1.1 	A bill for an act
1.2 	relating to health; preserving effectiveness of antimicrobials used in the treatment 
1.3 	of disease or infection; prohibiting disposal of prescription drugs containing 
1.4 	antimicrobials; prohibiting use of medically important antimicrobials for 
1.5 	nontherapeutic use in animals; requiring reports;amending Minnesota Statutes 
1.6 	2014, sections 151.212, by adding a subdivision; 156.16, by adding a subdivision; 
1.7 	proposing coding for new law in Minnesota Statutes, chapters 115; 144; 156.
1.8 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.9 	Section 1. [115.062] PROHIBITING DISPOSAL OF ANTIMICROBIAL 
1.10 	PRESCRIPTION DRUGS.
1.11 	No person shall dispose of a prescription drug containing antimicrobials by 
1.12 	depositing the drug into a wastewater disposal system.

1.13 	Sec. 2. [144.9945] REPORTING ON PUBLIC HEALTH AND ANTIMICROBIAL 
1.14 	DRUG RESISTANCE.
1.15 	The commissioner of health shall annually post to the department's Web site and 
1.16 	report to legislative committees with jurisdiction over health on:
1.17 	(1) the number of antimicrobial-resistant infections in Minnesota and the number of 
1.18 	deaths from those infections, including the type and location of each occurrence;
1.19 	(2) direct and indirect costs of treating antimicrobial-resistant infections in Minnesota;
1.20 	(3) prevalence of antimicrobial-resistant E. coli, campylobacter, and salmonella 
1.21 	in retail meats;
1.22 	(4) monitoring of antimicrobial-resistant bacteria, and antimicrobial residues in 
1.23 	drinking water supplies; and
1.24 	(5) actions taken to preserve the effectiveness of medically important antimicrobials.

2.1 	Sec. 3. Minnesota Statutes 2014, section 151.212, is amended by adding a subdivision 
2.2 	to read:
2.3 		Subd. 4.Disposal of prescription drugs containing antimicrobials. In addition to 
2.4 	the requirements of subdivisions 1 to 3, drugs dispensed containing an antimicrobial shall 
2.5 	bear a label affixed to the container in which the drug is dispensed and which is received 
2.6 	by the purchaser stating that it is unlawful to dispose of the drug by depositing it in a sink, 
2.7 	toilet, or any other wastewater disposal system.

2.8 	Sec. 4. Minnesota Statutes 2014, section 156.16, is amended by adding a subdivision 
2.9 	to read:
2.10 		Subd. 5a.Medically important antimicrobial drug. "Medically important 
2.11 	antimicrobial drug" means an antimicrobial drug listed in Appendix A of the federal Food 
2.12 	and Drug Administration's Guidance for Industry No. 152, including critically important, 
2.13 	highly important, and important antimicrobial drugs, as that appendix may be amended.

2.14 	Sec. 5. [156.185] RESTRICTIONS ON USE OF MEDICALLY IMPORTANT 
2.15 	ANTIMICROBIAL DRUGS; USE REPORTING.
2.16 	(a) After January 1, 2017, a medically important antimicrobial drug must not 
2.17 	be administered to an animal, unless prescribed by a veterinarian pursuant to a 
2.18 	veterinarian-client-patient relationship. Antimicrobial drugs may be prescribed for 
2.19 	animals only for:
2.20 	(1) the treatment of disease or infection; or
2.21 	(2) for prevention of disease or infection when the antimicrobial drug is used for a 
2.22 	short-term and medically appropriate duration in animals at high risk for disease to control 
2.23 	the spread of infections present in the same barn or equivalent housing unit.
2.24 	(b) After January 1, 2017, a medically important antimicrobial drug must not be 
2.25 	administered to an animal for growth promotion, to cause an increased rate of weight 
2.26 	gain, or to improve feed efficiency.
2.27 	(c) After January 1, 2017, a medically important antimicrobial drug must not be used 
2.28 	in hatcheries to inject into eggs hatching into chicks or poults being raised for food.
2.29 	(d) Beginning January 1, 2017, a veterinarian who prescribes medically important 
2.30 	antimicrobial drugs must annually submit a report to the board for each prescription 
2.31 	including:
2.32 	(1) the drug and drug class used;
2.33 	(2) the dosage used;
2.34 	(3) the species, the production class, and the number of animals treated;
3.1 	(4) the number of days the drug was administered;
3.2 	(5) the purpose for which the drug was administered, including whether for disease 
3.3 	treatment or disease prevention;
3.4 	(6) the type of disease or infection that was treated; and
3.5 	(7) the method by which the drug was administered, including oral, commercial 
3.6 	feed, water, or by injection.
3.7 	(e) The board shall consult with the commissioner of health to ensure that reporting 
3.8 	under paragraph (d) can be readily integrated with the Department of Health tracking and 
3.9 	reporting of antimicrobial use and antimicrobial resistance in Minnesota.