145A.10 POWERS AND DUTIES OF COMMUNITY HEALTH BOARDS.
Subdivision 1. General.
A community health board has the powers and duties of a board of
health prescribed in sections
, as well as the general
responsibility for development and maintenance of an integrated system of community health
services as prescribed in sections
Subd. 2. Preemption.
(a) Not later than 365 days after the formation of a community health
board, any other board of health within the community health service area for which the plan
has been prepared must cease operation, except as authorized in a joint powers agreement under
145A.03, subdivision 2
, or delegation agreement under section
145A.07, subdivision 2
or as otherwise allowed by this subdivision.
(b) This subdivision does not preempt or otherwise change the powers and duties of any city
or county eligible for a local public health grant under section
(c) This subdivision does not preempt the authority to operate a community health services
program of any city of the first or second class operating an existing program of community
health services located within a county with a population of 300,000 or more persons until the city
council takes action to allow the county to preempt the city's powers and duties.
Subd. 3. Medical consultant.
The community health board must appoint, employ, or
contract with a medical consultant to ensure appropriate medical advice and direction for the
board of health and assist the board and its staff in the coordination of community health services
with local medical care and other health services.
Subd. 4. Employees.
Persons employed by a county, city, or the state whose functions
and duties are assumed by a community health board shall become employees of the board
without loss in benefits, salaries, or rights. Failure to comply with this subdivision does not affect
eligibility under section
Subd. 5.[Repealed, 1Sp2003 c 14 art 8 s 32
Subd. 5a. Duties.
(a) Consistent with the guidelines and standards established under section
, and with input from the community, the community health board shall:
(1) establish local public health priorities based on an assessment of community health
needs and assets; and
(2) determine the mechanisms by which the community health board will address the
local public health priorities established under clause (1) and achieve the statewide outcomes
established under sections
145A.12, subdivision 7
, within the limits of available
funding. In determining the mechanisms to address local public health priorities and achieve
statewide outcomes, the community health board shall seek public input or consider the
recommendations of the community health advisory committee and the following essential public
(i) monitor health status to identify community health problems;
(ii) diagnose and investigate problems and health hazards in the community;
(iii) inform, educate, and empower people about health issues;
(iv) mobilize community partnerships to identify and solve health problems;
(v) develop policies and plans that support individual and community health efforts;
(vi) enforce laws and regulations that protect health and ensure safety;
(vii) link people to needed personal health care services;
(viii) ensure a competent public health and personal health care workforce;
(ix) evaluate effectiveness, accessibility, and quality of personal and population-based
health services; and
(x) research for new insights and innovative solutions to health problems.
(b) By February 1, 2005, and every five years thereafter, each community health board that
receives a local public health grant under section
shall notify the commissioner in
writing of the statewide outcomes established under sections
, that the board will address and the local priorities established under paragraph (a) that the
board will address.
(c) Each community health board receiving a local public health grant under section
must submit an annual report to the commissioner documenting progress toward the
achievement of statewide outcomes established under sections
, and the local public health priorities established under paragraph (a), using reporting standards
and procedures established by the commissioner and in compliance with all applicable federal
requirements. If a community health board has identified additional local priorities for use of the
local public health grant since the last notification of outcomes and priorities under paragraph
(b), the community health board shall notify the commissioner of the additional local public
health priorities in the annual report.
Subd. 6.[Repealed, 1Sp2003 c 14 art 8 s 32
Subd. 7. Equal access to services.
The community health board must ensure that community
health services are accessible to all persons on the basis of need. No one shall be denied
services because of race, color, sex, age, language, religion, nationality, inability to pay, political
persuasion, or place of residence.
Subd. 8.[Repealed, 1Sp2003 c 14 art 8 s 32
Subd. 9. Recommended legislation.
The community health board may recommend local
ordinances pertaining to community health services to any county board or city council within
its jurisdiction and advise the commissioner on matters relating to public health that require
assistance from the state, or that may be of more than local interest.
Subd. 10. State and local advisory committees.
(a) A State Community Health Advisory
Committee is established to advise, consult with, and make recommendations to the commissioner
on the development, maintenance, funding, and evaluation of community health services. Each
community health board may appoint a member to serve on the committee. The committee
must meet at least quarterly, and special meetings may be called by the committee chair or a
majority of the members. Members or their alternates may be reimbursed for travel and other
necessary expenses while engaged in their official duties. Notwithstanding section
State Community Health Advisory Committee does not expire.
(b) The city councils or county boards that have established or are members of a community
health board may appoint a community health advisory committee to advise, consult with, and
make recommendations to the community health board on the duties under subdivision 5a.
History: 1987 c 309 s 10; 2001 c 161 s 25; 1Sp2003 c 14 art 7 s 46; art 8 s 19-21,31