.

(a) For purposes of this section, a home management provider is a person or organization that provides at least two of the following services: housekeeping, meal preparation, and shopping to a person who is unable to perform these activities due to illness, disability, or physical condition.

(b) A person or organization that provides only home management services may not operate in the state without a current certificate of registration issued by the commissioner of health. To obtain a certificate of registration, the person or organization must annually submit to the commissioner the name, mailing and physical addresses, e-mail address, and telephone number of the person or organization and a signed statement declaring that the person or organization is aware that the home care bill of rights applies to their clients and that the person or organization will comply with the home care bill of rights provisions contained in section 144A.44. A person or organization applying for a certificate must also provide the name, business address, and telephone number of each of the persons responsible for the management or direction of the organization.

(c) The commissioner shall charge an annual registration fee of $20 for persons and $50 for organizations. The registration fee shall be deposited in the state treasury and credited to the state government special revenue fund.

(d) A home care provider that provides home management services and other home care services must be licensed, but licensure requirements other than the home care bill of rights do not apply to those employees or volunteers who provide only home management services to clients who do not receive any other home care services from the provider. A licensed home care provider need not be registered as a home management service provider but must provide an orientation on the home care bill of rights to its employees or volunteers who provide home management services.

(e) An individual who provides home management services under this section must, within 120 days after beginning to provide services, attend an orientation session deleted text begin approved by the commissionerdeleted text end that provides training on the home care bill of rights and an orientation on the aging process and the needs and concerns of elderly and disabled persons.

(f) The commissioner may suspend or revoke a provider's certificate of registration or assess fines for violation of the home care bill of rights. Any fine assessed for a violation of the home care bill of rights by a provider registered under this section shall be in the amount established in the licensure rules for home care providers. As a condition of registration, a provider must cooperate fully with any investigation conducted by the commissioner, including providing specific information requested by the commissioner on clients served and the employees and volunteers who provide services. Fines collected under this paragraph shall be deposited in the state treasury and credited to the fund specified in the statute or rule in which the penalty was established.

(g) The commissioner may use any of the powers granted in sections 144A.43 to 144A.4798 to administer the registration system and enforce the home care bill of rights under this section.

Sec. 16.

Minnesota Statutes 2014, section 144D.01, subdivision 2a, is amended to read:

Subd. 2a.

Arranged home care provider.

"Arranged home care provider" means a home care provider licensed under deleted text begin Minnesota Rules, chapter 4668,deleted text end new text begin chapter 144Anew text end that provides services to some or all of the residents of a housing with services establishment and that is either the establishment itself or another entity with which the establishment has an arrangement.

Sec. 17.

Minnesota Statutes 2014, section 144G.03, subdivision 2, is amended to read:

Subd. 2.

Minimum requirements for assisted living.

(a) Assisted living shall be provided or made available only to individuals residing in a registered housing with services establishment. Except as expressly stated in this chapter, a person or entity offering assisted living may define the available services and may offer assisted living to all or some of the residents of a housing with services establishment. The services that comprise assisted living may be provided or made available directly by a housing with services establishment or by persons or entities with which the housing with services establishment has made arrangements.

(b) A person or entity entitled to use the phrase "assisted living," according to section 144G.02, subdivision 1, shall do so only with respect to a housing with services establishment, or a service, service package, or program available within a housing with services establishment that, at a minimum:

(1) provides or makes available health-related services under a deleted text begin class A or class Fdeleted text end home care license. At a minimum, health-related services must include:

(i) assistance with self-administration of medicationnew text begin ,new text end deleted text begin as defined in Minnesota Rules, part 4668.0003, subpart 2a,deleted text end new text begin medication management,new text end or medication administration as defined deleted text begin in Minnesota Rules, part 4668.0003, subpart 21adeleted text end new text begin in section 144A.43new text end ; and

(ii) assistance with at least three of the following seven activities of daily living: bathing, dressing, grooming, eating, transferring, continence care, and toileting.

All health-related services shall be provided in a manner that complies with applicable home care licensure requirements in chapter 144Adeleted text begin ,deleted text end new text begin andnew text end sections 148.171 to 148.285deleted text begin , and Minnesota Rules, chapter 4668deleted text end ;

(2) provides necessary assessments of the physical and cognitive needs of assisted living clients by a registered nurse, as required by applicable home care licensure requirements in chapter 144Adeleted text begin ,deleted text end new text begin andnew text end sections 148.171 to 148.285deleted text begin , and Minnesota Rules, chapter 4668deleted text end ;

(3) has and maintains a system for delegation of health care activities to unlicensed deleted text begin assistive health caredeleted text end personnel by a registered nurse, including supervision and evaluation of the delegated activities as required by applicable home care licensure requirements in chapter 144Adeleted text begin ,deleted text end new text begin andnew text end sections 148.171 to 148.285deleted text begin , and Minnesota Rules, chapter 4668deleted text end ;

(4) provides staff access to an on-call registered nurse 24 hours per day, seven days per week;

(5) has and maintains a system to check on each assisted living client at least daily;

(6) provides a means for assisted living clients to request assistance for health and safety needs 24 hours per day, seven days per week, from the establishment or a person or entity with which the establishment has made arrangements;

(7) has a person or persons available 24 hours per day, seven days per week, who is responsible for responding to the requests of assisted living clients for assistance with health or safety needs, who shall be:

(i) awake;

(ii) located in the same building, in an attached building, or on a contiguous campus with the housing with services establishment in order to respond within a reasonable amount of time;

(iii) capable of communicating with assisted living clients;

(iv) capable of recognizing the need for assistance;

(v) capable of providing either the assistance required or summoning the appropriate assistance; and

(vi) capable of following directions;

(8) offers to provide or make available at least the following supportive services to assisted living clients:

(i) two meals per day;

(ii) weekly housekeeping;

(iii) weekly laundry service;

(iv) upon the request of the client, reasonable assistance with arranging for transportation to medical and social services appointments, and the name of or other identifying information about the person or persons responsible for providing this assistance;

(v) upon the request of the client, reasonable assistance with accessing community resources and social services available in the community, and the name of or other identifying information about the person or persons responsible for providing this assistance; and

(vi) periodic opportunities for socialization; and

(9) makes available to all prospective and current assisted living clients information consistent with the uniform format and the required components adopted by the commissioner under section 144G.06. This information must be made available beginning no later than six months after the commissioner makes the uniform format and required components available to providers according to section 144G.06.

Sec. 18.

Minnesota Statutes 2014, section 144G.03, subdivision 4, is amended to read:

Subd. 4.

Nursing assessment.

(a) A housing with services establishment offering or providing assisted living shall:

(1) offer to have the arranged home care provider conduct a nursing assessment by a registered nurse of the physical and cognitive needs of the prospective resident and propose a deleted text begin service agreement ordeleted text end service plan prior to the date on which a prospective resident executes a contract with a housing with services establishment or the date on which a prospective resident moves in, whichever is earlier; and

(2) inform the prospective resident of the availability of and contact information for long-term care consultation services under section 256B.0911, prior to the date on which a prospective resident executes a contract with a housing with services establishment or the date on which a prospective resident moves in, whichever is earlier.

(b) An arranged home care provider is not obligated to conduct a nursing assessment by a registered nurse when requested by a prospective resident if either the geographic distance between the prospective resident and the provider, or urgent or unexpected circumstances, do not permit the assessment to be conducted prior to the date on which the prospective resident executes a contract or moves in, whichever is earlier. When such circumstances occur, the arranged home care provider shall offer to conduct a telephone conference whenever reasonably possible.

(c) The arranged home care provider shall comply with applicable home care licensure requirements in chapter 144Adeleted text begin ,deleted text end new text begin andnew text end sections 148.171 to 148.285, deleted text begin and Minnesota Rules, chapter 4668,deleted text end with respect to the provision of a nursing assessment prior to the delivery of nursing services and the execution of a home care service plan or service agreement.

Sec. 19.

Minnesota Statutes 2014, section 146B.01, subdivision 28, is amended to read:

Subd. 28.

Supervision.

"Supervision" means the physical presence of a technician licensed under this chapter while a body art procedure is being performednew text begin and includes:new text end

new text begin (1) "direct supervision" where a licensed technician is physically present in the establishment, and is within five feet and is in the line of sight of the temporary licensee who is performing a body art procedure while the procedure is being performed; and new text end

new text begin (2) "indirect supervision" where a licensed technician is physically present in the establishment while a body art procedure is being performed by the temporary licenseenew text end .

Sec. 20.

Minnesota Statutes 2014, section 146B.03, subdivision 4, is amended to read:

Subd. 4.

Licensure requirements.

new text begin (a) new text end An applicant for licensure under this section deleted text begin shalldeleted text end new text begin mustnew text end submit to the commissioner on a form provided by the commissioner:

(1) proof that the applicant is over the age of 18;

(2) the type of license the applicant is applying for;

(3) all fees required under section 146B.10;

(4) proof of completing a minimum of 200 hours of supervised experience within each area for which the applicant is seeking a license, and must include an affidavit from the supervising licensed technician;

(5) proof of having satisfactorily completed coursework within the year preceding application and approved by the commissioner on bloodborne pathogens, the prevention of disease transmission, infection control, and aseptic technique. Courses to be considered for approval by the commissioner may include, but are not limited to, those administered by one of the following:

(i) the American Red Cross;

(ii) United States Occupational Safety and Health Administration (OSHA); or

(iii) the Alliance of Professional Tattooists; and

(6) any other relevant information requested by the commissioner.

new text begin The licensure requirements in this paragraph are effective for all applications for new licenses received before January 1, 2017. new text end

new text begin (b) An applicant for licensure under this section must submit to the commissioner on a form provided by the commissioner: new text end

new text begin (1) proof that the applicant is over the age of 18; new text end

new text begin (2) the type of license the applicant is applying for; new text end

new text begin (3) all fees required under section 146B.10; new text end

new text begin (4) a log showing the completion of the required supervised experience described under subdivision 12 that includes a list of each licensed technician who provided the required supervision; new text end

new text begin (5) a signed affidavit from each licensed technician who the applicant listed in the log described in clause (4); new text end

new text begin (6) proof of having satisfactorily completed a minimum of five hours of coursework, within the year preceding application and approval by the commissioner, on bloodborne pathogens, the prevention of disease transmission, infection control, and aseptic technique. Courses to be considered for approval by the commissioner may include, but are not limited to, those administered by one of the following: new text end

new text begin (i) the American Red Cross; new text end

new text begin (ii) the United States Occupational Safety and Health Administration (OSHA); or new text end

new text begin (iii) the Alliance of Professional Tattooists; and new text end

new text begin (7) any other relevant information requested by the commissioner. new text end

new text begin The licensure requirements in this paragraph are effective for all applications for new licenses received on or after January 1, 2017. new text end

Sec. 21.

Minnesota Statutes 2014, section 146B.03, subdivision 6, is amended to read:

Subd. 6.

Licensure term; renewal.

(a) A technician's license is valid for two years from the date of issuance and may be renewed upon payment of the renewal fee established under section 146B.10.

(b) At renewal, a licensee must submit proof of continuing education approved by the commissioner in the areas identified in subdivision 4deleted text begin , clause (5)deleted text end .

new text begin (c) The commissioner shall notify the technician of the pending expiration of a technician license at least 60 days prior to license expiration. new text end

Sec. 22.

Minnesota Statutes 2014, section 146B.03, subdivision 7, is amended to read:

Subd. 7.

Temporary licensure.

(a) The commissioner may issue a temporary license to an applicant who submits to the commissioner on a form provided by the commissioner:

(1) proof that the applicant is over the age of 18;

(2) all fees required under section 148B.10; and

(3) a letter from a licensed technician who has agreed to provide the supervision to meet the supervised experience requirement under subdivision 4deleted text begin , clause (4)deleted text end .

(b) Upon completion of the required supervised experience, the temporary licensee shall submit documentation of satisfactorily completing the requirements under subdivision 4, deleted text begin clauses (3) and (4),deleted text end and the applicable fee under section 146B.10. The commissioner shall issue a new license in accordance with subdivision 4.

(c) A temporary license issued under this subdivision is valid for one year and may be renewed for one additional year.

Sec. 23.

Minnesota Statutes 2014, section 146B.03, is amended by adding a subdivision to read:

new text begin Subd. 12. new text end

new text begin Required supervised experience. new text end

new text begin An applicant for a body art technician license must complete the following minimum supervised experience for licensure: new text end

new text begin (1) for a tattoo technician license an applicant must complete a minimum of 200 hours of tattoo experience under supervision; new text end

new text begin (2) for a body piercing technician license an applicant must perform 250 body piercings under direct supervision and 250 body piercings under indirect supervision; and new text end

new text begin (3) for a dual body art technician license an applicant must complete a minimum of 200 hours of tattoo experience under supervision and perform 250 body piercings under direct supervision and 250 body piercings under indirect supervision. new text end

Sec. 24.

Minnesota Statutes 2014, section 146B.07, subdivision 1, is amended to read:

Subdivision 1.

Proof of age.

(a) A technician shall require proof of age new text begin from clients who state they are 18 years of age or older new text end before performing any body art procedure on a client. Proof of age must be established by one of the following methods:

(1) a valid driver's license or identification card issued by the state of Minnesota or another state that includes a photograph and date of birth of the individual;

(2) a valid military identification card issued by the United States Department of Defense;

(3) a valid passport;

(4) a resident alien card; or

(5) a tribal identification card.

(b) Before performing any body art procedure, the technician must provide the client with a disclosure and authorization form that indicates whether the client has:

(1) diabetes;

(2) a history of hemophilia;

(3) a history of skin diseases, skin lesions, or skin sensitivities to soap or disinfectants;

(4) a history of epilepsy, seizures, fainting, or narcolepsy;

(5) any condition that requires the client to take medications such as anticoagulants that thin the blood or interfere with blood clotting; or

(6) any other information that would aid the technician in the body art procedure process evaluation.

(c) The form must include a statement informing the client that the technician shall not perform a body art procedure if the client fails to complete or sign the disclosure and authorization form, and the technician may decline to perform a body art procedure if the client has any identified health conditions.

(d) The technician shall ask the client to sign and date the disclosure and authorization form confirming that the information listed on the form is accurate.

(e) Before performing any body art procedure, the technician shall offer and make available to the client personal draping, as appropriate.

Sec. 25.

Minnesota Statutes 2014, section 146B.07, subdivision 2, is amended to read:

Subd. 2.

Parent or legal guardian consent; prohibitions.

(a) A technician may perform body piercings on an individual under the age of 18 ifnew text begin :new text end

new text begin (1) new text end the individual's parent or legal guardian is present deleted text begin anddeleted text end new text begin ;new text end

new text begin (2) the individual's parent or legal guardian provides personal identification by using one of the methods described in subdivision 1, paragraph (a), clauses (1) to (5), and provides documentation that reasonably establishes that the individual is the parent or legal guardian of the individual who is seeking the body piercing; new text end

new text begin (3) the individual seeking the body piercing provides proof of identification by using one of the methods described in subdivision 1, paragraph (a), clauses (1) to (5), a current student identification, or another official source that includes the name and a photograph of the individual; new text end

new text begin (4) new text end a consent form and the authorization form under subdivision 1, paragraph (b) is signed by the parent or legal guardian in the presence of the techniciandeleted text begin ,deleted text end new text begin ;new text end and

new text begin (5)new text end the piercing is not prohibited under paragraph (c).

(b) No technician shall tattoo any individual under the age of 18 regardless of parental or guardian consent.

(c) No nipple or genital piercing, branding, scarification, suspension, subdermal implantation, microdermal, or tongue bifurcation shall be performed by any technician on any individual under the age of 18 regardless of parental or guardian consent.

(d) No technician shall perform body art procedures on any individual who appears to be under the influence of alcohol, controlled substances as defined in section 152.01, subdivision 4, or hazardous substances as defined in rules adopted under chapter 182.

(e) No technician shall perform body art procedures while under the influence of alcohol, controlled substances as defined under section 152.01, subdivision 4, or hazardous substances as defined in the rules adopted under chapter 182.

(f) No technician shall administer anesthetic injections or other medications.

Sec. 26.

new text begin [147.0375] MEDICAL FACULTY LICENSE. new text end

new text begin Subdivision 1. new text end

new text begin Requirements. new text end

new text begin The board shall issue a license to practice medicine to any person who satisfies the requirements in paragraphs (a) to (d). new text end

new text begin (a) The applicant must satisfy all the requirements established in section 147.02, subdivision 1, paragraphs (a), (e), (f), (g), and (h). new text end

new text begin (b) The applicant must present evidence satisfactory to the board that the applicant is a graduate of a medical or osteopathic school approved by the board as equivalent to accredited United States or Canadian schools based upon its faculty, curriculum, facilities, accreditation, or other relevant data. If the applicant is a graduate of a medical or osteopathic program that is not accredited by the Liaison Committee for Medical Education or the American Osteopathic Association, the applicant may use the Federation of State Medical Boards' Federation Credentials Verification Service (FCVS) or its successor. If the applicant uses this service as allowed under this paragraph, the physician application fee may be less than $200 but must not exceed the cost of administering this paragraph. new text end

new text begin (c) The applicant must present evidence satisfactory to the board of the completion of two years of graduate, clinical medical training in a program located in the United States, its territories, or Canada and accredited by a national accrediting organization approved by the board. This requirement does not apply: new text end

new text begin (1) to an applicant who is admitted as a permanent immigrant to the United States on or before October 1, 1991, as a person of exceptional ability in the sciences according to Code of Federal Regulations, title 20, section 656.22(d); new text end

new text begin (2) to an applicant holding a valid license to practice medicine in another state or country and issued a permanent immigrant visa after October 1, 1991, as a person of extraordinary ability in the field of science or as an outstanding professor or researcher according to Code of Federal Regulations, title 8, section 204.5(h) and (i), or a temporary nonimmigrant visa or status as a person of extraordinary ability in the field of science according to Code of Federal Regulations, title 8, section 214.2(o); or new text end

new text begin (3) to an applicant who is licensed in another state, has practiced five years without disciplinary action in the United States, its territories, or Canada, has completed one year of the graduate, clinical medical training required by this paragraph, and has passed the Special Purpose Examination of the Federation of State Medical Boards within three attempts in the 24 months before licensing. new text end

new text begin (d) The applicant must present evidence satisfactory to the board that the applicant has been appointed to serve as a faculty member of a medical school accredited by the Liaison Committee of Medical Education or an osteopathic medical school accredited by the American Osteopathic Association. new text end

new text begin Subd. 2. new text end

new text begin Medical school review. new text end

new text begin The board may contract with any qualified person or organization for the performance of a review or investigation, including site visits if necessary, of any medical or osteopathic school prior to approving the school under section 147.02, subdivision 1, paragraph (b), or subdivision 1, paragraph (b), of this section. To the extent possible, the board shall require the school being reviewed to pay the costs of the review or investigation. new text end

new text begin Subd. 3. new text end

new text begin Resignation or termination for the medical faculty position. new text end

new text begin If a person holding a license issued under this section resigns or is terminated from the academic medical center in which the licensee is employed as a faculty member, the licensee must notify the board in writing no later than 30 days after the date of termination or resignation. Upon notification of resignation or termination, the board shall terminate the medical license. new text end

new text begin Subd. 4. new text end

new text begin Reporting obligation. new text end

new text begin A person holding a license issued under this section is subject to the reporting obligations of section 147.111. new text end

new text begin Subd. 5. new text end

new text begin Limitation of practice. new text end

new text begin A person issued a license under this section may only practice medicine within the clinical setting of the academic medical center where the licensee is an appointed faculty member or within a physician group practice affiliated with the academic medical center. new text end

new text begin Subd. 6. new text end

new text begin Continuing education. new text end

new text begin The licensee must meet the continuing education requirements under Minnesota Rules, chapter 5605. new text end

new text begin Subd. 7. new text end

new text begin Expiration. new text end

new text begin This section expires July 1, 2018. new text end

Sec. 27.

Minnesota Statutes 2014, section 152.22, subdivision 14, is amended to read:

Subd. 14.

Qualifying medical condition.

"Qualifying medical condition" means a diagnosis of any of the following conditions:

(1) cancer, if the underlying condition or treatment produces one or more of the following:

(i) severe or chronic pain;

(ii) nausea or severe vomiting; or

(iii) cachexia or severe wasting;

(2) glaucoma;

(3) human immunodeficiency virus or acquired immune deficiency syndrome;

(4) Tourette's syndrome;

(5) amyotrophic lateral sclerosis;

(6) seizures, including those characteristic of epilepsy;

(7) severe and persistent muscle spasms, including those characteristic of multiple sclerosis;

(8)new text begin inflammatory bowel disease, includingnew text end Crohn's disease;

(9) terminal illness, with a probable life expectancy of under one year, if the illness or its treatment produces one or more of the following:

(i) severe or chronic pain;

(ii) nausea or severe vomiting; or

(iii) cachexia or severe wasting; or

(10) any other medical condition or its treatment approved by the commissioner.

Sec. 28.

Minnesota Statutes 2014, section 152.25, subdivision 3, is amended to read:

Subd. 3.

Deadlines.

deleted text begin (a)deleted text end The commissioner shall adopt rules necessary for the manufacturer to begin distribution of medical cannabis to patients under the registry program by July 1, 2015, and have notice of proposed rules published in the State Register prior to January 1, 2015.

deleted text begin (b) The commissioner shall, by November 1, 2014, advise the public and the cochairs of the task force on medical cannabis therapeutic research established under section 152.36 if the commissioner is unable to register two manufacturers by the December 1, 2014, deadline. The commissioner shall provide a written statement as to the reason or reasons the deadline will not be met. Upon request of the commissioner, the task force shall extend the deadline by six months, but may not extend the deadline more than once. deleted text end

deleted text begin (c) If notified by a manufacturer that distribution to patients may not begin by the July 1, 2015, deadline, the commissioner shall advise the public and the cochairs of the task force on medical cannabis therapeutic research. Upon notification by the commissioner, the task force shall extend the deadline by six months, but may not extend the deadline more than once. deleted text end

Sec. 29.

Minnesota Statutes 2014, section 152.25, subdivision 4, is amended to read:

Subd. 4.

Reports.

(a) The commissioner shall provide regular updates to the task force new text begin and to the chairs and ranking minority members of the legislative committees with jurisdiction over health and human services, public safety, judiciary, and civil law new text end on medical cannabis therapeutic research regarding any changes in federal law or regulatory restrictions regarding the use of medical cannabis.

(b) The commissioner may submit medical research based on the data collected under sections 152.22 to 152.37 to any federal agency with regulatory or enforcement authority over medical cannabis to demonstrate the effectiveness of medical cannabis for treating a qualifying medical condition.

Sec. 30.

Minnesota Statutes 2014, section 152.29, subdivision 3, is amended to read:

Subd. 3.

Manufacturer; distribution.

(a) A manufacturer shall require that employees licensed as pharmacists pursuant to chapter 151 be the only employees to deleted text begin distributedeleted text end new text begin give final approval for new text end thenew text begin distribution ofnew text end medical cannabis to a patient.

(b) A manufacturer may dispense medical cannabis products, whether or not the products have been manufactured by the manufacturer, but is not required to dispense medical cannabis products.

(c) Prior to distribution of any medical cannabis, the manufacturer shall:

(1) verify that the manufacturer has received the registry verification from the commissioner for that individual patient;

(2) verify that the person requesting the distribution of medical cannabis is the patient, the patient's registered designated caregiver, or the patient's parent or legal guardian listed in the registry verification using the procedures described in section 152.11, subdivision 2d;

(3) assign a tracking number to any medical cannabis distributed from the manufacturer;

(4) ensure that any employee of the manufacturer licensed as a pharmacist pursuant to chapter 151 has consulted with the patient to determine the proper dosage for the individual patient after reviewing the ranges of chemical compositions of the medical cannabis and the ranges of proper dosages reported by the commissionernew text begin . For purposes of this clause, a consultation may be conducted remotely using a videoconference, so long as the employee providing the consultation is able to confirm the identity of the patient, the consultation occurs while the patient is at a distribution facility, and the consultation adheres to patient privacy requirements that apply to health care services delivered through telemedicinenew text end ;

(5) properly package medical cannabis in compliance with the United States Poison Prevention Packing Act regarding child-resistant packaging and exemptions for packaging for elderly patients, and label distributed medical cannabis with a list of all active ingredients and individually identifying information, including:

(i) the patient's name and date of birth;

(ii) the name and date of birth of the patient's registered designated caregiver or, if listed on the registry verification, the name of the patient's parent or legal guardian, if applicable;

(iii) the patient's registry identification number;

(iv) the chemical composition of the medical cannabis; and

(v) the dosage; and

(6) ensure that the medical cannabis distributed contains a maximum of a 30-day supply of the dosage determined for that patient.

(d) A manufacturer shall require any employee of the manufacturer who is transporting medical cannabis or medical cannabis products to a distribution facility to carry identification showing that the person is an employee of the manufacturer.

Sec. 31.

Minnesota Statutes 2014, section 152.29, is amended by adding a subdivision to read:

new text begin Subd. 3a. new text end

new text begin Transportation of medical cannabis; staffing. new text end

new text begin A medical cannabis manufacturer may staff a transport motor vehicle with only one employee if the medical cannabis manufacturer is transporting medical cannabis to either a certified laboratory for the purpose of testing or a facility for the purpose of disposal. If the medical cannabis manufacturer is transporting medical cannabis for any other purpose or destination, the transport motor vehicle must be staffed with a minimum of two employees as required by rules adopted by the commissioner. new text end

Sec. 32.

Minnesota Statutes 2014, section 152.36, is amended by adding a subdivision to read:

new text begin Subd. 1a. new text end

new text begin Administration. new text end

new text begin The commissioner of health shall provide administrative and technical support to the task force. new text end

Sec. 33.

Minnesota Statutes 2014, section 152.36, subdivision 2, is amended to read:

Subd. 2.

Impact assessment.

The task force shall hold hearings to deleted text begin conduct an assessment that evaluatesdeleted text end new text begin evaluatenew text end the impact of the use of medical cannabis and deleted text begin evaluatesdeleted text end Minnesota's activities deleted text begin and other states' activitiesdeleted text end involving medical cannabis, deleted text begin and offer analysis ofdeleted text end new text begin including, but not limited tonew text end :

(1) program design and implementation;

(2) the impact on the health care provider community;

(3) patient experiences;

(4) the impact on the incidence of substance abuse;

(5) access to and quality of medical cannabis and medical cannabis products;

(6) the impact on law enforcement and prosecutions;

(7) public awareness and perception; and

(8) any unintended consequences.

Sec. 34.

Minnesota Statutes 2014, section 153A.14, subdivision 2d, is amended to read:

Subd. 2d.

Certification renewal notice.

Certification must be renewed annually. The commissioner shall mail a renewal notice to the dispenser's last known address new text begin on record with the commissioner new text end by September 1 of each year. deleted text begin The notice must include a renewal application and notice of fees required for renewal.deleted text end A dispenser is not relieved from meeting the renewal deadline on the basis that the dispenser did not receive the renewal notice. In renewing a certificate, a dispenser shall follow the procedures for applying for a certificate specified in subdivision 1.

Sec. 35.

Minnesota Statutes 2014, section 153A.14, subdivision 2h, is amended to read:

Subd. 2h.

Certification by examination.

An applicant must achieve a passing score, as determined by the commissioner, on an examination according to paragraphs (a) to (c).

(a) The examination must include, but is not limited to:

(1) A written examination approved by the commissioner covering the following areas as they pertain to hearing instrument selling:

(i) basic physics of sound;

(ii) the anatomy and physiology of the ear;

(iii) the function of hearing instruments; and

(iv) the principles of hearing instrument selection.

(2) Practical tests of proficiency in the following techniques as they pertain to hearing instrument selling:

(i) pure tone audiometry, including air conduction testing and bone conduction testing;

(ii) live voice or recorded voice speech audiometry including speech recognition (discrimination) testing, most comfortable loudness level, and uncomfortable loudness measurements of tolerance thresholds;

(iii) masking when indicated;

(iv) recording and evaluation of audiograms and speech audiometry to determine proper selection and fitting of a hearing instrument;

(v) taking ear mold impressions;

(vi) using an otoscope for the visual observation of the entire ear canal; and

(vii) state and federal laws, rules, and regulations.

(b) The new text begin practical new text end examination shall be administered by the commissioner at least twice a year.

(c) An applicant must achieve a passing score on all portions of the examination within a two-year period. An applicant who does not achieve a passing score on all portions of the examination within a two-year period must retake the entire examination and achieve a passing score on each portion of the examination. An applicant who does not apply for certification within one year of successful completion of the examination must retake the examination and achieve a passing score on each portion of the examination. An applicant may not take any part of the new text begin practical new text end examination more than three times in a two-year period.

Sec. 36.

Minnesota Statutes 2014, section 153A.15, subdivision 2a, is amended to read:

Subd. 2a.

Hearings.

If the commissioner proposes to take action against the dispenser as described in subdivision 2, the commissioner must first notify the person against whom the action is proposed to be taken and provide the person with an opportunity to request a hearing under the contested case provisions of chapter 14. new text begin Service of a notice of disciplinary action may be made personally or by certified mail, return receipt requested. new text end If the person does not request a hearing by notifying the commissioner within 30 days after service of the notice of the proposed action, the commissioner may proceed with the action without a hearing.

Sec. 37.

Minnesota Statutes 2014, section 157.15, subdivision 14, is amended to read:

Subd. 14.

Special event food stand.

"Special event food stand" means a food and beverage service establishment which is used in conjunction with celebrations and special events, and which operates deleted text begin no more than three times annuallydeleted text end for no more than ten total daysnew text begin within the applicable license periodnew text end .

Sec. 38.

Minnesota Statutes 2014, section 157.16, subdivision 4, is amended to read:

Subd. 4.

Posting requirements.

Every food and beverage service establishment, for-profit youth camp, hotel, motel, lodging establishment, public pool, or resort must have thenew text begin originalnew text end license posted in a conspicuous place at the establishment. deleted text begin Mobile food units, food carts, and seasonal temporary food stands shall be issued decals with the initial license and each calendar year with license renewals. The current license year decal must be placed on the unit or stand in a location determined by the commissioner. Decals are not transferable.deleted text end

Sec. 39.

new text begin RESIDENTIAL CARE AND SERVICES ELECTRONIC MONITORING WORK GROUP. new text end

new text begin (a) A residential care and services electronic monitoring work group is established to create recommendations for legislation that authorizes the use of voluntary electronic monitoring to protect vulnerable children and adults and hold accountable perpetrators of abuse. new text end

new text begin (b) Members of the work group shall include: new text end

new text begin (1) two members of the house of representatives, one appointed by the speaker of the house and one appointed by the minority leader; new text end

new text begin (2) two members of the senate, one appointed by the majority leader and one appointed by the minority leader; new text end

new text begin (3) the commissioner of health or a designee; new text end

new text begin (4) the commissioner of human services or a designee; new text end

new text begin (5) one representative of consumers or victims; new text end

new text begin (6) the ombudsman for long-term care established under Minnesota Statutes, section 256.974; new text end

new text begin (7) one representative from Care Providers of Minnesota; new text end

new text begin (8) one representative from LeadingAge Minnesota; new text end

new text begin (9) one representative from the Minnesota Home Care Association; new text end

new text begin (10) one representative from the Minnesota chapter of AARP; new text end

new text begin (11) one representative of a nonprofit organization with a focus on Alzheimer's disease; new text end

new text begin (12) one representative of county attorneys; new text end

new text begin (13) one representative with legal expertise on medical privacy; and new text end

new text begin (14) one representative of direct-care workers. new text end

new text begin The commissioner of health shall appoint the work group chair and convene its first meeting no later than July 1, 2016. new text end

new text begin (c) The work group shall be exempt from the appointment requirements in Minnesota Statutes, section 15.0597. new text end

new text begin (d) The work group may accept donated services from a nonprofit organization that prevents abuse, neglect, and financial exploitation of vulnerable adults. new text end

new text begin (e) Work group members shall serve without compensation or expense reimbursement. new text end

new text begin (f) The work group shall issue a report to the chairs and ranking minority members of the legislative committees with jurisdiction over civil law, judiciary, and health and human services by January 15, 2017. new text end

new text begin (g) The work group expires 30 days following the completion of the work required by this section. new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment. new text end

Sec. 40.

new text begin APPROPRIATION. new text end

new text begin $24,000 is appropriated in fiscal year 2017 from the general fund to the commissioner of health to administer the task force on medical cannabis therapeutic research under Minnesota Statutes, section 152.36, and for the task force to conduct the impact assessment on the use of cannabis for medicinal purposes. new text end

Sec. 41.

new text begin APPROPRIATION CANCELLATION. new text end

new text begin Effective July 1, 2016, the appropriation in Laws 2014, chapter 311, section 21, subdivision 2, of $24,000 to the Legislative Coordinating Commission is canceled to the general fund. new text end

Office of the Revisor of Statutes

Minnesota Session Laws - 2016, Regular Session

Resources

Chapter 179

CHAPTER 179--H.F.No. 3142

Section 1.

new text begin [62K.075] PROVIDER NETWORK NOTIFICATIONS. new text end

Sec. 2.

Minnesota Statutes 2015 Supplement, section 62U.04, subdivision 11, is amended to read:

Subd. 11.

Restricted uses of the all-payer claims data.

Sec. 3.

Minnesota Statutes 2014, section 144.605, subdivision 5, is amended to read:

Subd. 5.

Level IV designation.

new text begin EFFECTIVE DATE. new text end

Sec. 4.

Minnesota Statutes 2014, section 144.608, subdivision 1, is amended to read:

Subdivision 1.

Trauma Advisory Council established.

Sec. 5.

new text begin [144.945] ZIKA PREPAREDNESS AND RESPONSE. new text end

Sec. 6.

Minnesota Statutes 2014, section 144A.471, subdivision 9, is amended to read:

Subd. 9.

Exclusions from home care licensure.

Sec. 7.

Minnesota Statutes 2014, section 144A.473, subdivision 2, is amended to read:

Subd. 2.

Temporary license.

Sec. 8.

Minnesota Statutes 2014, section 144A.475, subdivision 3, is amended to read:

Subd. 3.

Notice.

Sec. 9.

Minnesota Statutes 2014, section 144A.475, subdivision 3b, is amended to read:

Subd. 3b.

deleted text begin Temporary suspensiondeleted text end Expedited hearing.

Sec. 10.

Minnesota Statutes 2014, section 144A.475, is amended by adding a subdivision to read:

new text begin Subd. 3c. new text end

new text begin Immediate temporary suspension. new text end

Sec. 11.

Minnesota Statutes 2014, section 144A.4791, is amended by adding a subdivision to read:

new text begin Subd. 14. new text end

new text begin Application of other law. new text end

Sec. 12.

Minnesota Statutes 2014, section 144A.4792, subdivision 13, is amended to read:

Subd. 13.

Prescriptions.

Sec. 13.

Minnesota Statutes 2014, section 144A.4799, subdivision 1, is amended to read:

Subdivision 1.

Membership.

Sec. 14.

Minnesota Statutes 2014, section 144A.4799, subdivision 3, is amended to read:

Subd. 3.

Duties.

Sec. 15.

Minnesota Statutes 2014, section 144A.482, is amended to read:

144A.482 REGISTRATION OF HOME MANAGEMENT PROVIDERS.

Sec. 16.

Minnesota Statutes 2014, section 144D.01, subdivision 2a, is amended to read:

Subd. 2a.

Arranged home care provider.

Sec. 17.

Minnesota Statutes 2014, section 144G.03, subdivision 2, is amended to read:

Subd. 2.

Minimum requirements for assisted living.

Sec. 18.

Minnesota Statutes 2014, section 144G.03, subdivision 4, is amended to read:

Subd. 4.

Nursing assessment.

Sec. 19.

Minnesota Statutes 2014, section 146B.01, subdivision 28, is amended to read:

Subd. 28.

Supervision.

Sec. 20.

Minnesota Statutes 2014, section 146B.03, subdivision 4, is amended to read:

Subd. 4.