Bill Text: MN HF1962 | 2013-2014 | 88th Legislature | Introduced


Bill Title: Optometrist licensing provisions changed.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Introduced - Dead) 2014-02-25 - Introduction and first reading, referred to Health and Human Services Policy [HF1962 Detail]

Download: Minnesota-2013-HF1962-Introduced.html

1.1A bill for an act
1.2relating to health occupations; changing provisions for licensing of optometrists;
1.3amending Minnesota Statutes 2012, sections 148.52; 148.54; 148.57; 148.574;
1.4148.575; 148.577; 148.59; 148.603; proposing coding for new law in Minnesota
1.5Statutes, chapter 148; repealing Minnesota Statutes 2012, sections 148.571;
1.6148.572; 148.573, subdivision 1; 148.576, subdivisions 1, 2; 151.37, subdivision
1.711.
1.8BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.9    Section 1. Minnesota Statutes 2012, section 148.52, is amended to read:
1.10148.52 BOARD OF OPTOMETRY.
1.11The Board of Optometry shall consist of two public members as defined by section
1.12214.02 and five qualified Minnesota licensed optometrists appointed by the governor.
1.13Membership terms, compensation of members, removal of members, the filling of
1.14membership vacancies, and fiscal year and reporting requirements shall be as provided in
1.15sections 214.07 to 214.09.
1.16The provision of staff, administrative services and office space; the review and
1.17processing of complaints; the setting of board fees; and other provisions relating to board
1.18operations shall be as provided in chapter 214.

1.19    Sec. 2. Minnesota Statutes 2012, section 148.54, is amended to read:
1.20148.54 BOARD; SEAL.
1.21The Board of Optometry shall elect from among its members a president, vice
1.22president, and secretary and may adopt a seal.

2.1    Sec. 3. Minnesota Statutes 2012, section 148.57, is amended to read:
2.2148.57 LICENSE.
2.3    Subdivision 1. Examination. (a) A person not authorized to practice optometry in
2.4the state and desiring to do so shall apply to the state Board of Optometry by filling out
2.5and swearing to an application for a license granted by the board and accompanied by a
2.6fee in an amount of $87. With the submission of the application form, the candidate shall
2.7prove that the candidate:
2.8(1) is of good moral character;
2.9(2) has obtained a clinical doctorate degree from a board-approved school or college
2.10of optometry, or is currently enrolled in the final year of study at such an institution; and
2.11(3) has passed all parts of an examination.
2.12(b) The examination shall include both a written portion and a clinical practical
2.13portion and shall thoroughly test the fitness of the candidate to practice in this state. In
2.14regard to the written and clinical practical examinations, the board may:
2.15(1) prepare, administer, and grade the examination itself;
2.16(2) recognize and approve in whole or in part an examination prepared, administered
2.17and graded by a national board of examiners in optometry; or
2.18(3) administer a recognized and approved examination prepared and graded by or
2.19under the direction of a national board of examiners in optometry.
2.20(c) The board shall issue a license to each applicant who satisfactorily passes the
2.21examinations and fulfills the other requirements stated in this section and section 148.575
2.22
for board certification for the use of legend drugs. Applicants for initial licensure do not
2.23need to apply for or possess a certificate as referred to in sections 148.571 to 148.574. The
2.24fees mentioned in this section are for the use of the board and in no case shall be refunded.
2.25    Subd. 2. Endorsement. (a) An optometrist who holds a current license from another
2.26state, and who has practiced in that state not less than three years immediately preceding
2.27application, may apply for licensure in Minnesota by filling out and swearing to an
2.28application for license by endorsement furnished by the board. The completed application
2.29with all required documentation shall be filed at the board office along with a fee of $87.
2.30The application fee shall be for the use of the board and in no case shall be refunded.
2.31(b) To verify that the applicant possesses the knowledge and ability essential to the
2.32practice of optometry in this state, the applicant must provide evidence of:
2.33(1) having obtained a clinical doctorate degree from a board-approved school
2.34or college of optometry;
3.1(2) successful completion of both written and practical examinations for licensure in
3.2the applicant's original state of licensure that thoroughly tested the fitness of the applicant
3.3to practice;
3.4(3) successful completion of an examination of Minnesota state optometry laws;
3.5(4) compliance with the requirements for board certification in section 148.575;
3.6(5) compliance with all continuing education required for license renewal in every
3.7state in which the applicant currently holds an active license to practice; and
3.8(6) being in good standing with every state board from which a license has been
3.9issued.
3.10(c) Documentation from a national certification system or program, approved by
3.11the board, which supports any of the listed requirements, may be used as evidence. The
3.12applicant may then be issued a license if the requirements for licensure in the other state
3.13are deemed by the board to be equivalent to those of sections 148.52 to 148.62.
3.14    Subd. 3. Revocation, suspension. The board may revoke the license or suspend
3.15or restrict the right to practice of any person who has been convicted of any violation of
3.16sections 148.52 to 148.62 or of any other criminal offense, or who violates any provision
3.17of sections 148.571 to 148.576 or who is found by the board to be incompetent or guilty
3.18of unprofessional conduct. "Unprofessional conduct" means any conduct of a character
3.19likely to deceive or defraud the public, including, among other things, free examination
3.20advertising, the loaning of a license by any licensed optometrist to any person; the
3.21employment of "cappers" or "steerers" to obtain business; splitting or dividing a fee with
3.22any person; the obtaining of any fee or compensation by fraud or misrepresentation;
3.23employing directly or indirectly any suspended or unlicensed optometrist to perform any
3.24work covered by sections 148.52 to 148.62; the advertising by any means of optometric
3.25practice or treatment or advice in which untruthful, improbable, misleading, or impossible
3.26statements are made. After one year, upon application and proof that the disqualification
3.27has ceased, the board may reinstate such person.
3.28    Subd. 4. Peddling or canvassing forbidden. Every licensed optometrist who
3.29shall temporarily practice optometry outside or away from the regular registered place
3.30of business shall display the license and deliver to each customer or person there
3.31fitted or supplied with glasses a receipt or record which shall contain the signature,
3.32permanent registered place of business or post office address, and number of license of
3.33the optometrist, together with the amount charged therefor, but nothing contained in this
3.34section shall be construed as to permit peddling or canvassing by licensed optometrists.

4.1    Sec. 4. Minnesota Statutes 2012, section 148.574, is amended to read:
4.2148.574 PROHIBITIONS RELATING TO LEGEND DRUGS;
4.3AUTHORIZING SALES BY PHARMACISTS UNDER CERTAIN CONDITIONS.
4.4    An optometrist shall not purchase, possess, administer, prescribe or give any legend
4.5drug as defined in section 151.01 or 152.02 to any person except as is expressly authorized
4.6by sections 148.571 to 148.577. Nothing in chapter 151 shall prevent a pharmacist from
4.7selling topical ocular drugs to an optometrist authorized to use such drugs according to
4.8sections 148.571 to 148.577. Notwithstanding sections 151.37 and 152.12, an optometrist
4.9is prohibited from dispensing legend drugs at retail, unless the legend drug is within the
4.10scope designated in section 148.56, subdivision 1, and is administered to the eye through
4.11an ophthalmic good as defined in section 145.711, subdivision 4.

4.12    Sec. 5. Minnesota Statutes 2012, section 148.575, is amended to read:
4.13148.575 CERTIFICATE REQUIRED REQUIREMENT FOR USE OF
4.14TOPICAL LEGEND DRUGS.
4.15    Subdivision 1. Certificate required for use of legend drugs. A licensed optometrist
4.16must be board certified to use legend drugs for therapy under section 148.576.
4.17    Subd. 2. Board certified Requirements defined. "Board certified" means that A
4.18licensed optometrist has been issued a certificate by the Board of Optometry certifying
4.19that the optometrist has complied shall comply with the following requirements for the use
4.20of legend drugs described in section 148.576:
4.21(1) successful completion of at least 60 hours of study in general and ocular
4.22pharmacology emphasizing drugs used for examination or treatment purposes, their
4.23systemic effects and management or referral of adverse reactions;
4.24(2) (1) successful completion of at least 100 hours of study in the examination,
4.25diagnosis, and treatment of conditions of the human eye with legend drugs;
4.26(3) (2) successful completion of two years of supervised clinical experience in
4.27differential diagnosis of eye disease or disorders as part of optometric training or one year
4.28of that experience and ten years of actual clinical experience as a licensed optometrist; and
4.29(4) (3) successful completion of a nationally standardized examination approved or
4.30administered by the board on the subject of treatment and management of ocular disease.
4.31    Subd. 3. Display of certificate required. A certificate issued under this section
4.32to a licensed optometrist by the Board of Optometry supersedes any previously issued
4.33certificate limited to topical ocular drugs described in sections 148.571 to 148.574 and
4.34must be displayed in a prominent place in the licensed optometrist's office.
5.1    Subd. 4. Accreditation of courses. The Board of Optometry may approve courses
5.2of study in general or ocular pharmacology and examination, diagnosis, and treatment
5.3of conditions of the human eye only if they are taught by an institution that meets the
5.4following criteria:
5.5(1) the institution has facilities for both didactic and clinical instruction in
5.6pharmacology and ocular disease treatment;
5.7(2) the institution certifies to the Board of Optometry that the course of instruction is
5.8comparable in content to courses of instruction required by other health-related licensing
5.9boards whose license holders or registrants are permitted to administer pharmaceutical
5.10agents in their professional practice for either diagnostic or therapeutic purposes or
5.11both; and
5.12(3) the institution is accredited by a regional or professional accrediting organization
5.13recognized by the Council for Higher Education Accreditation or its successor agency.
5.14    Subd. 5. Notice to Board of Pharmacy. The Board of Optometry shall notify the
5.15Board of Pharmacy of each licensed optometrist who meets the certification requirements
5.16in this section.
5.17    Subd. 6. Board certification required. Optometrists who were licensed in this state
5.18prior to August 1, 2007, must have met the board certification requirements under this
5.19section by August 1, 2012, in order to renew their license.

5.20    Sec. 6. Minnesota Statutes 2012, section 148.577, is amended to read:
5.21148.577 STANDARD OF CARE.
5.22A licensed optometrist who is board certified under section 148.575 is held to the
5.23same standard of care in the use of those legend drugs as physicians licensed by the state
5.24of Minnesota.

5.25    Sec. 7. Minnesota Statutes 2012, section 148.59, is amended to read:
5.26148.59 LICENSE RENEWAL; FEE LICENSE AND REGISTRATION FEES.
5.27A licensed optometrist shall pay to the state Board of Optometry a fee as set by the
5.28board in order to renew a license as provided by board rule.
5.29Listed fees may not exceed the following amounts but may be adjusted lower per
5.30board direction and are for the exclusive use of the board. No fees shall be refunded.
5.31(1) Optometry licensure application, $160.
5.32(2) Optometry annual licensure renewal, $135.
5.33(3) Optometry late penalty fee, $75.
5.34(4) Annual license renewal card, $10.
6.1(5) CE provider application, $45.
6.2(6) Emeritus registration, $10.
6.3(7) Endorsement/reciprocity application, $160.
6.4(8) Replacement of initial license, $12.
6.5(9) License verification, $50.

6.6    Sec. 8. Minnesota Statutes 2012, section 148.603, is amended to read:
6.7148.603 FORMS OF GROUNDS FOR DISCIPLINARY ACTIONS ACTION.
6.8    Subdivision 1. Grounds listed. When grounds exist under section 148.57,
6.9subdivision 3
, or other statute or rule which the board is authorized to enforce, the board
6.10may take one or more of the following disciplinary actions, provided that disciplinary or
6.11corrective action may not be imposed by the board on any regulated person except after a
6.12contested case hearing conducted pursuant to chapter 14 or by consent of the parties:
6.13(1) deny an application for a credential;
6.14(2) revoke the regulated person's credential;
6.15(3) suspend the regulated person's credential;
6.16(4) impose limitations on the regulated person's credential;
6.17(5) impose conditions on the regulated person's credential;
6.18(6) censure or reprimand the regulated person;
6.19(7) impose a civil penalty not exceeding $10,000 for each separate violation, the
6.20amount of the civil penalty to be fixed so as to deprive the person of any economic
6.21advantage gained by reason of the violation or to discourage similar violations or to
6.22reimburse the board for the cost of the investigation and proceeding. For purposes of
6.23this section, the cost of the investigation and proceeding may include, but is not limited
6.24to, fees paid for services provided by the Office of Administrative Hearings, legal and
6.25investigative services provided by the Office of the Attorney General, court reporters,
6.26witnesses, reproduction of records, board members' per diem compensation, board staff
6.27time, and travel costs and expenses incurred by board staff and board members; or
6.28(8) when grounds exist under section 148.57, subdivision 3, or a board rule, enter
6.29into an agreement with the regulated person for corrective action which may include
6.30requiring the regulated person:
6.31(i) to complete an educational course or activity;
6.32(ii) to submit to the executive director or designated board member a written
6.33protocol or reports designed to prevent future violations of the same kind;
6.34(iii) to meet with a board member or board designee to discuss prevention of future
6.35violations of the same kind; or
7.1(iv) to perform other action justified by the facts.
7.2Listing the measures in clause (8) does not preclude the board from including
7.3them in an order for disciplinary action. The board may refuse to grant a license or
7.4may impose disciplinary action as described in section 148.607 against any optometrist
7.5for the following:
7.6(1) failure to demonstrate the qualifications or satisfy the requirements for a license
7.7contained in this chapter or rules of the board. The burden of proof shall be upon the
7.8applicant to demonstrate such qualifications or satisfaction of such requirements;
7.9(2) obtaining a license by fraud or cheating, or attempting to subvert the licensing
7.10examination process. Conduct which subverts or attempts to subvert the licensing
7.11examination process includes, but is not limited to: (i) conduct which violates the
7.12security of the examination materials, such as removing examination materials from the
7.13examination room or having unauthorized possession of any portion of a future, current, or
7.14previously administered licensing examination; (ii) conduct which violates the standard of
7.15test administration, such as communicating with another examinee during administration
7.16of the examination, copying another examinee's answers, permitting another examinee
7.17to copy one's answers, or possessing unauthorized materials; or (iii) impersonating an
7.18examinee or permitting an impersonator to take the examination on one's own behalf;
7.19(3) conviction, during the previous five years, of a felony or gross misdemeanor.
7.20Conviction as used in this subdivision shall include a conviction of an offense which if
7.21committed in this state would be deemed a felony or gross misdemeanor without regard to
7.22its designation elsewhere, or a criminal proceeding where a finding or verdict of guilt is
7.23made or returned but the adjudication of guilt is either withheld or not entered thereon;
7.24(4) revocation, suspension, restriction, limitation, or other disciplinary action against
7.25the person's optometry license in another state or jurisdiction, failure to report to the
7.26board that charges regarding the person's license have been brought in another state or
7.27jurisdiction, or having been refused a license by any other state or jurisdiction;
7.28(5) advertising which is false or misleading, which violates any rule of the board,
7.29or which claims without substantiation the positive cure of any disease, or professional
7.30superiority to or greater skill than that possessed by another optometrist;
7.31(6) violating a rule promulgated by the board or an order of the board, a state or
7.32federal law, which relates to the practice of optometry, or a state or federal narcotics or
7.33controlled substance law;
7.34(7) engaging in any unethical conduct; conduct likely to deceive, defraud, or harm
7.35the public, or demonstrating a willful or careless disregard for the health, welfare, or safety
7.36of a patient; or practice of optometry which is professionally incompetent, in that it may
8.1create unnecessary danger to any patient's life, health, or safety, in any of which cases,
8.2proof of actual injury need not be established;
8.3(8) failure to supervise an optometrist's assistant or failure to supervise an
8.4optometrist under any agreement with the board;
8.5(9) aiding or abetting an unlicensed person in the practice of optometry, except that
8.6it is not a violation of this paragraph for an optometrist to employ, supervise, or delegate
8.7functions to a qualified person who may or may not be required to obtain a license or
8.8registration to provide health services if that person is practicing within the scope of that
8.9person's license or registration or delegated authority;
8.10(10) adjudication as mentally incompetent, mentally ill, or developmentally
8.11disabled, or as a chemically dependent person, a person dangerous to the public, a sexually
8.12dangerous person, or a person who has a sexual psychopathic personality by a court of
8.13competent jurisdiction, within or without this state. Such adjudication shall automatically
8.14suspend a license for the duration thereof unless the board orders otherwise;
8.15(11) engaging in unprofessional conduct which includes any departure from or the
8.16failure to conform to the minimal standards of acceptable and prevailing practice in which
8.17proceeding actual injury to a patient need not be established;
8.18(12) inability to practice optometry with reasonable skill and safety to patients
8.19by reason of illness, use of alcohol, drugs, narcotics, chemicals, or any other type of
8.20material or as a result of any mental or physical condition, including deterioration through
8.21the aging process or loss of motor skills;
8.22(13) revealing a privileged communication from or relating to a patient except when
8.23otherwise required or permitted by law;
8.24(14) improper management of medical records, including failure to maintain
8.25adequate medical records, to comply with a patient's request made pursuant to sections
8.26144.291 to 144.298 or to furnish a medical record or report required by law;
8.27(15) fee splitting, including without limitation:
8.28(i) paying, offering to pay, receiving, or agreeing to receive a commission, rebate, or
8.29remuneration, directly or indirectly, primarily for the referral of patients or the prescription
8.30of drugs or devices; and
8.31(ii) dividing fees with another optometrist, other health care provider, or a
8.32professional corporation, unless the division is in proportion to the services provided
8.33and the responsibility assumed by each professional and the optometrist has disclosed
8.34the terms of the division;
8.35(16) engaging in abusive or fraudulent billing practices, including violations of the
8.36federal Medicare and Medicaid laws or state medical assistance laws;
9.1(17) becoming addicted or habituated to a drug or intoxicant;
9.2(18) prescribing a drug or device for other than accepted therapeutic or experimental
9.3or investigative purposes authorized by the state or a federal agency;
9.4(19) engaging in conduct with a patient which is sexual or may reasonably be
9.5interpreted by the patient as sexual, or in any verbal behavior which is seductive or
9.6sexually demeaning to a patient;
9.7(20) failure to make reports as required by section 148.604 or to cooperate with an
9.8investigation of the board as required by section 148.606;
9.9(21) knowingly providing false or misleading information that is directly related
9.10to the care of that patient unless done for an accepted therapeutic purpose such as the
9.11administration of a placebo; and
9.12(22) practice of a board-regulated profession under lapsed or nonrenewed credentials.
9.13    Subd. 2. Conviction of a felony-level criminal sexual conduct offense. (a) The
9.14board may not grant a license to practice optometry to any person who has been convicted
9.15of a felony-level criminal sexual conduct offense.
9.16(b) A license to practice optometry is automatically revoked if the licensee is
9.17convicted of a felony-level criminal sexual conduct offense.
9.18(c) A license that has been denied or revoked pursuant to this subdivision is not
9.19subject to chapter 364.
9.20(d) For purposes of this subdivision, "conviction" means a plea of guilty, a verdict of
9.21guilty by a jury, or a finding of guilty by the court, and "criminal sexual conduct offense"
9.22means a violation of sections 609.342 to 609.345 or a similar statute in another jurisdiction.
9.23    Subd. 3. Automatic suspension. (a) A license to practice optometry is
9.24automatically suspended if (1) a guardian of a licensee is appointed by order of a court
9.25pursuant to sections 524.5-101 to 524.5-502, for reasons other than the minority of the
9.26licensee; or (2) the licensee is committed by order of a court pursuant to chapter 253B.
9.27The license remains suspended until the licensee is restored to capacity by a court and,
9.28upon petition by the licensee, the suspension is terminated by the board after a hearing.
9.29(b) Upon notice to the board of a judgment of, or a plea of guilty to, a felony
9.30reasonably related to the practice of optometry, the license of the regulated person shall be
9.31automatically suspended by the board. The license shall remain suspended until, upon
9.32petition by the regulated person and after a hearing, the suspension is terminated by the
9.33board. The board shall indefinitely suspend or revoke the credentials of the regulated
9.34person if, after a hearing, the board finds that the felonious conduct would cause a serious
9.35risk of harm to the public.
10.1(c) For licenses that have been suspended or revoked pursuant to paragraphs (a) and
10.2(b), the regulated person may be reinstated to practice, either with or without restrictions,
10.3by demonstrating clear and convincing evidence of rehabilitation, as provided in section
10.4364.03. If the regulated person's conviction is subsequently overturned by court decision,
10.5the board shall conduct a hearing to review the suspension within 30 days after receipt
10.6of the court decision. The regulated person is not required to prove rehabilitation if the
10.7subsequent court decisions overturns previous court findings of public risk.
10.8(d) The board may, upon majority vote of a quorum of its members, suspend the
10.9license of a regulated person without a hearing if the regulated person fails to maintain a
10.10current name and address with the board, as described in paragraph (e), while the regulated
10.11person is: (1) under board investigation, and a notice of conference has been issued by the
10.12board; (2) party to a contested case with the board; (3) party to an agreement for corrective
10.13action with the board; or (4) under a board order for disciplinary action. The suspension
10.14shall remain in effect until lifted by the board pursuant to the board's receipt of a petition
10.15from the regulated person, along with the regulated person's current name and address.
10.16(e) A person regulated by the board shall maintain a current name and address with
10.17the board and shall notify the board in writing within 30 days of any change in name or
10.18address. If a name change only is requested, the regulated person must request revised
10.19credentials and return the current credentials to the board. The board may require the
10.20regulated person to substantiate the name change by submitting official documentation
10.21from a court of law or agency authorized under law to receive and officially record a
10.22name change. If an address change only is requested, no request for revised credentials is
10.23required. If the regulated person's current credentials have been lost, stolen, or destroyed,
10.24the person shall provide a written explanation to the board.
10.25    Subd. 4. Effective dates. A suspension, revocation, condition, limitation,
10.26qualification, or restriction of a license or registration shall be in effect pending
10.27determination of an appeal unless the court, upon petition and for good cause shown, shall
10.28otherwise order. A revocation of a license pursuant to subdivision 3 is not appealable and
10.29shall remain in effect indefinitely.
10.30    Subd. 5. Conditions on reissued license. In its discretion, the board may restore
10.31and reissue a license to practice optometry, but as a condition thereof may impose any
10.32disciplinary or corrective measure which it might originally have imposed.
10.33    Subd. 6. Temporary suspension of license. In addition to any other remedy
10.34provided by law, the board may, without a hearing, temporarily suspend the license of an
10.35optometrist if the board finds that the optometrist has violated a statute or rule which the
10.36board is empowered to enforce and continued practice by the optometrist would create a
11.1serious risk of harm to the public. The suspension shall take effect upon written notice to
11.2the optometrist, specifying the statute or rule violated. The suspension shall remain in
11.3effect until the board issues a final order in the matter after a hearing. At the time it issues
11.4the suspension notice, the board shall schedule a disciplinary hearing to be held according
11.5to sections 14.57 to 14.62. The optometrist shall be provided with at least 20 days' notice
11.6of any hearing held pursuant to this subdivision. The hearing shall be scheduled to begin
11.7no later than 90 days after the issuance of the suspension order.
11.8    Subd. 7. Evidence. In disciplinary actions alleging a violation of subdivision 1,
11.9paragraph (c) or (d), a copy of the judgment or proceeding under the seal of the court
11.10administrator or of the administrative agency which entered the same shall be admissible
11.11into evidence without further authentication and shall constitute prima facie evidence
11.12of the contents thereof.
11.13    Subd. 8. Mental examination; access to medical data. (a) If the board has
11.14probable cause to believe that a regulated person comes under subdivision 1, paragraph
11.15(j), (l), or (q), it may direct the person to submit to a mental or physical examination. For
11.16the purpose of this subdivision, every regulated person is deemed to have consented to
11.17submit to a mental or physical examination when directed in writing by the board and
11.18further to have waived all objections to the admissibility of the examining optometrists'
11.19testimony or examination reports on the grounds that the same constitute a privileged
11.20communication. Failure of a regulated person to submit to an examination when directed
11.21constitutes an admission of the allegations against the person, unless the failure was due to
11.22circumstances beyond the person's control, in which case a default and final order may be
11.23entered without the taking of testimony or presentation of evidence. A regulated person
11.24affected under this paragraph shall at reasonable intervals be given an opportunity to
11.25demonstrate that the person can resume the competent practice of the regulated profession
11.26with reasonable skill and safety to the public.
11.27In any proceeding under this paragraph, neither the record of proceedings nor the
11.28orders entered by the board shall be used against a regulated person in any other proceeding.
11.29(b) In addition to ordering a physical or mental examination, the board may,
11.30notwithstanding section 13.384, 144.651, or any other law limiting access to medical or
11.31other health data, obtain medical data and health records relating to a regulated person
11.32or applicant without the person's or applicant's consent if the board has probable cause
11.33to believe that a regulated person comes under subdivision 1, paragraph (j), (l), or (q).
11.34The medical data may be requested from a provider, as defined in section 144.291,
11.35subdivision 2, paragraph (h), an insurance company, or a government agency, including
11.36the Department of Human Services. A provider, insurance company, or government
12.1agency shall comply with any written request of the board under this subdivision and is not
12.2liable in any action for damages for releasing the data requested by the board if the data
12.3are released pursuant to a written request under this subdivision, unless the information
12.4is false and the provider giving the information knew, or had reason to believe, the
12.5information was false. Information obtained under this subdivision is classified as private
12.6data under sections 13.01 to 13.87.

12.7    Sec. 9. [148.604] REPORTING OBLIGATIONS.
12.8    Subdivision 1. Permission to report. A person who has knowledge of any conduct
12.9constituting grounds for discipline under sections 148.52 to 148.62 may report the
12.10violation to the board.
12.11    Subd. 2. Institutions. Any hospital, clinic, prepaid medical plan, or other health
12.12care institution or organization located in this state shall report to the board any action
12.13taken by the institution or organization or any of its administrators or medical or other
12.14committees to revoke, suspend, restrict, or condition an optometrist's privilege to practice
12.15or treat patients in the institution, or as part of the organization, any denial of privileges,
12.16or any other disciplinary action. The institution or organization shall also report the
12.17resignation of any optometrist prior to the conclusion of any disciplinary proceeding, or
12.18prior to the commencement of formal charges but after the optometrist had knowledge
12.19that formal charges were contemplated or in preparation. Each report made under this
12.20subdivision must state the nature of the action taken, state in detail the reasons for the
12.21action, and identify the specific patient medical records upon which the action was based.
12.22No report shall be required of an optometrist voluntarily limiting the practice of the
12.23optometrist at a hospital provided that the optometrist notifies all hospitals at which the
12.24optometrist has privileges of the voluntary limitation and the reasons for it.
12.25    Subd. 3. Licensed professionals. A licensed health professional shall report
12.26to the board personal knowledge of any conduct which the person reasonably believes
12.27constitutes grounds for disciplinary action under sections 148.52 to 148.62 by any
12.28optometrist, including any conduct indicating that the person may be incompetent, may
12.29have engaged in unprofessional conduct, or may be physically unable to engage safely in
12.30the practice of optometry.
12.31    Subd. 4. Self-reporting. An optometrist shall report to the board any personal
12.32action which would require that a report be filed with the board by any person, health care
12.33facility, business, or organization pursuant to subdivisions 2 and 3.
12.34    Subd. 5. Deadlines; forms. Reports required by subdivisions 2 to 4 must be
12.35submitted not later than 30 days after the occurrence of the reportable event or transaction.
13.1The board may provide forms for the submission of reports required by this section, may
13.2require that reports be submitted on the forms provided, and may adopt rules necessary
13.3to ensure prompt and accurate reporting.
13.4    Subd. 6. Subpoenas. The board may issue subpoenas for the production of any
13.5reports required by subdivisions 2 to 4 or any related documents.

13.6    Sec. 10. [148.605] IMMUNITY.
13.7    Subdivision 1. Reporting. Any person, health care facility, business, or organization
13.8is immune from civil liability or criminal prosecution for submitting a report to the board
13.9pursuant to section 148.604 or for otherwise reporting to the board violations or alleged
13.10violations of section 148.603. All such reports are confidential and absolutely privileged
13.11communications.
13.12    Subd. 2. Investigation; indemnification. (a) Members of the board, persons
13.13employed by the board, consultants retained by the board for the purpose of investigation
13.14of violations, the preparation of charges, and management of board orders on behalf
13.15of the board, are immune from civil liability and criminal prosecution for any actions,
13.16transactions, or publications in the execution of, or relating to, their duties under sections
13.17148.52 to 148.62.
13.18(b) Members of the board and persons employed by the board or engaged in
13.19maintaining records and making reports regarding adverse health care events are immune
13.20from civil liability and criminal prosecution for any actions, transactions, or publications
13.21in the execution of, or relating to, their duties under sections 148.52 to 148.62.
13.22(c) For purposes of this section, a member of the board or a consultant described in
13.23paragraph (a) is considered a state employee under section 3.736, subdivision 9.

13.24    Sec. 11. [148.606] OPTOMETRIST COOPERATION.
13.25An optometrist who is the subject of an investigation by or on behalf of the board
13.26shall cooperate fully with the investigation. Cooperation includes responding fully and
13.27promptly to any question raised by or on behalf of the board relating to the subject of the
13.28investigation and providing copies of patient medical records, as reasonably requested
13.29by the board, to assist the board in its investigation. If the board does not have written
13.30consent from a patient permitting access to the patient's records, the optometrist shall
13.31delete any data in the record which identifies the patient before providing it to the board.
13.32The board shall maintain any records obtained pursuant to this section as investigative
13.33data pursuant to chapter 13.

14.1    Sec. 12. [148.607] DISCIPLINARY ACTIONS.
14.2When the board finds that a licensed optometrist or an optometrist registered under
14.3section 148.57 has violated a provision or provisions of sections 148.52 to 148.62, it may
14.4do one or more of the following:
14.5(1) revoke the license;
14.6(2) suspend the license;
14.7(3) impose limitations or conditions on the optometrist's practice of optometry,
14.8including the limitation of scope of practice to designated field specialties; the imposition
14.9of retraining or rehabilitation requirements; the requirement of practice under supervision;
14.10or the conditioning of continued practice on demonstration of knowledge or skills by
14.11appropriate examination or other review of skill and competence;
14.12(4) impose a civil penalty not exceeding $10,000 for each separate violation, the
14.13amount of the civil penalty to be fixed so as to deprive the optometrist of any economic
14.14advantage gained by reason of the violation charged or to reimburse the board for the cost
14.15of the investigation and proceeding; and
14.16(5) censure or reprimand the licensed optometrist.

14.17    Sec. 13. REPEALER.
14.18Minnesota Statutes 2012, sections 148.571; 148.572; 148.573, subdivision 1;
14.19148.576, subdivisions 1 and 2; and 151.37, subdivision 11, are repealed.
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