Bill Text: MN SF1105 | 2011-2012 | 87th Legislature | Introduced

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Bill Title: Alcohol and drug counselors licensure requirements establishment

Sponsorship: Bipartisan Bill

Status: (Introduced - Dead) 2011-04-07 - Referred to Health and Human Services [SF1105 Detail]

Download: Minnesota-2011-SF1105-Introduced.html

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A bill for an act

relating to health professions; modifying licensure requirements for alcohol and
drug counselors; proposing coding for new law as Minnesota Statutes, chapter
148F; repealing Minnesota Statutes 2010, sections 148C.01, subdivisions 1, 1a,
2, 2a, 2b, 2c, 2d, 2e, 2f, 2g, 4, 4a, 5, 7, 9, 10, 11, 11a, 12, 12a, 13, 14, 15, 16,
17, 18; 148C.015; 148C.03, subdivisions 1, 4; 148C.0351, subdivisions 1, 3, 4;
148C.0355; 148C.04, subdivisions 1, 2, 3, 4, 5a, 6, 7; 148C.044; 148C.045;
148C.05; 148C.055; 148C.07; 148C.075; 148C.08; 148C.09, subdivisions 1,
1a, 2, 4; 148C.091; 148C.093; 148C.095; 148C.099; 148C.10, subdivisions
1, 2, 3; 148C.11; 148C.12, subdivisions 1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12, 13,
14, 15; Minnesota Rules, parts 4747.0010; 4747.0020; 4747.0030; 4747.0040;
4747.0050; 4747.0060; 4747.0070, subparts 1, 2, 3, 6; 4747.0200; 4747.0400,
subpart 1; 4747.0700; 4747.0800; 4747.0900; 4747.1100, subparts 1, 2, 4, 5, 6,
7, 8, 9; 4747.1400; 4747.1500.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

    Section 1. [148F.001] SCOPE.
This chapter applies to all applicants and licensees, all persons who use the title
alcohol and drug counselor, and all persons in or out of this state who provide alcohol
and drug counseling services to clients who reside in this state unless there are specific
applicable exemptions provided by law.

    Sec. 2. [148F.010] DEFINITIONS.
    Subdivision 1. Scope. For purposes of this chapter, the terms in this section have
the meanings given.
    Subd. 2. Abuse. "Abuse" means a maladaptive pattern of substance use leading to
clinically significant impairment or distress, as manifested by one or more of the following
occurring at any time during the same 12-month period:
(1) recurrent substance use resulting in a failure to fulfill major role obligations at
work, school, or home;
(2) recurrent substance use in situations in which it is physically hazardous;
(3) recurrent substance-related legal problems; and
(4) continued substance use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the effects of the substance.
    Subd. 3. Accredited school or educational program. "Accredited school or
educational program" means a school of alcohol and drug counseling, university, college,
or other postsecondary education program that, at the time the student completes
the program, is accredited by a regional accrediting association whose standards are
substantially equivalent to those of the North Central Association of Colleges and
Postsecondary Education Institutions or an accrediting association that evaluates schools
of alcohol and drug counseling for inclusion of the education, practicum, and core function
standards in this chapter.
    Subd. 4. Alcohol and drug counseling practicum. "Alcohol and drug counseling
practicum" means formal experience gained by a student and supervised by a person either
licensed under this chapter or exempt under its provisions, as part of an accredited school
or educational program of alcohol and drug counseling.
    Subd. 5. Alcohol and drug counselor. "Alcohol and drug counselor" means a
person who holds a valid license issued under this chapter to engage in the practice of
alcohol and drug counseling.
    Subd. 6. Applicant. "Applicant" means a person seeking a license or temporary
permit under this chapter.
    Subd. 7. Board. "Board" means the Board of Behavioral Health and Therapy
established in section 148B.51.
    Subd. 8. Client. "Client" means an individual who is the recipient of any of the
alcohol and drug counseling services described in this section. Client also means "patient"
as defined in Minnesota Statutes, section 144.291, subdivision 2, paragraph (g).
    Subd. 9. Competence. "Competence" means the ability to provide services within
the practice of alcohol and drug counseling as defined in subdivision 18, that:
(1) are rendered with reasonable skill and safety;
(2) meet minimum standards of acceptable and prevailing practice as described
in section 148F.120; and
(3) take into account human diversity.
    Subd. 10. Core functions. "Core functions" means the following services provided
in alcohol and drug treatment:
(1) "screening" means the process by which a client is determined appropriate and
eligible for admission to a particular program;(2) "intake" means the administrative and initial assessment procedures for
admission to a program;
(3) "orientation" means describing to the client the general nature and goals of the
program; rules governing client conduct and infractions that can lead to disciplinary
action or discharge from the program; in a nonresidential program, the hours during which
services are available; treatment costs to be borne by the client, if any; and client's rights;
(4) "assessment" means those procedures by which a counselor identifies and
evaluates an individual's strengths, weaknesses, problems, and needs to develop a
treatment plan or make recommendations for level of care placement;
(5) "treatment planning" means the process by which the counselor and the client
identify and rank problems needing resolution; establish agreed upon immediate and
long-term goals; and decide on a treatment process and the sources to be utilized;
(6) "counseling" means the utilization of special skills to assist individuals, families,
or groups in achieving objectives through exploration of a problem and its ramifications;
examination of attitudes and feelings; consideration of alternative solutions; and decision
making ;
(7) "case management" means activities that bring services, agencies, resources,
or people together within a planned framework of action toward the achievement of
established goals;
(8) "crisis intervention" means those services which respond to an alcohol or other
drug user's needs during acute emotional or physical distress;
(9) "client education" means the provision of information to clients who are
receiving or seeking counseling concerning alcohol and other drug abuse and the available
services and resources;
(10) "referral" means identifying the needs of the client which cannot be met by the
counselor or agency and assisting the client to utilize the support systems and available
community resources;
(11) "reports and record keeping" means charting the results of the assessment
and treatment plan and writing reports, progress notes, discharge summaries, and other
client-related data;
and(12) "consultation with other professionals regarding client treatment and services"
means communicating with other professionals in regard to client treatment and services
to assure comprehensive, quality care for the client.
    Subd. 11. Credential. "Credential" means a license, permit, certification,
registration, or other evidence of qualification or authorization to engage in the practice of
an occupation in any state or jurisdiction.
    Subd. 12. Dependent on the provider. "Dependent on the provider" means that the
nature of a former client's emotional or cognitive condition and the nature of the services
by the provider are such that the provider knows or should have known that the former
client is unable to withhold consent to sexually exploitative behavior by the provider.
    Subd. 13. Familial. "Familial" means of, involving, related to, or common to a
family member as defined in subdivision 14.
    Subd. 14. Family member or member of the family. "Family member" or
"member of the family" means a spouse, parent, offspring, sibling, grandparent,
grandchild, uncle, aunt, niece, or nephew, or an individual who serves in the role of one of
the foregoing.
    Subd. 15. Group clients. "Group clients" means two or more individuals who are
each a corecipient of alcohol and drug counseling services. Group clients may include,
but are not limited to, two or more family members, when each is the direct recipient of
services, or each client receiving group counseling services.
    Subd. 16. Human diversity. "Human diversity" means individual client differences
that are associated with the client's cultural group, including race, ethnicity, national
origin, religious affiliation, language, age, gender, gender identity, physical and mental
capabilities, sexual orientation, marital status, or socioeconomic status.
    Subd. 17. Informed consent. "Informed consent" means an agreement between
a provider and a client that authorizes the provider to engage in a professional activity
affecting the client. Informed consent requires:
(1) the provider to give the client sufficient information so the client is able to decide
knowingly whether to agree to the proposed professional activity;
(2) the provider to discuss the information in language that the client can reasonably
be expected to understand; and
(3) the client's consent to be given without undue influence by the provider.
    Subd. 18. Licensee. "Licensee" means a person who holds a valid license under
this chapter.
    Subd. 19. Practice of alcohol and drug counseling. "Practice of alcohol and
drug counseling" means the observation, description, evaluation, interpretation, and
modification of human behavior by the application of core functions as it relates to the
harmful or pathological use or abuse of alcohol or other drugs. The practice of alcohol
and drug counseling includes, but is not limited to, the following activities, regardless of
whether the counselor receives compensation for the activities:
(1) assisting clients who use alcohol or drugs, evaluating that use, and recognizing
dependency if it exists;
(2) assisting clients with alcohol or other drug problems to gain insight and
motivation aimed at resolving those problems;
(3) providing experienced professional guidance, assistance, and support for the
client's efforts to develop and maintain a responsible functional lifestyle;
(4) recognizing problems outside the scope of the counselor's training, skill, or
competence and referring the client to other appropriate professional services;
(5) diagnosing the level of alcohol or other drug use involvement to determine the
level of care;
(6) individual planning to prevent a return to harmful alcohol or chemical use;
(7) alcohol and other drug abuse education for clients;
(8) consultation with other professionals;
(9) gaining diversity awareness through ongoing training and education; and
(10) providing the above services, as needed, to family members or others who are
directly affected by someone using alcohol or other drugs.
    Subd. 20. Practice foundation. "Practice foundation" means that an alcohol and
drug counseling service or continuing education activity is based upon observations,
methods, procedures, or theories that are generally accepted by the professional
community in alcohol and drug counseling.
    Subd. 21. Private information. "Private information" means any information,
including, but not limited to, client records as defined in section 148F.150, test results,
or test interpretations developed during a professional relationship between a provider
and a client.
    Subd. 22. Provider. "Provider" means a licensee, a temporary permit holder, or an
applicant.
    Subd. 23. Public statement. "Public statement" means any statement,
communication, or representation, by a provider to the public regarding the provider or
the provider's professional services or products. Public statements include, but are not
limited to, advertising, representations in reports or letters, descriptions of credentials
and qualifications, brochures and other descriptions of services, directory listings,
personal resumes or curricula vitae, comments for use in the media, websites, grant and
credentialing applications, or product endorsements.
    Subd. 24. Report. "Report" means any written or oral professional communication,
including a letter, regarding a client or subject that includes one or more of the following:
historical data, behavioral observations, opinions, diagnostic or evaluative statements,
or recommendations. The testimony of a provider as an expert or fact witness in a
legal proceeding also constitutes a report. For purposes of this chapter, letters of
recommendation for academic or career purposes are not considered reports.
    Subd. 25. Significant risks and benefits. "Significant risks and benefits" means
those risks and benefits that are known or reasonably foreseeable by the provider,
including the possible range and likelihood of outcomes, and that are necessary for the
client to know in order to decide whether to give consent to proposed services or to
reasonable alternative services.
    Subd. 26. Student. "Student" means an individual who is enrolled in a program in
alcohol and drug counseling at an accredited educational institution, or who is taking an
alcohol and drug counseling course or practicum for credit.
    Subd. 27. Supervisee. "Supervisee" means an individual whose supervision is
required to obtain credentialing by a licensure board or to comply with a board order.
    Subd. 28. Supervisor. "Supervisor" means a licensed alcohol and drug counselor
licensed under this chapter or other licensed professional practicing alcohol and drug
counseling under section 148F.110, who meets the requirements of section 148F.040,
subdivision 3, and who provides supervision to persons seeking licensure under section
148F.025, subdivision 3, paragraph (2), clause (ii).
    Subd. 29. Test. "Test" means any instrument, device, survey, questionnaire,
technique, scale, inventory, or other process which is designed or constructed for the
purpose of measuring, evaluating, assessing, describing, or predicting personality,
behavior, traits, cognitive functioning, aptitudes, attitudes, skills, values, interests,
abilities, or other characteristics of individuals.
    Subd. 30. Unprofessional conduct. "Unprofessional conduct" means any conduct
violating sections 148F.001 to 148F.205, or any conduct that fails to conform to the
minimum standards of acceptable and prevailing practice necessary for the protection
of the public.
    Subd. 31. Variance. "Variance" means board-authorized permission to comply with
a law or rule in a manner other than that generally specified in the law or rule.

    Sec. 3. [148F.015] DUTIES OF THE BOARD.
The board shall:
(1) adopt and enforce rules for licensure and regulation of alcohol and drug
counselors and temporary permit holders, including a standard disciplinary process and
rules of professional conduct;
(2) issue licenses and temporary permits to qualified individuals under
sections148F.001 to 148F.205;
(3) carry out disciplinary actions against licensees and temporary permit holders;
(4) educate the public about the existence and content of the regulations for alcohol
and drug counselor licensing to enable consumers to file complaints against licensees who
may have violated the rules; and
(5) collect nonrefundable license fees for alcohol and drug counselors.

    Sec. 4. [148F.020] DUTY TO MAINTAIN CURRENT INFORMATION.
All individuals licensed as alcohol and drug counselors, all individuals with
temporary permits, and all applicants for licensure must notify the board within 30 days
of the occurrence of any of the following:
(1) a change of name, address, place of employment, and home or business
telephone number; and
(2) a change in any other application information.

    Sec. 5. [148F.025] REQUIREMENTS FOR LICENSURE.
    Subdivision 1. Form; fee. Individuals seeking licensure as a licensed alcohol and
drug counselor shall fully complete and submit a notarized written application on forms
provided by the board together with the appropriate fee in the amount set by the board. No
portion of the fee is refundable.
    Subd. 2. Education requirements for licensure. An applicant for licensure must
submit evidence satisfactory to the board that the applicant has:
(1) received a bachelor's degree from an accredited school or educational program;
and
(2) received 18 semester credits or 270 clock hours of academic course work and
880 clock hours of supervised alcohol and drug counseling practicum from an accredited
school or education program. The course work and practicum do not have to be part of
the bachelor's degree earned under clause (1). The academic course work must be in
the following areas:
(i) an overview of the transdisciplinary foundations of alcohol and drug counseling,
including theories of chemical dependency, the continuum of care, and the process of
change;
(ii) pharmacology of substance abuse disorders and the dynamics of addiction,
including medication-assisted therapy;
(iii) professional and ethical responsibilities;
(iv) multicultural aspects of chemical dependency;
(v) co-occurring disorders; and
(vi) the core functions defined in section 148F.010, subdivision 10.
    Subd. 3. Examination requirements for licensure. (a) To be eligible for licensure,
the applicant must:
(1) satisfactorily pass the International Certification and Reciprocity Consortium
Alcohol and Other Drug Abuse Counselor (IC&RC AODA) written examination adopted
June 2008, or other equivalent examination as determined by the board; or
(2) satisfactorily pass a written examination for licensure as an alcohol and drug
counselor, as determined by the board, and one of the following:
(i) complete a written case presentation and pass an oral examination that
demonstrates competence in the core functions as defined in section 148F.010, subdivision
10; or
(ii) complete 2,000 hours of postdegree supervised professional practice under
section 148F.040.
    Subd. 4. Background investigation. The applicant must sign a release authorizing
the board to obtain information from the Bureau of Criminal Apprehension, the Federal
Bureau of Investigation, the Department of Human Services, the Office of Health Facilities
Complaints, and other agencies specified by the board. After the board has given written
notice to an individual who is the subject of a background investigation, the agencies shall
assist the board with the investigation by giving the board criminal conviction data, reports
about substantiated maltreatment of minors and vulnerable adults, and other information.
The board may contract with the commissioner of human services to obtain criminal
history data from the Bureau of Criminal Apprehension.

    Sec. 6. [148F.030] RECIPROCITY.
(a) An individual who holds a current license or national certification as an alcohol
and drug counselor from another jurisdiction must file with the board a completed
application for licensure by reciprocity containing the information required in this section.
(b) The applicant must request the credentialing authority of the jurisdiction in
which the credential is held to send directly to the board a statement that the credential
is current and in good standing, the applicant's qualifications that entitled the applicant
to the credential, and a copy of the jurisdiction's credentialing laws and rules that were
in effect at the time the applicant obtained the credential.
(c) The board shall issue a license if the board finds that the requirements which
the applicant met to obtain the credential from the other jurisdiction were substantially
similar to the current requirements for licensure in this chapter and that the applicant is not
otherwise disqualified under section 148F.090.

    Sec. 7. [148F.035] TEMPORARY PERMIT.
    Subdivision 1. Eligibility; temporary permit requirements between August
1, 2011, and August 1, 2015. (a) The board may issue a temporary permit to practice
alcohol and drug counseling to an individual prior to being licensed under this chapter
if the person:
(1) received an associate degree, or an equivalent number of credit hours, completed
880 clock hours of supervised alcohol and drug counseling practicum, and 18 semester
credits or 270 clock hours of academic course work in alcohol and drug counseling from
an accredited school or education program; and
(2) completed academic course work in the following areas:
(i) overview of the transdisciplinary foundations of alcohol and drug counseling,
including theories of chemical dependency, the continuum of care, and the process of
change;
(ii) pharmacology of substance abuse disorders and the dynamics of addiction,
including medication-assisted therapy;
(iii) professional and ethical responsibilities;
(iv) multicultural aspects of chemical dependency;
(v) co-occurring disorders; and
(vi) core functions defined in section 148F.010, subdivision 10.
(b) An individual seeking a temporary permit shall fully complete and submit
a notarized written application on forms provided by the board together with the
nonrefundable temporary permit fee specified in section 148F.115, subdivision 3, clause
(1).
(c) An individual practicing under this section:
(1) must be supervised by a licensed alcohol and drug counselor or other licensed
professional practicing alcohol and drug counseling under section 148F.110, subdivision 1;
(2) is subject to all statutes and rules to the same extent as an individual who is
licensed under this chapter, except the individual is not subject to the continuing education
requirements of section 148F.075; and
(3) must use the title "Alcohol and Drug Counselor-Trainee" or the letters "ADC-T"
in professional activities.
(d) (1) An individual practicing with a temporary permit must submit a renewal
application annually on forms provided by the board with the renewal fee required in
section 148F.115, subdivision 3.
(2) A temporary permit is automatically terminated if not renewed, upon a change in
supervision, or upon the granting or denial by the board of the applicant's application for
licensure as an alcohol and drug counselor.
(3) A temporary permit may be renewed no more than three times.
    Subd. 2. Eligibility; temporary permit requirements after August 1, 2015.
(a) The board may issue a temporary permit to practice alcohol and drug counseling to
an individual prior to being licensed under this chapter if the individual has applied for
licensure under section 148F.025 and meets the educational requirements for licensure in
section 148F.025, subdivision 2.
(b) An individual seeking a temporary permit shall fully complete and submit a
notarized written application on forms provided by the board together with the fee set by
the board. No portion of the fee is refundable.
(c) An individual practicing under this subdivision:
(1) must be employed or contracted by an entity that also employs or contracts with
a licensed alcohol and drug counselor or other licensed professional practicing alcohol and
drug counseling under section 148F.110, subdivision 1;
(2) is subject to all statutes and rules to the same extent as an individual who is
licensed under this chapter; and
(3) must use the title "Alcohol and Drug Counselor-Trainee" or the letters "ADC-T"
in professional activities.
(d) (1) An individual practicing with a temporary permit must submit a renewal
application annually on forms provided by the board with the renewal fee required in
section 148F.115, subdivision 3.
(2) A temporary permit is automatically terminated if not renewed, or upon the
granting or denial by the board of the applicant's application for licensure as an alcohol
and drug counselor.
(3) A temporary permit may be renewed no more than three times.
(e) An individual practicing with a temporary permit who received the permit prior
to August 1, 2011, may renew the permit no more than five times and is not required to
meet the educational requirements in section 148F.025, subdivision 2.

    Sec. 8. [148F.040] SUPERVISED POSTDEGREE PROFESSIONAL PRACTICE.
    Subdivision 1. Supervision. For the purposes of this section, "supervision" means
documented interactive consultation, which, subject to the limitations of subdivision 4,
paragraph (b), may be conducted in person, by telephone, or by audio or audiovisual
electronic device by a supervisor with a supervisee. The supervision must be adequate to
ensure the quality and competence of the activities supervised. Supervisory consultation
must include discussions on the nature and content of the practice of the supervisee,
including, but not limited to, a review of a representative sample of alcohol and drug
counseling services in the supervisee's practice.
    Subd. 2. Postdegree professional practice. "Postdegree professional practice"
means paid or volunteer work experience and training following graduation from an
accredited school or educational program that involves professional oversight by a
supervisor approved by the board and that satisfies the supervision requirements in
subdivision 4.
    Subd. 3. Supervisor requirements. For the purposes of this section, a supervisor
shall:
(1) be a licensed alcohol and drug counselor or other qualified professional as
determined by the board;
(2) have three years of experience providing alcohol and drug counseling services;
and
(3) have received a minimum of 12 hours of training in clinical and ethical
supervision, which may include course work, continuing education courses, workshops,
or a combination thereof.
    Subd. 4. Supervised practice requirements for licensure. (a) The content of
supervision must include:
(1) knowledge, skills, values, and ethics with specific application to the practice
issues faced by the supervisee, including the core functions in section 148F.010,
subdivision 10;
(2) the standards of practice and ethical conduct, with particular emphasis given to
the counselor's role and appropriate responsibilities, professional boundaries, and power
dynamics; and
(3) the supervisee's permissible scope of practice, as defined in section 148F.010,
subdivision 19.
(b) The supervision must be obtained at the rate of one hour of supervision per 40
hours of professional practice, for a total of 50 hours of supervision. The supervision must
be evenly distributed over the course of the supervised professional practice. At least 75
percent of the required supervision hours must be received in person. The remaining 25
percent of the required hours may be received by telephone or by audio or audiovisual
electronic device. At least 50 percent of the required hours of supervision must be received
on an individual basis. The remaining 50 percent may be received in a group setting.
(c) The supervision must be completed in no fewer than 12 consecutive months
and no more than 36 consecutive months.
(d) The applicant shall include with an application for licensure a verification of
completion of the 2,000 hours of supervised professional practice. Verification must be
on a form specified by the board. The supervisor shall verify that the supervisee has
completed the required hours of supervision according to this section. The supervised
practice required under this section is unacceptable if the supervisor attests that the
supervisee's performance, competence, or adherence to the standards of practice and
ethical conduct has been unsatisfactory.

    Sec. 9. [148F.045] ALCOHOL AND DRUG COUNSELOR TECHNICIAN.
An alcohol and drug counselor technician may perform the screening intake and
orientation services described in section 148F.010, subdivision 19, clauses (1), (2), and
(3), while under the direct supervision of a licensed alcohol and drug counselor.

    Sec. 10. [148F.050] LICENSE RENEWAL REQUIREMENTS.
    Subdivision 1. Biennial renewal. A license must be renewed every two years.
    Subd. 2. License renewal notice. At least 60 calendar days before the renewal
deadline date, the board shall mail a renewal notice to the licensee's last known address
on file with the board. The notice must include instructions for accessing an online
application for license renewal, the renewal deadline, and notice of fees required for
renewal. The licensee's failure to receive notice does not relieve the licensee of the
obligation to meet the renewal deadline and other requirements for license renewal.
    Subd. 3. Renewal requirements. (a) To renew a license, a licensee must submit to
the board:
(1) a completed, signed, and notarized application for license renewal;
(2) the renewal fee required under section 148F.115, subdivision 2; and
(3) evidence satisfactory to the board that the licensee has completed 40 clock
hours of continuing education during the preceding two year renewal period that meet the
requirements of section 148F.075.
(b) The application must be postmarked or received by the board by the end of the
day on which the license expires or the following business day if the expiration date
falls on a Saturday, Sunday, or holiday. An application which is not completed, signed,
notarized, or which is not accompanied by the correct fee, is void and must be returned
to the licensee.
    Subd. 4. Pending renewal. If a licensee's application for license renewal is
postmarked or received by the board by the end of the business day on the expiration date
of the license, the licensee may continue to practice after the expiration date while the
application for license renewal is pending with the board.
    Subd. 5. Late renewal fee. If the application for license renewal is postmarked or
received after the expiration date, the licensee shall pay a late fee as specified by section
148F.115, subdivision 5, clause (1), in addition to the renewal fee, before the application
for license renewal will be considered by the board.

    Sec. 11. [148F.055] EXPIRED LICENSE.
    Subdivision 1. Expiration of license. A licensee who fails to submit an application
for license renewal, or whose application for license renewal is not postmarked or received
by the board as required, is not authorized to practice after the expiration date and is
subject to disciplinary action by the board for any practice after the expiration date.
    Subd. 2. Termination for nonrenewal. (a) Within 30 days after the renewal date, a
licensee who has not renewed the license shall be notified by letter sent to the last known
address of the licensee in the board's file that the renewal is overdue and that failure to
pay the current fee and current late fee within 60 days after the renewal date will result in
termination of the license.
(b) The board shall terminate the license of a licensee whose license renewal is at
least 60 days overdue and to whom notification has been sent as provided in paragraph
(a). Failure of a licensee to receive notification is not grounds for later challenge of the
termination. The former licensee shall be notified of the termination by letter within seven
days after the board action, in the same manner as provided in paragraph (a).

    Sec. 12. [148F.060] VOLUNTARY TERMINATION.
A license may be voluntarily terminated by the licensee at any time upon written
notification to the board, unless a complaint is pending against the licensee. The
notification must be received by the board prior to termination of the license for failure to
renew. A former licensee may be licensed again only after complying with the relicensure
following termination requirements under section 148F.065. For purposes of this section,
the board retains jurisdiction over any licensee whose license has been voluntarily
terminated and against whom the board receives a complaint for conduct occurring during
the period of licensure.

    Sec. 13. [148F.065] RELICENSURE FOLLOWING TERMINATION.
    Subdivision 1. Relicensure. For a period of two years, a former licensee whose
license has been voluntarily terminated or terminated for nonrenewal as provided in
section 148F.055, subdivision 2, may be relicensed by completing an application for
relicensure, paying the applicable fee, and verifying that the former licensee has not
engaged in the practice of alcohol and drug counseling in this state since the date of
termination. The verification must be accompanied by a notarized affirmation that the
statement is true and correct to the best knowledge and belief of the former licensee.
    Subd. 2. Continuing education for relicensure. A former licensee seeking
relicensure after license termination must provide evidence of having completed at least
20 hours of continuing education activities for each year, or portion thereof, that the
former licensee did not hold a license.
    Subd. 3. Cancellation of license. The board shall not renew, reissue, reinstate,
or restore the license of a former licensee which was terminated for nonrenewal, or
voluntarily terminated, and for which relicensure was not sought for more than two years
from the date the license was terminated for nonrenewal, or voluntarily terminated. A
former licensee seeking relicensure after this two-year period must obtain a new license
by applying for licensure and fulfilling all requirements then in existence for an initial
license to practice alcohol and drug counseling in Minnesota.

    Sec. 14. [148F.070] INACTIVE LICENSE STATUS.
    Subdivision 1. Request for inactive status. Unless a complaint is pending against
the licensee, a licensee whose license is in good standing may request, in writing, that the
license be placed on the inactive list. If a complaint is pending against a licensee, a license
may not be placed on the inactive list until action relating to the complaint is concluded.
The board must receive the request for inactive status before expiration of the license, or
the person must pay the late fee. A licensee may renew a license that is inactive under this
subdivision by meeting the renewal requirements of subdivision 2. A licensee must not
practice alcohol and drug counseling while the license is inactive.
    Subd. 2. Renewal of inactive license. A licensee whose license is inactive must
renew the inactive status by the inactive status expiration date determined by the board,
or the license will expire. An application for renewal of inactive status must include
evidence satisfactory to the board that the licensee has completed 40 clock hours of
continuing education required in section 148F.075. Late renewal of inactive status must be
accompanied by a late fee as required in section 148F.115, subdivision 5, paragraph (2).

    Sec. 15. [148F.075] CONTINUING EDUCATION REQUIREMENTS.
    Subdivision 1. Purpose. (a) The purpose of mandatory continuing education is to
promote the professional development of alcohol and drug counselors so that the services
they provide promote the health and well-being of clients who receive services.
(b) Continued professional growth and maintaining competence in providing alcohol
and drug counseling services are the ethical responsibilities of each licensee.
    Subd. 2. Requirement. Every two years, all licensees must complete a minimum of
40 clock hours of continuing education activities that meet the requirements in this section.
The 40 clock hours shall include a minimum of nine clock hours on human diversity, and a
minimum of three clock hours on professional ethics. A licensee may be given credit only
for activities that directly relate to the practice of alcohol and drug counseling.
    Subd. 3. Standards for approval. In order to obtain clock hour credit for a
continuing education activity, the activity must:
(1) constitute an organized program of learning;
(2) reasonably be expected to advance the knowledge and skills of the alcohol
and drug counselor;
(3) pertain to subjects that directly relate to the practice of alcohol and drug
counseling;
(4) be conducted by individuals who have education, training, and experience and
are knowledgeable about the subject matter; and
(5) be presented by a sponsor who has a system to verify participation and maintains
attendance records for three years, unless the sponsor provides dated evidence to each
participant with the number of clock hours awarded.
    Subd. 4. Qualifying activities. Clock hours may be earned through the following:
(1) attendance at educational programs of annual conferences, lectures, panel
discussions, workshops, in-service training, seminars, and symposia;
(2) successful completion of college or university courses offered by a regionally
accredited school or education program, if not being taken in order to meet the educational
requirements for licensure under this chapter. The licensee must obtain a grade of at least
a "C" or its equivalent or a pass in a pass/fail course in order to receive the following
continuing education credits:
(i) one semester credit equals 15 clock hours;
(ii) one trimester credit equals 12 clock hours;
(iii) one quarter credit equals 10 clock hours;
(3) successful completion of home study or online courses offered by an accredited
school or education program and that require a licensee to demonstrate knowledge
following completion of the course;
(4) teaching a course at a regionally accredited institution of higher education. To
qualify for continuing education credit, the course must directly relate to the practice of
alcohol and drug counseling, as determined by the board. Continuing education hours may
be earned only for the first time the licensee teaches the course. Ten continuing education
hours may be earned for each semester credit hour taught; or
(5) presentations at workshops, seminars, symposia, meetings of professional
organizations, in-service trainings, or postgraduate institutes. The presentation must be
related to alcohol and drug counseling. A presenter may claim one hour of continuing
education for each hour of presentation time. A presenter may also receive continuing
education hours for development time at the rate of three hours for each hour of
presentation time. Continuing education hours may be earned only for the licensee's
first presentation on the subject developed.
    Subd. 5. Activities not qualifying for continuing education clock hours.
Approval shall not be given for courses that do not do meet the requirements of this
section or are limited to the following:
(1) any subject contrary to the rules of professional conduct;
(2) supervision of personnel;
(3) entertainment or recreational activities;
(4) employment orientation sessions;
(5) policy meetings;
(6) marketing;
(7) business;
(8) first aid, CPR, and similar training classes; and
(9) training related to payment systems, including covered services, coding, and
billing.
    Subd. 6. Documentation of reporting compliance. (a) When the licensee applies
for renewal of the license, the licensee must complete and submit an affidavit of continuing
education compliance showing that the licensee has completed a minimum of 40 approved
continuing education clock hours since the last renewal. Failure to submit the affidavit
when required makes the licensee's renewal application incomplete and void.
(b) All licensees shall retain original documentation of completion of continuing
education hours for a period of five years. For purposes of compliance with this section, a
receipt for payment of the fee for the course is not sufficient evidence of completion of the
required hours of continuing education. Information retained shall include:
(1) the continuing education activity title;
(2) a brief description of the continuing education activity;
(3) the sponsor, presenter, or author;
(4) the location and the dates attended;
(5) the number of clock hours; and
(6) the certificate of attendance, if applicable.
(c) Only continuing education obtained during the two-year reporting period may be
considered at the time of reporting.
    Subd. 7. Continuing education audit. (a) At the time of renewal, the board may
randomly audit a percentage of its licensees for compliance with continuing education
requirements.
(b) The board shall mail a notice to a licensee selected for an audit of continuing
education hours. The notice must include the reporting periods selected for audit.
(c) Selected licensees shall submit copies of the original documentation of completed
continuing education hours. Upon specific request, the licensee shall submit original
documentation. Failure to submit required documentation shall result in the renewal
application being considered incomplete and void and constitute grounds for nonrenewal
of the license and disciplinary action.
    Subd. 8. Variance of continuing education requirements. (a) If a licensee is
unable to meet the continuing education requirements by the renewal date, the licensee
may request a time-limited variance to fulfill the requirements after the renewal date. A
licensee seeking a variance is considered to be renewing late and is subject to the late
renewal fee, regardless of when the request is received or whether the variance is granted.
(b) The licensee shall submit the variance request on a form designated by the board,
include the variance fee subject to section 14.056, subdivision 2, and the late fee for
license renewal under section 148F.115. The variance request is subject to the criteria for
rule variances in section 14.055, subdivision 4, and must include a written plan listing
the activities offered to meet the requirement. Hours completed after the renewal date
pursuant to the written plan count toward meeting only the requirements of the previous
renewal period.
(c) A variance granted under this subdivision expires six months after the license
renewal date. A licensee who is granted a variance but fails to complete the required
continuing education within the six-month period may apply for a second variance
according to this subdivision.
(d) If an initial variance request is denied, the license of the licensee shall not be
renewed until the licensee completes the continuing education requirements. If an initial
variance is granted, and the licensee fails to complete the required continuing education
within the six-month period, the license shall be administratively suspended until the
licensee completes the required continuing education, unless the licensee has obtained a
second variance according to paragraph (c).

    Sec. 16. [148F.080] SPONSOR'S APPLICATION FOR APPROVAL.
    Subdivision 1. Content. Individuals, organizations, associations, corporations,
educational institutions, or groups intending to offer continuing education activities for
approval must submit to the board the sponsor application fee and a completed application
for approval on a form provided by the board. The sponsor must comply with the
following to receive and maintain approval:
(1) submit the application for approval at least 60 days before the activity is
scheduled to begin; and
(2) include the following information in the application for approval to enable the
board to determine whether the activity complies with section 148F.075:
(i) a statement of the objectives of the activity and the knowledge the participants
will have gained upon completion of the activity;
(ii) a description of the content and methodology of the activity which will allow the
participants to meet the objectives;
(iii) a description of the method the participants will use to evaluate the activity;
(iv) a list of the qualifications of each instructor or developer that shows the
instructor's or developer's current knowledge and skill in the activity's subject;
(v) a description of the certificate or other form of verification of attendance
distributed to each participant upon successful completion of the activity;
(vi) the sponsor's agreement to retain attendance lists for a period of five years
from the date of the activity; and
(vii) a copy of any proposed advertisement or other promotional literature.
    Subd. 2. Approval expiration. If the board approves an activity it shall assign the
activity a number. The approval remains in effect for one year from the date of initial
approval. Upon expiration, a sponsor must submit a new application for activity approval
to the board as required by subdivision 1.
    Subd. 3. Statement of board approval. Each sponsor of an approved activity shall
include in any promotional literature a statement that "This activity has been approved by
the Minnesota Board of Behavioral Health and Therapy for ... hours of credit."
    Subd. 4. Changes. The activity sponsor must submit proposed changes in an
approved activity to the board for its approval.
    Subd. 5. Denial of approval. The board shall not approve an activity if it does not
meet the continuing education requirements in section 148F.075. The board shall notify
the sponsor in writing of its reasons for denial.
    Subd. 6. Revocation of approval. The board shall revoke its approval of an activity
if a sponsor falsifies information contained in its application for approval, or if a sponsor
fails to notify the board of changes to an approved activity as required in subdivision 4.

    Sec. 17. [148F.085] NONTRANSFERABILITY OF LICENSES.
An alcohol and drug counselor license is not transferable.

    Sec. 18. [148F.090] DENIAL, SUSPENSION, OR REVOCATION OF LICENSE.
    Subdivision 1. Grounds. The board may impose disciplinary action as described
in subdivision 2 against an applicant or licensee whom the board, by a preponderance of
the evidence, determines:
(1) has violated a statute, rule, or order that the board issued or is empowered to
enforce;
(2) has engaged in fraudulent, deceptive, or dishonest conduct, whether or not the
conduct relates to the practice of licensed alcohol and drug counseling that adversely
affects the person's ability or fitness to practice alcohol and drug counseling;
(3) has engaged in unprofessional conduct or any other conduct which has the
potential for causing harm to the public, including any departure from or failure to
conform to the minimum standards of acceptable and prevailing practice without actual
injury having to be established;
(4) has been convicted of or has pled guilty or nolo contendere to a felony or other
crime, an element of which is dishonesty or fraud, or has been shown to have engaged
in acts or practices tending to show that the applicant or licensee is incompetent or has
engaged in conduct reflecting adversely on the applicant's or licensee's ability or fitness
to engage in the practice of alcohol and drug counseling;
(5) has employed fraud or deception in obtaining or renewing a license, or in
passing an examination;
(6) has had any license, certificate, registration, privilege to take an examination,
or other similar authority denied, revoked, suspended, canceled, limited, or not renewed
for cause in any jurisdiction or has surrendered or voluntarily terminated a license or
certificate during a board investigation of a complaint, as part of a disciplinary order, or
while under a disciplinary order;
(7) has failed to meet any requirement for the issuance or renewal of the person's
license. The burden of proof is on the applicant or licensee to demonstrate the
qualifications or satisfy the requirements for a license under chapter 148F;
(8) has failed to cooperate with an investigation by the board;
(9) has demonstrated an inability to practice alcohol and drug counseling with
reasonable skill and safety as a result of illness, use of alcohol, drugs, chemicals, or any
other materials, or as a result of any mental, physical, or psychological condition;
(10) has engaged in conduct with a client that is sexual or may reasonably be
interpreted by the client as sexual, or in any verbal behavior that is seductive or sexually
demeaning to a client;
(11) has been subject to a corrective action or similar, nondisciplinary action in
another jurisdiction or by another regulatory authority;
(12) has been adjudicated as mentally incompetent, mentally ill, or developmentally
disabled or as a chemically dependent person, a person dangerous to the public, a sexually
dangerous person, or a person who has a sexual psychopathic personality by a court
of competent jurisdiction within this state or an equivalent adjudication from another
state. Adjudication automatically suspends a license for the duration thereof unless the
board orders otherwise;
(13) fails to comply with a client's request for health records made under sections
144.291 to 144.298, or to furnish a client record or report required by law;
(14) has engaged in abusive or fraudulent billing practices, including violations of
the federal Medicare and Medicaid laws or state medical assistance laws; or
(15) has engaged in fee splitting. This clause does not apply to the distribution
of revenues from a partnership, group practice, nonprofit corporation, or professional
corporation to its partners, shareholders, members, or employees if the revenues consist
only of fees for services performed by the licensee or under a licensee's administrative
authority. Fee splitting includes, but is not limited to:
(i) dividing fees with another person or a professional corporation, unless the
division is in proportion to the services provided and the responsibility assumed by
each professional;
(ii) referring a client to any health care provider as defined in sections 144.291 to
144.298 in which the referring licensee has a significant financial interest, unless the
licensee has disclosed in advance to the client the licensee's own financial interest; or
(iii) paying, offering to pay, receiving, or agreeing to receive a commission, rebate,
or remuneration, directly or indirectly, primarily for the referral of clients.
    Subd. 2. Forms of disciplinary action. If grounds for disciplinary action exist
under subdivision 1, the board may take one or more of the following actions;
(1) refuse to grant or renew a license;
(2) revoke a license;
(3) suspend a license;
(4) impose limitations or conditions on a licensee's practice of alcohol and drug
counseling, including, but not limited to, limiting the scope of practice to designated
competencies, imposing retraining or rehabilitation requirements, requiring the licensee to
practice under supervision, or conditioning continued practice on the demonstration of
knowledge or skill by appropriate examination or other review of skill and competence;
(5) censure or reprimand the licensee;
(6) impose a civil penalty not exceeding $10,000 for each separate violation,
the amount of the civil penalty to be fixed so as to deprive the applicant or licensee
of any economic advantage gained by reason of the violation charged, to discourage
similar violations or to reimburse the board for the cost of the investigation and
proceeding, including, but not limited to, fees paid for services provided by the Office of
Administrative Hearings, legal and investigative services provided by the Office of the
Attorney General, court reporters, witnesses, reproduction of records, board members' per
diem compensation, board staff time, and travel costs and expenses incurred by board staff
and board members; or
(7) any other action justified by the case.
    Subd. 3. Evidence. In disciplinary actions alleging violations of subdivision 1,
clause (4), (12), or (14), a copy of the judgment or proceedings under the seal of the court
administrator or of the administrative agency that entered the judgment or proceeding
is admissible into evidence without further authentication and constitutes prima facie
evidence of its contents.
    Subd. 4. Temporary suspension. (a) In addition to any other remedy provided by
law, the board may issue an order to temporarily suspend the credentials of a licensee after
conducting a preliminary inquiry to determine if the board reasonably believes that the
licensee has violated a statute or rule that the board is empowered to enforce and whether
continued practice by the licensee would create an imminent risk of harm to others.
(b) The order may prohibit the licensee from engaging in the practice of alcohol
and drug counseling in whole or in part and may condition the end of a suspension on
the licensee's compliance with a statute, rule, or order that the board has issued or is
empowered to enforce.
(c) The order shall give notice of the right to a hearing according to this subdivision
and shall state the reasons for the entry of the order.
(d) Service of the order is effective when the order is served on the licensee
personally or by certified mail, which is complete upon receipt, refusal, or return for
nondelivery to the most recent address of the licensee provided to the board.
(e) At the time the board issues a temporary suspension order, the board shall
schedule a hearing to be held before its own members. The hearing shall begin no later
than 60 days after issuance of the temporary suspension order or within 15 working
days of the date of the board's receipt of a request for hearing by a licensee, on the sole
issue of whether there is a reasonable basis to continue, modify, or lift the temporary
suspension. The hearing is not subject to chapter 14. Evidence presented by the board
or the licensee shall be in affidavit form only. The licensee or counsel of record may
appear for oral argument.
(f) Within five working days of the hearing, the board shall issue its order and, if the
suspension is continued, schedule a contested case hearing within 30 days of the issuance
of the order. Notwithstanding chapter 14, the administrative law judge shall issue a report
within 30 days after closing the contested case hearing record. The board shall issue a
final order within 30 days of receipt of the administrative law judge's report.
    Subd. 5. Automatic suspension. (a) The right to practice is automatically
suspended when:
(1) a guardian of an alcohol and drug counselor is appointed by order of a district
court under sections 524.5-101 to 524.5-502; or
(2) the counselor is committed by order of a district court under chapter 253B.
(b) The right to practice remains suspended until the counselor is restored to capacity
by a court and, upon petition by the counselor, the suspension is terminated by the board
after a hearing or upon agreement between the board and the counselor.
    Subd. 6. Mental, physical, or chemical health evaluation. (a) If the board has
probable cause to believe that an applicant or licensee is unable to practice alcohol and
drug counseling with reasonable skill and safety due to a mental or physical illness or
condition, the board may direct the individual to submit to a mental, physical, or chemical
dependency examination or evaluation.
(1) For the purposes of this section, every licensee and applicant is deemed to
have consented to submit to a mental, physical, or chemical dependency examination or
evaluation when directed in writing by the board and to have waived all objections to the
admissibility of the examining professionals' testimony or examination reports on the
grounds that the testimony or examination reports constitute a privileged communication.
(2) Failure of a licensee or applicant to submit to an examination when directed by
the board constitutes an admission of the allegations against the person, unless the failure
was due to circumstances beyond the person's control, in which case a default and final
order may be entered without the taking of testimony or presentation of evidence.
(3) A licensee or applicant affected under this subdivision shall at reasonable
intervals be given an opportunity to demonstrate that the licensee or applicant can resume
the competent practice of licensed alcohol and drug counseling with reasonable skill
and safety to the public.
(4) In any proceeding under this subdivision, neither the record of proceedings
nor the orders entered by the board shall be used against the licensee or applicant in
any other proceeding.
(b) In addition to ordering a physical or mental examination, the board may,
notwithstanding section 13.384 or 144.651, or any other law limiting access to medical
or other health data, obtain medical data and health records relating to a licensee or
applicant without the licensee's or applicant's consent if the board has probable cause to
believe that subdivision 1, clause (9), applies to the licensee or applicant. The medical
data may be requested from:
(1) a provider, as defined in section 144.291, subdivision 2, paragraph (h);
(2) an insurance company; or
(3) a government agency, including the Department of Human Services.
(c) A provider, insurance company, or government agency must comply with any
written request of the board under this subdivision and is not liable in any action for
damages for releasing the data requested by the board if the data are released pursuant to a
written request under this subdivision, unless the information is false and the provider
giving the information knew, or had reason to believe, the information was false.
(d) Information obtained under this subdivision is classified as private under sections
13.01 to 13.87.

    Sec. 19. [148F.095] ADDITIONAL REMEDIES.
    Subdivision 1. Cease and desist. (a) The board may issue a cease and desist order
to stop a person from violating or threatening to violate a statute, rule, or order which the
board has issued or has authority to enforce. The cease and desist order must state the
reason for its issuance and give notice of the person's right to request a hearing under
sections 14.57 to 14.62. If, within 15 days of service of the order, the subject of the order
fails to request a hearing in writing, the order is the final order of the board and is not
reviewable by a court or agency.
(b) A hearing must be initiated by the board not later than 30 days from the date
of the board's receipt of a written hearing request. Within 30 days of receipt of the
administrative law judge's report, and any written agreement or exceptions filed by the
parties, the board shall issue a final order modifying, vacating, or making permanent the
cease and desist order as the facts require. The final order remains in effect until modified
or vacated by the board.
(c) When a request for a stay accompanies a timely hearing request, the board may,
in the board's discretion, grant the stay. If the board does not grant a requested stay, the
board shall refer the request to the Office of Administrative Hearings within three working
days of receipt of the request. Within ten days after receiving the request from the board,
an administrative law judge shall issue a recommendation to grant or deny the stay. The
board shall grant or deny the stay within five working days of receiving the administrative
law judge's recommendation.
(d) In the event of noncompliance with a cease and desist order, the board may
institute a proceeding in district court to obtain injunctive relief or other appropriate
relief, including a civil penalty payable to the board, not to exceed $10,000 for each
separate violation.
    Subd. 2. Injunctive relief. In addition to any other remedy provided by law,
including the issuance of a cease and desist order under subdivision 1, the board may in
the board's own name bring an action in district court for injunctive relief to restrain an
alcohol and drug counselor from a violation or threatened violation of any statute, rule, or
order which the board has authority to administer, enforce, or issue.
    Subd. 3. Additional powers. The issuance of a cease and desist order or injunctive
relief granted under this section does not relieve a counselor from criminal prosecution by
a competent authority or from disciplinary action by the board.

    Sec. 20. [148F.100] COOPERATION.
An alcohol and drug counselor who is the subject of an investigation, or who
is questioned in connection with an investigation, by or on behalf of the board, shall
cooperate fully with the investigation. Cooperation includes responding fully to any
question raised by or on behalf of the board relating to the subject of the investigation,
whether tape recorded or not. Challenges to requests of the board may be brought before
the appropriate agency or court.

    Sec. 21. [148F.105] PROHIBITED PRACTICE OR USE OF TITLES; PENALTY.
    Subdivision 1. Practice. No person shall engage in alcohol and drug counseling
without first being licensed under this chapter as an alcohol and drug counselor. For
purposes of this chapter, an individual engages in the practice of alcohol and drug
counseling if the individual performs or offers to perform alcohol and drug counseling
services as defined in section 148F.010, subdivision 18, or if the individual is held out as
able to perform those services.
    Subd. 2. Use of titles. (a) No individual shall present themselves or any other
individual to the public by any title incorporating the words "licensed alcohol and drug
counselor," "alcohol and drug counselor," or otherwise hold themselves out to the public
by any title or description stating or implying that they are licensed or otherwise qualified
to practice alcohol and drug counseling, unless that individual holds a valid license.
(b) An individual issued a temporary permit must use titles consistent with section
148F.035, subdivisions 1 and 2, paragraph (c), clause (3).
(c) An individual who is participating in an alcohol and drug counseling practicum
for purposes of licensure by the board may be designated an "alcohol and drug counselor
intern."
(d) Individuals who are trained in alcohol and drug counseling and employed by an
educational institution recognized by a regional accrediting organization, by a federal,
state, county, or local government institution, by agencies, or research facilities, may
represent themselves by the titles designated by that organization provided the title does
not indicate the individual is licensed by the board.
    Subd. 3. Penalty. A person who violates sections 148F.001 to 148F.205 is guilty
of a misdemeanor.

    Sec. 22. [148F.110] EXCEPTIONS TO LICENSE REQUIREMENT.
    Subdivision 1. Other professionals. (a) Nothing in this chapter prevents members
of other professions or occupations from performing functions for which they are qualified
or licensed. This exception includes, but is not limited to: licensed physicians; registered
nurses; licensed practical nurses; licensed psychologists and licensed psychological
practitioners; members of the clergy provided such services are provided within the
scope of regular ministries; American Indian medicine men and women; licensed
attorneys; probation officers; licensed marriage and family therapists; licensed social
workers; social workers employed by city, county, or state agencies; licensed professional
counselors; licensed professional clinical counselors; licensed school counselors;
registered occupational therapists or occupational therapy assistants; city, county, or state
employees when providing assessments or case management under Minnesota Rules,
chapter 9530; and individuals providing integrated dual-diagnosis treatment in adult
mental health rehabilitative programs certified by the Department of Human Services
under section 256B.0622 or 256B.0623.
(b) Nothing in this chapter prohibits technicians and resident managers in programs
licensed by the Department of Human Services from discharging their duties as provided
in Minnesota Rules, chapter 9530.
(c) Any person who is exempt from licensure under this section must not use a
title incorporating the words "alcohol and drug counselor" or "licensed alcohol and drug
counselor" or otherwise hold themselves out to the public by any title or description
stating or implying that they are engaged in the practice of alcohol and drug counseling, or
that they are licensed to engage in the practice of alcohol and drug counseling, unless that
person is also licensed as an alcohol and drug counselor. Persons engaged in the practice
of alcohol and drug counseling are not exempt from the board's jurisdiction solely by the
use of one of the titles in paragraph (a).
    Subd. 2. Students. Nothing in sections 148F.001 to 148F.110 shall prevent students
enrolled in an accredited school of alcohol and drug counseling from engaging in the
practice of alcohol and drug counseling while under qualified supervision in an accredited
school of alcohol and drug counseling.
    Subd. 3. Federally recognized tribes. Alcohol and drug counselors practicing
alcohol and drug counseling according to standards established by federally recognized
tribes, while practicing under tribal jurisdiction, are exempt from the requirements of this
chapter. In practicing alcohol and drug counseling under tribal jurisdiction, individuals
practicing under that authority shall be afforded the same rights, responsibilities, and
recognition as persons licensed under this chapter.

    Sec. 23. [148F.115] FEES.
    Subdivision 1. Application fee. The application fee is $295.
    Subd. 2. Biennial renewal fee. The license renewal fee is $295. If the board
establishes a renewal schedule, and the scheduled renewal date is less than two years,
the fee may be prorated.
    Subd. 3. Temporary permit fee. Temporary permit fees are as follows:
(1) initial application fee is $100; and
(2) annual renewal fee is $150. If the initial term is less or more than one year,
the fee may be prorated.
    Subd. 4. Inactive license renewal fee. The inactive license renewal fee is $150.
    Subd. 5. Late fees. Late fees are as follows:
(1) biennial renewal late fee is $74;
(2) inactive license renewal late fee is $37; and
(3) annual temporary permit late fee is $37.
    Subd. 6. Fee to renew after expiration of license. The fee for renewal of a license
that has been expired for less than two years is the total of the biennial renewal fee in
effect at the time of late renewal and the late fee.
    Subd. 7. Fee for license verification. The fee for license verification is $25.
    Subd. 8. Surcharge fee. Notwithstanding section 16A.1285, subdivision 2, a
surcharge of $99 shall be paid at the time of initial application for or renewal of an alcohol
and drug counselor license until June 30, 2013.
    Subd. 9. Sponsor application fee. The fee for a sponsor application for approval
of a continuing education course is $60.
    Subd. 10. Order or stipulation fee. The fee for a copy of a board order or
stipulation is $10.
    Subd. 11. Duplicate certificate fee. The fee for a duplicate certificate is $25.
    Subd. 12. Supervisor application processing fee. The fee for licensure supervisor
application processing is $30.
    Subd. 13. Nonrefundable fees. All fees in this section are nonrefundable.

    Sec. 24. [148F.120] CONDUCT.
    Subdivision 1. Scope. Sections 148F.120 to 148F.205 apply to the conduct of all
alcohol and drug counselors, licensees, and applicants, including conduct during the
period of education, training, and employment that is required for licensure.
    Subd. 2. Purpose. Sections 148F.120 to 148F.205 constitute the standards by which
the professional conduct of alcohol and drug counselors is measured.
    Subd. 3. Violations. A violation of sections 148F.120 to 148F.205 is unprofessional
conduct and constitutes grounds for disciplinary action, corrective action, or denial of
licensure.
    Subd. 4. Conflict with organizational demands. If the organizational policies at
the provider's work setting conflict with any provision in sections 148F.120 to 148F.205,
the provider shall discuss the nature of the conflict with the employer, make known the
requirement to comply with these sections of law, and attempt to resolve the conflict
in a manner that does not violate the law.

    Sec. 25. [148F.125] COMPETENT PROVISION OF SERVICES.
    Subdivision 1. Limits on practice. Alcohol and drug counselors shall limit their
practice to the client populations and services for which they have competence or for
which they are developing competence.
    Subd. 2. Developing competence. When an alcohol and drug counselor is
developing competence in a service, method, procedure, or to treat a specific client
population, the alcohol and drug counselor shall obtain professional education, training,
continuing education, consultation, supervision, or experience, or a combination thereof,
necessary to demonstrate competence.
    Subd. 3. Experimental, emerging, or innovative services. Alcohol and drug
counselors may offer experimental services, methods, or procedures competently and
in a manner that protects clients from harm. However, when doing so, they have a
heightened responsibility to understand and communicate the potential risks to clients, to
use reasonable skill and safety, and to undertake appropriate preparation as required in
subdivision 2.
    Subd. 4. Limitations. Alcohol and drug counselors shall recognize the limitations
to the scope of practice of alcohol and drug counseling. When the needs of clients appear
to be outside their scope of practice, providers shall inform the clients that there may be
other professional, technical, community, and administrative resources available to them.
Providers shall assist with identifying resources when it is in the best interests of clients to
be provided with alternative or complementary services.
    Subd. 5. Burden of proof. Whenever a complaint is submitted to the board
involving a violation of this section, the burden of proof is on the provider to demonstrate
that the elements of competence have reasonably been met.

    Sec. 26. [148F.130] PROTECTING CLIENT PRIVACY.
    Subdivision 1. Protecting private information. The provider shall safeguard
private information obtained in the course of the practice of alcohol and drug counseling.
Private information may be disclosed to others only according to section 148F.135, or
with certain exceptions as specified in subdivisions 2 to 13.
    Subd. 2. Duty to warn; limitation on liability. Private information may be
disclosed without the consent of the client when a duty to warn arises, or as otherwise
provided by law or court order. The duty to warn of, or take reasonable precautions to
provide protection from, violent behavior arises only when a client or other person has
communicated to the provider a specific, serious threat of physical violence to self or a
specific, clearly identified or identifiable potential victim. If a duty to warn arises, the duty
is discharged by the provider if reasonable efforts are made to communicate the threat to
law enforcement agencies, the potential victim, the family of the client, or appropriate
third parties who are in a position to prevent or avert the harm. No monetary liability
and no cause of action or disciplinary action by the board may arise against a provider
for disclosure of confidences to third parties, for failure to disclose confidences to third
parties, or for erroneous disclosure of confidences to third parties in a good faith effort to
warn against or take precautions against a client's violent behavior or threat of suicide.
    Subd. 3. Services to group clients. Whenever alcohol and drug counseling
services are provided to group clients, the provider shall initially inform each client of the
provider's responsibility and each client's individual responsibility to treat any information
gained in the course of rendering the services as private information, including any
limitations to each client's right to privacy.
    Subd. 4. Obtaining collateral information. Prior to obtaining collateral
information about a client from other individuals, the provider shall obtain consent from
the client unless the consent is not required by law or court order, and shall inform the
other individuals that the information obtained may become part of the client's records and
may therefore be accessed or released by the client, unless prohibited by law. For purposes
of this subdivision, "other individual" means any individual, except for credentialed health
care providers acting in their professional capacities, who participates adjunctively in
the provision of services to a client. Examples of other individuals include, but are not
limited to, family members, friends, coworkers, day care workers, guardian ad litems,
foster parents, or school personnel.
    Subd. 5. Minor clients. At the beginning of a professional relationship, the provider
shall inform a minor client that the law imposes limitations on the right of privacy of the
minor with respect to the minor's communications with the provider. This requirement is
waived when the minor cannot reasonably be expected to understand the privacy statement.
    Subd. 6. Limited access to client records. The provider shall limit access to client
records. The provider shall make reasonable efforts to inform individuals associated
with the provider's agency or facility, such as staff members, students, volunteers, or
community aides, that access to client records, regardless of their format, is limited only to
the provider with whom the client has a professional relationship, an individual associated
with the agency or facility whose duties require access, or individuals authorized to have
access by the written informed consent of the client.
    Subd. 7. Billing statements for services. The provider shall comply with the
privacy wishes of clients regarding to whom and where statements for services are to be
sent.
    Subd. 8. Case reports. The identification of the client shall be reasonably disguised
in case reports or other clinical materials used in teaching, presentations, professional
meetings, or publications.
    Subd. 9. Observation and recording. Diagnostic interviews or therapeutic sessions
with a client may be observed or electronically recorded only with the client's written
informed consent.
    Subd. 10. Continued protection of client information. The provider shall maintain
the privacy of client data indefinitely after the professional relationship has ended.
    Subd. 11. Court-ordered or other mandated disclosures. The proper disclosure
of private client data upon a court order or to conform with state or federal law shall not be
considered a violation of sections 148F.120 to 148F.205.
    Subd. 12. Abuse or neglect of minor or vulnerable adults. An applicant or
licensee must comply with the reporting of maltreatment of minors established in section
626.556 and the reporting of maltreatment of vulnerable adults established in section
626.557.
    Subd. 13. Initial contacts. When an individual initially contacts a provider
regarding alcohol and drug counseling services, the provider or another individual
designated by the provider may, with oral consent from the potential client, contact third
parties to determine payment or benefits information, arrange for precertification of
services when required by the individual's health plan, or acknowledge a referral from
another health care professional.

    Sec. 27. [148F.135] PRIVATE INFORMATION; ACCESS AND RELEASE.
    Subdivision 1. Client right to access and release private information. A client
has the right to access and release private information maintained by the provider,
including client records as provided in Minnesota Statutes, sections 144.291 to 144.298,
relating to the provider's counseling services to that client, except as otherwise provided
by law or court order.
    Subd. 2. Release of private information. (a) When a client makes a request for
the provider to release the client's private information, the request must be in writing
and signed by the client. Informed consent is not required. When the request involves
client records, all pertinent information shall be released in compliance with sections
144.291 to 144.298.
(b) If the provider initiates the request to release the client's private information,
written authorization for the release of information must be obtained from the client
and must include, at a minimum:
(1) the name of the client;
(2) the name of the individual or entity providing the information;
(3) the name of the individual or entity to which the release is made;
(4) the types of information to be released, such as progress notes, diagnoses,
assessment data, or other specific information;
(5) the purpose of the release, such as whether the release is to coordinate
professional care with another provider, to obtain insurance payment for services, or for
other specified purposes;
(6) the time period covered by the consent;
(7) a statement that the consent is valid for one year, except as otherwise allowed by
statute, or for a lesser period that is specified in the consent;
(8) a declaration that the individual signing the statement has been told of and
understands the nature and purpose of the authorized release;
(9) a statement that the consent may be rescinded, except to the extent that the
consent has already been acted upon or that the right to rescind consent has been waived
separately in writing;
(10) the signature of the client or the client's legally authorized representative, whose
relationship to the client must be stated; and
(11) the date on which the consent is signed.
    Subd. 3. Group client records. Whenever counseling services are provided to
group clients, each client has the right to access or release only that information in the
records that the client has provided directly or has authorized other sources to provide,
unless otherwise directed by law or court order. Upon a request by one client to access or
release group client records, that information in the records that has not been provided
directly or by authorization of the requesting client must be redacted unless written
authorization to disclose this information has been obtained from the other clients.
    Subd. 4. Board investigation. The board shall be allowed access to any records of
a client provided services by an applicant or licensee who is under investigation. If the
client has not signed a consent permitting access to the client's records, the applicant or
licensee must delete any data that identifies the client before providing them to the board.
The board shall maintain any records as investigative data pursuant to chapter 13.

    Sec. 28. [148F.140] INFORMED CONSENT.
    Subdivision 1. Obtaining informed consent for services. The provider shall obtain
informed consent from the client before initiating services. The informed consent must be
in writing, signed by the client, and include the following, at a minimum:
(1) authorization for the provider to engage in an activity which directly affects
the client;
(2) the goals, purposes, and procedures of the proposed services;
(3) the factors that may impact the duration of the service;
(4) the applicable fee schedule;
(5) the limits to the client's privacy, including but not limited to the provider's duty
to warn pursuant to section 148F.130, subdivision 2;
(6) the provider's responsibilities if the client terminates the service;
(7) the significant risks and benefits of the service, including whether the service
may affect the client's legal or other interests;
(8) the provider's responsibilities under section 148F.125, subdivision 3, if the
proposed service, method, or procedure is of an experimental, emerging, or innovative
nature; and
(9) if applicable, information that the provider is developing competence in the
proposed service, method, or procedure, and alternatives to the proposed service, if any.
    Subd. 2. Updating informed consent. If there is a substantial change in the nature
or purpose of a service, the provider must obtain a new informed consent from the client.
    Subd. 3. Emergency or crisis services. Informed consent is not required when
a provider is providing emergency or crisis services. If services continue after the
emergency or crisis has abated, informed consent must be obtained.

    Sec. 29. [148F.145] TERMINATION OF SERVICES.
    Subdivision 1. Right to terminate services. Either the client or the provider may
terminate the professional relationship unless prohibited by law or court order.
    Subd. 2. Mandatory termination of services. The provider shall promptly
terminate services to a client whenever:
(1) the provider's objectivity or effectiveness is impaired, unless a resolution can be
achieved as permitted in section 148F.155, subdivision 2; or
(2) the client would be harmed by further services.
    Subd. 3. Notification of termination. When the provider initiates a termination
of professional services, the provider shall inform the client either orally or in writing.
This requirement shall not apply when the termination is due to the successful completion
of a predefined service such as an assessment, or if the client terminates the professional
relationship.
    Subd. 4. Recommendation upon termination. (a) Upon termination of counseling
services, the provider shall make a recommendation for alcohol and drug counseling
services if requested by the client or if the provider believes the services are needed by
the client.
(b) A recommendation for alcohol and drug counseling services is not required if
the professional service provided is limited to an alcohol and drug assessment and a
recommendation for continued services is not requested.
    Subd. 5. Absence from practice. Nothing in this section requires the provider to
terminate a client due to an absence from practice that is the result of a period of illness
or injury that does not affect the provider's ability to practice with reasonable skill and
safety, as long as arrangements have been made for temporary counseling services that
may be needed by the client during the provider's absence.

    Sec. 30. [148F.150] RECORD KEEPING.
    Subdivision 1. Record-keeping requirements. Providers must maintain accurate
and legible client records. Records must include, at a minimum:
(1) an accurate chronological listing of all substantive contacts with the client;
(2) documentation of services, including:
(i) assessment methods, data, and reports;
(ii) an initial treatment plan and any revisions to the plan;
(iii) the name of the individual providing services;
(iv) the name and credentials of the individual who is professionally responsible
for the services provided;
(v) case notes for each date of service, including interventions;
(vi) consultations with collateral sources;
(vii) diagnoses or presenting problems; and
(viii) documentation that informed consent was obtained, including written informed
consent documents;
(3) copies of all correspondence relevant to the client;
(4) a client personal data sheet;
(5) copies of all client authorizations for release of information;
(6) an accurate chronological listing of all fees charged, if any, to the client or
a third party payer; and
(7) any other documents pertaining to the client.
    Subd. 2. Duplicate records. If the client records containing the documentation
required by subdivision 1 are maintained by the agency, clinic, or other facility where the
provider renders services, the provider is not required to maintain duplicate records of
client information.
    Subd. 3. Record retention. The provider shall retain a client's record for a minimum
of seven years after the date of the provider's last professional service to the client, except
as otherwise provided by law. If the client is a minor, the record retention period does not
begin until the client reaches the age of 18, except as otherwise provided by law.

    Sec. 31. [148F.155] IMPAIRED OBJECTIVITY OR EFFECTIVENESS.
    Subdivision 1. Situations involving impaired objectivity or effectiveness. (a) An
alcohol and drug counselor must not provide alcohol and drug counseling services to a
client or potential client when the counselor's objectivity or effectiveness is impaired.
(b) The provider shall not provide alcohol and drug counseling services to a client
if doing so would create a multiple relationship. For purposes of this section, "multiple
relationship" means one that is both professional and:
(1) cohabitational;
(2) familial;
(3) one in which there has been personal involvement with the client or family
member of the client that is reasonably likely to adversely affect the client's welfare or
ability to benefit from services; or
(4) one in which there is significant financial involvement other than legitimate
payment for professional services rendered that is reasonably likely to adversely affect the
client's welfare or ability to benefit from services.
If an unforeseen multiple relationship arises after services have been initiated, the
provider shall promptly terminate the professional relationship.
(c) The provider shall not provide alcohol and drug counseling services to a client
who is also the provider's student or supervisee. If an unforeseen situation arises in which
both types of services are required or requested by the client or a third party, the provider
shall decline to provide the services.
(d) The provider shall not provide alcohol and drug counseling services to a client
when the provider is biased for or against the client for any reason that interferes with the
provider's impartial judgment, including where the client is a member of a class legally
protected from discrimination. The provider may provide services if the provider is
working to resolve the impairment in the manner required under subdivision 2.
(e) The provider shall not provide alcohol and drug counseling services to a client
when there is a fundamental divergence or conflict of service goals, interests, values,
or attitudes between the client and the provider that adversely affects the professional
relationship. The provider may provide services if the provider is working to resolve the
impairment in the manner required under subdivision 2.
    Subd. 2. Resolution of impaired objectivity or effectiveness. (a) When an
impairment occurs that is listed in subdivision 1, paragraph (d) or (e), the provider may
provide services only if the provider actively pursues resolution of the impairment and is
able to do so in a manner that results in minimal adverse effects on the client or potential
client.
(b) If the provider attempts to resolve the impairment, it must be by means of
professional education, training, continuing education, consultation, psychotherapy,
intervention, supervision, or discussion with the client or potential client, or an appropriate
combination thereof.

    Sec. 32. [148F.160] PROVIDER IMPAIRMENT.
The provider shall not provide counseling services to clients when the provider is
unable to provide services with reasonable skill and safety as a result of a physical or
mental illness or condition, including, but not limited to, substance abuse or dependence.
During the period the provider is unable to practice with reasonable skill and safety, the
provider shall either promptly terminate the professional relationship with all clients or
shall make arrangements for other alcohol and drug counselors to provide temporary
services during the provider's absence.

    Sec. 33. [148F.165] CLIENT WELFARE.
    Subdivision 1. Explanation of procedures. A client has the right to have, and a
counselor has the responsibility to provide, a nontechnical explanation of the nature and
purpose of the counseling procedures to be used and the results of tests administered to the
client. The counselor shall establish procedures to be followed if the explanation is to be
provided by another individual under the direction of the counselor.
    Subd. 2. Clients' bill of rights. The client bill of rights required by section 144.652,
shall be prominently displayed on the premises of the professional practice or provided
as a handout to each client. The document must state that consumers of alcohol and
drug counseling services have the right to:
(1) expect that the provider meets the minimum qualifications of training and
experience required by state law;
(2) examine public records maintained by the Board of Behavioral Health and
Therapy that contain the credentials of the provider;
(3) report complaints to the Board of Behavioral Health and Therapy;
(4) be informed of the cost of professional services before receiving the services;
(5) privacy as defined and limited by law and rule;
(6) be free from being the object of unlawful discrimination while receiving
counseling services;
(7) have access to their records as provided in sections 144.92 and 148F.135,
subdivision 1, except as otherwise provided by law;
(8) be free from exploitation for the benefit or advantage of the provider;
(9) terminate services at any time, except as otherwise provided by law or court
order;
(10) know the intended recipients of assessment results;
(11) withdraw consent to release assessment results, unless the right is prohibited by
law or court order or was waived by prior written agreement;
(12) a nontechnical description of assessment procedures; and
(13) a nontechnical explanation and interpretation of assessment results, unless this
right is prohibited by law or court order or was waived by prior written agreement.
    Subd. 3. Stereotyping. The provider shall treat the client as an individual and
not impose on the client any stereotypes of behavior, values, or roles related to human
diversity.
    Subd. 4. Misuse of client relationship. The provider shall not misuse the
relationship with a client due to a relationship with another individual or entity.
    Subd. 5. Exploitation of client. The provider shall not exploit the professional
relationship with a client for the provider's emotional, financial, sexual, or personal
advantage or benefit. This prohibition extends to former clients who are vulnerable or
dependent on the provider.
    Subd. 6. Sexual behavior with client. A provider shall not engage in any sexual
behavior with a client including:
(1) sexual contact, as defined in section 604.20, subdivision 7; or
(2) any physical, verbal, written, interactive, or electronic communication, conduct,
or act that may be reasonably interpreted to be sexually seductive, demeaning, or
harassing to the client.
    Subd. 7. Sexual behavior with a former client. A provider shall not engage in any
sexual behavior as described in subdivision 6 within the two-year period following the
date of the last counseling service to a former client. This prohibition applies whether or
not the provider has formally terminated the professional relationship. This prohibition
extends indefinitely for a former client who is vulnerable or dependent on the provider.
    Subd. 8. Preferences and options for treatment. A provider shall disclose to the
client the provider's preferences for choice of treatment or outcome and shall present other
options for the consideration or choice of the client.
    Subd. 9. Referrals. A provider shall make a prompt and appropriate referral of the
client to another professional when requested to make a referral by the client.

    Sec. 34. [148F.170] WELFARE OF STUDENTS, SUPERVISEES, AND
RESEARCH SUBJECTS.
    Subdivision 1. General. Due to the evaluative, supervisory, or other authority that
providers who teach, evaluate, supervise, or conduct research have over their students,
supervisees, or research subjects, they shall protect the welfare of these individuals.
    Subd. 2. Student, supervisee, and research subject protections. To protect the
welfare of their students, supervisees, or research subjects, providers shall not:
(1) discriminate on the basis of race, ethnicity, national origin, religious affiliation,
language, age, gender, physical disabilities, mental capabilities, sexual orientation or
identity, marital status, or socioeconomic status;
(2) exploit or misuse the professional relationship for the emotional, financial,
sexual, or personal advantage or benefit of the provider or another individual or entity;
(3) engage in any sexual behavior with a current student, supervisee, or research
subject, including sexual contact, as defined in section 604.20, subdivision 7, or any
physical, verbal, written, interactive, or electronic communication, conduct, or act that
may be reasonably interpreted to be sexually seductive, demeaning, or harassing. Nothing
in this part shall prohibit a provider from engaging in teaching or research with an
individual with whom the provider has a preexisting and ongoing sexual relationship;
(4) engage in any behavior likely to be deceptive or fraudulent;
(5) disclose evaluative information except for legitimate professional or scientific
purposes; or
(6) engage in any other unprofessional conduct.

    Sec. 35. [148F.175] MEDICAL AND OTHER HEALTH CARE
CONSIDERATIONS.
    Subdivision 1. Coordinating services with other health care professionals.
Upon initiating services, the provider shall inquire whether the client has a preexisting
relationship with another health care professional. If the client has such a relationship,
and it is relevant to the provider's services to the client, the provider shall, to the extent
possible and consistent with the wishes and best interests of the client, coordinate services
for the client with the other health care professional. This requirement does not apply if
brief crisis intervention services are provided.
    Subd. 2. Reviewing health care information. If the provider determines that a
client's preexisting relationship with another health care professional is relevant to the
provider's services to the client, the provider shall, to the extent possible and consistent
with the wishes and best interests of the client, review this information with the treating
health care professional.
    Subd. 3. Relevant medical conditions. If the provider believes that a client's
psychological condition may have medical etiology or consequence, the provider shall,
within the limits of the provider's competence, discuss this with the client and offer to
assist in identifying medical resources for the client.

    Sec. 36. [148F.180] ASSESSMENTS; TESTS; REPORTS.
    Subdivision 1. Assessments. Providers who conduct assessments of individuals
shall base their assessments on records, information, observations, and techniques
sufficient to substantiate their findings. They shall render opinions only after they
have conducted an examination of the individual adequate to support their statements
or conclusions, unless an examination is not practical despite reasonable efforts. An
assessment may be limited to reviewing records or providing testing services when an
individual examination is not necessary for the opinion requested.
    Subd. 2. Tests. Providers may administer and interpret tests within the scope of the
counselor's training, skill, and competence.
    Subd. 3. Reports. Written and oral reports, including testimony as an expert
witness and letters to third parties concerning a client, must be based on information and
techniques sufficient to substantiate their findings. Reports must include:
(1) a description of all assessments, evaluations, or other procedures, including
materials reviewed, which serve as a basis for the provider's conclusions;
(2) reservations or qualifications concerning the validity or reliability of the opinions
and conclusions formulated and recommendations made;
(3) a statement concerning any discrepancy, disagreement, or inconsistent or
conflicting information regarding the circumstances of the case that may have a bearing on
the provider's conclusions;
(4) a statement of the nature of and reason for the use of a test that is administered,
recorded, scored, or interpreted in other than a standard and objective manner; and
(5) a statement indicating when test interpretations or report conclusions are not
based on direct contact between the client and the provider.
    Subd. 4. Private information. Test results and interpretations regarding an
individual are private information.

    Sec. 37. [148F.185] PUBLIC STATEMENTS.
    Subdivision 1. Prohibition against false or misleading information. Public
statements by providers must not include false or misleading information. Providers shall
not solicit or use testimonials by quotation or implication from current clients or former
clients who are vulnerable to undue influence. The provider shall make reasonable efforts
to ensure that public statements by others on behalf of the provider are truthful and shall
make reasonable remedial efforts to bring a public statement into compliance with sections
148F.120 to 148F.205 when the provider becomes aware of a violation.
    Subd. 2. Misrepresentation. The provider shall not misrepresent directly or
by implication professional qualifications including education, training, experience,
competence, credentials, or areas of specialization. The provider shall not misrepresent,
directly or by implication, professional affiliations or the purposes and characteristics of
institutions and organizations with which the provider is professionally associated.
    Subd. 3. Use of specialty board designation. Providers may represent themselves
as having an area of specialization from a specialty board, such as a designation as a
diplomate or fellow, if the specialty board used, at a minimum, the following criteria to
award such a designation:
(1) specified educational requirements defined by the specialty board;
(2) specified experience requirements defined by the specialty board;
(3) a work product evaluated by other specialty board members; and
(4) a face-to-face examination by a committee of specialty board members or a
comprehensive written examination in the area of specialization.

    Sec. 38. [148F.190] FEES; STATEMENTS.
    Subdivision 1. Disclosure. The provider shall disclose the fees for professional
services to a client before providing services.
    Subd. 2. Itemized statement. The provider shall itemize fees for all services for
which the client or a third party is billed and make the itemized statement available to
the client. The statement shall identify the date the service was provided, the nature of
the service, the name of the individual who provided the service, and the name of the
individual who is professionally responsible for the service.
    Subd. 3. Representation of billed services. The provider shall not directly or by
implication misrepresent to the client or to a third party billed for services the nature or the
extent of the services provided.
    Subd. 4. Claiming fees. The provider shall not claim a fee for counseling services
unless the provider is either the direct provider of the services or is clinically responsible
for providing the services and under whose supervision the services were provided.
    Subd. 5. Referrals. No commission, rebate, or other form of remuneration may be
given or received by a provider for the referral of clients for counseling services.

    Sec. 39. [148F.195] AIDING AND ABETTING UNLICENSED PRACTICE.
A provider shall not aid or abet an unlicensed individual to engage in the practice of
alcohol and drug counseling. A provider who supervises a student as part of an alcohol
and drug counseling practicum is not in violation of this section. Properly qualified
individuals who administer and score testing instruments under the direction of a provider
who maintains responsibility for the service are not considered in violation of this section.

    Sec. 40. [148F.200] VIOLATION OF LAW.
A provider shall not violate any law in which the facts giving rise to the violation
involve the practice of alcohol and drug counseling as defined in sections 148F.001 to
148F.205. In any board proceeding alleging a violation of this section, the proof of a
conviction of a crime constitutes proof of the underlying factual elements necessary to
that conviction.

    Sec. 41. [148F.205] COMPLAINTS TO BOARD.
    Subdivision 1. Mandatory reporting requirements. A provider is required to file a
complaint when the provider knows or has reason to believe that another provider:
(1) is unable to practice with reasonable skill and safety as a result of a physical or
mental illness or condition, including, but not limited to, substance abuse or dependence,
except that this mandated reporting requirement is deemed fulfilled by a report made to
the Health Professionals Services Program (HPSP) as provided by Minnesota Statutes,
section 214.33, subdivision 1;
(2) is engaging in or has engaged in sexual behavior with a client or former client in
violation of section 148F.165, subdivision 6 or 7;
(3) has failed to report abuse or neglect of children or vulnerable adults in violation
of section 626.556 or 626.557; or
(4) has employed fraud or deception in obtaining or renewing an alcohol and drug
counseling license.
    Subd. 2. Optional reporting requirements. Other than conduct listed in
subdivision 1, a provider who has reason to believe that the conduct of another provider
appears to be in violation of sections 148F.001 to 148F.205 may file a complaint with
the board.
    Subd. 3. Institutions. A state agency, political subdivision, agency of a local unit
of government, private agency, hospital, clinic, prepaid medical plan, or other health
care institution or organization located in this state shall report to the board any action
taken by the agency, institution, or organization or any of its administrators or medical
or other committees to revoke, suspend, restrict, or condition an alcohol and drug
counselor's privilege to practice or treat patients or clients in the institution, or as part of
the organization, any denial of privileges, or any other disciplinary action for conduct that
might constitute grounds for disciplinary action by the board under sections 148F.001
to 148F.205. The institution, organization, or governmental entity shall also report the
resignation of any alcohol and drug counselors before the conclusion of any disciplinary
action proceeding for conduct that might constitute grounds for disciplinary action under
this chapter, or before the commencement of formal charges but after the practitioner had
knowledge that formal charges were contemplated or were being prepared.
    Subd. 4. Professional societies. A state or local professional society for alcohol and
drug counselors shall report to the board any termination, revocation, or suspension of
membership or any other disciplinary action taken against an alcohol and drug counselor.
If the society has received a complaint that might be grounds for discipline under this
chapter against a member on which it has not taken any disciplinary action, the society
shall report the complaint and the reason why it has not taken action on it or shall direct
the complainant to the board.
    Subd. 5. Insurers. Each insurer authorized to sell insurance described in section
60A.06, subdivision 1, clause (13), and providing professional liability insurance to
alcohol and drug counselors or the Medical Joint Underwriting Association under chapter
62F, shall submit to the board quarterly reports concerning the alcohol and drug counselors
against whom malpractice settlements and awards have been made. The report must
contain at least the following information:
(1) the total number of malpractice settlements or awards made;
(2) the date the malpractice settlements or awards were made;
(3) the allegations contained in the claim or complaint leading to the settlements or
awards made;
(4) the dollar amount of each settlement or award;
(5) the address of the practice of the alcohol and drug counselor against whom an
award was made or with whom a settlement was made; and
(6) the name of the alcohol and drug counselor against whom an award was made or
with whom a settlement was made. The insurance company shall, in addition to the above
information, submit to the board any information, records, and files, including clients'
charts and records, it possesses that tend to substantiate a charge that a licensed alcohol
and drug counselor may have engaged in conduct violating this chapter.
    Subd. 6. Self-reporting. An alcohol and drug counselor shall report to the board
any personal action that would require that a report be filed with the board by any person,
health care facility, business, or organization under subdivisions 1 and 3 to 5. The alcohol
and drug counselor shall also report the revocation, suspension, restriction, limitation,
or other disciplinary action in this state and report the filing of charges regarding the
practitioner's license or right of practice in another state or jurisdiction.
    Subd. 7. Permission to report. A person who has knowledge of any conduct
constituting grounds for disciplinary action relating to the practice of alcohol and drug
counseling under this chapter may report the violation to the board.
    Subd. 8. Client complaints to the board. A provider shall, upon request, provide
information regarding the procedure for filing a complaint with the board and shall, upon
request, assist with filing a complaint. A provider shall not attempt to dissuade a client
from filing a complaint with the board, or require that the client waive the right to file a
complaint with the board as a condition for providing services.
    Subd. 9. Deadlines; forms. Reports required by subdivisions 1 and 3 to 6 must be
submitted no later than 30 days after the reporter learns of the occurrence of the reportable
event or transaction. The board may provide forms for the submission of the reports
required by this section and may require that reports be submitted on the forms provided.

    Sec. 42. REPEALER.
Minnesota Rules, parts 4747.0010; 4747.0020; 4747.0030; 4747.0040; 4747.0050;
4747.0060; 4747.0070, subparts 1, 2, 3, and 6; 4747.0200; 4747.0400, subpart 1;
4747.0700; 4747.0800; 4747.0900; 4747.1100, subparts 1, 2, 4, 5, 6, 7, 8, and 9;
4747.1400; and 4747.1500, are repealed.
Minnesota Statutes 2010, sections 148C.01, subdivisions 1, 1a, 2, 2a, 2b, 2c, 2d,
2e, 2f, 2g, 4, 4a, 5, 7, 9, 10, 11, 11a, 12, 12a, 13, 14, 15, 16, 17, and 18; 148C.015;
148C.03, subdivisions 1 and 4; 148C.0351, subdivisions 1, 3, and 4; 148C.0355; 148C.04,
subdivisions 1, 2, 3, 4, 5a, 6, and 7; 148C.044; 148C.045; 148C.05; 148C.055; 148C.07;
148C.075; 148C.08; 148C.09, subdivisions 1, 1a, 2, and 4; 148C.091; 148C.093;
148C.095; 148C.099; 148C.10, subdivisions 1, 2, and 3; 148C.11; and 148C.12,
subdivisions 1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, and 15, are repealed.