1.1 	A bill for an act
1.2 	relating to health; making changes to statutory provisions affecting older and 
1.3 	vulnerable adults; modifying the Minnesota Health Records Act and the health 
1.4 	care bill of rights; modifying regulation of nursing homes, home care providers, 
1.5 	housing with services establishments, and assisted living services; modifying 
1.6 	requirements for reporting maltreatment of vulnerable adults; establishing an 
1.7 	advisory task force; providing for access to information and data sharing; requiring 
1.8 	reports; imposing civil and criminal penalties; appropriating money;amending 
1.9 	Minnesota Statutes 2018, sections 144.291, subdivision 2; 144.6501, subdivision 
1.10 	3, by adding a subdivision; 144.651, subdivisions 1, 2, 4, 6, 14, 16, 17, 20, 21, by 
1.11 	adding subdivisions; 144A.10, subdivisions 1, 6, 6b; 144A.44; 144A.441; 
1.12 	144A.442; 144A.45, subdivisions 1, 2; 144A.474, subdivisions 1, 8, 9, 11; 
1.13 	144A.4791, subdivision 10; 144A.53, subdivisions 1, 2, 4; 144D.01, subdivision 
1.14 	1; 144D.02; 144D.03, subdivision 2; 144D.04, subdivision 2, by adding a 
1.15 	subdivision; 144D.09; 144G.01, subdivision 1; 256.045, subdivisions 3, 4; 325F.71; 
1.16 	573.02, subdivision 2; 609.2231, subdivision 8; 626.557, subdivisions 3, 4, 9, 9a, 
1.17 	9b, 9c, 9d, 10b, 12b, 14, 17; 626.5572, by adding a subdivision; proposing coding 
1.18 	for new law in Minnesota Statutes, chapters 144; 144D; 144G; repealing Minnesota 
1.19 	Statutes 2018, sections 144G.03, subdivision 6; 256.021.
1.20 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.21 	Section 1. CITATION.
 1.22 	Sections 1 to 63 may be cited as the "Older and Vulnerable Adults Rights and Protection 
1.23 	Act of 2019."

1.24 	Sec. 2. Minnesota Statutes 2018, section 144.291, subdivision 2, is amended to read:
1.25 		Subd. 2.Definitions. For the purposes of sections 144.291 to 144.298, the following 
1.26 	terms have the meanings given.
1.27 	(a) "Group purchaser" has the meaning given in section 62J.03, subdivision 6.
2.1 	(b) "Health information exchange" means a legal arrangement between health care 
2.2 	providers and group purchasers to enable and oversee the business and legal issues involved 
2.3 	in the electronic exchange of health records between the entities for the delivery of patient 
2.4 	care.
2.5 	(c) "Health record" means any information, whether oral or recorded in any form or 
2.6 	medium, that relates to the past, present, or future physical or mental health or condition of 
2.7 	a patient; the provision of health care to a patient; or the past, present, or future payment 
2.8 	for the provision of health care to a patient.
2.9 	(d) "Identifying information" means the patient's name, address, date of birth, gender, 
2.10 	parent's or guardian's name regardless of the age of the patient, and other nonclinical data 
2.11 	which can be used to uniquely identify a patient.
2.12 	(e) "Individually identifiable form" means a form in which the patient is or can be 
2.13 	identified as the subject of the health records.
2.14 	(f) "Medical emergency" means medically necessary care which is immediately needed 
2.15 	to preserve life, prevent serious impairment to bodily functions, organs, or parts, or prevent 
2.16 	placing the physical or mental health of the patient in serious jeopardy.
2.17 	(g) "Patient" means:
2.18 	(1) a natural person who has received health care services from a provider for treatment 
2.19 	or examination of a medical, psychiatric, or mental condition,;
2.20 	(2) the surviving spouse, children, sibling, guardian, conservator, and parents of a 
2.21 	deceased patient, orunless the authority of the surviving spouse, children, sibling, guardian, 
2.22 	conservator, or parents has been restricted by either a court or the deceased person who 
2.23 	received health care services;
2.24 	(3) a person the patient appoints in writing as a representative, including a health care 
2.25 	agent acting according to chapter 145C, unless the authority of the agent has been limited 
2.26 	by the principal in the principal's health care directive.; and
2.27 	(4) except for minors who have received health care services under sections 144.341 to 
2.28 	144.347, in the case of a minor, patient includes a parent or guardian, or a person acting as 
2.29 	a parent or guardian in the absence of a parent or guardian.
2.30 	(h) "Patient information service" means a service providing the following query options: 
2.31 	a record locator service as defined in paragraph (j) or a master patient index or clinical data 
2.32 	repository as defined in section 62J.498, subdivision 1.
3.1 	(i) "Provider" means:
3.2 	(1) any person who furnishes health care services and is regulated to furnish the services 
3.3 	under chapter 147, 147A, 147B, 147C, 147D, 148, 148B, 148D, 148F, 150A, 151, 153, or 
3.4 	153A;
3.5 	(2) a home care provider licensed under section 144A.471;
3.6 	(3) a health care facility licensed under this chapter or chapter 144A; and
3.7 	(4) a physician assistant registered under chapter 147A.
3.8 	(j) "Record locator service" means an electronic index of patient identifying information 
3.9 	that directs providers in a health information exchange to the location of patient health 
3.10 	records held by providers and group purchasers.
3.11 	(k) "Related health care entity" means an affiliate, as defined in section 144.6521, 
3.12 	subdivision 3, paragraph (b), of the provider releasing the health records.

3.13 	Sec. 3. Minnesota Statutes 2018, section 144.6501, subdivision 3, is amended to read:
3.14 		Subd. 3.Contracts of admission. (a) A facility shall make complete unsigned copies 
3.15 	of its admission contract available to potential applicants and to the state or local long-term 
3.16 	care ombudsman immediately upon request.
3.17 	(b) A facility shall post conspicuously within the facility, in a location accessible to 
3.18 	public view, either a complete copy of its admission contract or notice of its availability 
3.19 	from the facility.
3.20 	(c) An admission contract must be printed in black type of at least ten-point type size. 
3.21 	The facility shall give a complete copy of the admission contract to the resident or the 
3.22 	resident's legal representative promptly after it has been signed by the resident or legal 
3.23 	representative.
3.24 	(d) The admission contract must contain the name, address, and contact information of 
3.25 	the current owner, manager, and if different from the owner, license holder of the facility, 
3.26 	and the name and physical mailing address, which may not be a public or private post office 
3.27 	box, of at least one natural person who is authorized to accept service of process.
3.28 	(d) (e) An admission contract is a consumer contract under sections 325G.29 to 325G.37.
3.29 	(e) (f) All admission contracts must state in bold capital letters the following notice to 
3.30 	applicants for admission: "NOTICE TO APPLICANTS FOR ADMISSION. READ YOUR 
3.31 	ADMISSION CONTRACT. ORAL STATEMENTS OR COMMENTS MADE BY THE 
4.1 	FACILITY OR YOU OR YOUR REPRESENTATIVE ARE NOT PART OF YOUR 
4.2 	ADMISSION CONTRACT UNLESS THEY ARE ALSO IN WRITING. DO NOT RELY 
4.3 	ON ORAL STATEMENTS OR COMMENTS THAT ARE NOT INCLUDED IN THE 
4.4 	WRITTEN ADMISSION CONTRACT."

4.5 	Sec. 4. Minnesota Statutes 2018, section 144.6501, is amended by adding a subdivision 
4.6 	to read:
4.7 		Subd. 3a.Changes to contracts of admission.  The facility must provide prompt written 
4.8 	notice to the resident or resident's legal representative of a new owner, manager, and if 
4.9 	different from the owner, license holder of the facility, and the name and physical mailing 
4.10 	address, which may not be a public or private post office box of any new or additional 
4.11 	natural person not identified in the admission contract who is authorized to accept service 
4.12 	of process.

4.13 	Sec. 5. Minnesota Statutes 2018, section 144.651, subdivision 1, is amended to read:
4.14 		Subdivision 1.Legislative intent. It is the intent of the legislature and the purpose of 
4.15 	this section to promote the interests and well being of the patients and residents of health 
4.16 	care facilities. It is the intent of this section that every patient's and resident's civil and 
4.17 	religious liberties, including the right to independent personal decisions and knowledge of 
4.18 	available choices, must not be infringed and that the facility must encourage and assist in 
4.19 	the fullest possible exercise of these rights. The rights provided under this section are 
4.20 	established for the benefit of patients and residents. No health care facility may require or 
4.21 	request a patient or resident to waive any of these rights at any time or for any reason 
4.22 	including as a condition of admission to the facility. Any guardian or conservator of a patient 
4.23 	or resident or, in the absence of a guardian or conservator, An interested person, may seek 
4.24 	enforcement of these rights on behalf of a patient or resident, as provided under section 
4.25 	144.6512. An interested person may also seek enforcement of these rights on behalf of a 
4.26 	patient or resident who has a guardian or conservator through administrative agencies or in 
4.27 	district court having jurisdiction over guardianships and conservatorships. Pending the 
4.28 	outcome of an enforcement proceeding the health care facility may, in good faith, comply 
4.29 	with the instructions of a guardian or conservator. It is the intent of this section that every 
4.30 	patient's civil and religious liberties, including the right to independent personal decisions 
4.31 	and knowledge of available choices, shall not be infringed and that the facility shall encourage 
4.32 	and assist in the fullest possible exercise of these rights.

5.1 	Sec. 6. Minnesota Statutes 2018, section 144.651, subdivision 2, is amended to read:
5.2 		Subd. 2.Definitions. (a) For the purposes of this section and sections 144.6511 and 
5.3 	144.6512, the terms defined in this subdivision have the meanings given them.
5.4 	(b) "Patient" means:
5.5 	(1) a person who is admitted to an acute care inpatient facility for a continuous period 
5.6 	longer than 24 hours, for the purpose of diagnosis or treatment bearing on the physical or 
5.7 	mental health of that person.;
5.8 	(2) a minor who is admitted to a residential program as defined in section 253C.01;
5.9 	(3) for purposes of subdivisions 1, 4 to 9, 12, 13, 15, 16, and 18 to 20, "patient" also 
5.10 	means a person who receives health care services at an outpatient surgical center or at a 
5.11 	birth center licensed under section 144.615. "Patient" also means a minor who is admitted 
5.12 	to a residential program as defined in section 253C.01.; and
5.13 	(4) for purposes of subdivisions 1, 3 to 16, 18, 20 and 30, "patient" also means any 
5.14 	person who is receiving mental health treatment on an outpatient basis or in a community 
5.15 	support program or other community-based program.
5.16 	(c) "Resident" means a person who is admitted to, resides in, or receives services from:
5.17 	(1) a nonacute care facility including extended care facilities,;
5.18 	(2) a housing with services establishment operating under assisted living title protection 
5.19 	under chapter 144G;
5.20 	(3) a home care service provider required to be licensed under chapter 144A that provides 
5.21 	services in a living unit registered as a housing with services establishment under chapter 
5.22 	144D;
5.23 	(4) a nursing homes, andhome;
5.24 	(5) a boarding care homes home for care required because of prolonged mental or physical 
5.25 	illness or disability, recovery from injury or disease, or advancing age.; and
5.26 	(6) for purposes of all subdivisions except subdivisions 28 and 29, "resident" also means 
5.27 	a person who is admitted to 1 to 27 and 30 to 34, a facility licensed as a board and lodging 
5.28 	facility under Minnesota Rules, parts 4625.0100 to 4625.2355, or a supervised living facility 
5.29 	under Minnesota Rules, parts 4665.0100 to 4665.9900, and which operates a rehabilitation 
5.30 	program licensed under chapter 245G or Minnesota Rules, parts 9530.6510 to 9530.6590.
5.31 	(d) "Health care facility" or "facility" means:
6.1 	(1) an acute care inpatient facility;
6.2 	(2) a residential program as defined in section 253C.01;
6.3 	(3) for the purposes of subdivisions 1, 4 to 9, 12, 13, 15, 16, and 18 to 20, an outpatient 
6.4 	surgical center or a birth center licensed under section 144.615;
6.5 	(4) for the purposes of subdivisions 1, 3 to 16, 18, 20, and 30, a setting in which outpatient 
6.6 	mental health services are provided, or a community support program or other 
6.7 	community-based program providing mental health treatment;
6.8 	(5) a nonacute care facility, including extended care facilities;
6.9 	(6) a housing with services establishment operating under assisted living title protection 
6.10 	under chapter 144G;
6.11 	(7) any living unit of a housing with services establishment registered under chapter 
6.12 	144D, in which home care services are provided to a resident by a home care provider 
6.13 	licensed under chapter 144A;
6.14 	(8) a nursing home;
6.15 	(9) a boarding care home for care required because of prolonged mental or physical 
6.16 	illness or disability, recovery from injury or disease, or advancing age; or
6.17 	(10) for the purposes of subdivisions 1 to 27 and 30 to 34, a facility licensed as a board 
6.18 	and lodging facility under Minnesota Rules, chapter 4625, or a supervised living facility 
6.19 	under Minnesota Rules, chapter 4665, and which operates a rehabilitation program licensed 
6.20 	under Minnesota Rules, parts 9530.6410 to 9530.6590.
6.21 	(e) "Interested person" has the meaning given under section 524.5-102, subdivision 7. 
6.22 	An interested person does not include a person whose authority has been restricted by the 
6.23 	patient or resident, or by a court.

6.24 	Sec. 7. Minnesota Statutes 2018, section 144.651, subdivision 4, is amended to read:
6.25 		Subd. 4.Information about rights. (a) Patients and residents shall, at admission, be 
6.26 	told that there are legal rights for their protection during their stay at the facility or throughout 
6.27 	their course of treatment and maintenance in the community and that these are described 
6.28 	in an accompanying written statement in plain language and in terms patients and residents 
6.29 	can understand of the applicable rights and responsibilities set forth in this section. The 
6.30 	written statement must also include the name and address of the state or county agency to 
6.31 	contact for additional information or assistance. In the case of patients admitted to residential 
6.32 	programs as defined in section 253C.01, the written statement shall also describe the right 
7.1 	of a person 16 years old or older to request release as provided in section 253B.04, 
7.2 	subdivision 2, and shall list the names and telephone numbers of individuals and organizations 
7.3 	that provide advocacy and legal services for patients in residential programs.
7.4 	(b) Reasonable accommodations shall be made for people who have communication 
7.5 	disabilities and those who speak a language other than English.
7.6 	(c) Current facility policies, inspection findings of state and local health authorities, and 
7.7 	further explanation of the written statement of rights shall be available to patients, residents, 
7.8 	their guardians or their chosen representatives upon reasonable request to the administrator 
7.9 	or other designated staff person, consistent with chapter 13, the Data Practices Act, and 
7.10 	section 626.557, relating to vulnerable adults.

7.11 	Sec. 8. Minnesota Statutes 2018, section 144.651, subdivision 6, is amended to read:
7.12 		Subd. 6.Appropriate health care. Patients and residents shall have the right to 
7.13 	appropriate medical and personal care based on individual needs. Appropriate care for 
7.14 	residents means care designed to enable residents to achieve their highest level of physical 
7.15 	and mental functioning., provided with reasonable regularity and continuity of staff 
7.16 	assignment as far as facility policy allows by persons who are properly trained and competent 
7.17 	to perform their duties. This right is limited where the service is not reimbursable by public 
7.18 	or private resources.

7.19 	Sec. 9. Minnesota Statutes 2018, section 144.651, subdivision 14, is amended to read:
7.20 		Subd. 14.Freedom from maltreatment. (a) Patients and residents shall be free from 
7.21 	maltreatment as defined in the Vulnerable Adults Protection Act. "Maltreatment" means 
7.22 	conduct described in section 626.5572, subdivision 15, or the intentional and nontherapeutic 
7.23 	infliction of physical pain or injury, or any persistent course of conduct intended to produce 
7.24 	mental or emotional distress. Every patient and resident has the right to immediate notification 
7.25 	by a facility of alleged maltreatment, including the details of any report submitted by the 
7.26 	facility under section 626.557 to the common entry point, as defined in section 626.5572, 
7.27 	subdivision 5. An interested person, as defined in section 626.5572, subdivision 12a, also 
7.28 	has the right to information about maltreatment and the details of a report.
7.29 	(b) Every patient and resident shall also be free from nontherapeutic chemical and 
7.30 	physical restraints, except in fully documented emergencies, or as authorized in writing 
7.31 	after examination by a patient's or resident's physician for a specified and limited period of 
7.32 	time, and only when necessary to protect the resident from self-injury or injury to others.

8.1 	Sec. 10. Minnesota Statutes 2018, section 144.651, is amended by adding a subdivision 
8.2 	to read:
8.3 		Subd. 14a.Placement of cameras in private space. (a) For purposes of this subdivision:
8.4 	(1) "resident representative" has the meaning given in Code of Federal Regulations, title 
8.5 	42, section 483.5; and
8.6 	(2) "camera" includes other electronic monitoring devices.
8.7 	(b) Every resident has the right to place a camera in the resident's private space. A facility 
8.8 	shall not interfere with the placement. The resident may define when, where, and under 
8.9 	what circumstances the camera may be temporarily turned off and has the right to change 
8.10 	these preferences at any time.
8.11 	(c) If the resident resides in shared space, the resident must document a discussion 
8.12 	regarding placement of a camera with any roommate or the roommate's guardian or health 
8.13 	care agent. If consent from the roommate or the roommate's guardian or health care agent 
8.14 	cannot be obtained, the facility must make a reasonable accommodation to either provide 
8.15 	a private room or another shared room in which the roommate consents to placement of a 
8.16 	camera.
8.17 	(d) Costs for placement of a camera are incurred by the resident, except that the resident 
8.18 	may utilize the facility's Internet service if otherwise made available to the resident.
8.19 	(e) A health care agent or guardian may place a camera in the resident's private space 
8.20 	on behalf of the resident after documenting a discussion with the resident, which includes 
8.21 	informing the resident of the resident's right to privacy and a right to be free from 
8.22 	maltreatment, and confirming that the resident does not object to the placement of a camera 
8.23 	in the resident's private space.
8.24 	(f) A resident representative who is not the health care agent or guardian may place a 
8.25 	camera in the resident's private space on behalf of the resident after documenting a discussion 
8.26 	with any health care agent or guardian of the resident regarding the placement, and 
8.27 	confirming that the resident and any health care agent or guardian do not object to the 
8.28 	placement.
8.29 	(g) An interested person who is not the health care agent, guardian, or resident 
8.30 	representative may place a camera in the resident's private space on behalf of the resident 
8.31 	after documenting a discussion with any health care agent, guardian, or resident representative 
8.32 	of the resident regarding the placement, and confirming that any health care agent, guardian, 
8.33 	or resident representative does not object to the placement. Where there is no health care 
9.1 	agent, guardian, or resident representative of the resident, an interested person must document 
9.2 	a discussion with the ombudsman for long-term care regarding the placement, and must 
9.3 	confirm that the ombudsman does not object to the placement.
9.4 	If conflict arises between multiple interested parties, the ombudsman for long-term care 
9.5 	shall be consulted.
9.6 	(h) The health care agent, guardian, resident representative, or interested person who 
9.7 	has placed the camera, after discussion with the resident, may define when, where, and 
9.8 	under what circumstances the camera may be temporarily turned off and has the right to 
9.9 	change these preferences at any time.
9.10 	(i) No one may seek placement of a camera in the resident's private space on behalf of 
9.11 	a resident if the placement has been restricted or rescinded in writing by a resident or a 
9.12 	court.
9.13 	(j) The facility may not tamper with or remove any camera placed in the resident's private 
9.14 	space or attempt to persuade, coerce, or influence the resident not to place a camera in the 
9.15 	resident's private space. The facility shall not retaliate against the resident for placement of 
9.16 	a camera. A facility does not violate Minnesota law or rules if a camera for which the facility 
9.17 	was unaware is found during a survey or investigation by the Department of Health.

9.18 	Sec. 11. Minnesota Statutes 2018, section 144.651, subdivision 16, is amended to read:
9.19 		Subd. 16.Confidentiality of records. Patients and residents shall be assured confidential 
9.20 	treatment of their personal, financial, and medical records, and may approve or refuse their 
9.21 	release to any individual outside the facility. Residents shall be notified when personal 
9.22 	records are requested by any individual outside the facility and may select someone to 
9.23 	accompany them when the records or information are the subject of a personal interview. 
9.24 	Patients and residents have a right to access their own records and written information from 
9.25 	those records. Copies of records and written information from the records shall be made 
9.26 	available in accordance with this subdivision and sections 144.291 to 144.298. This right 
9.27 	does not apply to complaint investigations and inspections by the Department of Health, 
9.28 	where required by third-party payment contracts, or where otherwise provided by law.

9.29 	Sec. 12. Minnesota Statutes 2018, section 144.651, subdivision 17, is amended to read:
9.30 		Subd. 17.Disclosure of services available. Patients and residents shall be informed, 
9.31 	prior to or at the time of admission and during their stay, of services which are included in 
9.32 	the facility's basic per diem or daily room rate and that other services are available at 
10.1 	additional charges. Patients and residents have the right to reasonable advance notice of 
10.2 	changes in services or charges. A facility may not collect a nonrefundable deposit, unless 
10.3 	it is applied to the first month's charges. Facilities shall make every effort to assist patients 
10.4 	and residents in obtaining information regarding whether the Medicare or medical assistance 
10.5 	program will pay for any or all of the aforementioned services.

10.6 	Sec. 13. Minnesota Statutes 2018, section 144.651, subdivision 20, is amended to read:
10.7 		Subd. 20.Grievances. (a) Patients and residents shall be encouraged and assisted, 
10.8 	throughout their stay in a facility or their course of treatment, to understand and exercise 
10.9 	their rights as patients, residents, and citizens. Patients and residents may voice grievances, 
10.10 	assert the rights granted under this section personally, or have these rights asserted by an 
10.11 	interested person, and recommend changes in policies and services to facility staff and 
10.12 	others of their choice, free from restraint, interference, coercion, discrimination, retaliation, 
10.13 	or reprisal, including threat of discharge. Notice of the grievance procedure of the facility 
10.14 	or program, as well as addresses and telephone numbers for the Office of Health Facility 
10.15 	Complaints and the area nursing home ombudsman pursuant to the Older Americans Act, 
10.16 	section 307(a)(12) shall be posted in a conspicuous place.
10.17 	(b) Patients, residents, and interested persons have the right to complain about services 
10.18 	that are provided, services that are not being provided, and the lack of courtesy or respect 
10.19 	to the patient or resident or the patient's or resident's property. The facility must investigate 
10.20 	and attempt resolution of the complaint or grievance. The patient or resident has the right 
10.21 	to be informed of the name of the individual who is responsible for handling grievances.
10.22 	(c) Notice must be posted in a conspicuous place of the facility's or program's grievance 
10.23 	procedure, as well as telephone numbers and, where applicable, addresses for the common 
10.24 	entry point, defined in section 626.5572, subdivision 5, a protection and advocacy agency, 
10.25 	and the area nursing home ombudsman pursuant to the Older Americans Act, section 
10.26 	307(a)(12).
10.27 	(d) Every acute care inpatient facility, every residential program as defined in section 
10.28 	253C.01, every nonacute care facility, and every facility employing more than two people 
10.29 	that provides outpatient mental health services shall have a written internal grievance 
10.30 	procedure that, at a minimum, sets forth the process to be followed; specifies time limits, 
10.31 	including time limits for facility response; provides for the patient or resident to have the 
10.32 	assistance of an advocate; requires a written response to written grievances; and provides 
10.33 	for a timely decision by an impartial decision maker if the grievance is not otherwise resolved. 
10.34 	Compliance by hospitals, residential programs as defined in section 253C.01 which are 
11.1 	hospital-based primary treatment programs, and outpatient surgery centers with section 
11.2 	144.691 and compliance by health maintenance organizations with section 62D.11 is deemed 
11.3 	to be compliance with the requirement for a written internal grievance procedure.

11.4 	Sec. 14. Minnesota Statutes 2018, section 144.651, subdivision 21, is amended to read:
11.5 		Subd. 21.Communication privacy. Patients and residents may associate and 
11.6 	communicate privately with persons of their choice and enter and, except as provided by 
11.7 	the Minnesota Commitment Act, leave the facility as they choose. Patients and residents 
11.8 	shall have access, at their own expense, unless provided by the facility, to writing instruments, 
11.9 	stationery, and postage, and Internet service. Personal mail shall be sent without interference 
11.10 	and received unopened unless medically or programmatically contraindicated and 
11.11 	documented by the physician or advanced practice registered nurse in the medical record. 
11.12 	There shall be access to a telephone where patients and residents can make and receive calls 
11.13 	as well as speak privately. Facilities which are unable to provide a private area shall make 
11.14 	reasonable arrangements to accommodate the privacy of patients' or residents' calls. Upon 
11.15 	admission to a facility where federal law prohibits unauthorized disclosure of patient or 
11.16 	resident identifying information to callers and visitors, the patient or resident, or the legal 
11.17 	guardian or conservator of the patient or resident, shall be given the opportunity to authorize 
11.18 	disclosure of the patient's or resident's presence in the facility to callers and visitors who 
11.19 	may seek to communicate with the patient or resident. To the extent possible, the legal 
11.20 	guardian or conservator of a patient or resident shall consider the opinions of the patient or 
11.21 	resident regarding the disclosure of the patient's or resident's presence in the facility. This 
11.22 	right is limited where medically inadvisable, as documented by the attending physician or 
11.23 	advanced practice registered nurse in a patient's or resident's care record. Where 
11.24 	programmatically limited by a facility abuse prevention plan pursuant to section 626.557, 
11.25 	subdivision 14, paragraph (b), this right shall also be limited accordingly.

11.26 	Sec. 15. Minnesota Statutes 2018, section 144.651, is amended by adding a subdivision 
11.27 	to read:
11.28 		Subd. 34.Retaliation prohibited. (a) A facility or person must not retaliate against a 
11.29 	patient, resident, employee, or interested person who:
11.30 	(1) files a complaint or grievance or asserts any rights on behalf of the patient or resident 
11.31 	as provided under subdivision 20;
11.32 	(2) submits a maltreatment report, whether mandatory or voluntary, on behalf of the 
11.33 	patient or resident under section 626.557, subdivision 3, 4, or 4a;
12.1 	(3) advocates on behalf of the patient or resident for necessary or improved care and 
12.2 	services or enforcement of rights under this section or other law;
12.3 	(4) contracts to receive services from a service provider of the resident's choice; or
12.4 	(5) places a camera or electronic monitoring device in the resident's private space as 
12.5 	provided in subdivision 14a.
12.6 	(b) There is a rebuttable presumption that adverse action is retaliatory if taken against 
12.7 	a patient, resident, employee, or interested person within 90 days of a patient, resident, 
12.8 	employee, or interested person filing a grievance as provided in paragraph (a), submitting 
12.9 	a maltreatment report, or otherwise advocating on behalf of a patient or resident.
12.10 	(c) For purposes of this section, "adverse action" means any action taken by a facility 
12.11 	or person against the patient, resident, employee, or interested person that includes but is 
12.12 	not limited to:
12.13 	(1) discharge or transfer from the facility;
12.14 	(2) discharge from or termination of employment;
12.15 	(3) demotion or reduction in remuneration for services;
12.16 	(4) restriction or prohibition of access either to the facility or to the patient or resident;
12.17 	(5) any restriction of any of the rights set forth in state or federal law;
12.18 	(6) any restriction of access to or use of amenities or services;
12.19 	(7) termination of a services or lease agreement, or both;
12.20 	(8) a sudden increase in costs for services not already contemplated at the time of the 
12.21 	action taken;
12.22 	(9) removal, tampering with, or deprivation of technology, communication, or electronic 
12.23 	monitoring devices of the patient or resident;
12.24 	(10) reporting maltreatment in bad faith; or
12.25 	(11) making any oral or written communication of false information about a person 
12.26 	advocating on behalf of the patient or resident.

12.27 	Sec. 16. [144.6511] DECEPTIVE MARKETING AND BUSINESS PRACTICES.
12.28 	(a) Deceptive marketing and business practices are prohibited.
12.29 	(b) For the purposes of this section, it is a deceptive practice for a facility to:
13.1 	(1) make any false, fraudulent, deceptive, or misleading statements in marketing, 
13.2 	advertising, or any other oral or written description or representation of care or services, 
13.3 	whether in oral, written, or electronic form;
13.4 	(2) arrange for or provide health care or services that are inferior to, substantially different 
13.5 	from, or substantially more expensive than those offered, promised, marketed, or advertised;
13.6 	(3) fail to deliver any care or services the provider or facility promised or represented 
13.7 	that the facility was able to provide;
13.8 	(4) fail to inform the patient or resident in writing of any limitations to care services 
13.9 	available prior to executing a contract for admission;
13.10 	(5) fail to fulfill a written or oral promise that the facility shall continue the same services 
13.11 	and the same lease terms if a private pay resident converts to the elderly waiver program;
13.12 	(6) fail to disclose and clearly explain the purpose of a nonrefundable community fee 
13.13 	or other fee prior to contracting for services with a patient or resident;
13.14 	(7) advertise or represent, orally or in writing, that the facility is or has a special care 
13.15 	unit, such as for dementia or memory care, without complying with training and disclosure 
13.16 	requirements under sections 144D.065 and 325F.72, and any other applicable law; or
13.17 	(8) define the terms "facility," "contract of admission," "admission contract," "admission 
13.18 	agreement," "legal representative," or "responsible party" to mean anything other than the 
13.19 	meanings of those terms under section 144.6501.

13.20 	Sec. 17. [144.6512] ENFORCEMENT OF THE HEALTH CARE BILL OF RIGHTS.
13.21 	In addition to the remedies otherwise provided by or available under law, a patient or 
13.22 	resident, or an interested person on behalf of the patient or resident, may bring a civil action 
13.23 	against a facility to recover actual, incidental, and consequential damages or $5,000, 
13.24 	whichever is greater, costs and disbursements, including costs of investigation, and reasonable 
13.25 	attorney fees, and receive other equitable relief as determined by the court for a violation 
13.26 	of sections 144.6501, subdivision 2, or 144.651 and 144.6511.

13.27 	Sec. 18. Minnesota Statutes 2018, section 144A.10, subdivision 1, is amended to read:
13.28 		Subdivision 1.Enforcement authority. The commissioner of health is the exclusive 
13.29 	state agency charged with the responsibility and duty of inspecting all facilities required to 
13.30 	be licensed under section 144A.02, and issuing correction orders and imposing fines as 
13.31 	provided in this section, Minnesota Rules, chapter 4658, or any other applicable law. The 
14.1 	commissioner of health shall enforce the rules established pursuant to sections 144A.01 to 
14.2 	144A.155, subject only to the authority of the Department of Public Safety respecting the 
14.3 	enforcement of fire and safety standards in nursing homes and the responsibility of the 
14.4 	commissioner of human services under sections 245A.01 to 245A.16 or 252.28.
14.5 	The commissioner may request and must be given access to relevant information, records, 
14.6 	incident reports, or other documents in the possession of a licensed facility if the 
14.7 	commissioner considers them necessary for the discharge of responsibilities. For the purposes 
14.8 	of inspections and securing information to determine compliance with the licensure laws 
14.9 	and rules, the commissioner need not present a release, waiver, or consent of the individual. 
14.10 	A nursing home's refusal to cooperate in providing lawfully requested information is grounds 
14.11 	for a correction order or fine. The identities of patients or residents must be kept private as 
14.12 	defined by section 13.02, subdivision 12.

14.13 	Sec. 19. Minnesota Statutes 2018, section 144A.10, subdivision 6, is amended to read:
14.14 		Subd. 6.Fines. A nursing home which is issued a notice of noncompliance with a 
14.15 	correction order shall be assessed a civil fine in accordance with a schedule of fines 
14.16 	established by the commissioner of health before December 1, 1983. In establishing the 
14.17 	schedule of fines, the commissioner shall consider the potential for harm presented to any 
14.18 	resident as a result of noncompliance with each statute or rule. The fine shall be assessed 
14.19 	for each day the facility remains in noncompliance and until a notice of correction is received 
14.20 	by the commissioner of health in accordance with subdivision 7. No fine for a specific 
14.21 	violation may exceed $500 per day of noncompliance. The commissioner must uniquely 
14.22 	track assessed fines based on the type of fine collected and the type of inquiry, such as for 
14.23 	a licensing violation during a periodic survey process as opposed to a determination of 
14.24 	substantiated maltreatment as part of a maltreatment investigation.

14.25 	Sec. 20. Minnesota Statutes 2018, section 144A.10, subdivision 6b, is amended to read:
14.26 		Subd. 6b.Fines for federal certification deficiencies. If the commissioner determines 
14.27 	that a nursing home or certified boarding care home does not meet a requirement of section 
14.28 	1919(b), (c), or (d), of the Social Security Act, or any regulation adopted under that section 
14.29 	of the Social Security Act, the nursing home or certified boarding care home may be assessed 
14.30 	a civil fine for each day of noncompliance and until a notice of correction is received by 
14.31 	the commissioner under subdivision 7. Money collected because of these fines must be 
14.32 	applied to the protection of the health or property of residents of nursing facilities the 
14.33 	commissioner finds deficient. A fine for a specific deficiency may not exceed $500 for each 
15.1 	day of noncompliance. The commissioner shall adopt rules establishing a schedule of fines.
15.2 	The commissioner must uniquely track assessed fines based on the type of fine collected 
15.3 	and the type of inquiry, such as for a licensing violation during a periodic survey process 
15.4 	as opposed to a determination of substantiated maltreatment as part of a maltreatment 
15.5 	investigation.

15.6 	Sec. 21. Minnesota Statutes 2018, section 144A.44, is amended to read:
15.7 	144A.44 HOME CARE BILL OF RIGHTS.
15.8 		Subdivision 1.Statement of rights. (a) All home care providers, and individuals or 
15.9 	organizations exempt from home care licensure by section 144A.471, subdivision 8, must 
15.10 	comply with this section. A person who receives home care services has these rights the 
15.11 	right to:
15.12 	(1) the right to receive written information about rights before receiving services, 
15.13 	including what to do if rights are violated;
15.14 	(2) the right to receive care and services according to a suitable and up-to-date plan, and 
15.15 	subject to accepted health care, medical or nursing standards, to take an active part in 
15.16 	developing, modifying, and evaluating the plan and services;
15.17 	(3) the right to be told before receiving services the type and disciplines of staff who 
15.18 	will be providing the services, the frequency of visits proposed to be furnished, other choices 
15.19 	that are available for addressing home care needs, and the potential consequences of refusing 
15.20 	these services;
15.21 	(4) the right to be told in advance of any recommended changes by the provider in the 
15.22 	service plan and to take an active part in any decisions about changes to the service plan;
15.23 	(5) the right to refuse services or treatment;
15.24 	(6) the right to know, before receiving services or during the initial visit, any limits to 
15.25 	the services available from a home care provider;
15.26 	(7) the right to be told before services are initiated what the provider charges for the 
15.27 	services; to what extent payment may be expected from health insurance, public programs, 
15.28 	or other sources, if known; and what charges the client may be responsible for paying;
15.29 	(8) the right to know that there may be other services available in the community, 
15.30 	including other home care services and providers, and to know where to find information 
15.31 	about these services;
16.1 	(9) the right to choose freely among available providers and to change providers after 
16.2 	services have begun, within the limits of health insurance, long-term care insurance, medical 
16.3 	assistance, or other health programs;
16.4 	(10) the right to have personal, financial, and medical information kept private, and to 
16.5 	be advised of the provider's policies and procedures regarding disclosure of such information;
16.6 	(11) the right to access the client's own records and written information from those 
16.7 	records in accordance with sections 144.291 to 144.298;
16.8 	(12) the right to be served by people who are properly trained and competent to perform 
16.9 	their duties;
16.10 	(13) the right to be treated with courtesy and respect, and to have the client's property 
16.11 	treated with respect;
16.12 	(14) the right to be free from physical and verbal abuse, neglect, financial exploitation, 
16.13 	and all forms of maltreatment covered under the Vulnerable Adults Act and the Maltreatment 
16.14 	of Minors Act;
16.15 	(15) the right to reasonable, advance notice of changes in services or charges;
16.16 	(16) the right to know the provider's reason for termination of services;
16.17 	(17) the right to at least ten 30 days' advance notice of the termination of a service by a 
16.18 	provider, except in cases where:
16.19 	(i) the client engages in conduct that significantly alters the terms of the service plan 
16.20 	with the home care provider;
16.21 	(ii) the client, person who lives with the client, or others create an abusive or unsafe 
16.22 	work environment for the person providing home care services; or
16.23 	(iii) an emergency or a significant change in the client's condition has resulted in service 
16.24 	needs that exceed the current service plan and that cannot be safely met by the home care 
16.25 	provider;
16.26 	(18) the right to a coordinated transfer when there will be a change in the provider of 
16.27 	services;
16.28 	(19) the right to complain about services that are provided, or fail to be provided, and 
16.29 	the lack of courtesy or respect to the client or the client's property;
17.1 	(20) the right to know how to contact an individual associated with the home care provider 
17.2 	who is responsible for handling problems and to have the home care provider investigate 
17.3 	and attempt to resolve the grievance or complaint;
17.4 	(21) the right to know the name and address of the state or county agency to contact for 
17.5 	additional information or assistance; and
17.6 	(22) the right to assert these rights personally, or have them asserted by the client's 
17.7 	representative or by anyone on behalf of the client, without retaliation.; and
17.8 	(23) reasonable access at reasonable times to available legal or advocacy services so 
17.9 	that the client may receive assistance in understanding, exercising, and protecting the rights 
17.10 	in this section and other law.
17.11 	(b) A home care provider shall:
17.12 	(1) encourage and assist in the fullest possible exercise of these rights;
17.13 	(2) provide the names and telephone numbers of individuals and organizations that 
17.14 	provide advocacy and legal services for clients;
17.15 	(3) make every effort to assist clients in obtaining information regarding whether the 
17.16 	Medicare or medical assistance program will pay for services;
17.17 	(4) make reasonable accommodations for people who have communication disabilities 
17.18 	and those who speak a language other than English; and
17.19 	(5) provide all information and notices in plain language and in terms the client can 
17.20 	understand.
17.21 		Subd. 2.Interpretation and enforcement of rights. These rights are established for 
17.22 	the benefit of clients who receive home care services. All home care providers, including 
17.23 	those exempted under section 144A.471, must comply with this section. The commissioner 
17.24 	shall enforce this section and the home care bill of rights requirement against home care 
17.25 	providers exempt from licensure in the same manner as for licensees. A home care provider 
17.26 	may not request or require a client to surrender any of these rights as a condition of receiving 
17.27 	services. This statement of The rights doesprovided under this section are established for 
17.28 	the benefit of clients who receive home care services, do not replace or diminish other rights 
17.29 	and liberties that may exist relative to clients receiving home care services, persons providing 
17.30 	home care services, or providers licensed under sections 144A.43 to 144A.482, and may 
17.31 	not be waived. Any oral or written waiver of the rights provided under this section is void 
17.32 	and unenforceable.
18.1 		Subd. 3.Deceptive marketing and business practices. (a) Deceptive marketing and 
18.2 	business practices are prohibited.
18.3 	(b) For the purposes of this section, it is a deceptive marketing and business practice to:
18.4 	(1) engage in any conduct listed in section 144.6511;
18.5 	(2) seek or collect a nonrefundable deposit, unless the deposit is applied to the first 
18.6 	month's charges;
18.7 	(3) fail to disclose and clearly explain the purpose of a nonrefundable community fee 
18.8 	or other fee prior to contracting for services with a client; or
18.9 	(4) make any oral or written statement or representation, either directly or in marketing 
18.10 	or advertising materials that contradict, conflict with, or otherwise are inconsistent with the 
18.11 	provisions set forth in the admissions agreement, service agreement, contract, lease, or 
18.12 	Uniform Consumer Information Guide under section 144G.06.
18.13 		Subd. 4.Enforcement of rights. The commissioner shall enforce this section and the 
18.14 	requirements in the home care bill of rights against home care providers exempt from 
18.15 	licensure in the same manner as for licensees.
18.16 		Subd. 5.Private enforcement of rights. In addition to the remedies otherwise available 
18.17 	under law, a person who receives home care services, an assisted living client, or an interested 
18.18 	person on behalf of the person who receives home care services may bring a civil action 
18.19 	against a home care provider and recover actual, incidental, and consequential damages or 
18.20 	$5,000, whichever is greater, costs and disbursements, including costs of investigation, and 
18.21 	reasonable attorney fees, and receive other equitable relief as determined by the court for 
18.22 	a violation of this section or section 144A.441. For purposes of this section, an interested 
18.23 	person has the meaning given in section 144.651, subdivision 2, except that an interested 
18.24 	person does not include a person whose authority has been restricted by the person receiving 
18.25 	home care services or assisted living, or by a court.

18.26 	Sec. 22. Minnesota Statutes 2018, section 144A.441, is amended to read:
18.27 	144A.441 ASSISTED LIVING BILL OF RIGHTS ADDENDUM.
18.28 	Assisted living clients, as defined in section 144G.01, subdivision 3, shall be provided 
18.29 	with the home care bill of rights required by section 144A.44, except that the home care 
18.30 	bill of rights provided to these clients must include the following provision in place of the 
18.31 	provision in section 144A.44, subdivision 1, paragraph (a), clause (17):
19.1 	"(17) the right to reasonable, advance notice of changes in services or charges, including 
19.2 	at least 30 days' advance notice of the termination of a service by a provider, except in cases 
19.3 	where:
19.4 	(i) the recipient of services engages in conduct that alters the conditions of employment 
19.5 	as specified in the employment contract between the home care provider and the individual 
19.6 	providing home care services, or creates and the home care provider can document an 
19.7 	abusive or unsafe work environment for the individual providing home care services;
19.8 	(ii) a doctor or treating physician documents that an emergency for the informal caregiver
19.9 	or a significant change in the recipient's condition has resulted in service needs that exceed 
19.10 	the current service provider agreement and that cannot be safely met by the home care 
19.11 	provider; or
19.12 	(iii) the provider has not received payment for services, for which at least ten days' 
19.13 	advance notice of the termination of a service shall be provided."

19.14 	Sec. 23. Minnesota Statutes 2018, section 144A.442, is amended to read:
19.15 	144A.442 ASSISTED LIVING CLIENTS; SERVICEARRANGED HOME CARE 
19.16 	PROVIDER RESPONSIBILITIES; TERMINATION OF SERVICES.
19.17 		Subdivision 1.Legislative intent. It is the intent of the legislature to ensure to the greatest 
19.18 	extent possible stability of services for persons residing in housing with services 
19.19 	establishments.
19.20 		Subd. 2.Definitions. For the purposes of this section, "arranged home care provider" 
19.21 	has the meaning given in section 144D.01, subdivision 2a, and "assisted living client" has 
19.22 	the meaning given in section 144G.01, subdivision 3.
19.23 		Subd. 3.Notice; permissible reasons to terminate services. (a) Except as provided in 
19.24 	paragraph (b), an arranged home care provider must provide at least 30 days' notice prior 
19.25 	to terminating a service contract. Notwithstanding any other provision of law, an arranged 
19.26 	home care provider may terminate services only if the assisted living client:
19.27 	(1) engages in conduct that significantly alters the terms of the service plan with the 
19.28 	arranged home care provider and does not cure the alteration within 30 days of receiving 
19.29 	written notice of the conduct; or
19.30 	(2) breaches the services agreement, which includes failure to pay for services, and has 
19.31 	not cured the breach within 30 days of receiving written notice of the nonpayment.
20.1 	(b) Notwithstanding paragraph (a), the arranged home care provider may terminate 
20.2 	services with ten days' notice if the assisted living client:
20.3 	(1) creates, and the arranged home care provider can document, an abusive or unsafe 
20.4 	work environment for the individual providing home care services; or
20.5 	(2) has service needs that exceed the current service plan and cannot be safely met by 
20.6 	the arranged home care provider and a doctor or treating physician documents that an 
20.7 	emergency or a significant change in the assisted living client's condition has occurred.
20.8 		Subd. 4.Contents of service termination notice. If an arranged home care provider, 
20.9 	as defined in section 144D.01, subdivision 2a, who is not also Medicare certified terminates 
20.10 	a service agreement or service plan with an assisted living client, as defined in section 
20.11 	144G.01, subdivision 3, the arranged home care provider shall provide the assisted living 
20.12 	client and the legal or designated representatives of the client, if any, with a an advance
20.13 	written notice of service termination as provided under subdivision 3, which includes must 
20.14 	include the following information:
20.15 	(1) the effective date of service termination;
20.16 	(2) the reason for service termination;
20.17 	(3) without extending the termination notice period, an affirmative offer to meet with 
20.18 	the assisted living client or client representatives client's representative within no more than 
20.19 	five business days of the date of the service termination notice to discuss the termination;
20.20 	(4) contact information for a reasonable number of other home care providers in the 
20.21 	geographic area of the assisted living client, as required by section 144A.4791, subdivision 
20.22 	10;
20.23 	(5) a statement that the arranged home care provider will participate in a coordinated 
20.24 	transfer of the care of the client to another provider or caregiver, as required by section 
20.25 	144A.44, subdivision 1, paragraph (a), clause (18);
20.26 	(6) a statement that the assisted living client has the right to a meeting at the client's 
20.27 	request with a representative of the arranged home care provider to discuss and attempt to 
20.28 	avoid the service termination;
20.29 	(7) the name and contact information of a representative of the arranged home care 
20.30 	provider with whom the assisted living client may discuss the notice of service termination;
20.31 	(7) (8) a copy of the home care bill of rights; and
21.1 	(8) (9) a statement that the notice of service termination of home care services by the 
21.2 	arranged home care provider does not constitute notice of termination of the housing with 
21.3 	services contract with a housing with services establishment. lease; and
21.4 	(10) a statement that the assisted living client has the right to appeal the service 
21.5 	termination to the Office of Administrative Hearings and that includes the contact information 
21.6 	for the Office of Administrative Hearings.
21.7 		Subd. 5.Right to appeal service termination. (a) At any time prior to the expiration 
21.8 	of the notice period provided under subdivision 3 and section 144A.441, an assisted living 
21.9 	client may appeal the service termination by making a written request for a hearing to the 
21.10 	Office of Administrative Hearings. The Office of Administrative Hearings must conduct 
21.11 	the hearing no later than 14 days after the office receives the appeal request from the assisted 
21.12 	living client. The hearing must be held in the housing with services establishment where 
21.13 	the client resides, unless it is impractical or the parties agree to a different place.
21.14 	(b) The arranged home care provider may not discontinue services to an assisted living 
21.15 	client who makes a timely appeal of a notice of service termination unless the Office of 
21.16 	Administrative Hearings has made a final determination on the appeal in favor of the arranged 
21.17 	home care provider.
21.18 	(c) Assisted living clients are not required to request a meeting as available under 
21.19 	subdivision 4, clause (6), prior to submitting an appeal hearing request.
21.20 	(d) The commissioner of health may order the arranged home care provider to rescind 
21.21 	the service contract termination if the proposed termination is in violation of state or federal 
21.22 	law.
21.23 	(e) Nothing in this section limits the right of an assisted living client or the client's 
21.24 	representative to request or receive assistance from the Office of Ombudsman for Long-Term 
21.25 	Care and a protection and advocacy agency concerning the proposed service termination.
21.26 		Subd. 6.Discontinuation of services. An arranged home care provider's responsibilities 
21.27 	when voluntarily discontinuing services to all clients are governed by section 144A.4791, 
21.28 	subdivision 10.

21.29 	Sec. 24. Minnesota Statutes 2018, section 144A.45, subdivision 1, is amended to read:
21.30 		Subdivision 1.Regulations. The commissioner shall regulate home care providers 
21.31 	pursuant to sections 144A.43 to 144A.482. The regulations shall include the following:
22.1 	(1) provisions to assure, to the extent possible, the health, safety, well-being, and 
22.2 	appropriate treatment of persons who receive home care services while respecting a client's 
22.3 	autonomy and choice;
22.4 	(2) requirements that home care providers furnish the commissioner with specified 
22.5 	information necessary to implement sections 144A.43 to 144A.482;
22.6 	(3) standards of training of home care provider personnel;
22.7 	(4) standards for provision of home care services;
22.8 	(5) standards for medication management;
22.9 	(6) standards for supervision of home care services;
22.10 	(7) standards for client evaluation or assessment;
22.11 	(8) requirements for the involvement of a client's health care provider, the documentation 
22.12 	of health care providers' orders, if required, and the client's service plan;
22.13 	(9) standards for the maintenance of accurate, current client records;
22.14 	(10) the establishment of basic and comprehensive levels of licenses based on services 
22.15 	provided; and
22.16 	(11) provisions to enforce these regulations and the home care bill of rights, including 
22.17 	provisions for issuing penalties and fines as allowed under law.

22.18 	Sec. 25. Minnesota Statutes 2018, section 144A.45, subdivision 2, is amended to read:
22.19 		Subd. 2.Regulatory functions.  The commissioner shall:
22.20 	(1) license, survey, and monitor without advance notice, home care providers in 
22.21 	accordance with sections 144A.43 to 144A.482;
22.22 	(2) survey every temporary licensee within one year of the temporary license issuance 
22.23 	date subject to the temporary licensee providing home care services to a client or clients;
22.24 	(3) survey all licensed home care providers on an interval that will promote the health 
22.25 	and safety of clients annually;
22.26 	(4) with the consent of the client, visit the home where services are being provided;
22.27 	(5) issue correction orders and assess civil penalties in accordance with section sections
22.28 	144.653, subdivisions 5 to 8, 144A.474, and 144A.475, for violations of sections 144A.43
22.29 	to 144A.482;
22.30 	(6) take action as authorized in section 144A.475; and
23.1 	(7) take other action reasonably required to accomplish the purposes of sections 144A.43
23.2 	to 144A.482.

23.3 	Sec. 26. Minnesota Statutes 2018, section 144A.474, subdivision 1, is amended to read:
23.4 		Subdivision 1.Surveys. The commissioner shall conduct surveys of each home care 
23.5 	provider. By June 30, 2016, The commissioner shall conduct a survey of home care providers 
23.6 	on a frequency of at least once every three years. Survey frequency may be based on the 
23.7 	license level, the provider's compliance history, the number of clients served, or other factors 
23.8 	as determined by the department deemed necessary to ensure the health, safety, and welfare 
23.9 	of clients and compliance with the law annually.

23.10 	Sec. 27. Minnesota Statutes 2018, section 144A.474, subdivision 8, is amended to read:
23.11 		Subd. 8.Correction orders. (a) A correction order may be issued whenever the 
23.12 	commissioner finds upon survey or during a complaint investigation that a home care 
23.13 	provider, a managerial official, or an employee of the provider is not in compliance with 
23.14 	sections 144A.43 to 144A.482. The correction order shall cite the specific statute and 
23.15 	document areas of noncompliance and the time allowed for correction. In addition to issuing 
23.16 	a correction order, the commissioner may impose an immediate fine. The home care provider 
23.17 	must submit a correction plan to the commissioner.
23.18 	(b) The commissioner shall mail copies of any correction order to the last known address 
23.19 	of the home care provider, or electronically scan the correction order and e-mail it to the 
23.20 	last known home care provider e-mail address, within 30 calendar days after the survey exit 
23.21 	date. A copy of each correction order, the amount of any immediate fine issued, the correction 
23.22 	plan, and copies of any documentation supplied to the commissioner shall be kept on file 
23.23 	by the home care provider, and public documents shall be made available for viewing by 
23.24 	any person upon request. Copies may be kept electronically.
23.25 	(c) By the correction order date, the home care provider must document in the provider's 
23.26 	records and submit in writing to the commissioner any action taken to comply with the 
23.27 	correction order. The commissioner may request a copy of this documentation and the home 
23.28 	care provider's action to respond to the correction order in future surveys, upon a complaint 
23.29 	investigation, and as otherwise needed.

23.30 	Sec. 28. Minnesota Statutes 2018, section 144A.474, subdivision 9, is amended to read:
23.31 		Subd. 9.Follow-up surveys. For providers that have Level 3 or Level 4 violations under 
23.32 	subdivision 11, or any violations determined to be widespread, the department shall conduct 
24.1 	a follow-up survey within 90 calendar days of the survey. When conducting a follow-up 
24.2 	survey, the surveyor will focus on whether the previous violations have been corrected and 
24.3 	may also address any new violations that are observed while evaluating the corrections that 
24.4 	have been made. If a new violation is identified on a follow-up survey, no fine will be 
24.5 	imposed unless it is not corrected on the next follow-up survey the surveyor shall issue a 
24.6 	correction order for the new violation and may impose an immediate fine for the new 
24.7 	violation.

24.8 	Sec. 29. Minnesota Statutes 2018, section 144A.474, subdivision 11, is amended to read:
24.9 		Subd. 11.Fines. (a) Fines and enforcement actions under this subdivision may be assessed 
24.10 	based on the level and scope of the violations described in paragraph (c) as follows:
24.11 	(1) Level 0, fines ranging from $0 to $500, using as a guide relevant or comparable 
24.12 	penalty schedules in Minnesota Rules, chapter 4658;
24.13 	(2) Level 1, no fines or enforcement;
24.14 	(2) (3) Level 2, fines ranging from $0 to $500 $......., in addition to any of the enforcement 
24.15 	mechanisms authorized in section 144A.475 for widespread violations;
24.16 	(3) (4) Level 3, fines ranging from $500 to $1,000 $......., in addition to any of the 
24.17 	enforcement mechanisms authorized in section 144A.475; and
24.18 	(4) (5) Level 4, fines ranging from $1,000 to $5,000 $......., in addition to any of the 
24.19 	enforcement mechanisms authorized in section 144A.475.
24.20 	(b) Correction orders for violations are categorized by both level and scope and fines 
24.21 	shall be assessed as follows:
24.22 	(1) level of violation:
24.23 	(i) Level 0 is a violation of sections 144.6501, 144.651 to 144.6512, 144A.44, 144A.441, 
24.24 	or 626.557;
24.25 	(ii) Level 1 is a violation that has no potential to cause more than a minimal impact on 
24.26 	the client and does not affect health or safety;
24.27 	(ii) (iii) Level 2 is a violation that did not harm a client's health or safety but had the 
24.28 	potential to have harmed a client's health or safety, but was not likely to cause serious injury, 
24.29 	impairment, or death;
25.1 	(iii) (iv) Level 3 is a violation that harmed a client's health or safety, not including serious 
25.2 	injury, impairment, or death, or a violation that has the potential to lead to serious injury, 
25.3 	impairment, or death; and
25.4 	(iv) (v) Level 4 is a violation that results in serious injury, impairment, or death;
25.5 	(2) scope of violation:
25.6 	(i) isolated, when one or a limited number of clients are affected or one or a limited 
25.7 	number of staff are involved or the situation has occurred only occasionally;
25.8 	(ii) pattern, when more than a limited number of clients are affected, more than a limited 
25.9 	number of staff are involved, or the situation has occurred repeatedly but is not found to be 
25.10 	pervasive; and
25.11 	(iii) widespread, when problems are pervasive or represent a systemic failure that has 
25.12 	affected or has the potential to affect a large portion or all of the clients.
25.13 	(c) If the commissioner finds that the applicant or a home care provider required to be 
25.14 	licensed under sections 144A.43 to 144A.482 has not corrected violations by the date 
25.15 	specified in the correction order or conditional license resulting from a survey or complaint 
25.16 	investigation, the commissioner may impose a an additional fine for noncompliance with 
25.17 	a correction order. A notice of noncompliance with a correction order must be mailed to 
25.18 	the applicant's or provider's last known address. The noncompliance notice of noncompliance 
25.19 	with a correction order must list the violations not corrected and any fines imposed.
25.20 	(d) The license holder must pay the fines assessed on or before the payment date specified
25.21 	on a correction order or on a notice of noncompliance with a correction order. If the license 
25.22 	holder fails to fully comply with the order pay a fine by the specified date, the commissioner 
25.23 	may issue a second late payment fine or suspend the license until the license holder complies 
25.24 	by paying the fine pays all outstanding fines. A timely appeal shall stay payment of the late 
25.25 	payment fine until the commissioner issues a final order.
25.26 	(e) A license holder shall promptly notify the commissioner in writing when a violation 
25.27 	specified in the a notice of noncompliance with a correction order is corrected. If upon 
25.28 	reinspection the commissioner determines that a violation has not been corrected as indicated 
25.29 	by the notice of noncompliance with a correction order, the commissioner may issue a 
25.30 	second an additional fine for noncompliance with a notice of noncompliance with a correction 
25.31 	order. The commissioner shall notify the license holder by mail to the last known address 
25.32 	in the licensing record that a second an additional fine has been assessed. The license holder 
25.33 	may appeal the second additional fine as provided under this subdivision.
26.1 	(f) A home care provider that has been assessed a fine under this subdivision or 
26.2 	subdivision 8 has a right to a reconsideration or a hearing under this section and chapter 14.
26.3 	(g) When a fine has been assessed, the license holder may not avoid payment by closing, 
26.4 	selling, or otherwise transferring the licensed program to a third party. In such an event, the 
26.5 	license holder shall be liable for payment of the fine.
26.6 	(h) In addition to any fine imposed under this section, the commissioner may assess 
26.7 	costs related to an investigation that results in a final order assessing a fine or other 
26.8 	enforcement action authorized by this chapter.
26.9 	(i) Fines collected under this subdivision shall be deposited in the state government 
26.10 	special revenue fund and credited to an account separate from the revenue collected under 
26.11 	section 144A.472. Subject to an appropriation by the legislature, the revenue from the fines 
26.12 	collected must be used by the commissioner for special projects to improve home care in 
26.13 	Minnesota as recommended by the advisory council established in section 144A.4799. The 
26.14 	commissioner must uniquely track assessed fines based on the type of fine collected and 
26.15 	the type of inquiry, such as for a licensing violation during a periodic survey process as 
26.16 	opposed to a determination of substantiated maltreatment as part of a maltreatment 
26.17 	investigation.

26.18 	Sec. 30. Minnesota Statutes 2018, section 144A.4791, subdivision 10, is amended to read:
26.19 		Subd. 10.Termination of service plan. (a) Except as provided in section 144A.442, if 
26.20 	a home care provider terminates a service plan with a client, and the client continues to need 
26.21 	home care services, the home care provider shall provide the client and the client's 
26.22 	representative, if any, with a written notice of termination which includes the following 
26.23 	information:
26.24 	(1) the effective date of termination;
26.25 	(2) the reason for termination;
26.26 	(3) a list of known licensed home care providers in the client's immediate geographic 
26.27 	area;
26.28 	(4) a statement that the home care provider will participate in a coordinated transfer of 
26.29 	care of the client to another home care provider, health care provider, or caregiver, as 
26.30 	required by the home care bill of rights, section 144A.44, subdivision 1, paragraph (a), 
26.31 	clause (17);
27.1 	(5) the name and contact information of a person employed by the home care provider 
27.2 	with whom the client may discuss the notice of termination; and
27.3 	(6) if applicable, a statement that the notice of termination of home care services does 
27.4 	not constitute notice of termination of the housing with services contract with a housing 
27.5 	with services establishment.
27.6 	(b) When the home care provider voluntarily discontinues services to all clients, the 
27.7 	home care provider must notify the commissioner, lead agencies, and ombudsman for 
27.8 	long-term care about its clients and comply with the requirements in this subdivision.

27.9 	Sec. 31. Minnesota Statutes 2018, section 144A.53, subdivision 1, is amended to read:
27.10 		Subdivision 1.Powers. The director may:
27.11 	(1) promulgate by rule, pursuant to chapter 14, and within the limits set forth in 
27.12 	subdivision 2, the methods by which complaints against health facilities, health care 
27.13 	providers, home care providers, or residential care homes, or administrative agencies are 
27.14 	to be made, reviewed, investigated, and acted upon; provided, however, that a fee may not 
27.15 	be charged for filing a complaint;
27.16 	(2) recommend legislation and changes in rules to the state commissioner of health, 
27.17 	governor, administrative agencies or the federal government;
27.18 	(3) investigate, upon a complaint or upon initiative of the director, any action or failure 
27.19 	to act by a health care provider, home care provider, residential care home, or a health 
27.20 	facility;
27.21 	(4) request and receive access to relevant information, records, incident reports, or 
27.22 	documents in the possession of an administrative agency, a health care provider, a home 
27.23 	care provider, a residential care home, or a health facility, and issue investigative subpoenas 
27.24 	to individuals and facilities for oral information and written information, including privileged 
27.25 	information which the director deems necessary for the discharge of responsibilities. For 
27.26 	purposes of investigation and securing information to determine violations, the director 
27.27 	need not present a release, waiver, or consent of an individual. The identities of patients or 
27.28 	residents must be kept private as defined by section 13.02, subdivision 12;
27.29 	(5) enter and inspect, at any time, a health facility or residential care home and be 
27.30 	permitted to interview staff; provided that the director shall not unduly interfere with or 
27.31 	disturb the provision of care and services within the facility or home or the activities of a 
27.32 	patient or resident unless the patient or resident consents;
28.1 	(6) issue correction orders and assess civil fines pursuant to section sections144.653, 
28.2 	144A.10, 144A.45, and 144A.474; Minnesota Rules, chapters 4655, 4658, 4664, and 4665; 
28.3 	or any other law which that provides for the issuance of correction orders or fines to health 
28.4 	facilities or home care provider, or under section 144A.45. A facility's or home's refusal to 
28.5 	cooperate in providing lawfully requested information may also be grounds for a correction 
28.6 	order or fine;
28.7 	(7) recommend the certification or decertification of health facilities pursuant to Title 
28.8 	XVIII or XIX of the United States Social Security Act;
28.9 	(8) assist patients or residents of health facilities or residential care homes in the 
28.10 	enforcement of their rights under Minnesota law; and
28.11 	(9) work with administrative agencies, health facilities, home care providers, residential 
28.12 	care homes, and health care providers and organizations representing consumers on programs 
28.13 	designed to provide information about health facilities to the public and to health facility 
28.14 	residents.

28.15 	Sec. 32. Minnesota Statutes 2018, section 144A.53, subdivision 2, is amended to read:
28.16 		Subd. 2.Complaints. (a) The director may receive a complaint from any source 
28.17 	concerning an action of an administrative agency, a health care provider, a home care 
28.18 	provider, a residential care home, or a health facility. The director may require a complainant 
28.19 	to pursue other remedies or channels of complaint open to the complainant before accepting 
28.20 	or investigating the complaint. Investigators are required to interview at least one family 
28.21 	member of the vulnerable adult identified in the complaint. If the vulnerable adult is directing 
28.22 	his or her own care and does not want the investigator to contact the family, this information 
28.23 	must be documented in the investigative file.
28.24 	(b) The director shall keep written records of all complaints and any action upon them. 
28.25 	After completing an investigation of a complaint, the director shall inform the complainant, 
28.26 	the administrative agency having jurisdiction over the subject matter, the health care provider, 
28.27 	the home care provider, the residential care home, and the health facility of the action taken. 
28.28 	Complainants must be provided a copy of the public report upon completion of the 
28.29 	investigation.
28.30 	(c) Notwithstanding section 626.557, subdivision 5 or 9c, upon request of a vulnerable 
28.31 	adult or an interested person acting on behalf of the vulnerable adult, the director shall:
28.32 	(1) disclose whether a health care provider or other person has made a report or submitted 
28.33 	a complaint that involves maltreatment of the vulnerable adult; and
29.1 	(2) provide a redacted version of the initial report or complaint that does not disclose 
29.2 	data on individuals, as defined in section 13.02, subdivision 5.
29.3 	For purposes of this paragraph, "interested person acting on behalf of the vulnerable adult" 
29.4 	has the meaning given in section 626.557, subdivision 9d, paragraph (d).

29.5 	Sec. 33. Minnesota Statutes 2018, section 144A.53, subdivision 4, is amended to read:
29.6 		Subd. 4.Referral of complaints. (a) If a complaint received by the director relates to 
29.7 	a matter more properly within the jurisdiction of law enforcement; an occupational licensing 
29.8 	board, or other governmental agency, the director shall forward the complaint to that agency
29.9 	appropriately and shall inform the complaining party of the forwarding. The
29.10 	(b) An agency shall promptly act in respect to the complaint, and shall inform the 
29.11 	complaining party and the director of its disposition. If a governmental agency receives a 
29.12 	complaint which is more properly within the jurisdiction of the director, it shall promptly 
29.13 	forward the complaint to the director, and shall inform the complaining party of the 
29.14 	forwarding.
29.15 	(c) If the director has reason to believe that an official or employee, or client or resident
29.16 	of an administrative agency, a home care provider, residential care home, or health facility 
29.17 	has acted in a manner warranting criminal or disciplinary proceedings, the director shall 
29.18 	refer the matter to the state commissioner of health, the commissioner of human services, 
29.19 	an appropriate prosecuting authority, or other appropriate agency.

29.20 	Sec. 34. Minnesota Statutes 2018, section 144D.01, subdivision 1, is amended to read:
29.21 		Subdivision 1.Scope. As used in sections 144D.01 to 144D.06 144D.11, the following 
29.22 	terms have the meanings given them.

29.23 	Sec. 35. Minnesota Statutes 2018, section 144D.02, is amended to read:
29.24 	144D.02 REGISTRATION REQUIRED.
29.25 	No entity may establish, operate, conduct, or maintain a housing with services 
29.26 	establishment in this state without registering and operating as required in sections 144D.01
29.27 	to 144D.06 144D.11.

30.1 	Sec. 36. Minnesota Statutes 2018, section 144D.03, subdivision 2, is amended to read:
30.2 		Subd. 2.Registration information. The establishment shall provide the following 
30.3 	information to the commissioner in order to be registered, with the commissioner having 
30.4 	authority to verify the information and issue penalties for noncompliance:
30.5 	(1) the business name, street address, and mailing address of the establishment;
30.6 	(2) the name and mailing address of the owner or owners of the establishment and, if 
30.7 	the owner or owners are not natural persons, identification of the type of business entity of 
30.8 	the owner or owners, and the names and addresses of the officers and members of the 
30.9 	governing body, or comparable persons for partnerships, limited liability corporations, or 
30.10 	other types of business organizations of the owner or owners;
30.11 	(3) the name and mailing address of the managing agent, whether through management 
30.12 	agreement or lease agreement, of the establishment, if different from the owner or owners, 
30.13 	and the name of the on-site manager, if any;
30.14 	(4) verification that the establishment has entered into a housing with services contract, 
30.15 	as required in section 144D.04, with each resident or resident's representative;
30.16 	(5) verification that the establishment is complying with the requirements of section 
30.17 	325F.72, if applicable;
30.18 	(6) the name and address of at least one natural person who shall be responsible for 
30.19 	dealing with the commissioner on all matters provided for in sections 144D.01 to 144D.06, 
30.20 	and on whom personal service of all notices and orders shall be made, and who shall be 
30.21 	authorized to accept service on behalf of the owner or owners and the managing agent, if 
30.22 	any;
30.23 	(7) the signature of the authorized representative of the owner or owners or, if the owner 
30.24 	or owners are not natural persons, signatures of at least two authorized representatives of 
30.25 	each owner, one of which shall be an officer of the owner; and
30.26 	(8) whether services are included in the base rate to be paid by the resident.
30.27 	Personal service on the person identified under clause (6) by the owner or owners in the 
30.28 	registration shall be considered service on the owner or owners, and it shall not be a defense 
30.29 	to any action that personal service was not made on each individual or entity. The designation 
30.30 	of one or more individuals under this subdivision shall not affect the legal responsibility of 
30.31 	the owner or owners under sections 144D.01 to 144D.06.

31.1 	Sec. 37. Minnesota Statutes 2018, section 144D.04, subdivision 2, is amended to read:
31.2 		Subd. 2.Contents of contract.  A housing with services contract, which need not be 
31.3 	entitled as such to comply with this section, shall include at least the following elements in 
31.4 	itself or through supporting documents or attachments:
31.5 	(1) the name, street address, and mailing address of the establishment;
31.6 	(2) the name and mailing address of the owner or owners of the establishment and, if 
31.7 	the owner or owners is not a natural person, identification of the type of business entity of 
31.8 	the owner or owners;
31.9 	(3) the name and mailing address of the managing agent, through management agreement 
31.10 	or lease agreement, of the establishment, if different from the owner or owners;
31.11 	(4) the name and physical mailing address, which may not be a public or private post 
31.12 	office box, of at least one natural person who is authorized to accept service of process on 
31.13 	behalf of the owner or owners and managing agent;
31.14 	(5) a statement describing the registration and licensure status of the establishment and 
31.15 	any provider providing health-related or supportive services under an arrangement with the 
31.16 	establishment;
31.17 	(6) the term of the contract;
31.18 	(7) a description of the services to be provided to the resident in the base rate to be paid 
31.19 	by the resident, including a delineation of the portion of the base rate that constitutes rent 
31.20 	and a delineation of charges for each service included in the base rate;
31.21 	(8) a description of any additional services, including home care services, available for 
31.22 	an additional fee from the establishment directly or through arrangements with the 
31.23 	establishment, and a schedule of fees charged for these services;
31.24 	(9) a conspicuous notice informing the tenant of the policy concerning the conditions 
31.25 	under which and the process through which the contract may be modified, amended, or 
31.26 	terminated, including whether a move to a different room or sharing a room would be 
31.27 	required in the event that the tenant can no longer pay the current rent;
31.28 	(10) a description of the establishment's complaint resolution process available to residents 
31.29 	including the toll-free complaint line for the Office of Ombudsman for Long-Term Care;
31.30 	(11) the resident's designated representative, if any;
31.31 	(12) the establishment's referral procedures if the contract is terminated;
32.1 	(13) requirements of residency used by the establishment to determine who may reside 
32.2 	or continue to reside in the housing with services establishment;
32.3 	(14) billing and payment procedures and requirements;
32.4 	(15) a statement regarding the ability of a resident to receive services from service 
32.5 	providers with whom the establishment does not have an arrangement;
32.6 	(16) a statement regarding the availability of public funds for payment for residence or 
32.7 	services in the establishment and the fact that at least ten percent of the rooms or beds in 
32.8 	the housing with services establishment are to be used by residents whose payments are 
32.9 	made under the medical assistance elderly waiver program; and
32.10 	(17) a statement regarding the availability of and contact information for long-term care 
32.11 	consultation services under section 256B.0911 in the county in which the establishment is 
32.12 	located.;
32.13 	(18) a statement that a resident has the right to request a reasonable accommodation; 
32.14 	and
32.15 	(19) a statement describing the conditions under which a contract may be amended.

32.16 	Sec. 38. Minnesota Statutes 2018, section 144D.04, is amended by adding a subdivision 
32.17 	to read:
32.18 		Subd. 2b.Changes to contract.  The housing with services establishment must provide 
32.19 	prompt written notice to the resident or resident's legal representative of a new owner, 
32.20 	manager, and if different from the owner, license holder of the housing with services 
32.21 	establishment, and the name and physical mailing address, which may not be a public or 
32.22 	private post office box of any new or additional natural person not identified in the admission 
32.23 	contract who is authorized to accept service of process.

32.24 	Sec. 39. [144D.061] ELDERLY WAIVER BEDS REQUIRED.
32.25 	All registered housing with services establishments must designate at least ten percent 
32.26 	of rooms or beds for residents receiving medical assistance elderly waiver services.

32.27 	Sec. 40. [144D.085] RELOCATION WITHIN FACILITY.
32.28 		Subdivision 1.Notification prior to relocation. A housing with services establishment 
32.29 	must:
33.1 	(1) notify a resident and the resident's representative at least five days prior to a proposed 
33.2 	nonemergency relocation within the facility; and
33.3 	(2) obtain consent from the resident or the resident's representative to the relocation.
33.4 		Subd. 2.Restriction on relocation. A person who has been a private pay resident for 
33.5 	at least one year, resides in a private room, and whose payments subsequently will be made 
33.6 	under the medical assistance elderly waiver program may not be relocated to a shared room 
33.7 	without the consent of the resident or the resident's representative.

33.8 	Sec. 41. Minnesota Statutes 2018, section 144D.09, is amended to read:
33.9 	144D.09 TERMINATION OF LEASE.
33.10 		Subdivision 1.Legislative intent. The housing with services establishment shall include 
33.11 	with notice of termination of lease information about how to contact the ombudsman for 
33.12 	long-term care, including the address and telephone number along with a statement of how 
33.13 	to request problem-solving assistance. It is the intent of the legislature to ensure to the 
33.14 	greatest extent possible stability of housing for persons residing in housing with services 
33.15 	establishments.
33.16 		Subd. 2.Permissible reasons to terminate lease. (a) Notwithstanding chapter 504B, a 
33.17 	housing with services establishment may terminate a resident's lease only if:
33.18 	(1) the resident breaches the lease, which includes failure to pay rent as required, and 
33.19 	has not cured the breach within 30 days of receipt of the notice required under subdivision 
33.20 	3. A breach of a services contract does not constitute a breach of a lease;
33.21 	(2) the resident holds over beyond the date to vacate mutually agreed upon in writing 
33.22 	by the resident and the housing with services establishment; or
33.23 	(3) the resident holds over beyond the date provided by the resident in a notice of 
33.24 	voluntary termination of the lease provided to the housing with services establishment.
33.25 	(b) Notwithstanding paragraph (a), a housing with services establishment may 
33.26 	immediately commence an eviction if the breach involves any of the acts listed in section 
33.27 	504B.171, subdivision 1.
33.28 		Subd. 3.Notice of lease termination. A housing with services establishment must 
33.29 	provide at least 30 days' notice prior to terminating a residential lease, unless the resident 
33.30 	commits a breach of the lease involving any of the acts listed in section 504B.171, subdivision 
33.31 	1.
34.1 		Subd. 4.Contents of notice. The notice of lease termination required under subdivision 
34.2 	3 must include:
34.3 	(1) the reason for the termination;
34.4 	(2) the date termination shall occur;
34.5 	(3) a statement that a lease cannot be terminated without providing the resident an 
34.6 	opportunity to cure the breach of lease, including failure to pay rent, prior to expiration of 
34.7 	30 days after receipt of the notice;
34.8 	(4) information on how to contact the Office of Ombudsman for Long-Term Care and 
34.9 	a protection and advocacy agency, including the address and telephone number of both 
34.10 	offices, along with a statement of how to request problem-solving assistance;
34.11 	(5) a statement that the resident has the right to a meeting at the resident's request with 
34.12 	the owner or manager of the housing with services establishment to discuss and attempt to 
34.13 	resolve the alleged breach to avoid termination; and
34.14 	(6) a statement that the resident has the right to appeal the termination of the lease to 
34.15 	the Office of Administrative Hearings and provide the contact information for the Office 
34.16 	of Administrative Hearings.
34.17 		Subd. 5.Right to appeal termination of lease. (a) At any time prior to the expiration 
34.18 	of the notice period provided under subdivision 3, a resident may appeal the termination by 
34.19 	making a written request for a hearing to the Office of Administrative Hearings. The Office 
34.20 	of Administrative Hearings must conduct the hearing no later than 14 days after the office 
34.21 	receives the appeal request from the resident. The hearing must be held in the establishment 
34.22 	in which the resident resides, unless it is impractical or the parties agree to a different place.
34.23 	(b) A resident who makes a timely appeal of a notice of lease termination may not be 
34.24 	evicted by the housing with services establishment unless the Office of Administrative 
34.25 	Hearings has made a final determination on the appeal in favor of the housing with services 
34.26 	establishment.
34.27 	(c) The commissioner of health may order the housing with services establishment to 
34.28 	rescind the lease termination or readmit the resident if the lease termination was in violation 
34.29 	of state or federal law.
34.30 	(d) The housing with services establishment must readmit the resident if the resident is 
34.31 	hospitalized for medical necessity before resolution of the appeal.
35.1 	(e) Residents are not required to request a meeting under subdivision 4, clause (6), prior 
35.2 	to submitting an appeal hearing request.
35.3 	(f) Nothing in this section limits the right of a resident or the resident's representative 
35.4 	to request or receive assistance from the Office of Ombudsman for Long-Term Care and 
35.5 	the protection and advocacy agency concerning the proposed lease termination.
35.6 		Subd. 6.Discharge plan and transfer of information to new residence. (a) For the 
35.7 	purposes of this subdivision and subdivision 7, "discharge" means the involuntary relocation 
35.8 	of a resident due to a termination of a lease.
35.9 	(b) A housing with services establishment discharging a resident must prepare an adequate 
35.10 	discharge plan that proposes a safe discharge location, is based on the resident's discharge 
35.11 	goals, includes the resident and the resident's case manager and representative, if any, in 
35.12 	discharge planning, and contains a plan for appropriate and sufficient postdischarge care. 
35.13 	A housing with services establishment may not discharge a resident if the resident will 
35.14 	become homeless upon discharge, as that term is defined in section 116L.361, subdivision 
35.15 	5.
35.16 	(c) A housing with services establishment that proposes to discharge a resident must 
35.17 	assist the resident with applying for and locating a new housing with services establishment 
35.18 	or skilled nursing facility in which to live, including coordinating with the case manager, 
35.19 	if any.
35.20 	(d) Prior to discharge, a housing with services establishment must provide to the receiving 
35.21 	facility or establishment all information known to the housing with services establishment 
35.22 	related to the resident that is necessary to ensure continuity of care and services, including, 
35.23 	at a minimum:
35.24 	(1) the resident's full name, date of birth, and insurance information;
35.25 	(2) the name, telephone number, and address of the resident's representative, if any;
35.26 	(3) the resident's current documented diagnoses;
35.27 	(4) the resident's known allergies, if any;
35.28 	(5) the name and telephone number of the resident's physician and current physician 
35.29 	orders;
35.30 	(6) medication administration records;
35.31 	(7) the most recent resident assessment; and
36.1 	(8) copies of health care directives, "do not resuscitate" orders, and guardianship orders 
36.2 	or powers of attorney, if any.
36.3 		Subd. 7.Final accounting; return of money and property. Within 30 days of the date 
36.4 	of discharge, the housing with services establishment shall:
36.5 	(1) provide to the resident or the resident's representative a final statement of account;
36.6 	(2) provide any refunds due; and
36.7 	(3) return any money, property, or valuables held in trust or custody by the establishment.

36.8 	Sec. 42. [144D.095] TERMINATION OF SERVICES.
36.9 	A termination of services initiated by an arranged home care provider is governed by 
36.10 	section 144A.442.

36.11 	Sec. 43. Minnesota Statutes 2018, section 144G.01, subdivision 1, is amended to read:
36.12 		Subdivision 1.Scope; other definitions. For purposes of sections 144G.01 to 144G.05
36.13 	144G.08, the following definitions apply. In addition, the definitions provided in section 
36.14 	144D.01 also apply to sections 144G.01 to 144G.05 144G.08.

36.15 	Sec. 44. [144G.07] TERMINATION OF LEASE.
36.16 	A lease termination initiated by a registered housing with services establishment using 
36.17 	"assisted living" is governed by section 144D.09.

36.18 	Sec. 45. [144G.08] TERMINATION OF SERVICES.
36.19 	A termination of services initiated by an arranged home care provider as defined in 
36.20 	section 144D.01, subdivision 2a, is governed by section 144A.442.

36.21 	Sec. 46. Minnesota Statutes 2018, section 256.045, subdivision 3, is amended to read:
36.22 		Subd. 3.State agency hearings. (a) State agency hearings are available for the following:
36.23 	(1) any person applying for, receiving or having received public assistance, medical 
36.24 	care, or a program of social services granted by the state agency or a county agency or the 
36.25 	federal Food Stamp Act whose application for assistance is denied, not acted upon with 
36.26 	reasonable promptness, or whose assistance is suspended, reduced, terminated, or claimed 
36.27 	to have been incorrectly paid;
37.1 	(2) any patient or relative aggrieved by an order of the commissioner under section 
37.2 	252.27;
37.3 	(3) a party aggrieved by a ruling of a prepaid health plan;
37.4 	(4) except as provided under chapter 245C,:
37.5 	(i) any individual or facility determined by a lead investigative agency to have maltreated 
37.6 	a vulnerable adult under section 626.557 after they have exercised their right to administrative 
37.7 	reconsideration under section 626.557; and
37.8 	(ii) any vulnerable adult who is the subject of a maltreatment investigation under section 
37.9 	626.557 or unless restricted by the vulnerable adult or by a court, an interested person as 
37.10 	defined in section 524.5-102, subdivision 7, after the right to administrative reconsideration 
37.11 	under section 626.557, subdivision 9d, has been exercised;
37.12 	(5) any person whose claim for foster care payment according to a placement of the 
37.13 	child resulting from a child protection assessment under section 626.556 is denied or not 
37.14 	acted upon with reasonable promptness, regardless of funding source;
37.15 	(6) any person to whom a right of appeal according to this section is given by other 
37.16 	provision of law;
37.17 	(7) an applicant aggrieved by an adverse decision to an application for a hardship waiver 
37.18 	under section 256B.15;
37.19 	(8) an applicant aggrieved by an adverse decision to an application or redetermination 
37.20 	for a Medicare Part D prescription drug subsidy under section 256B.04, subdivision 4a;
37.21 	(9) except as provided under chapter 245A, an individual or facility determined to have 
37.22 	maltreated a minor under section 626.556, after the individual or facility has exercised the 
37.23 	right to administrative reconsideration under section 626.556;
37.24 	(10) except as provided under chapter 245C, an individual disqualified under sections 
37.25 	245C.14 and 245C.15, following a reconsideration decision issued under section 245C.23, 
37.26 	on the basis of serious or recurring maltreatment; a preponderance of the evidence that the 
37.27 	individual has committed an act or acts that meet the definition of any of the crimes listed 
37.28 	in section 245C.15, subdivisions 1 to 4; or for failing to make reports required under section 
37.29 	626.556, subdivision 3, or 626.557, subdivision 3. Hearings regarding a maltreatment 
37.30 	determination under clause (4) or (9) and a disqualification under this clause in which the 
37.31 	basis for a disqualification is serious or recurring maltreatment, shall be consolidated into 
37.32 	a single fair hearing. In such cases, the scope of review by the human services judge shall 
37.33 	include both the maltreatment determination and the disqualification. The failure to exercise 
38.1 	the right to an administrative reconsideration shall not be a bar to a hearing under this section 
38.2 	if federal law provides an individual the right to a hearing to dispute a finding of 
38.3 	maltreatment;
38.4 	(11) any person with an outstanding debt resulting from receipt of public assistance, 
38.5 	medical care, or the federal Food Stamp Act who is contesting a setoff claim by the 
38.6 	Department of Human Services or a county agency. The scope of the appeal is the validity 
38.7 	of the claimant agency's intention to request a setoff of a refund under chapter 270A against 
38.8 	the debt;
38.9 	(12) a person issued a notice of service termination under section 245D.10, subdivision 
38.10 	3a, from residential supports and services as defined in section 245D.03, subdivision 1, 
38.11 	paragraph (c), clause (3), that is not otherwise subject to appeal under subdivision 4a;
38.12 	(13) an individual disability waiver recipient based on a denial of a request for a rate 
38.13 	exception under section 256B.4914; or
38.14 	(14) a person issued a notice of service termination under section 245A.11, subdivision 
38.15 	11, that is not otherwise subject to appeal under subdivision 4a.
38.16 	(b) The hearing for an individual or facility under paragraph (a), clause (4), (9), or (10), 
38.17 	is the only administrative appeal to the final agency determination specifically, including 
38.18 	a challenge to the accuracy and completeness of data under section 13.04. Hearings requested 
38.19 	under paragraph (a), clause (4), apply only to incidents of maltreatment that occur on or 
38.20 	after October 1, 1995. Hearings requested by nursing assistants in nursing homes alleged 
38.21 	to have maltreated a resident prior to October 1, 1995, shall be held as a contested case 
38.22 	proceeding under the provisions of chapter 14. Hearings requested under paragraph (a), 
38.23 	clause (9), apply only to incidents of maltreatment that occur on or after July 1, 1997. A 
38.24 	hearing for an individual or facility under paragraph (a), clauses (4), (9), and (10), is only 
38.25 	available when there is no district court action pending. If such action is filed in district 
38.26 	court while an administrative review is pending that arises out of some or all of the events 
38.27 	or circumstances on which the appeal is based, the administrative review must be suspended 
38.28 	until the judicial actions are completed. If the district court proceedings are completed, 
38.29 	dismissed, or overturned, the matter may be considered in an administrative hearing.
38.30 	(c) For purposes of this section, bargaining unit grievance procedures are not an 
38.31 	administrative appeal.
38.32 	(d) The scope of hearings involving claims to foster care payments under paragraph (a), 
38.33 	clause (5), shall be limited to the issue of whether the county is legally responsible for a 
38.34 	child's placement under court order or voluntary placement agreement and, if so, the correct 
39.1 	amount of foster care payment to be made on the child's behalf and shall not include review 
39.2 	of the propriety of the county's child protection determination or child placement decision.
39.3 	(e) The scope of hearings under paragraph (a), clauses (12) and (14), shall be limited to 
39.4 	whether the proposed termination of services is authorized under section 245D.10, 
39.5 	subdivision 3a, paragraph (b), or 245A.11, subdivision 11, and whether the requirements 
39.6 	of section 245D.10, subdivision 3a, paragraphs (c) to (e), or 245A.11, subdivision 2a, 
39.7 	paragraphs (d) to (f), were met. If the appeal includes a request for a temporary stay of 
39.8 	termination of services, the scope of the hearing shall also include whether the case 
39.9 	management provider has finalized arrangements for a residential facility, a program, or 
39.10 	services that will meet the assessed needs of the recipient by the effective date of the service 
39.11 	termination.
39.12 	(f) A vendor of medical care as defined in section 256B.02, subdivision 7, or a vendor 
39.13 	under contract with a county agency to provide social services is not a party and may not 
39.14 	request a hearing under this section, except if assisting a recipient as provided in subdivision 
39.15 	4.
39.16 	(g) An applicant or recipient is not entitled to receive social services beyond the services 
39.17 	prescribed under chapter 256M or other social services the person is eligible for under state 
39.18 	law.
39.19 	(h) The commissioner may summarily affirm the county or state agency's proposed 
39.20 	action without a hearing when the sole issue is an automatic change due to a change in state 
39.21 	or federal law.
39.22 	(i) Unless federal or Minnesota law specifies a different time frame in which to file an 
39.23 	appeal, an individual or organization specified in this section may contest the specified 
39.24 	action, decision, or final disposition before the state agency by submitting a written request 
39.25 	for a hearing to the state agency within 30 days after receiving written notice of the action, 
39.26 	decision, or final disposition, or within 90 days of such written notice if the applicant, 
39.27 	recipient, patient, or relative shows good cause, as defined in section 256.0451, subdivision 
39.28 	13, why the request was not submitted within the 30-day time limit. The individual filing 
39.29 	the appeal has the burden of proving good cause by a preponderance of the evidence.

39.30 	Sec. 47. Minnesota Statutes 2018, section 256.045, subdivision 4, is amended to read:
39.31 		Subd. 4.Conduct of hearings. (a) All hearings held pursuant to subdivision 3, 3a, 3b, 
39.32 	or 4a shall be conducted according to the provisions of the federal Social Security Act and 
39.33 	the regulations implemented in accordance with that act to enable this state to qualify for 
40.1 	federal grants-in-aid, and according to the rules and written policies of the commissioner 
40.2 	of human services. County agencies shall install equipment necessary to conduct telephone 
40.3 	hearings. A state human services judge may schedule a telephone conference hearing when 
40.4 	the distance or time required to travel to the county agency offices will cause a delay in the 
40.5 	issuance of an order, or to promote efficiency, or at the mutual request of the parties. Hearings 
40.6 	may be conducted by telephone conferences unless the applicant, recipient, former recipient, 
40.7 	person, or facility contesting maltreatment objects. A human services judge may grant a 
40.8 	request for a hearing in person by holding the hearing by interactive video technology or 
40.9 	in person. The human services judge must hear the case in person if the person asserts that 
40.10 	either the person or a witness has a physical or mental disability that would impair the 
40.11 	person's or witness's ability to fully participate in a hearing held by interactive video 
40.12 	technology. The hearing shall not be held earlier than five days after filing of the required 
40.13 	notice with the county or state agency. The state human services judge shall notify all 
40.14 	interested persons of the time, date, and location of the hearing at least five days before the 
40.15 	date of the hearing. Interested persons may be represented by legal counsel or other 
40.16 	representative of their choice, including a provider of therapy services, at the hearing and 
40.17 	may appear personally, testify and offer evidence, and examine and cross-examine witnesses. 
40.18 	The applicant, recipient, former recipient, person, or facility contesting maltreatment shall 
40.19 	have the opportunity to examine the contents of the case file and all documents and records 
40.20 	to be used by the county or state agency at the hearing at a reasonable time before the date 
40.21 	of the hearing and during the hearing. In hearings under subdivision 3, paragraph (a), clauses 
40.22 	(4), (9), and (10), either party may subpoena the private data relating to the investigation 
40.23 	prepared by the agency under section 626.556 or 626.557 that is not otherwise accessible 
40.24 	under section 13.04, provided the identity of the reporter may not be disclosed.
40.25 	(b) The private data obtained by subpoena in a hearing under subdivision 3, paragraph 
40.26 	(a), clause (4), (9), or (10), must be subject to a protective order which prohibits its disclosure 
40.27 	for any other purpose outside the hearing provided for in this section without prior order of 
40.28 	the district court. Disclosure without court order is punishable by a sentence of not more 
40.29 	than 90 days imprisonment or a fine of not more than $1,000, or both. These restrictions on 
40.30 	the use of private data do not prohibit access to the data under section 13.03, subdivision 
40.31 	6. Except for appeals under subdivision 3, paragraph (a), clauses (4), (5), (9), and (10), upon 
40.32 	request, the county agency shall provide reimbursement for transportation, child care, 
40.33 	photocopying, medical assessment, witness fee, and other necessary and reasonable costs 
40.34 	incurred by the applicant, recipient, or former recipient in connection with the appeal. All 
40.35 	evidence, except that privileged by law, commonly accepted by reasonable people in the 
40.36 	conduct of their affairs as having probative value with respect to the issues shall be submitted 
41.1 	at the hearing and such hearing shall not be "a contested case" within the meaning of section 
41.2 	14.02, subdivision 3. The agency must present its evidence prior to or at the hearing, and 
41.3 	may not submit evidence after the hearing except by agreement of the parties at the hearing, 
41.4 	provided the petitioner has the opportunity to respond.
41.5 	(c) In hearings under subdivision 3, paragraph (a), clauses (4), (9), and (10), involving 
41.6 	determinations of maltreatment or disqualification made by more than one county agency, 
41.7 	by a county agency and a state agency, or by more than one state agency, the hearings may 
41.8 	be consolidated into a single fair hearing upon the consent of all parties and the state human 
41.9 	services judge.
41.10 	(d) For hearings under subdivision 3, paragraph (a), clause (4) or (10), involving a 
41.11 	vulnerable adult, the human services judge shall notify the vulnerable adult who is the 
41.12 	subject of the maltreatment determination and an interested person, as defined in section 
41.13 	524.5-102, subdivision 7, if known, a guardian of the vulnerable adult appointed under 
41.14 	section 524.5-310, or a health care agent designated by the vulnerable adult in a health care 
41.15 	directive that is currently effective under section 145C.06 and whose authority to make 
41.16 	health care decisions is not suspended under section 524.5-310, of the hearing and whose 
41.17 	authority has not been restricted by the vulnerable adult or by a court, and shall notify the 
41.18 	facility or individual who is the alleged perpetrator of maltreatment. The notice must be 
41.19 	sent by certified mail and inform the vulnerable adult or the alleged perpetrator of the right 
41.20 	to file a signed written statement in the proceedings. A guardian or health care agent who 
41.21 	prepares or files a written statement for the vulnerable adult must indicate in the statement 
41.22 	that the person is the vulnerable adult's guardian or health care agent and sign the statement 
41.23 	in that capacity. The vulnerable adult, the guardian, or the health care agent may file a 
41.24 	written statement with the human services judge hearing the case no later than five business 
41.25 	days before commencement of the hearing. The human services judge shall include the 
41.26 	written statement in the hearing record and consider the statement in deciding the appeal. 
41.27 	This subdivision does not limit, prevent, or excuse the vulnerable adult or alleged perpetrator 
41.28 	from being called as a witness testifying at the hearing or grant the vulnerable adult, the 
41.29 	guardian, or health care agent a right to participate in the proceedings or appeal the human 
41.30 	services judge's decision in the case. The lead investigative agency must consider including 
41.31 	the vulnerable adult victim of maltreatment as a witness in the hearing. If the lead 
41.32 	investigative agency determines that participation in the hearing would endanger the 
41.33 	well-being of the vulnerable adult or not be in the best interests of the vulnerable adult, the 
41.34 	lead investigative agency shall inform the human services judge of the basis for this 
41.35 	determination, which must be included in the final order. If the human services judge is not 
42.1 	reasonably able to determine the address of the vulnerable adult, the guardian, the alleged 
42.2 	perpetrator, or the health care agent, the human services judge is not required to send a 
42.3 	hearing notice under this subdivision.

42.4 	Sec. 48. Minnesota Statutes 2018, section 325F.71, is amended to read:
42.5 	325F.71 SENIOR CITIZENS, VULNERABLE ADULTS, AND DISABLED
42.6 	PERSONS WITH DISABILITIES; ADDITIONAL CIVIL PENALTY FOR 
42.7 	DECEPTIVE ACTS.
42.8 		Subdivision 1.Definitions. For the purposes of this section, the following words have 
42.9 	the meanings given them:
42.10 	(a) "Senior citizen" means a person who is 62 years of age or older.
42.11 	(b) "Disabled Person with a disability" means a person who has an impairment of physical 
42.12 	or mental function or emotional status that substantially limits one or more major life 
42.13 	activities.
42.14 	(c) "Major life activities" means functions such as caring for one's self, performing 
42.15 	manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working.
42.16 	(d) "Vulnerable adult" has the meaning given in section 626.5572, subdivision 21.
42.17 		Subd. 2.Supplemental civil penalty. (a) In addition to any liability for a civil penalty 
42.18 	pursuant to sections 325D.43 to 325D.48, regarding deceptive trade practices; 325F.67, 
42.19 	regarding false advertising; and 325F.68 to 325F.70, regarding consumer fraud; a person 
42.20 	who engages in any conduct prohibited by those statutes, and whose conduct is perpetrated 
42.21 	against one or more senior citizens, vulnerable adults, or disabled persons with a disability, 
42.22 	is liable for an additional civil penalty not to exceed $10,000 for each violation, if one or 
42.23 	more of the factors in paragraph (b) are present.
42.24 	(b) In determining whether to impose a civil penalty pursuant to paragraph (a), and the 
42.25 	amount of the penalty, the court shall consider, in addition to other appropriate factors, the 
42.26 	extent to which one or more of the following factors are present:
42.27 	(1) whether the defendant knew or should have known that the defendant's conduct was 
42.28 	directed to one or more senior citizens, vulnerable adults, or disabled persons with a 
42.29 	disability;
42.30 	(2) whether the defendant's conduct caused one or more senior citizens, vulnerable adults,
42.31 	or disabled persons with a disability to suffer: loss or encumbrance of a primary residence, 
42.32 	principal employment, or source of income; substantial loss of property set aside for 
43.1 	retirement or for personal or family care and maintenance; substantial loss of payments 
43.2 	received under a pension or retirement plan or a government benefits program; or assets 
43.3 	essential to the health or welfare of the senior citizen, vulnerable adult, or disabled person
43.4 	with a disability;
43.5 	(3) whether one or more senior citizens, vulnerable adults, or disabled persons with a 
43.6 	disability are more vulnerable to the defendant's conduct than other members of the public 
43.7 	because of age, poor health or infirmity, impaired understanding, restricted mobility, or 
43.8 	disability, and actually suffered physical, emotional, or economic damage resulting from 
43.9 	the defendant's conduct; or
43.10 	(4) whether the defendant's conduct caused senior citizens, vulnerable adults, or disabled
43.11 	persons with a disability to make an uncompensated asset transfer that resulted in the person 
43.12 	being found ineligible for medical assistance.; or
43.13 	(5) whether the defendant provided or arranged for health care or services that are inferior 
43.14 	to, substantially different than, or substantially more expensive than offered, promised, 
43.15 	marketed, or advertised.
43.16 		Subd. 3.Restitution to be given priority. Restitution ordered pursuant to the statutes 
43.17 	listed in subdivision 2 shall be given priority over imposition of civil penalties designated 
43.18 	by the court under this section.
43.19 		Subd. 4.Private remedies. A person injured by a violation of this section may bring a 
43.20 	civil action and recover damages, together with costs and disbursements, including costs 
43.21 	of investigation and reasonable attorney's fees, and receive other equitable relief as 
43.22 	determined by the court.

43.23 	Sec. 49. Minnesota Statutes 2018, section 573.02, subdivision 2, is amended to read:
43.24 		Subd. 2.Injury action. (a) When injury is caused to a person by the wrongful act or 
43.25 	omission of any person or corporation and the person thereafter dies from a cause unrelated 
43.26 	to those injuries, the trustee appointed in subdivision 3 may maintain an action for special 
43.27 	damages arising out of such injury if the decedent might have maintained an action therefor 
43.28 	had the decedent lived.
43.29 	(b) When the injury is caused to a person who was a vulnerable adult, prior to the injury, 
43.30 	the next of kin may maintain an action on behalf of the decedent for damages for pain and 
43.31 	suffering, in addition to special damages as provided under paragraph (a). For purposes of 
43.32 	this paragraph, "vulnerable adult" has the meaning given in section 626.5572, subdivision 
43.33 	21.

44.1 	Sec. 50. Minnesota Statutes 2018, section 609.2231, subdivision 8, is amended to read:
44.2 		Subd. 8.Vulnerable adults. (a) As used in this subdivision, "vulnerable adult" has the 
44.3 	meaning given in section 609.232, subdivision 11.
44.4 	(b) Whoever assaults and inflicts demonstrable bodily harm on a vulnerable adult, 
44.5 	knowing or having reason to know that the person is a vulnerable adult, is guilty of a gross 
44.6 	misdemeanor.

44.7 	Sec. 51. Minnesota Statutes 2018, section 626.557, subdivision 3, is amended to read:
44.8 		Subd. 3.Timing of report. (a) A mandated reporter who has reason to believe that a 
44.9 	vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable 
44.10 	adult has sustained a physical injury which is not reasonably explained shall immediately
44.11 	report the information to the common entry point as soon as possible but in no event longer 
44.12 	than 24 hours. If an individual is a vulnerable adult solely because the individual is admitted 
44.13 	to a facility, a mandated reporter is not required to report suspected maltreatment of the 
44.14 	individual that occurred prior to admission, unless:
44.15 	(1) the individual was admitted to the facility from another facility and the reporter has 
44.16 	reason to believe the vulnerable adult was maltreated in the previous facility; or
44.17 	(2) the reporter knows or has reason to believe that the individual is a vulnerable adult 
44.18 	as defined in section 626.5572, subdivision 21, paragraph (a), clause (4).
44.19 	(b) A person not required to report under the provisions of this section may voluntarily 
44.20 	report as described above.
44.21 	(c) Nothing in this section requires a report of known or suspected maltreatment, if the 
44.22 	reporter knows or has reason to know that a report has been made to the common entry 
44.23 	point.
44.24 	(d) Nothing in this section shall preclude a reporter from also reporting to a law 
44.25 	enforcement agency.
44.26 	(e) A mandated reporter who knows or has reason to believe that an error under section 
44.27 	626.5572, subdivision 17, paragraph (c), clause (5), occurred must make a report under this 
44.28 	subdivision. If the reporter or a facility, at any time believes that an investigation by a lead 
44.29 	investigative agency will determine or should determine that the reported error was not 
44.30 	neglect according to the criteria under section 626.5572, subdivision 17, paragraph (c), 
44.31 	clause (5), the reporter or facility may provide to the common entry point or directly to the 
44.32 	lead investigative agency information explaining how the event meets the criteria under 
45.1 	section 626.5572, subdivision 17, paragraph (c), clause (5). The lead investigative agency 
45.2 	shall consider this information when making an initial disposition of the report under 
45.3 	subdivision 9c.

45.4 	Sec. 52. Minnesota Statutes 2018, section 626.557, subdivision 4, is amended to read:
45.5 		Subd. 4.Reporting. (a) Except as provided in paragraph (b), a mandated reporter shall 
45.6 	immediately make an oral report to the common entry point. The common entry point may 
45.7 	accept electronic reports submitted through a web-based reporting system established by 
45.8 	the commissioner. Use of a telecommunications device for the deaf or other similar device 
45.9 	shall be considered an oral report. The common entry point may not require written reports. 
45.10 	To the extent possible, the report must be of sufficient content to identify the vulnerable 
45.11 	adult, the caregiver, the nature and extent of the suspected maltreatment, any evidence of 
45.12 	previous maltreatment, the name and address of the reporter, the time, date, and location of 
45.13 	the incident, and any other information that the reporter believes might be helpful in 
45.14 	investigating the suspected maltreatment. The common entry point must provide a method 
45.15 	for the reporter to electronically submit evidence to support the maltreatment report, including 
45.16 	but not limited to uploading photographs, videos, or documents. A mandated reporter may 
45.17 	disclose not public data, as defined in section 13.02, and medical records under sections 
45.18 	144.291 to 144.298, to the extent necessary to comply with this subdivision.
45.19 	(b) A boarding care home that is licensed under sections 144.50 to 144.58 and certified 
45.20 	under Title 19 of the Social Security Act, a nursing home that is licensed under section 
45.21 	144A.02 and certified under Title 18 or Title 19 of the Social Security Act, or a hospital 
45.22 	that is licensed under sections 144.50 to 144.58 and has swing beds certified under Code 
45.23 	of Federal Regulations, title 42, section 482.66, may submit a report electronically to the 
45.24 	common entry point instead of submitting an oral report. The report may be a duplicate of 
45.25 	the initial report the facility submits electronically to the commissioner of health to comply 
45.26 	with the reporting requirements under Code of Federal Regulations, title 42, section 483.13.
45.27 	The commissioner of health may modify these reporting requirements to include items 
45.28 	required under paragraph (a) that are not currently included in the electronic reporting form.
45.29 	(c) All reports must be directed to the common entry point, including reports from 
45.30 	federally licensed facilities, vulnerable adults, and interested persons.

45.31 	Sec. 53. Minnesota Statutes 2018, section 626.557, subdivision 9, is amended to read:
45.32 		Subd. 9.Common entry point designation. (a) Each county board shall designate a 
45.33 	common entry point for reports of suspected maltreatment, for use until the commissioner 
46.1 	of human services establishes a common entry point. Two or more county boards may 
46.2 	jointly designate a single common entry point. The commissioner of human services shall 
46.3 	establish a common entry point effective July 1, 2015. The common entry point is the unit 
46.4 	responsible for receiving the report of suspected maltreatment under this section.
46.5 	(b) The common entry point must be available 24 hours per day to take calls from 
46.6 	reporters of suspected maltreatment. The common entry point staff must receive training 
46.7 	on how to screen and dispatch reports efficiently and in accordance with this section. The 
46.8 	common entry point shall use a standard intake form that includes:
46.9 	(1) the time and date of the report;
46.10 	(2) the name, address, and telephone number of the person reporting;
46.11 	(3) the time, date, and location of the incident;
46.12 	(4) the names of the persons involved, including but not limited to, perpetrators, alleged 
46.13 	victims, and witnesses;
46.14 	(5) whether there was a risk of imminent danger to the alleged victim;
46.15 	(6) a description of the suspected maltreatment;
46.16 	(7) the disability, including the primary diagnosis, if any, of the alleged victim;
46.17 	(8) the relationship of the alleged perpetrator to the alleged victim;
46.18 	(9) whether a facility was involved and, if so, which agency licenses the facility;
46.19 	(10) any action taken by the common entry point;
46.20 	(11) whether law enforcement has been notified;
46.21 	(12) whether the reporter wishes to receive notification of the initial and final reports; 
46.22 	and
46.23 	(13) if the report is from a facility with an internal reporting procedure, the name, mailing 
46.24 	address, and telephone number of the person who initiated the report internally.; and
46.25 	(14) demographics of the alleged victim, if known, including race, ethnicity, and gender.
46.26 	(c) The common entry point is not required to complete each item on the form prior to 
46.27 	dispatching the report to the appropriate lead investigative agency.
46.28 	(d) The common entry point shall immediately report to a law enforcement agency any 
46.29 	incident in which there is reason to believe a crime has been committed.
47.1 	(e) If a report is initially made to a law enforcement agency or a lead investigative agency, 
47.2 	those agencies shall take the report on the appropriate common entry point intake forms 
47.3 	and immediately forward a copy to the common entry point.
47.4 	(f) The common entry point staff must receive training on how to screen and dispatch 
47.5 	reports efficiently and in accordance with this section. cross-reference multiple complaints 
47.6 	to the lead investigative agency concerning:
47.7 	(1) the same alleged perpetrator, facility, or licensee;
47.8 	(2) the same vulnerable adult; or
47.9 	(3) the same incident.
47.10 	(g) The commissioner of human services shall maintain a centralized database for the 
47.11 	collection of common entry point data, lead investigative agency data including maltreatment 
47.12 	report disposition, and appeals data. The common entry point shall have access to the 
47.13 	centralized database and must log the reports into the database and immediately identify 
47.14 	and locate prior reports of abuse, neglect, or exploitation.
47.15 	(h) When appropriate, the common entry point staff must refer calls that do not allege 
47.16 	the abuse, neglect, or exploitation of a vulnerable adult to other organizations that might 
47.17 	resolve the reporter's concerns.
47.18 	(i) A common entry point must be operated in a manner that enables the commissioner 
47.19 	of human services to:
47.20 	(1) track critical steps in the reporting, evaluation, referral, response, disposition, and 
47.21 	investigative process to ensure compliance with all requirements for all reports;
47.22 	(2) maintain data to facilitate the production of aggregate statistical reports for monitoring 
47.23 	patterns of abuse, neglect, or exploitation;
47.24 	(3) serve as a resource for the evaluation, management, and planning of preventative 
47.25 	and remedial services for vulnerable adults who have been subject to abuse, neglect, or 
47.26 	exploitation;
47.27 	(4) set standards, priorities, and policies to maximize the efficiency and effectiveness 
47.28 	of the common entry point; and
47.29 	(5) track and manage consumer complaints related to the common entry point., including 
47.30 	tracking and cross-referencing multiple complaints concerning:
47.31 	(i) the same alleged perpetrator, facility, or licensee;
48.1 	(ii) the same vulnerable adult; and
48.2 	(iii) the same incident.
48.3 	(j) The commissioners of human services and health shall collaborate on the creation of 
48.4 	a system for referring reports to the lead investigative agencies. This system shall enable 
48.5 	the commissioner of human services to track critical steps in the reporting, evaluation, 
48.6 	referral, response, disposition, investigation, notification, determination, and appeal processes.

48.7 	Sec. 54. Minnesota Statutes 2018, section 626.557, subdivision 9a, is amended to read:
48.8 		Subd. 9a.Evaluation and referral of reports made to common entry point. (a) The 
48.9 	common entry point must screen the reports of alleged or suspected maltreatment for 
48.10 	immediate risk and make all necessary referrals as follows:
48.11 	(1) if the common entry point determines that there is an immediate need for emergency 
48.12 	adult protective services, the common entry point agency shall immediately notify the 
48.13 	appropriate county agency;
48.14 	(2) if the common entry point determines immediate need exists for response by law 
48.15 	enforcement, including the urgent need to secure a crime scene, interview witnesses, remove 
48.16 	the alleged perpetrator, or safeguard the vulnerable adult's property, or if the report contains 
48.17 	suspected criminal activity against a vulnerable adult, the common entry point shall 
48.18 	immediately notify the appropriate law enforcement agency;
48.19 	(3) the common entry point shall refer all reports of alleged or suspected maltreatment 
48.20 	to the appropriate lead investigative agency as soon as possible, but in any event no longer 
48.21 	than two working days;
48.22 	(4) if the report contains information about a suspicious death, the common entry point 
48.23 	shall immediately notify the appropriate law enforcement agencies, the local medical 
48.24 	examiner, and the ombudsman for mental health and developmental disabilities established 
48.25 	under section 245.92. Law enforcement agencies shall coordinate with the local medical 
48.26 	examiner and the ombudsman as provided by law; and
48.27 	(5) for reports involving multiple locations or changing circumstances, the common 
48.28 	entry point shall determine the county agency responsible for emergency adult protective 
48.29 	services and the county responsible as the lead investigative agency, using referral guidelines 
48.30 	established by the commissioner.
48.31 	(b) If the lead investigative agency receiving a report believes the report was referred 
48.32 	by the common entry point in error, the lead investigative agency shall immediately notify 
49.1 	the common entry point of the error, including the basis for the lead investigative agency's 
49.2 	belief that the referral was made in error. The common entry point shall review the 
49.3 	information submitted by the lead investigative agency and immediately refer the report to 
49.4 	the appropriate lead investigative agency.

49.5 	Sec. 55. Minnesota Statutes 2018, section 626.557, subdivision 9b, is amended to read:
49.6 		Subd. 9b.Response to reports. Law enforcement is the primary agency to conduct 
49.7 	investigations of any incident in which there is reason to believe a crime has been committed. 
49.8 	Law enforcement shall initiate a response immediately. If the common entry point notified 
49.9 	a county agency for emergency adult protective services, law enforcement shall cooperate 
49.10 	with that county agency when both agencies are involved and shall exchange data to the 
49.11 	extent authorized in subdivision 12b, paragraph (g) (k). County adult protection shall initiate 
49.12 	a response immediately. Each lead investigative agency shall complete the investigative 
49.13 	process for reports within its jurisdiction. A lead investigative agency, county, adult protective 
49.14 	agency, licensed facility, or law enforcement agency shall cooperate with other agencies in 
49.15 	the provision of protective services, coordinating its investigations, and assisting another 
49.16 	agency within the limits of its resources and expertise and shall exchange data to the extent 
49.17 	authorized in subdivision 12b, paragraph (g) (k). The lead investigative agency shall obtain 
49.18 	the results of any investigation conducted by law enforcement officials, and law enforcement 
49.19 	shall obtain the results of any investigation conducted by the lead investigative agency to 
49.20 	determine if criminal action is warranted. The lead investigative agency has the right to 
49.21 	enter facilities and inspect and copy records as part of investigations. The lead investigative 
49.22 	agency has access to not public data, as defined in section 13.02, and medical records under 
49.23 	sections 144.291 to 144.298, that are maintained by facilities to the extent necessary to 
49.24 	conduct its investigation. Each lead investigative agency shall develop guidelines for 
49.25 	prioritizing reports for investigation. Nothing in this subdivision alters the duty of the lead 
49.26 	investigative agency to serve as the agency responsible for investigating reports made under 
49.27 	this section.

49.28 	Sec. 56. Minnesota Statutes 2018, section 626.557, subdivision 9c, is amended to read:
49.29 		Subd. 9c.Lead investigative agency; notifications, dispositions, determinations. (a) 
49.30 	Upon request of the reporter, The lead investigative agency shall notify the reporter that it 
49.31 	has received the report, and provide information on the initial disposition of the report within 
49.32 	five business days of receipt of the report, provided that the notification will not endanger 
49.33 	the vulnerable adult or hamper the investigation.
50.1 	(b) The lead investigative agency must provide the following information to the vulnerable 
50.2 	adult or the vulnerable adult's interested person, if known, within five days of receipt of the 
50.3 	report:
50.4 	(1) the nature of the maltreatment allegations, including the report of maltreatment as 
50.5 	allowed under law;
50.6 	(2) the name of the facility or other location at which alleged maltreatment occurred;
50.7 	(3) the name of the alleged perpetrator if the lead investigative agency believes disclosure 
50.8 	of the name is necessary to protect the vulnerable adult;
50.9 	(4) protective measures that may be recommended or taken as a result of the maltreatment 
50.10 	report;
50.11 	(5) contact information for the investigator or other information as requested and allowed 
50.12 	under law; and
50.13 	(6) confirmation of whether the facility is investigating the matter and, if so:
50.14 	(i) an explanation of the process and estimated timeline for the investigation; and
50.15 	(ii) a statement that the lead investigative agency will provide an update on the 
50.16 	investigation approximately every three weeks upon request by the vulnerable adult or the 
50.17 	vulnerable adult's interested person and a report when the investigation is concluded.
50.18 	(c) The lead investigative agency may assign multiple reports of maltreatment for the 
50.19 	same or separate incidences related to the same vulnerable adult to the same investigator, 
50.20 	as deemed appropriate. Reports related to the same vulnerable adult must, at a minimum, 
50.21 	be cross-referenced.
50.22 	(b)(d) Upon conclusion of every investigation it conducts, the lead investigative agency 
50.23 	shall make a final disposition as defined in section 626.5572, subdivision 8.
50.24 	(c) (e) When determining whether the facility or individual is the responsible party for 
50.25 	substantiated maltreatment or whether both the facility and the individual are responsible 
50.26 	for substantiated maltreatment, the lead investigative agency shall consider at least the 
50.27 	following mitigating factors:
50.28 	(1) whether the actions of the facility or the individual caregivers were in accordance 
50.29 	with, and followed the terms of, an erroneous physician order, prescription, resident care 
50.30 	plan, or directive. This is not a mitigating factor when the facility or caregiver is responsible 
50.31 	for the issuance of the erroneous order, prescription, plan, or directive or knows or should 
51.1 	have known of the errors and took no reasonable measures to correct the defect before 
51.2 	administering care;
51.3 	(2) the comparative responsibility between the facility, other caregivers, and requirements 
51.4 	placed upon the employee, including but not limited to, the facility's compliance with related 
51.5 	regulatory standards and factors such as the adequacy of facility policies and procedures, 
51.6 	the adequacy of facility training, the adequacy of an individual's participation in the training, 
51.7 	the adequacy of caregiver supervision, the adequacy of facility staffing levels, and a 
51.8 	consideration of the scope of the individual employee's authority; and
51.9 	(3) whether the facility or individual followed professional standards in exercising 
51.10 	professional judgment.
51.11 	(d) (f) When substantiated maltreatment is determined to have been committed by an 
51.12 	individual who is also the facility license holder, both the individual and the facility must 
51.13 	be determined responsible for the maltreatment, and both the background study 
51.14 	disqualification standards under section 245C.15, subdivision 4, and the licensing actions 
51.15 	under section 245A.06 or 245A.07 apply.
51.16 	(e) (g) The lead investigative agency shall complete its final disposition within 60 
51.17 	calendar days. If the lead investigative agency is unable to complete its final disposition 
51.18 	within 60 calendar days, the lead investigative agency shall notify the following persons 
51.19 	provided that the notification will not endanger the vulnerable adult or hamper the 
51.20 	investigation: (1) the vulnerable adult or the vulnerable adult's guardian or health care agent
51.21 	interested person, when known, if the lead investigative agency knows them to be aware of 
51.22 	the investigation; and (2) the facility, where applicable. The notice shall contain the reason 
51.23 	for the delay and the projected completion date. If the lead investigative agency is unable 
51.24 	to complete its final disposition by a subsequent projected completion date, the lead 
51.25 	investigative agency shall again notify the vulnerable adult or the vulnerable adult's guardian 
51.26 	or health care agent interested person, when known if the lead investigative agency knows 
51.27 	them to be aware of the investigation, and the facility, where applicable, of the reason for 
51.28 	the delay and the revised projected completion date provided that the notification will not 
51.29 	endanger the vulnerable adult or hamper the investigation. The lead investigative agency 
51.30 	must notify the health care agent of the vulnerable adult only if the health care agent's 
51.31 	authority to make health care decisions for the vulnerable adult is currently effective under 
51.32 	section 145C.06 and not suspended under section 524.5-310and the investigation relates 
51.33 	to a duty assigned to the health care agent by the principal. A lead investigative agency's 
51.34 	inability to complete the final disposition within 60 calendar days or by any projected 
51.35 	completion date does not invalidate the final disposition.
52.1 	(f) (h) Within ten calendar days of completing the final disposition, the lead investigative 
52.2 	agency shall provide a copy of the public investigation memorandum under subdivision 
52.3 	12b, paragraph (b), clause (1) (d), when required to be completed under this section, to the 
52.4 	following persons:
52.5 	(1) the vulnerable adult, or the vulnerable adult's guardian or health care agent an 
52.6 	interested person, if known, unless the lead investigative agency knows that the notification 
52.7 	would endanger the well-being of the vulnerable adult;
52.8 	(2) the reporter, if unless the reporter requested notificationotherwise when making the 
52.9 	report, provided this notification would not endanger the well-being of the vulnerable adult;
52.10 	(3) the alleged perpetrator, if known;
52.11 	(4) the facility; and
52.12 	(5) the ombudsman for long-term care, or the ombudsman for mental health and 
52.13 	developmental disabilities, as appropriate.;
52.14 	(6) law enforcement; and
52.15 	(7) the county attorney, as appropriate.
52.16 	(g) (i) If, as a result of a reconsideration, review, or hearing, the lead investigative agency 
52.17 	changes the final disposition, or if a final disposition is changed on appeal, the lead 
52.18 	investigative agency shall notify the parties specified in paragraph (f) (h).
52.19 	(h) (j) The lead investigative agency shall notify the vulnerable adult who is the subject 
52.20 	of the report or the vulnerable adult's guardian or health care agent an interested person, if 
52.21 	known, and any person or facility determined to have maltreated a vulnerable adult, of their 
52.22 	appeal or review rights under this section or section 256.021 256.045.
52.23 	(i) (k) The lead investigative agency shall routinely provide investigation memoranda 
52.24 	for substantiated reports to the appropriate licensing boards. These reports must include the 
52.25 	names of substantiated perpetrators. The lead investigative agency may not provide 
52.26 	investigative memoranda for inconclusive or false reports to the appropriate licensing boards 
52.27 	unless the lead investigative agency's investigation gives reason to believe that there may 
52.28 	have been a violation of the applicable professional practice laws. If the investigation 
52.29 	memorandum is provided to a licensing board, the subject of the investigation memorandum 
52.30 	shall be notified and receive a summary of the investigative findings.
53.1 	(j) (l) In order to avoid duplication, licensing boards shall consider the findings of the 
53.2 	lead investigative agency in their investigations if they choose to investigate. This does not 
53.3 	preclude licensing boards from considering other information.
53.4 	(k) (m) The lead investigative agency must provide to the commissioner of human 
53.5 	services its final dispositions, including the names of all substantiated perpetrators. The 
53.6 	commissioner of human services shall establish records to retain the names of substantiated 
53.7 	perpetrators.

53.8 	Sec. 57. Minnesota Statutes 2018, section 626.557, subdivision 9d, is amended to read:
53.9 		Subd. 9d.Administrative reconsideration; review panel. (a) Except as provided under 
53.10 	paragraph (e) (d), any individual or facility which a lead investigative agency determines 
53.11 	has maltreated a vulnerable adult, or the vulnerable adult or an interested person acting on 
53.12 	behalf of the vulnerable adult, regardless of the lead investigative agency's determination, 
53.13 	who contests the lead investigative agency's final disposition of an allegation of maltreatment, 
53.14 	may request the lead investigative agency to reconsider its final disposition. The request 
53.15 	for reconsideration must be submitted in writing to the lead investigative agency within 15 
53.16 	calendar days after receipt of notice of final disposition or, if the request is made by an 
53.17 	interested person who is not entitled to notice, within 15 days after receipt of the notice by 
53.18 	the vulnerable adult or the vulnerable adult's guardian or health care agent. If mailed, the 
53.19 	request for reconsideration must be postmarked and sent to the lead investigative agency 
53.20 	within 15 calendar days of the individual's or facility's receipt of the final disposition. If the 
53.21 	request for reconsideration is made by personal service, it must be received by the lead 
53.22 	investigative agency within 15 calendar days of the individual's or facility's receipt of the 
53.23 	final disposition. An individual who was determined to have maltreated a vulnerable adult 
53.24 	under this section and who was disqualified on the basis of serious or recurring maltreatment 
53.25 	under sections 245C.14 and 245C.15, may request reconsideration of the maltreatment 
53.26 	determination and the disqualification. The request for reconsideration of the maltreatment 
53.27 	determination and the disqualification must be submitted in writing within 30 calendar days 
53.28 	of the individual's receipt of the notice of disqualification under sections 245C.16 and 
53.29 	245C.17. If mailed, the request for reconsideration of the maltreatment determination and 
53.30 	the disqualification must be postmarked and sent to the lead investigative agency within 30 
53.31 	calendar days of the individual's receipt of the notice of disqualification. If the request for 
53.32 	reconsideration is made by personal service, it must be received by the lead investigative 
53.33 	agency within 30 calendar days after the individual's receipt of the notice of disqualification.
54.1 	(b) Except as provided under paragraphs (d) and (e) and (f), if the lead investigative 
54.2 	agency denies the request or fails to act upon the request within 15 working days after 
54.3 	receiving the request for reconsideration, the person, including the vulnerable adult or an 
54.4 	interested person acting on behalf of the vulnerable adult, or facility entitled to a fair hearing 
54.5 	under section 256.045, may submit to the commissioner of human services a written request 
54.6 	for a hearing under that statute. The vulnerable adult, or an interested person acting on 
54.7 	behalf of the vulnerable adult, may request a review by the Vulnerable Adult Maltreatment 
54.8 	Review Panel under section 256.021 if the lead investigative agency denies the request or 
54.9 	fails to act upon the request, or if the vulnerable adult or interested person contests a 
54.10 	reconsidered disposition. The lead investigative agency shall notify persons who request 
54.11 	reconsideration of their rights under this paragraph. The request must be submitted in writing 
54.12 	to the review panel and a copy sent to the lead investigative agency within 30 calendar days 
54.13 	of receipt of notice of a denial of a request for reconsideration or of a reconsidered 
54.14 	disposition. The request must specifically identify the aspects of the lead investigative 
54.15 	agency determination with which the person is dissatisfied.
54.16 	(c) If, as a result of a reconsideration or review, the lead investigative agency changes 
54.17 	the final disposition, it shall notify the parties specified in subdivision 9c, paragraph (f) (h).
54.18 	(d) For purposes of this subdivision, "interested person acting on behalf of the vulnerable 
54.19 	adult" means a person designated in writing by the vulnerable adult to act on behalf of the 
54.20 	vulnerable adult, or a legal guardian or conservator or other legal representative, a proxy 
54.21 	or health care agent appointed under chapter 145B or 145C, or an individual who is related 
54.22 	to the vulnerable adult, as defined in section 245A.02, subdivision 13.
54.23 	(e) (d) If an individual was disqualified under sections 245C.14 and 245C.15, on the 
54.24 	basis of a determination of maltreatment, which was serious or recurring, and the individual 
54.25 	has requested reconsideration of the maltreatment determination under paragraph (a) and 
54.26 	reconsideration of the disqualification under sections 245C.21 to 245C.27, reconsideration 
54.27 	of the maltreatment determination and requested reconsideration of the disqualification 
54.28 	shall be consolidated into a single reconsideration. If reconsideration of the maltreatment 
54.29 	determination is denied and the individual remains disqualified following a reconsideration 
54.30 	decision, the individual may request a fair hearing under section 256.045. If an individual 
54.31 	requests a fair hearing on the maltreatment determination and the disqualification, the scope 
54.32 	of the fair hearing shall include both the maltreatment determination and the disqualification.
54.33 	(f) (e) If a maltreatment determination or a disqualification based on serious or recurring 
54.34 	maltreatment is the basis for a denial of a license under section 245A.05 or a licensing 
54.35 	sanction under section 245A.07, the license holder has the right to a contested case hearing 
55.1 	under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. As provided for 
55.2 	under section 245A.08, the scope of the contested case hearing must include the maltreatment 
55.3 	determination, disqualification, and licensing sanction or denial of a license. In such cases, 
55.4 	a fair hearing must not be conducted under section 256.045. Except for family child care 
55.5 	and child foster care, reconsideration of a maltreatment determination under this subdivision, 
55.6 	and reconsideration of a disqualification under section 245C.22, must not be conducted 
55.7 	when:
55.8 	(1) a denial of a license under section 245A.05, or a licensing sanction under section 
55.9 	245A.07, is based on a determination that the license holder is responsible for maltreatment 
55.10 	or the disqualification of a license holder based on serious or recurring maltreatment;
55.11 	(2) the denial of a license or licensing sanction is issued at the same time as the 
55.12 	maltreatment determination or disqualification; and
55.13 	(3) the license holder appeals the maltreatment determination or disqualification, and 
55.14 	denial of a license or licensing sanction.
55.15 	Notwithstanding clauses (1) to (3), if the license holder appeals the maltreatment 
55.16 	determination or disqualification, but does not appeal the denial of a license or a licensing 
55.17 	sanction, reconsideration of the maltreatment determination shall be conducted under sections 
55.18 	626.556, subdivision 10i, and 626.557, subdivision 9d, and reconsideration of the 
55.19 	disqualification shall be conducted under section 245C.22. In such cases, a fair hearing shall 
55.20 	also be conducted as provided under sections 245C.27, 626.556, subdivision 10i, and 
55.21 	626.557, subdivision 9d.
55.22 	If the disqualified subject is an individual other than the license holder and upon whom 
55.23 	a background study must be conducted under chapter 245C, the hearings of all parties may 
55.24 	be consolidated into a single contested case hearing upon consent of all parties and the 
55.25 	administrative law judge.
55.26 	(g) (f) Until August 1, 2002, an individual or facility that was determined by the 
55.27 	commissioner of human services or the commissioner of health to be responsible for neglect 
55.28 	under section 626.5572, subdivision 17, after October 1, 1995, and before August 1, 2001, 
55.29 	that believes that the finding of neglect does not meet an amended definition of neglect may 
55.30 	request a reconsideration of the determination of neglect. The commissioner of human 
55.31 	services or the commissioner of health shall mail a notice to the last known address of 
55.32 	individuals who are eligible to seek this reconsideration. The request for reconsideration 
55.33 	must state how the established findings no longer meet the elements of the definition of 
55.34 	neglect. The commissioner shall review the request for reconsideration and make a 
56.1 	determination within 15 calendar days. The commissioner's decision on this reconsideration 
56.2 	is the final agency action.
56.3 	(1) (g) For purposes of compliance with the data destruction schedule under subdivision 
56.4 	12b, paragraph (d) (h), when a finding of substantiated maltreatment has been changed as 
56.5 	a result of a reconsideration under this paragraph, the date of the original finding of a 
56.6 	substantiated maltreatment must be used to calculate the destruction date.
56.7 	(2) (h) For purposes of any background studies under chapter 245C, when a determination 
56.8 	of substantiated maltreatment has been changed as a result of a reconsideration under this 
56.9 	paragraph, any prior disqualification of the individual under chapter 245C that was based 
56.10 	on this determination of maltreatment shall be rescinded, and for future background studies 
56.11 	under chapter 245C the commissioner must not use the previous determination of 
56.12 	substantiated maltreatment as a basis for disqualification or as a basis for referring the 
56.13 	individual's maltreatment history to a health-related licensing board under section 245C.31.
56.14 	(i) If a maltreatment determination is substantiated for the first time upon reconsideration, 
56.15 	review, or appeal, the commissioner of human services or the commissioner of health may 
56.16 	engage in any and all enforcement actions available under law as if substantiated for the 
56.17 	first time, including enforcement actions for new violations found during the reconsideration, 
56.18 	review, or appeal process.

56.19 	Sec. 58. Minnesota Statutes 2018, section 626.557, subdivision 10b, is amended to read:
56.20 		Subd. 10b.Investigations; guidelines. (a) Each lead investigative agency shall develop 
56.21 	guidelines for prioritizing reports for investigation. When investigating a report, the lead 
56.22 	investigative agency shall conduct the following activities, as appropriate:
56.23 	(1) interview of the alleged victim;
56.24 	(2) interview of the reporter and others who may have relevant information;
56.25 	(3) interview of the alleged perpetrator;
56.26 	(4) examination of the environment surrounding the alleged incident;
56.27 	(5) review of pertinent documentation of the alleged incident; and
56.28 	(6) consultation with professionals.
56.29 	(b) The lead investigator must contact the alleged victim or, if known, an interested 
56.30 	person, within five days after initiation of an investigation to provide the investigator's name 
56.31 	and contact information, and communicate with the alleged victim or interested person 
56.32 	approximately every three weeks during the course of the investigation.

57.1 	Sec. 59. Minnesota Statutes 2018, section 626.557, subdivision 12b, is amended to read:
57.2 		Subd. 12b.Data management. (a) In performing any of the duties of this section as a 
57.3 	lead investigative agency, the county social service agency shall maintain appropriate 
57.4 	records. Data collected by the county social service agency under this section are welfare 
57.5 	data under section 13.46. Notwithstanding section 13.46, subdivision 1, paragraph (a), data 
57.6 	under this paragraph that are inactive investigative data on an individual who is a vendor 
57.7 	of services are private data on individuals, as defined in section 13.02. The identity of the 
57.8 	reporter may only be disclosed as provided in paragraph (c) (g).
57.9 	(b) Data maintained by the common entry point are confidential private data on 
57.10 	individuals or protected nonpublic data as defined in section 13.02. Notwithstanding section 
57.11 	138.163, the common entry point shall maintain data for three calendar years after date of 
57.12 	receipt and then destroy the data unless otherwise directed by federal requirements.
57.13 	(b) (c) The commissioners of health and human services shall prepare an investigation 
57.14 	memorandum for each report alleging maltreatment investigated under this section. County 
57.15 	social service agencies must maintain private data on individuals but are not required to 
57.16 	prepare an investigation memorandum. During an investigation by the commissioner of 
57.17 	health or the commissioner of human services, data collected under this section are 
57.18 	confidential data on individuals or protected nonpublic data as defined in section 13.02, 
57.19 	provided that data may be shared with the vulnerable adult or the vulnerable adult's interested 
57.20 	person if both commissioners determine that sharing of the data is needed to protect the 
57.21 	vulnerable adult. Upon completion of the investigation, the data are classified as provided 
57.22 	in clauses (1) to (3) and paragraph (c) paragraphs (d) to (g).
57.23 	(1) (d) The investigation memorandum must contain the following data, which are public:
57.24 	(i) (1) the name of the facility investigated;
57.25 	(ii) (2) a statement of the nature of the alleged maltreatment;
57.26 	(iii) (3) pertinent information obtained from medical or other records reviewed;
57.27 	(iv) (4) the identity of the investigator;
57.28 	(v) (5) a summary of the investigation's findings;
57.29 	(vi) (6) statement of whether the report was found to be substantiated, inconclusive, 
57.30 	false, or that no determination will be made;
58.1 	(vii) (7) a statement of any action taken by the facility, including plans of correction 
58.2 	submitted to the commissioner under Code of Federal Regulations, title 42, section 488.402, 
58.3 	and section 144A.474, subdivision 8;
58.4 	(viii) (8) a statement of any action taken by the lead investigative agency, including 
58.5 	licensing violations and enforcement actions; and
58.6 	(ix) (9) when a lead investigative agency's determination has substantiated maltreatment, 
58.7 	a statement of whether an individual, individuals, or a facility were responsible for the 
58.8 	substantiated maltreatment, if known.
58.9 	The investigation memorandum must be written in a manner which protects the identity 
58.10 	of the reporter and of the vulnerable adult and may not contain the names or, to the extent 
58.11 	possible, data on individuals or private data or individuals listed in clause (2) paragraph (e).
58.12 	(2) (e) Data on individuals collected and maintained in the investigation memorandum 
58.13 	are private data on individuals, including:
58.14 	(i) (1) the name of the vulnerable adult;
58.15 	(ii) (2) the identity of the individual alleged to be the perpetrator;
58.16 	(iii)(3) the identity of the individual substantiated as the perpetrator; and
58.17 	(iv) (4) the identity of all individuals interviewed as part of the investigation.
58.18 	(3) (f) Other data on individuals maintained as part of an investigation under this section 
58.19 	are private data on individuals upon completion of the investigation.
58.20 	(c)(g) After the assessment or investigation is completed, the name of the reporter must 
58.21 	be confidential., except:
58.22 	(1) the subject of the report may compel disclosure of the name of the reporter only with 
58.23 	the consent of the reporter or;
58.24 	(2) upon a written finding by a court that the report was false and there is evidence that 
58.25 	the report was made in bad faith; or
58.26 	(3) the mandated reporter may self-disclose to support a claim of retaliation that is 
58.27 	prohibited under law, including under sections 144.651, subdivision 34, and 626.557, 
58.28 	subdivisions 4a and 17.
58.29 	This subdivision does not alter disclosure responsibilities or obligations under the Rules 
58.30 	of Criminal Procedure, except that where the identity of the reporter is relevant to a criminal 
59.1 	prosecution, the district court shall do an in-camera review prior to determining whether to 
59.2 	order disclosure of the identity of the reporter.
59.3 	(d) (h) Notwithstanding section 138.163, data maintained under this section by the 
59.4 	commissioners of health and human services must be maintained under the following 
59.5 	schedule and then destroyed unless otherwise directed by federal requirements:
59.6 	(1) data from reports determined to be false, maintained for three years after the finding 
59.7 	was made;
59.8 	(2) data from reports determined to be inconclusive, maintained for four years after the 
59.9 	finding was made;
59.10 	(3) data from reports determined to be substantiated, maintained for seven years after 
59.11 	the finding was made; and
59.12 	(4) data from reports which were not investigated by a lead investigative agency and for 
59.13 	which there is no final disposition, maintained for three years from the date of the report.
59.14 	(e) (i) The commissioners of health and human services shall annually publish on their 
59.15 	websites the number and type of reports of alleged maltreatment involving licensed facilities 
59.16 	reported under this section, the number of those requiring investigation under this section, 
59.17 	and the resolution of those investigations. On a biennial basis, the commissioners of health 
59.18 	and human services shall jointly report the following information to the legislature and the 
59.19 	governor:
59.20 	(1) the number and type of reports of alleged maltreatment involving licensed facilities 
59.21 	reported under this section, the number of those requiring investigations under this section, 
59.22 	the resolution of those investigations, and which of the two lead agencies was responsible;
59.23 	(2) trends about types of substantiated maltreatment found in the reporting period;
59.24 	(3) if there are upward trends for types of maltreatment substantiated, recommendations 
59.25 	for addressing and responding to them;
59.26 	(4) efforts undertaken or recommended to improve the protection of vulnerable adults;
59.27 	(5) whether and where backlogs of cases result in a failure to conform with statutory 
59.28 	time frames and recommendations for reducing backlogs if applicable;
59.29 	(6) recommended changes to statutes affecting the protection of vulnerable adults; and
59.30 	(7) any other information that is relevant to the report trends and findings.
59.31 	(f) (j) Each lead investigative agency must have a record retention policy.
60.1 	(g) (k) Lead investigative agencies, prosecuting authorities, and law enforcement agencies 
60.2 	may exchange not public data, as defined in section 13.02, if the agency or authority 
60.3 	requesting the data determines that the data are pertinent and necessary to the requesting 
60.4 	agency in initiating, furthering, or completing an investigation under this section. Data 
60.5 	collected under this section must be made available to prosecuting authorities and law 
60.6 	enforcement officials, local county agencies, and licensing agencies investigating the alleged 
60.7 	maltreatment under this section. The lead investigative agency shall exchange not public 
60.8 	data with the vulnerable adult maltreatment review panel established in section 256.021 if 
60.9 	the data are pertinent and necessary for a review requested under that section.
60.10 	Notwithstanding section 138.17, upon completion of the review, not public data received 
60.11 	by the review panel must be destroyed.
60.12 	(h) (l) Each lead investigative agency shall keep records of the length of time it takes to 
60.13 	complete its investigations.
60.14 	(i) (m) Notwithstanding paragraph (a) or (b), a lead investigative agency may share 
60.15 	common entry point or investigative data and may notify other affected parties, including 
60.16 	the vulnerable adult and their authorized representative, if the lead investigative agency has 
60.17 	reason to believe maltreatment has occurred and determines the information will safeguard 
60.18 	the well-being of the affected parties or dispel widespread rumor or unrest in the affected 
60.19 	facility.
60.20 	(j) (n) Under any notification provision of this section, where federal law specifically 
60.21 	prohibits the disclosure of patient identifying information, a lead investigative agency may 
60.22 	not provide any notice unless the vulnerable adult has consented to disclosure in a manner 
60.23 	which conforms to federal requirements.

60.24 	Sec. 60. Minnesota Statutes 2018, section 626.557, subdivision 14, is amended to read:
60.25 		Subd. 14.Abuse prevention plans. (a) Each facility, except home health agencies and 
60.26 	personal care attendant services providers and including a housing with services establishment 
60.27 	under chapter 144D and an entity operating under assisted living title protection under 
60.28 	section 144G.02, shall establish and enforce an ongoing written abuse prevention plan. The 
60.29 	plan shall contain an assessment of the physical plant, its environment, and its population 
60.30 	identifying factors which may encourage or permit abuse, and a statement of specific 
60.31 	measures to be taken to minimize the risk of abuse. The plan shall comply with any rules 
60.32 	governing the plan promulgated by the licensing agency.
60.33 	(b) Each facility, including a home health care agency and personal care attendant 
60.34 	services providers, shall develop an individual abuse prevention plan for each vulnerable 
61.1 	adult residing there or receiving services from them. The plan shall contain an individualized 
61.2 	assessment of: (1) the person's susceptibility to abuse by other individuals, including other 
61.3 	vulnerable adults; (2) the person's risk of abusing other vulnerable adults; and (3) statements 
61.4 	of the specific measures to be taken to minimize the risk of abuse to that person and other 
61.5 	vulnerable adults. For the purposes of this paragraph, the term "abuse" includes self-abuse.
61.6 	(c) If the facility, except home health agencies and personal care attendant services 
61.7 	providers, knows that the vulnerable adult has committed a violent crime or an act of physical 
61.8 	aggression toward others, the individual abuse prevention plan must detail the measures to 
61.9 	be taken to minimize the risk that the vulnerable adult might reasonably be expected to pose 
61.10 	to visitors to the facility and persons outside the facility, if unsupervised. Under this section, 
61.11 	a facility knows of a vulnerable adult's history of criminal misconduct or physical aggression 
61.12 	if it receives such information from a law enforcement authority or through a medical record 
61.13 	prepared by another facility, another health care provider, or the facility's ongoing 
61.14 	assessments of the vulnerable adult.
61.15 	(d) The commissioner of health must issue a correction order and fine upon a finding 
61.16 	that the facility has failed to comply with this subdivision.

61.17 	Sec. 61. Minnesota Statutes 2018, section 626.557, subdivision 17, is amended to read:
61.18 		Subd. 17.Retaliation prohibited. (a) A facility or person shall not retaliate against any 
61.19 	person, including an interested person or an agent of the vulnerable adult, who reports in 
61.20 	good faith, or who the facility or person believes reported, suspected maltreatment pursuant 
61.21 	to this section, or against a vulnerable adult with respect to whom a report is made, because 
61.22 	of the report or presumed report, whether mandatory or voluntary.
61.23 	(b) In addition to any remedies allowed under sections 181.931 to 181.935, any facility 
61.24 	or person which retaliates against any person because of a report of suspected maltreatment 
61.25 	is liable to that person for actual damages, punitive damages up to $10,000, and attorney 
61.26 	fees. A claim of retaliation may be brought upon showing that the claimant has a good faith 
61.27 	reason to believe retaliation as described under this subdivision occurred. The claim may 
61.28 	be brought regardless of whether or not there is confirmation that the name of the mandated 
61.29 	reporter was known.
61.30 	(c) There shall be a rebuttable presumption that any adverse action, as defined below, 
61.31 	within 90 days of a report, is retaliatory. For purposes of this clause paragraph, the term 
61.32 	"adverse action" refers to action taken by a facility or person involved in a report against 
61.33 	the person making the report or the person with respect to whom the report was made because 
61.34 	of the report, and includes, but is not limited to:
62.1 	(1) discharge or transfer from the facility;
62.2 	(2) discharge from or termination of employment;
62.3 	(3) demotion or reduction in remuneration for services;
62.4 	(4) restriction or prohibition of access of the vulnerable adult to the facility or its residents; 
62.5 	or
62.6 	(5) any restriction of rights set forth in section 144.651.;
62.7 	(6) any restriction of access to or use of amenities or services;
62.8 	(7) termination of services or lease agreement;
62.9 	(8) sudden increase in costs for services not already contemplated at the time of the 
62.10 	maltreatment report;
62.11 	(9) removal, tampering with, or deprivation of technology, communication, or electronic 
62.12 	monitoring devices; and
62.13 	(10) filing a maltreatment report in bad faith against the reporter; or
62.14 	(11) oral or written communication of false information about the reporter.

62.15 	Sec. 62. Minnesota Statutes 2018, section 626.5572, is amended by adding a subdivision 
62.16 	to read:
62.17 		Subd. 12a.Interested person. "Interested person" has the meaning given in section 
62.18 	524.5-102, subdivision 7. An interested person does not include a person whose authority 
62.19 	has been restricted by the vulnerable adult or by a court or a person who is the alleged 
62.20 	perpetrator of the maltreatment.

62.21 	Sec. 63. ASSISTED LIVING LICENSING TASK FORCE.
 62.22 		Subdivision 1.Creation. (a) The Assisted Living Licensing Task Force consists of 24 
62.23 	members, including the following:
62.24 	(1) one member appointed by the governor;
62.25 	(2) one senator appointed by the majority leader;
62.26 	(3) one senator appointed by the minority leader;
62.27 	(4) one member of the house of representatives appointed by the speaker of the house;
62.28 	(5) one member of the house of representatives appointed by the minority leader;
63.1 	(6) the commissioner of health or a designee;
63.2 	(7) the commissioner of human services or a designee;
63.3 	(8) the ombudsman for long-term care or a designee;
63.4 	(9) the ombudsman for mental health and developmental disabilities or a designee;
63.5 	(10) one member appointed by the Minnesota Board on Aging;
63.6 	(11) one member appointed by AARP Minnesota;
63.7 	(12) one member appointed by Elder Voices Family Advocates;
63.8 	(13) one member appointed by the Alzheimer's Association Minnesota-North Dakota 
63.9 	Chapter;
63.10 	(14) one member appointed by Mid-Minnesota Legal Aid;
63.11 	(15) one member appointed by Minnesota Elder Justice Center;
63.12 	(16) one member appointed by Care Providers of Minnesota;
63.13 	(17) one member appointed by LeadingAge Minnesota;
63.14 	(18) one member appointed by the Minnesota Nurses Association;
63.15 	(19) one member appointed by the University of Minnesota Center on Aging;
63.16 	(20) one member appointed by the Minnesota Gerontological Society;
63.17 	(21) one member appointed by the Minnesota Association of Geriatric Inspired Clinicians;
63.18 	(22) one resident at a Department of Health licensed facility appointed by the governor;
63.19 	(23) one resident at a Department of Health registered but unlicensed facility appointed 
63.20 	by the governor; and
63.21 	(24) one family member of a resident in a licensed or unlicensed facility appointed by 
63.22 	the governor.
63.23 	(b) The appointing authorities must appoint members by July 1, 2019.
63.24 	(c) The commissioner of health or a designee shall convene the first meeting no later 
63.25 	than August 1, 2019.
63.26 	(d) The commissioner of health or a designee and the member appointed by Elder Voices 
63.27 	Family Advocates shall serve as cochairs.
63.28 		Subd. 2.Legislative report on assisted living licensure and dementia care. (a) The 
63.29 	task force shall review existing state regulation and oversight of assisted living and dementia 
64.1 	care and make recommendations to the legislature for improving protections for each older 
64.2 	and vulnerable adult residing in an assisted living facility, including those adults diagnosed 
64.3 	with dementia, by eliminating gaps in regulatory oversight and replacing the current housing 
64.4 	with services registration system with an assisted living license framework that licenses 
64.5 	one entity for the provision of both housing and services. The task force's recommendations 
64.6 	must include standards and criteria for an assisted living license. By February 1, 2020, the 
64.7 	task force must report to the legislature on the findings of the task force concerning the 
64.8 	current regulation and oversight of assisted living and dementia care, and its 
64.9 	recommendations regarding a single licensing structure for assisted living and dementia 
64.10 	care certification. The report must include draft legislation to implement the task force's 
64.11 	recommended changes to statutes.
64.12 	(b) The task force must review state regulation and oversight of dementia care and make 
64.13 	recommendations to the legislature for the enactment of a dementia care certification. The 
64.14 	task force's recommendations must include standards and criteria for dementia care 
64.15 	certification.
64.16 		Subd. 3.Administrative provisions. (a) The task force shall meet at a frequency 
64.17 	determined by the task force.
64.18 	(b) The commissioner of health shall provide meeting space and administrative support 
64.19 	for the task force.
64.20 	(c) The commissioners of health and human services shall provide technical assistance 
64.21 	to the task force.
64.22 	(d) Public members of the task force may be compensated as described in Minnesota 
64.23 	Statutes, section 15.059, subdivision 3.
64.24 	(e) A quorum is not required in order for the task force to meet.
64.25 	(f) A quorum of 50 percent plus one member consisting of at least two members each 
64.26 	from providers, consumers advocates, and state agencies is required for the task force to 
64.27 	make any recommendations.
64.28 		Subd. 4.Expiration. The task force expires on June 30, 2020.

64.29 	Sec. 64. DIRECTION TO THE COMMISSIONER OF HEALTH.
 64.30 		Subdivision 1.Policies and procedures for the Office of Health Facility 
64.31 	Complaints. The commissioner of health shall develop comprehensive, written policies 
64.32 	and procedures for the Office of Health Facility Complaints for conducting timely reviews 
65.1 	and investigation of allegations that are available for all investigators in a centralized location, 
65.2 	including policies, procedures, guidelines, and criteria for:
65.3 	(1) data collection that will allow for rigorous trend analysis of maltreatment and licensing 
65.4 	violations;
65.5 	(2) data entry in the case management system, including an up-to-date description of 
65.6 	each data entry point to be used consistently by all staff;
65.7 	(3) intake of allegation reports, including the gathering of all data from the reporter and 
65.8 	verification of jurisdiction;
65.9 	(4) selection of allegation reports for further investigation within the time frames required 
65.10 	by federal and state law;
65.11 	(5) the investigative process, including guidelines for interviews and documentation;
65.12 	(6) cross-referencing of data, including when and under what circumstances to combine 
65.13 	data collection or maltreatment investigations regarding the same vulnerable adult, 
65.14 	allegations, facility, or alleged perpetrator;
65.15 	(7) final determinations, including having supporting documentation for the 
65.16 	determinations;
65.17 	(8) enforcement actions, including the imposition of immediate fines and any distinctions 
65.18 	in process for licensing violations versus maltreatment determinations;
65.19 	(9) communication with interested parties and the public regarding the status of 
65.20 	investigations, final determinations, enforcement actions, and appeal rights, including when 
65.21 	communication must be made if the timelines established in law are not able to be met and 
65.22 	sufficient information in written communication for understanding the process; and
65.23 	(10) quality control measures, including audits and random samplings, to discover gaps 
65.24 	in understanding and to ensure accuracy.
65.25 		Subd. 2.Training of staff at the Office of Health Facility Complaints. The 
65.26 	commissioner of health shall revise the training program at the Office of Health Facility 
65.27 	Complaints to ensure that all staff are trained adequately and consistently to perform their 
65.28 	duties. The revised training program must provide for timely and consistent training whenever 
65.29 	policies, procedures, guidelines, or criteria are changed due to legislative changes, decisions 
65.30 	by management, or interpretations of state or federal law. The revised training program 
65.31 	shall include a mentor-based training program that assigns a mentor to all new investigators 
66.1 	and ensures new investigators work with an experienced investigator during every aspect 
66.2 	of the investigation process.
66.3 		Subd. 3.Quality controls at the Office of Health Facility Complaints. The 
66.4 	commissioner of health shall implement quality control measures to ensure that intake, 
66.5 	triage, investigations, final determinations, enforcement actions, and communication are 
66.6 	conducted and documented in a consistent, thorough, and accurate manner. The quality 
66.7 	control measures must include regular internal audits of staff work, including when a decision 
66.8 	is made to not investigate a report, reporting to staff of patterns and trends discovered 
66.9 	through the audits, training of staff to address patterns and trends discovered through the 
66.10 	audits, and electronic safeguards in the case management system to prevent backdating of 
66.11 	data, incomplete or missing data fields, missed deadlines, and missed communications, 
66.12 	including communications concerning the status of investigations, delays in investigations, 
66.13 	final determinations, and appeal rights following final determinations.
66.14 		Subd. 4.Provider education. (a) The commissioner of health shall develop 
66.15 	decision-making tools, including decision trees, regarding provider self-reported maltreatment 
66.16 	allegations and share these tools with providers. As soon as practicable, the commissioner 
66.17 	shall update the decision-making tools as necessary, including whenever federal or state 
66.18 	requirements change, and inform providers that the updated tools are available. The 
66.19 	commissioner shall develop decision-making tools that clarify and encourage reporting 
66.20 	whether the provider is licensed or registered under federal or state law, while also educating 
66.21 	on any distinctions in reporting under federal versus state law.
66.22 	(b) The commissioner of health shall conduct rigorous trend analysis of maltreatment 
66.23 	reports, triage decisions, investigation determinations, enforcement actions, and appeals to 
66.24 	identify trends and patterns in reporting of maltreatment, substantiated maltreatment, and 
66.25 	licensing violations, and share these findings with providers and interested stakeholders.
66.26 		Subd. 5.Departmental oversight of the Office of Health Facility Complaints. The 
66.27 	commissioner of health shall ensure that the commissioner's office provides direct oversight 
66.28 	of the Office of Health Facility Complaints.

66.29 	Sec. 65. DIRECTION TO THE COMMISSIONERS OF HEALTH AND HUMAN 
66.30 	SERVICES.
 66.31 	By February 1 of each year, the commissioners of health and human services must submit 
66.32 	an annual joint report on each department's response to allegations of maltreatment of 
66.33 	vulnerable adults. The annual report must include a description and assessment of the 
66.34 	departments' efforts to improve their internal processes and compliance with federal and 
67.1 	state requirements concerning allegations of maltreatment of vulnerable adults, including 
67.2 	any relevant timelines. The report must also include trends and patterns in maltreatment of 
67.3 	vulnerable adults, licensing violations by facilities or providers serving vulnerable adults, 
67.4 	and other metrics as determined by the commissioner.
67.5 	This section expires upon submission of the commissioners' 2024 report.

67.6 	Sec. 66. APPROPRIATION.
 67.7 	$....... in fiscal year 2020 is appropriated from the general fund to the commissioner of 
67.8 	health for an electronic case management system for the Office of Health Facility Complaints, 
67.9 	to be available until June 30, 2022. This is a onetime appropriation.

67.10 	Sec. 67. APPROPRIATION.
 67.11 	$....... in fiscal year 2020 is appropriated from the general fund to the commissioner of 
67.12 	health for a data analyst to conduct rigorous analyses of the data currently collected in 
67.13 	maltreatment reports and investigation results, leveraging current data collection points and 
67.14 	recommending additional data collection points, as well as to conduct trend analyses of 
67.15 	allegation reports and investigation results in order to identify trends and patterns in 
67.16 	maltreatment and licensing violations and other metrics as determined by the commissioner, 
67.17 	to publish the results of these analyses, and to share and explain the results to interested 
67.18 	stakeholders.

67.19 	Sec. 68. APPROPRIATION.
 67.20 	$....... in fiscal year 2020 is appropriated from the general fund to the commissioner of 
67.21 	health for website upgrades for the Office of Health Facility Complaints, to be available 
67.22 	until June 30, 2022. The commissioner must post all recent investigation reports, including 
67.23 	licensing violations discovered during the maltreatment investigation, on the upgraded 
67.24 	website in a manner that is easily searchable by the public using search criteria and language 
67.25 	the public, potential clients of facilities and providers, and interested parties are likely to 
67.26 	use. The search function shall allow for the generation of data on the licensed provider's 
67.27 	name and address as well as the name and address of any entity affiliated with the licensed 
67.28 	provider. The website must also provide information on the maltreatment investigation 
67.29 	process, timelines, and appeal procedures for the vulnerable adult, the provider, and the 
67.30 	employee of the provider. This is a onetime appropriation.

68.1 	Sec. 69. APPROPRIATION.
 68.2 	$250,000 in fiscal year 2020 is appropriated from the general fund to the commissioner 
68.3 	of health for the Assisted Living Licensing Task Force described in section 63. This is a 
68.4 	onetime appropriation.

68.5 	Sec. 70. REPEALER.
 68.6 	Minnesota Statutes 2018, sections 144G.03, subdivision 6; and 256.021, are repealed.

APPENDIX 

Repealed Minnesota Statutes: 19-1200 

144G.03 ASSISTED LIVING REQUIREMENTS.Subd. 6.Termination of housing with services contract. 
If a housing with services establishment terminates a housing with services contract with an assisted living client, the establishment shall provide the assisted living client, and the legal or designated representative of the assisted living client, if any, with a written notice of termination which includes the following information: 

(1) the effective date of termination; 

(2) the section of the contract that authorizes the termination; 

(3) without extending the termination notice period, an affirmative offer to meet with the assisted living client and, if applicable, client representatives, within no more than five business days of the date of the termination notice to discuss the termination; 

(4) an explanation that: 

(i) the assisted living client must vacate the apartment, along with all personal possessions, on or before the effective date of termination; 

(ii) failure to vacate the apartment by the date of termination may result in the filing of an eviction action in court by the establishment, and that the assisted living client may present a defense, if any, to the court at that time; and 

(iii) the assisted living client may seek legal counsel in connection with the notice of termination; 

(5) a statement that, with respect to the notice of termination, reasonable accommodation is available for the disability of the assisted living client, if any; and 

(6) the name and contact information of the representative of the establishment with whom the assisted living client or client representatives may discuss the notice of termination. 

256.021 VULNERABLE ADULT MALTREATMENT REVIEW PANEL.Subdivision 1.Creation. 
(a) The commissioner of human services shall establish a review panel for purposes of reviewing lead investigative agency determinations regarding maltreatment of a vulnerable adult in response to requests received under section 626.557, subdivision 9d, paragraph (b). The panel shall hold quarterly meetings for purposes of conducting reviews under this section. 

(b) The review panel consists of: 

(1) the commissioners of health and human services or their designees; 

(2) the ombudsman for long-term care and ombudsman for mental health and developmental disabilities, or their designees; 

(3) a member of the board on aging, appointed by the board; and 

(4) a representative from the county human services administrators appointed by the commissioner of human services or the administrator's designee. 

Subd. 2.Review procedure. 
(a) If a vulnerable adult or an interested person acting on behalf of the vulnerable adult requests a review under this section, the panel shall review the request at its next quarterly meeting. If the next quarterly meeting is within ten days of the panel's receipt of the request for review, the review may be delayed until the next subsequent meeting. The panel shall review the request and the investigation memorandum and may review any other data on the investigation maintained by the lead investigative agency that are pertinent and necessary to its review of the final disposition. If more than one person requests a review under this section with respect to the same final disposition, the review panel shall combine the requests into one review. The panel shall submit its written request for the case file and other documentation relevant to the review to the supervisor of the investigator conducting the investigation under review. 

(b) Within 30 days of the review under this section, the panel shall notify the director or manager of the lead investigative agency and the vulnerable adult or interested person who requested the review as to whether the panel concurs with the final disposition or whether the lead investigative agency must reconsider the final disposition. If the panel determines that the lead investigative agency must reconsider the final disposition, the panel must make specific recommendations to the director or manager of the lead investigative agency. The recommendation must include an explanation of the factors that form the basis of the recommendation to reconsider the final disposition and must specifically identify the disputed facts, the disputed application of maltreatment definitions, the disputed application of responsibility for maltreatment, and the disputed weighing of evidence, whichever apply. Within 30 days the lead investigative agency shall conduct a review and report back to the panel with its determination and the specific rationale for its final disposition. At a minimum, the specific rationale must include a detailed response to each of the factors identified by the panel that formed the basis for the recommendations of the panel. 

(c) Upon receiving the report of reconsideration from the lead investigative agency, the panel shall communicate the decision in writing to the vulnerable adult or interested person acting on behalf of the vulnerable adult who requested the review. The panel shall include the specific rationale provided by the lead investigative agency as part of the communication. 

Subd. 3.Report. 
By January 15 of each year, the panel shall submit a report to the committees of the legislature with jurisdiction over section 626.557 regarding the number of requests for review it receives under this section, the number of cases where the panel requires the lead investigative agency to reconsider its final disposition, and the number of cases where the final disposition is changed, and any recommendations to improve the review or investigative process. 

Subd. 4.Data. 
Data of the review panel created or received as part of a review under this section are private data on individuals as defined in section 13.02.