Bill Text: MN SF887 | 2013-2014 | 88th Legislature | Engrossed


Bill Title: Omnibus health department policy bill; Minnesota Radon Awareness Act

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Passed) 2013-05-10 - Secretary of State Chapter 43 05/07/13 [SF887 Detail]

Download: Minnesota-2013-SF887-Engrossed.html

1.1A bill for an act
1.2relating to health; classifying criminal history record data on Minnesota Responds
1.3Medical Reserve Corps volunteers; requiring certain interviews for investigation
1.4of vulnerable adult complaints against HMO; enacting the Minnesota Radon
1.5Awareness Act; requiring radon education disclosure for residential real
1.6property; changing provisions for tuberculosis standards; changing adverse
1.7health events reporting requirements; modifying a poison control provision;
1.8providing liability coverage for certain volunteer medical personnel and
1.9permitting agreements to conduct criminal background studies; changing
1.10provisions for body art establishments and body art technicians; defining
1.11occupational therapy practitioners; changing provisions for occupational therapy;
1.12amending prescribing authority for legend drugs; providing penalties;amending
1.13Minnesota Statutes 2012, sections 13.381, by adding a subdivision; 62Q.106;
1.14144.1501, subdivision 4; 144.50, by adding a subdivision; 144.55, subdivision
1.153; 144.56, by adding a subdivision; 144.7065, subdivisions 2, 3, 4, 5, 6, 7, by
1.16adding a subdivision; 144A.04, by adding a subdivision; 144A.45, by adding
1.17a subdivision; 144A.53, subdivision 2; 144A.752, by adding a subdivision;
1.18144D.08; 145.93, subdivision 3; 145A.04, by adding a subdivision; 145A.06,
1.19subdivision 7; 146B.02, subdivisions 2, 8; 146B.03, by adding a subdivision;
1.20146B.07, subdivision 5; 148.6402, by adding a subdivision; 148.6440; 151.37,
1.21subdivision 2; proposing coding for new law in Minnesota Statutes, chapters 144;
1.22145A; 513; repealing Minnesota Statutes 2012, sections 144.1487; 144.1488;
1.23144.1489; 144.1490; 144.1491; 146B.03, subdivision 10; 325F.814; 609.2246.
1.24BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.25    Section 1. Minnesota Statutes 2012, section 13.381, is amended by adding a
1.26subdivision to read:
1.27    Subd. 14a. Minnesota Responds Medical Reserve Corps. Criminal history
1.28record data on Minnesota Responds Medical Reserve Corps volunteers are classified
1.29under section 145A.061.

2.1    Sec. 2. Minnesota Statutes 2012, section 62Q.106, is amended to read:
2.262Q.106 DISPUTE RESOLUTION BY COMMISSIONER.
2.3(a) A complainant may at any time submit a complaint to the appropriate
2.4commissioner to investigate. After investigating a complaint, or reviewing a company's
2.5decision, the appropriate commissioner may order a remedy as authorized under chapter
2.645, 60A, or 62D.
2.7(b) In investigating a complaint filed against a health maintenance organization
2.8regarding a vulnerable adult, upon request, the commissioner of health must interview
2.9at least one family member of the complainant or the subject of the complaint. If the
2.10complainant or the subject of the complaint does not want any family members to be
2.11interviewed, this information will be included in the investigative file.

2.12    Sec. 3. Minnesota Statutes 2012, section 144.1501, subdivision 4, is amended to read:
2.13    Subd. 4. Loan forgiveness. The commissioner of health may select applicants
2.14each year for participation in the loan forgiveness program, within the limits of available
2.15funding. The commissioner shall distribute available funds for loan forgiveness
2.16proportionally among the eligible professions according to the vacancy rate for each
2.17profession in the required geographic area, facility type, teaching area, patient group,
2.18or specialty type specified in subdivision 2. The commissioner shall allocate funds for
2.19physician loan forgiveness so that 75 percent of the funds available are used for rural
2.20physician loan forgiveness and 25 percent of the funds available are used for underserved
2.21urban communities and pediatric psychiatry loan forgiveness. If the commissioner does
2.22not receive enough qualified applicants each year to use the entire allocation of funds for
2.23any eligible profession, the remaining funds may be allocated proportionally among the
2.24other eligible professions according to the vacancy rate for each profession in the required
2.25geographic area, patient group, or facility type specified in subdivision 2. Applicants are
2.26responsible for securing their own qualified educational loans. The commissioner shall
2.27select participants based on their suitability for practice serving the required geographic
2.28area or facility type specified in subdivision 2, as indicated by experience or training. The
2.29commissioner shall give preference to applicants closest to completing their training.
2.30For each year that a participant meets the service obligation required under subdivision
2.313, up to a maximum of four years, the commissioner shall make annual disbursements
2.32directly to the participant equivalent to 15 percent of the average educational debt for
2.33indebted graduates in their profession in the year closest to the applicant's selection for
2.34which information is available, not to exceed the balance of the participant's qualifying
2.35educational loans. Before receiving loan repayment disbursements and as requested, the
3.1participant must complete and return to the commissioner an affidavit a confirmation of
3.2practice form provided by the commissioner verifying that the participant is practicing
3.3as required under subdivisions 2 and 3. The participant must provide the commissioner
3.4with verification that the full amount of loan repayment disbursement received by the
3.5participant has been applied toward the designated loans. After each disbursement,
3.6verification must be received by the commissioner and approved before the next loan
3.7repayment disbursement is made. Participants who move their practice remain eligible for
3.8loan repayment as long as they practice as required under subdivision 2.

3.9    Sec. 4. [144.496] MINNESOTA RADON AWARENESS ACT.
3.10    Subdivision 1. Citation. This section may be cited as the "Minnesota Radon
3.11Awareness Act."
3.12    Subd. 2. Definitions. (a) The following terms used in this section have the meanings
3.13given them.
3.14(b) "Buyer" means a person negotiating or offering to acquire for value, legal or
3.15equitable title, or the right to acquire legal or equitable title to residential legal property.
3.16(c) "Mitigation" means measures designed to permanently reduce indoor radon
3.17concentrations.
3.18(d) "Radon test" means a measurement of indoor radon concentrations according to
3.19established industry standards for residential real property.
3.20(e) "Residential real property" means property occupied as, or intended to be
3.21occupied as, a single-family residence, including a unit in a common interest community
3.22as defined in section 515B.1-103, clause (10), regardless of whether the unit is in a
3.23common interest community not subject to chapter 515B.
3.24(f) "Seller" means a person who owns legal or equitable title to residential real
3.25property.
3.26(g) "Elevated radon concentration" means a radon concentration at or above the
3.27United States Environmental Protection Agency's radon action level.
3.28    Subd. 3. Radon disclosure. (a) Before signing an agreement to sell or transfer
3.29residential real property, the seller shall disclose in writing to the buyer any knowledge the
3.30seller has of radon concentrations in the dwelling. The disclosure shall include:
3.31(1) whether a radon test or tests have occurred on the real property;
3.32(2) the most current records and reports pertaining to radon concentrations within
3.33the dwelling;
3.34(3) a description of any radon concentrations, mitigation, or remediation;
4.1(4) information regarding the radon mitigation system, including system description
4.2and documentation, if such system has been installed in the dwelling; and
4.3(5) a radon warning statement meeting the requirements of subdivision 4.
4.4(b) The seller shall provide the buyer with a copy of the Minnesota Department of
4.5Health publication entitled "Radon in Real Estate Transactions."
4.6    (c) The seller's radon disclosure requirements in this section apply to the transfer of
4.7any interest in residential real estate, whether by sale, exchange, deed, contract for deed,
4.8lease with an option to purchase, or any other option.
4.9    (d) The seller's radon disclosure requirements in this section do not apply to any of
4.10the following:
4.11    (1) real property that is not residential real property;
4.12    (2) a gratuitous transfer;
4.13    (3) a transfer made pursuant to a court order;
4.14    (4) a transfer to a government or governmental agency;
4.15    (5) a transfer by foreclosure or deed in lieu of foreclosure;
4.16    (6) a transfer to heirs or devisees of a decedent;
4.17    (7) a transfer from a cotenant to one or more other cotenants;
4.18    (8) a transfer made to a spouse, parent, grandparent, child, or grandchild of the seller;
4.19    (9) a transfer between spouses resulting from a decree of marriage dissolution or
4.20from a property settlement agreement incidental to that decree;
4.21    (10) an option to purchase a unit in a common interest community, until exercised;
4.22    (11) a transfer to a person who controls or is controlled by the grantor as those terms
4.23are defined with respect to a declarant under section 515B.1-103, clause (2);
4.24    (12) a transfer to a tenant who is in possession of the residential real property; or
4.25    (13) a transfer of special declarant rights under section 515B.3-104.
4.26(e) A seller may provide the written disclosure required under this section to a
4.27real estate licensee representing or assisting a prospective buyer. The written disclosure
4.28provided to the real estate licensee representing or assisting a prospective buyer is
4.29considered to have been provided to the prospective buyer. If the written disclosure is
4.30provided to the real estate licensee representing or assisting the prospective buyer, the real
4.31estate licensee must provide a copy to the prospective buyer.
4.32    Subd. 4. Radon warning statement. The radon warning statement must include
4.33the following language:
4.34"Radon Warning Statement
4.35The Minnesota Department of Health strongly recommends that ALL homebuyers
4.36have an indoor radon test performed prior to purchase or taking occupancy, and
5.1recommends having the radon levels mitigated if elevated radon concentrations are found.
5.2Elevated radon concentrations can easily be reduced by a qualified, certified, or licensed,
5.3if applicable, radon mitigator.
5.4Every buyer of any interest in residential real property is notified that the property
5.5may present exposure to dangerous levels of indoor radon gas that may place the occupants
5.6at risk of developing radon-induced lung cancer. Radon, a Class A human carcinogen, is
5.7the leading cause of lung cancer in nonsmokers and the second leading cause overall. The
5.8seller of any interest in residential real property is required to provide the buyer with any
5.9information on radon test results of the dwelling."
5.10    Subd. 5. Liability; transfer not invalidated. (a) A seller who fails to make a radon
5.11disclosure as required by this section, and is aware of material facts pertaining to radon
5.12concentrations in the dwelling, is liable to the buyer.
5.13(b) A buyer who is injured by a violation of this section may bring a civil action and
5.14recover damages and receive other equitable relief as determined by the court. An action
5.15under this subdivision must be commenced within two years after the date on which the
5.16buyer closed the purchase or transfer of the real property.
5.17(c) This section does not invalidate a transfer solely because of the failure of any
5.18person to comply with a provision of this section. This section does not prevent a court
5.19from ordering a rescission of the transfer.
5.20    Subd. 6. Effective date. This section is effective January 1, 2014, and applies to
5.21agreements to sell or transfer residential real property executed on or after that date.

5.22    Sec. 5. Minnesota Statutes 2012, section 144.50, is amended by adding a subdivision
5.23to read:
5.24    Subd. 8. Supervised living facility; tuberculosis prevention and control. (a)
5.25A supervised living facility must establish and maintain a comprehensive tuberculosis
5.26infection control program according to the most current tuberculosis infection control
5.27guidelines issued by the United States Centers for Disease Control and Prevention (CDC),
5.28Division of Tuberculosis Elimination, as published in CDC's Morbidity and Mortality
5.29Weekly Report (MMWR). This program must include a tuberculosis infection control plan
5.30that covers all paid and unpaid employees, contractors, students, and volunteers. The
5.31Department of Health shall provide technical assistance regarding implementation of
5.32the guidelines.
5.33(b) Written compliance with this subdivision must be maintained by the supervised
5.34living facility.

6.1    Sec. 6. Minnesota Statutes 2012, section 144.55, subdivision 3, is amended to read:
6.2    Subd. 3. Standards for licensure. (a) Notwithstanding the provisions of section
6.3144.56 , for the purpose of hospital licensure, the commissioner of health shall use as
6.4minimum standards the hospital certification regulations promulgated pursuant to Title
6.5XVIII of the Social Security Act, United States Code, title 42, section 1395, et seq. The
6.6commissioner may use as minimum standards changes in the federal hospital certification
6.7regulations promulgated after May 7, 1981, if the commissioner finds that such changes
6.8are reasonably necessary to protect public health and safety. The commissioner shall also
6.9promulgate in rules additional minimum standards for new construction.
6.10(b) Each hospital and outpatient surgical center shall establish policies and
6.11procedures to prevent the transmission of human immunodeficiency virus and hepatitis B
6.12virus to patients and within the health care setting. The policies and procedures shall be
6.13developed in conformance with the most recent recommendations issued by the United
6.14States Department of Health and Human Services, Public Health Service, Centers for
6.15Disease Control. The commissioner of health shall evaluate a hospital's compliance with
6.16the policies and procedures according to subdivision 4.
6.17(c) An outpatient surgical center must establish and maintain a comprehensive
6.18tuberculosis infection control program according to the most current tuberculosis infection
6.19control guidelines issued by the United States Centers for Disease Control and Prevention
6.20(CDC), Division of Tuberculosis Elimination, as published in CDC's Morbidity and
6.21Mortality Weekly Report (MMWR). This program must include a tuberculosis infection
6.22control plan that covers all paid and unpaid employees, contractors, students, and
6.23volunteers. The Department of Health shall provide technical assistance regarding
6.24implementation of the guidelines.
6.25(d) Written compliance with this subdivision must be maintained by the outpatient
6.26surgical center.

6.27    Sec. 7. Minnesota Statutes 2012, section 144.56, is amended by adding a subdivision
6.28to read:
6.29    Subd. 2c. Boarding care home; tuberculosis prevention and control. (a) A
6.30boarding care home must establish and maintain a comprehensive tuberculosis infection
6.31control program according to the most current tuberculosis infection control guidelines
6.32issued by the United States Centers for Disease Control and Prevention (CDC), Division
6.33of Tuberculosis Elimination, as published in CDC's Morbidity and Mortality Weekly
6.34Report (MMWR). This program must include a tuberculosis infection control plan that
6.35covers all paid and unpaid employees, contractors, students, residents, and volunteers.
7.1The Department of Health shall provide technical assistance regarding implementation of
7.2the guidelines.
7.3(b) Written compliance with this subdivision must be maintained by the boarding
7.4care home.

7.5    Sec. 8. Minnesota Statutes 2012, section 144.7065, subdivision 2, is amended to read:
7.6    Subd. 2. Surgical events. Events reportable under this subdivision are:
7.7(1) surgery or other invasive procedure performed on a wrong body part that is not
7.8consistent with the documented informed consent for that patient. Reportable events under
7.9this clause do not include situations requiring prompt action that occur in the course of
7.10surgery or situations whose urgency precludes obtaining informed consent;
7.11(2) surgery or other invasive procedure performed on the wrong patient;
7.12(3) the wrong surgical or other invasive procedure performed on a patient that is
7.13not consistent with the documented informed consent for that patient. Reportable events
7.14under this clause do not include situations requiring prompt action that occur in the course
7.15of surgery or situations whose urgency precludes obtaining informed consent;
7.16(4) retention of a foreign object in a patient after surgery or other invasive procedure,
7.17excluding objects intentionally implanted as part of a planned intervention and objects
7.18present prior to surgery that are intentionally retained; and
7.19(5) death during or immediately after surgery or other invasive procedure of a
7.20normal, healthy patient who has no organic, physiologic, biochemical, or psychiatric
7.21disturbance and for whom the pathologic processes for which the operation is to be
7.22performed are localized and do not entail a systemic disturbance.

7.23    Sec. 9. Minnesota Statutes 2012, section 144.7065, subdivision 3, is amended to read:
7.24    Subd. 3. Product or device events. Events reportable under this subdivision are:
7.25(1) patient death or serious disability injury associated with the use of contaminated
7.26drugs, devices, or biologics provided by the facility when the contamination is the result
7.27of generally detectable contaminants in drugs, devices, or biologics regardless of the
7.28source of the contamination or the product;
7.29(2) patient death or serious disability injury associated with the use or function of
7.30a device in patient care in which the device is used or functions other than as intended.
7.31"Device" includes, but is not limited to, catheters, drains, and other specialized tubes,
7.32infusion pumps, and ventilators; and
8.1(3) patient death or serious disability injury associated with intravascular air
8.2embolism that occurs while being cared for in a facility, excluding deaths associated with
8.3neurosurgical procedures known to present a high risk of intravascular air embolism.

8.4    Sec. 10. Minnesota Statutes 2012, section 144.7065, subdivision 4, is amended to read:
8.5    Subd. 4. Patient protection events. Events reportable under this subdivision are:
8.6(1) an infant a patient of any age, who does not have decision-making capacity,
8.7 discharged to the wrong person;
8.8(2) patient death or serious disability injury associated with patient disappearance,
8.9excluding events involving adults who have decision-making capacity; and
8.10(3) patient suicide or, attempted suicide resulting in serious disability injury, or
8.11self-harm resulting in serious injury or death while being cared for in a facility due to
8.12patient actions after admission to the facility, excluding deaths resulting from self-inflicted
8.13injuries that were the reason for admission to the facility.

8.14    Sec. 11. Minnesota Statutes 2012, section 144.7065, subdivision 5, is amended to read:
8.15    Subd. 5. Care management events. Events reportable under this subdivision are:
8.16(1) patient death or serious disability injury associated with a medication error,
8.17including, but not limited to, errors involving the wrong drug, the wrong dose, the wrong
8.18patient, the wrong time, the wrong rate, the wrong preparation, or the wrong route of
8.19administration, excluding reasonable differences in clinical judgment on drug selection
8.20and dose;
8.21(2) patient death or serious disability injury associated with a hemolytic reaction
8.22due to the administration of ABO/HLA-incompatible unsafe administration of blood
8.23or blood products;
8.24(3) maternal death or serious disability injury associated with labor or delivery in a
8.25low-risk pregnancy while being cared for in a facility, including events that occur within
8.2642 days postdelivery and excluding deaths from pulmonary or amniotic fluid embolism,
8.27acute fatty liver of pregnancy, or cardiomyopathy;
8.28(4) patient death or serious disability directly related to hypoglycemia, the onset of
8.29which occurs while the patient is being cared for in a facility death or serious injury of a
8.30neonate associated with labor or delivery in a low-risk pregnancy;
8.31(5) death or serious disability, including kernicterus, associated with failure
8.32to identify and treat hyperbilirubinemia in neonates during the first 28 days of life.
8.33"Hyperbilirubinemia" means bilirubin levels greater than 30 milligrams per deciliter;
9.1(6) (5) stage 3 or 4 or unstageable ulcers acquired after admission to a facility,
9.2excluding progression from stage 2 to stage 3 if stage 2 was recognized upon admission;
9.3(7) patient death or serious disability due to spinal manipulative therapy; and
9.4(8) (6) artificial insemination with the wrong donor sperm or wrong egg.;
9.5(7) patient death or serious injury associated with a fall while being cared for in
9.6a facility;
9.7(8) the irretrievable loss of an irreplaceable biological specimen; and
9.8(9) patient death or serious injury resulting from the failure to follow up or
9.9communicate laboratory, pathology, or radiology test results.

9.10    Sec. 12. Minnesota Statutes 2012, section 144.7065, subdivision 6, is amended to read:
9.11    Subd. 6. Environmental events. Events reportable under this subdivision are:
9.12(1) patient death or serious disability injury associated with an electric shock while
9.13being cared for in a facility, excluding events involving planned treatments such as electric
9.14countershock;
9.15(2) any incident in which a line designated for oxygen or other gas to be delivered to
9.16a patient contains the wrong gas or is contaminated by toxic substances;
9.17(3) patient death or serious disability injury associated with a burn incurred from any
9.18source while being cared for in a facility; and
9.19(4) patient death or serious disability associated with a fall while being cared for in
9.20a facility; and
9.21(5) (4) patient death or serious disability injury associated with the use or lack of
9.22restraints or bedrails while being cared for in a facility.

9.23    Sec. 13. Minnesota Statutes 2012, section 144.7065, subdivision 7, is amended to read:
9.24    Subd. 7. Potential criminal events. Events reportable under this subdivision are:
9.25(1) any instance of care ordered by or provided by someone impersonating a
9.26physician, nurse, pharmacist, or other licensed health care provider;
9.27(2) abduction of a patient of any age;
9.28(3) sexual assault on a patient within or on the grounds of a facility; and
9.29(4) death or significant serious injury of a patient or staff member resulting from a
9.30physical assault that occurs within or on the grounds of a facility.

9.31    Sec. 14. Minnesota Statutes 2012, section 144.7065, is amended by adding a
9.32subdivision to read:
10.1    Subd. 7a. Radiologic events. Death or serious injury of a patient associated with
10.2the introduction of a metallic object into the MRI area are reportable events under this
10.3subdivision.

10.4    Sec. 15. Minnesota Statutes 2012, section 144A.04, is amended by adding a
10.5subdivision to read:
10.6    Subd. 3b. Nursing homes; tuberculosis prevention and control. (a) A nursing
10.7home provider must establish and maintain a comprehensive tuberculosis infection control
10.8program according to the most current tuberculosis infection control guidelines issued
10.9by the United States Centers for Disease Control and Prevention (CDC), Division of
10.10Tuberculosis Elimination, as published in CDC's Morbidity and Mortality Weekly Report
10.11(MMWR). This program must include a tuberculosis infection control plan that covers
10.12all paid and unpaid employees, contractors, students, residents, and volunteers. The
10.13Department of Health shall provide technical assistance regarding implementation of
10.14the guidelines.
10.15(b) Written compliance with this subdivision must be maintained by the nursing home.

10.16    Sec. 16. Minnesota Statutes 2012, section 144A.45, is amended by adding a
10.17subdivision to read:
10.18    Subd. 6. Home care providers; tuberculosis prevention and control. (a) A home
10.19care provider must establish and maintain a comprehensive tuberculosis infection control
10.20program according to the most current tuberculosis infection control guidelines issued
10.21by the United States Centers for Disease Control and Prevention (CDC), Division of
10.22Tuberculosis Elimination, as published in CDC's Morbidity and Mortality Weekly Report
10.23(MMWR). This program must include a tuberculosis infection control plan that covers
10.24all paid and unpaid employees, contractors, students, and volunteers. The Department of
10.25Health shall provide technical assistance regarding implementation of the guidelines.
10.26(b) Written compliance with this subdivision must be maintained by the home care
10.27provider.

10.28    Sec. 17. Minnesota Statutes 2012, section 144A.53, subdivision 2, is amended to read:
10.29    Subd. 2. Complaints. (a) The director may receive a complaint from any source
10.30concerning an action of an administrative agency, a health care provider, a home care
10.31provider, a residential care home, or a health facility. The director may require a
10.32complainant to pursue other remedies or channels of complaint open to the complainant
10.33before accepting or investigating the complaint. Investigators are required to interview
11.1at least one family member of the vulnerable adult identified in the complaint. If the
11.2vulnerable adult is directing his or her own care and does not want the investigator to
11.3contact the family, this information must be documented in the investigative file.
11.4(b) The director shall keep written records of all complaints and any action upon
11.5them. After completing an investigation of a complaint, the director shall inform the
11.6complainant, the administrative agency having jurisdiction over the subject matter, the
11.7health care provider, the home care provider, the residential care home, and the health
11.8facility of the action taken. Complainants must be provided a copy of the public report
11.9upon completion of the investigation.

11.10    Sec. 18. Minnesota Statutes 2012, section 144A.752, is amended by adding a
11.11subdivision to read:
11.12    Subd. 5. Hospice providers; tuberculosis prevention and control. (a) A hospice
11.13provider must establish and maintain a comprehensive tuberculosis infection control
11.14program according to the most current tuberculosis infection control guidelines issued
11.15by the United States Centers for Disease Control and Prevention (CDC), Division of
11.16Tuberculosis Elimination, as published in CDC's Morbidity and Mortality Weekly Report
11.17(MMWR). This program must include a tuberculosis infection control plan that covers
11.18all paid and unpaid employees, contractors, students, and volunteers. For residential
11.19hospice facilities, the tuberculosis infection control plan must cover each hospice patient.
11.20The Department of Health shall provide technical assistance regarding implementation of
11.21the guidelines.
11.22(b) Written compliance with this subdivision must be maintained by the hospice
11.23provider.

11.24    Sec. 19. Minnesota Statutes 2012, section 144D.08, is amended to read:
11.25144D.08 UNIFORM CONSUMER INFORMATION GUIDE.
11.26All housing with services establishments shall make available to all prospective
11.27and current residents information consistent with the uniform format and the required
11.28components adopted by the commissioner under section 144G.06. This section does not
11.29apply to an establishment registered under section 144D.025 serving the homeless.

11.30    Sec. 20. Minnesota Statutes 2012, section 145.93, subdivision 3, is amended to read:
11.31    Subd. 3. Grant award; designation; payments under grant. Each odd-numbered
11.32 Every fifth year, the commissioner shall solicit applications for the poison information
11.33centers by giving reasonable public notice of the availability of money appropriated or
12.1otherwise available. The commissioner shall select from among the entities, whether profit
12.2or nonprofit, or units of government the applicants that best fulfill the criteria specified in
12.3subdivision 4. The grant shall be paid to the grantees quarterly beginning on July 1.

12.4    Sec. 21. Minnesota Statutes 2012, section 145A.04, is amended by adding a
12.5subdivision to read:
12.6    Subd. 6d. Minnesota Responds Medical Reserve Corps; liability coverage. A
12.7Minnesota Responds Medical Reserve Corps volunteer responding to a request for training
12.8or assistance at the call of a board of health must be deemed an employee of the jurisdiction
12.9for purposes of workers' compensation, tort claim defense, and indemnification.

12.10    Sec. 22. Minnesota Statutes 2012, section 145A.06, subdivision 7, is amended to read:
12.11    Subd. 7. Commissioner requests for health volunteers. (a) When the
12.12commissioner receives a request for health volunteers from:
12.13(1) a local board of health according to section 145A.04, subdivision 6c;
12.14(2) the University of Minnesota Academic Health Center;
12.15(3) another state or a territory through the Interstate Emergency Management
12.16Assistance Compact authorized under section 192.89;
12.17(4) the federal government through ESAR-VHP or another similar program; or
12.18(5) a tribal or Canadian government;
12.19the commissioner shall determine if deployment of Minnesota Responds Medical Reserve
12.20Corps volunteers from outside the requesting jurisdiction is in the public interest. If so,
12.21the commissioner may ask for Minnesota Responds Medical Reserve Corps volunteers to
12.22respond to the request. The commissioner may also ask for Minnesota Responds Medical
12.23Reserve Corps volunteers if the commissioner finds that the state needs health volunteers.
12.24(b) The commissioner may request Minnesota Responds Medical Reserve Corps
12.25volunteers to work on the Minnesota Mobile Medical Unit (MMU), or on other mobile
12.26or temporary units providing emergency patient stabilization, medical transport, or
12.27ambulatory care. The commissioner may utilize the volunteers for training, mobilization
12.28or demobilization, inspection, maintenance, repair, or other support functions for the
12.29MMU facility or for other emergency units, as well as for provision of health care services.
12.30(c) A volunteer's rights and benefits under this chapter as a Minnesota Responds
12.31Medical Reserve Corps volunteer is not affected by any vacation leave, pay, or other
12.32compensation provided by the volunteer's employer during volunteer service requested by
12.33the commissioner. An employer is not liable for actions of an employee while serving as a
12.34Minnesota Responds Medical Reserve Corps volunteer.
13.1(d) If the commissioner matches the request under paragraph (a) with Minnesota
13.2Responds Medical Reserve Corps volunteers, the commissioner shall facilitate deployment
13.3of the volunteers from the sending Minnesota Responds Medical Reserve Corps units to
13.4the receiving jurisdiction. The commissioner shall track volunteer deployments and assist
13.5sending and receiving jurisdictions in monitoring deployments, and shall coordinate
13.6efforts with the division of homeland security and emergency management for out-of-state
13.7deployments through the Interstate Emergency Management Assistance Compact or
13.8other emergency management compacts.
13.9(e) Where the commissioner has deployed Minnesota Responds Medical Reserve
13.10Corps volunteers within or outside the state, the provisions of paragraphs (f) and (g) must
13.11apply. Where Minnesota Responds Medical Reserve Corps volunteers were deployed
13.12across jurisdictions by mutual aid or similar agreements prior to a commissioner's call,
13.13the provisions of paragraphs (f) and (g) must apply retroactively to volunteers deployed
13.14as of their initial deployment in response to the event or emergency that triggered a
13.15subsequent commissioner's call.
13.16(f) (1) A Minnesota Responds Medical Reserve Corps volunteer responding to a
13.17request for training or assistance at the call of the commissioner must be deemed an
13.18employee of the state for purposes of workers' compensation and tort claim defense and
13.19indemnification under section 3.736, without regard to whether the volunteer's activity is
13.20under the direction and control of the commissioner, the division of homeland security
13.21and emergency management, the sending jurisdiction, the receiving jurisdiction, or of a
13.22hospital, alternate care site, or other health care provider treating patients from the public
13.23health event or emergency.
13.24(2) For purposes of calculating workers' compensation benefits under chapter 176,
13.25the daily wage must be the usual wage paid at the time of injury or death for similar services
13.26performed by paid employees in the community where the volunteer regularly resides, or
13.27the wage paid to the volunteer in the volunteer's regular employment, whichever is greater.
13.28(g) The Minnesota Responds Medical Reserve Corps volunteer must receive
13.29reimbursement for travel and subsistence expenses during a deployment approved by the
13.30commissioner under this subdivision according to reimbursement limits established for
13.31paid state employees. Deployment begins when the volunteer leaves on the deployment
13.32until the volunteer returns from the deployment, including all travel related to the
13.33deployment. The Department of Health shall initially review and pay those expenses to
13.34the volunteer. Except as otherwise provided by the Interstate Emergency Management
13.35Assistance Compact in section 192.89 or agreements made thereunder, the department
14.1shall bill the jurisdiction receiving assistance and that jurisdiction shall reimburse the
14.2department for expenses of the volunteers.
14.3(h) In the event Minnesota Responds Medical Reserve Corps volunteers are
14.4deployed outside the state pursuant to the Interstate Emergency Management Assistance
14.5Compact, the provisions of the Interstate Emergency Management Assistance Compact
14.6must control over any inconsistent provisions in this section.
14.7(i) When a Minnesota Responds Medical Reserve Corps volunteer makes a claim
14.8for workers' compensation arising out of a deployment under this section or out of a
14.9training exercise conducted by the commissioner, the volunteer's workers compensation
14.10benefits must be determined under section 176.011, subdivision 9, clause (25), even if the
14.11volunteer may also qualify under other clauses of section 176.011, subdivision 9.

14.12    Sec. 23. [145A.061] CRIMINAL BACKGROUND STUDIES.
14.13    Subdivision 1. Agreements to conduct criminal background studies. The
14.14commissioner of health may develop agreements to conduct criminal background studies
14.15on each person who registers as a volunteer in the Minnesota Responds Medical Reserve
14.16Corps and applies for membership in the Minnesota behavioral health or mobile medical
14.17teams. The background study is for the purpose of determining the applicant's suitability
14.18and eligibility for membership. Each applicant must provide written consent authorizing
14.19the Department of Health to obtain the applicant's state criminal background information.
14.20    Subd. 2. Opportunity to challenge accuracy of report. Before denying the
14.21applicant the opportunity to serve as a health volunteer due to information obtained from a
14.22background study, the commissioner shall provide the applicant with the opportunity to
14.23complete, or challenge the accuracy of, the criminal justice information reported to the
14.24commissioner. The applicant shall have 30 calendar days to correct or complete the record
14.25prior to the commissioner taking final action based on the report.
14.26    Subd. 3. Denial of service. The commissioner may deny an application from any
14.27applicant who has been convicted of any of the following crimes:
14.28Section 609.185 (murder in the first degree); section 609.19 (murder in the second
14.29degree); section 609.195 (murder in the third degree); section 609.20 (manslaughter in
14.30the first degree); section 609.205 (manslaughter in the second degree); section 609.25
14.31(kidnapping); section 609.2661 (murder of an unborn child in the first degree); section
14.32609.2662 (murder of an unborn child in the second degree); section 609.2663 (murder of
14.33an unborn child in the third degree); section 609.342 (criminal sexual conduct in the first
14.34degree); section 609.343 (criminal sexual conduct in the second degree); section 609.344
14.35(criminal sexual conduct in the third degree); section 609.345 (criminal sexual conduct in
15.1the fourth degree); section 609.3451 (criminal sexual conduct in the fifth degree); section
15.2609.3453 (criminal sexual predatory conduct); section 609.352 (solicitation of children to
15.3engage in sexual conduct); section 609.352 (communication of sexually explicit materials
15.4to children); section 609.365 (incest); section 609.377 (felony malicious punishment of
15.5a child); section 609.378 (felony neglect or endangerment of a child); section 609.561
15.6(arson in the first degree); section 609.562 (arson in the second degree); section 609.563
15.7(arson in the third degree); section 609.749, subdivision 3, 4, or 5 (felony stalking); section
15.8152.021 (controlled substance crimes in the first degree); section 152.022 (controlled
15.9substance crimes in the second degree); section 152.023 (controlled substance crimes in
15.10the third degree); section 152.024 (controlled substance crimes in the fourth degree);
15.11section 152.025 (controlled substance crimes in the fifth degree); section 243.166
15.12(violation of predatory offender registration law); section 617.23, subdivision 2, clause
15.13(1), or subdivision 3, clause (1) (indecent exposure involving a minor); section 617.246
15.14(use of minors in sexual performance); section 617.247 (possession of pornographic
15.15work involving minors); section 609.221 (assault in the first degree); section 609.222
15.16(assault in the second degree); section 609.223 (assault in the third degree); section
15.17609.2231 (assault in the fourth degree); section 609.224 (assault in the fifth degree);
15.18section 609.2242 (domestic assault); section 609.2247 (domestic assault by strangulation);
15.19section 609.228 (great bodily harm caused by distribution of drugs); section 609.23
15.20(mistreatment of persons confined); section 609.231 (mistreatment of residents or
15.21patients); section 609.2325 (criminal abuse); section 609.233 (criminal neglect); section
15.22609.2335 (financial exploitation of a vulnerable adult); section 609.234 (failure to report);
15.23section 609.24 (simple robbery); section 609.245 (aggravated robbery); section 609.255
15.24(false imprisonment); section 609.322 (solicitation, inducement, and promotion of
15.25prostitution and sex trafficking); section 609.324, subdivision 1 (hiring or engaging minors
15.26in prostitution); section 609.465 (presenting false claims to a public officer or body);
15.27section 609.466 (medical assistance fraud); section 609.52 (felony theft); section 609.82
15.28(felony fraud in obtaining credit); section 609.527 (felony identity theft); section 609.582
15.29(felony burglary); section 609.611 (felony insurance fraud); section 609.625 (aggravated
15.30forgery); section 609.63 (forgery); section 609.631 (felony check forgery); section 609.66,
15.31subdivision 1e (felony drive-by shooting); section 609.71 (felony riot); section 609.713
15.32(terroristic threats); section 609.72, subdivision 3 (disorderly conduct by a caregiver against
15.33a vulnerable adult); section 609.821 (felony financial transaction card fraud); section
15.34609.855, subdivision 4 (shooting at or in a public transit vehicle or facility); or aiding and
15.35abetting, attempting, or conspiring to commit any of the offenses in this subdivision.
16.1    Subd. 4. Conviction. For purposes of this section, an applicant is considered to
16.2have been convicted of a crime if the applicant was convicted, or otherwise found guilty,
16.3including by entering an Alford plea; was found guilty but the adjudication of guilt was
16.4stayed or withheld; or was convicted but the imposition or execution of a sentence was
16.5stayed.
16.6    Subd. 5. Data practices. All state criminal history record information or data
16.7obtained by the commissioner from the Bureau of Criminal Apprehension is private data
16.8on individuals under section 13.02, subdivision 12, and restricted to the exclusive use of
16.9commissioner for the purpose of evaluating an applicant's eligibility for participation in
16.10the behavioral health or mobile field medical team.
16.11    Subd. 6. Use of volunteers by commissioner. The commissioner may deny a
16.12volunteer membership on a mobile medical team or behavioral health team for any reason,
16.13and is only required to communicate the reason when membership is denied as a result
16.14of information received from a criminal background study. The commissioner is exempt
16.15from the Criminal Offenders Rehabilitation Act under chapter 364 in the selection of
16.16volunteers for any position or activity including the Minnesota Responds Medical Reserve
16.17Corps, the Minnesota behavioral health team, and the mobile medical team.

16.18    Sec. 24. Minnesota Statutes 2012, section 146B.02, subdivision 2, is amended to read:
16.19    Subd. 2. Requirements. (a) Each application for an initial mobile or fixed-site
16.20 establishment license and for renewal must be submitted to the commissioner on a form
16.21provided by the commissioner accompanied with the applicable fee required under section
16.22146B.10 . The application must contain:
16.23(1) the name(s) of the owner(s) and operator(s) of the establishment;
16.24(2) the location of the establishment;
16.25(3) verification of compliance with all applicable local and state codes;
16.26(4) a description of the general nature of the business; and
16.27(5) any other relevant information deemed necessary by the commissioner.
16.28    (b) The commissioner shall issue a provisional establishment license effective until
16.29the commissioner determines after inspection that the applicant has met the requirements
16.30of this chapter. Upon approval, the commissioner shall issue a body art establishment
16.31license effective for three years.

16.32    Sec. 25. Minnesota Statutes 2012, section 146B.02, subdivision 8, is amended to read:
16.33    Subd. 8. Temporary events permit. (a) An owner or operator of a temporary
16.34body art establishment shall submit an application for a temporary events permit to the
17.1commissioner at least 14 days before the start of the event. The application must include
17.2the specific days and hours of operation. The owner or operator shall comply with the
17.3requirements of this chapter.
17.4(b) Applications received less than 14 days prior to the start of the event may be
17.5processed if the commissioner determines it is possible to conduct the required inspection.
17.6(b) (c) The temporary events permit must be prominently displayed in a public
17.7area at the location.
17.8(c) (d) The temporary events permit, if approved, is valid for the specified dates and
17.9hours listed on the application. No temporary events permit shall be issued for longer than
17.10a 21-day period, and may not be extended.

17.11    Sec. 26. Minnesota Statutes 2012, section 146B.03, is amended by adding a
17.12subdivision to read:
17.13    Subd. 11. Penalty. Any person who violates the provisions of subdivision 1 is
17.14guilty of a gross misdemeanor.

17.15    Sec. 27. Minnesota Statutes 2012, section 146B.07, subdivision 5, is amended to read:
17.16    Subd. 5. Aftercare. A technician shall provide each client with verbal and written
17.17instructions for the care of the tattooed or pierced site upon the completion of the
17.18procedure. The written instructions must advise the client of the difference between
17.19normal skin or tissue irritation and infection and to consult a health care professional at
17.20the first sign upon indication of infection of the skin or tissue.

17.21    Sec. 28. Minnesota Statutes 2012, section 148.6402, is amended by adding a
17.22subdivision to read:
17.23    Subd. 16a. Occupational therapy practitioner. "Occupational therapy
17.24practitioner" means any individual licensed as either an occupational therapist or
17.25occupational therapy assistant under sections 148.6401 to 148.6450.

17.26    Sec. 29. Minnesota Statutes 2012, section 148.6440, is amended to read:
17.27148.6440 PHYSICAL AGENT MODALITIES.
17.28    Subdivision 1. General considerations. (a) Occupational therapists therapy
17.29practitioners who intend to use superficial physical agent modalities must comply with the
17.30requirements in subdivision 3. Occupational therapists therapy practitioners who intend
17.31to use electrotherapy must comply with the requirements in subdivision 4. Occupational
17.32therapists therapy practitioners who intend to use ultrasound devices must comply with
18.1the requirements in subdivision 5. Occupational therapy practitioners who are licensed
18.2as occupational therapy assistants and who intend to use physical agent modalities must
18.3also comply with subdivision 6.
18.4(b) Use of superficial physical agent modalities, electrical stimulation devices, and
18.5ultrasound devices must be on the order of a physician.
18.6(c) Prior to any use of any physical agent modality, a licensee an occupational
18.7therapy practitioner must obtain approval from the commissioner. The commissioner
18.8shall maintain a roster of persons licensed under sections 148.6401 to 148.6450 who are
18.9approved to use physical agent modalities.
18.10(d) Licensees Occupational therapy practitioners are responsible for informing the
18.11commissioner of any changes in the information required in this section within 30 days
18.12of any change.
18.13    Subd. 2. Written documentation required. (a) An occupational therapist
18.14 therapy practitioner must provide to the commissioner documentation verifying that
18.15the occupational therapist therapy practitioner has met the educational and clinical
18.16requirements described in subdivisions 3 to 5, depending on the modality or modalities
18.17to be used. Both theoretical training and clinical application objectives must be met for
18.18each modality used. Documentation must include the name and address of the individual
18.19or organization sponsoring the activity; the name and address of the facility at which
18.20the activity was presented; and a copy of the course, workshop, or seminar description,
18.21including learning objectives and standards for meeting the objectives. In the case of
18.22clinical application objectives, teaching methods must be documented, including actual
18.23supervised practice. Documentation must include a transcript or certificate showing
18.24successful completion of the coursework. Coursework completed more than two years
18.25prior to the date of application must be retaken. An occupational therapist therapy
18.26practitioner who is a certified hand therapist shall document satisfaction of the requirements
18.27in subdivisions 3 to 5 by submitting to the commissioner a copy of a certificate issued
18.28by the Hand Therapy Certification Commission. Occupational therapy practitioners are
18.29prohibited from using physical agent modalities under supervision or independently until
18.30granted approval as provided in subdivision 7, except under the provisions in paragraph (b).
18.31(b) If a an occupational therapy practitioner has successfully completed a specific
18.32course previously reviewed and approved by the commissioner as provided for in
18.33subdivision 7, and has submitted the written documentation required in paragraph (a)
18.34within 30 calendar days from the course date, the occupational therapy practitioner
18.35awaiting written approval from the commissioner may use physical agent modalities
19.1under the supervision of a licensed occupational therapist practitioner listed on the roster
19.2of persons approved to use physical agent modalities.
19.3    Subd. 3. Requirements for use of superficial physical agent modalities. (a) An
19.4occupational therapist therapy practitioner may use superficial physical agent modalities
19.5if the occupational therapist therapy practitioner has received theoretical training and
19.6clinical application training in the use of superficial physical agent modalities and been
19.7granted approval as provided in subdivision 7.
19.8(b) Theoretical training in the use of superficial physical agent modalities must:
19.9(1) explain the rationale and clinical indications for use of superficial physical agent
19.10modalities;
19.11(2) explain the physical properties and principles of the superficial physical agent
19.12modalities;
19.13(3) describe the types of heat and cold transference;
19.14(4) explain the factors affecting tissue response to superficial heat and cold;
19.15(5) describe the biophysical effects of superficial physical agent modalities in
19.16normal and abnormal tissue;
19.17(6) describe the thermal conductivity of tissue, matter, and air;
19.18(7) explain the advantages and disadvantages of superficial physical agent
19.19modalities; and
19.20(8) explain the precautions and contraindications of superficial physical agent
19.21modalities.
19.22(c) Clinical application training in the use of superficial physical agent modalities
19.23must include activities requiring the occupational therapy practitioner to:
19.24(1) formulate and justify a plan for the use of superficial physical agents for
19.25treatment appropriate to its use and simulate the treatment;
19.26(2) evaluate biophysical effects of the superficial physical agents;
19.27(3) identify when modifications to the treatment plan for use of superficial physical
19.28agents are needed and propose the modification plan;
19.29(4) safely and appropriately administer superficial physical agents under the
19.30supervision of a course instructor or clinical trainer;
19.31(5) document parameters of treatment, patient response, and recommendations for
19.32progression of treatment for the superficial physical agents; and
19.33(6) demonstrate the ability to work competently with superficial physical agents as
19.34determined by a course instructor or clinical trainer.
19.35    Subd. 4. Requirements for use of electrotherapy. (a) An occupational therapist
19.36 therapy practitioner may use electrotherapy if the occupational therapist therapy
20.1practitioner has received theoretical training and clinical application training in the use of
20.2electrotherapy and been granted approval as provided in subdivision 7.
20.3(b) Theoretical training in the use of electrotherapy must:
20.4(1) explain the rationale and clinical indications of electrotherapy, including pain
20.5control, muscle dysfunction, and tissue healing;
20.6(2) demonstrate comprehension and understanding of electrotherapeutic terminology
20.7and biophysical principles, including current, voltage, amplitude, and resistance;
20.8(3) describe the types of current used for electrical stimulation, including the
20.9description, modulations, and clinical relevance;
20.10(4) describe the time-dependent parameters of pulsed and alternating currents,
20.11including pulse and phase durations and intervals;
20.12(5) describe the amplitude-dependent characteristics of pulsed and alternating
20.13currents;
20.14(6) describe neurophysiology and the properties of excitable tissue;
20.15(7) describe nerve and muscle response from externally applied electrical
20.16stimulation, including tissue healing;
20.17(8) describe the electrotherapeutic effects and the response of nerve, denervated and
20.18innervated muscle, and other soft tissue; and
20.19(9) explain the precautions and contraindications of electrotherapy, including
20.20considerations regarding pathology of nerve and muscle tissue.
20.21(c) Clinical application training in the use of electrotherapy must include activities
20.22requiring the occupational therapy practitioner to:
20.23(1) formulate and justify a plan for the use of electrical stimulation devices for
20.24treatment appropriate to its use and simulate the treatment;
20.25(2) evaluate biophysical treatment effects of the electrical stimulation;
20.26(3) identify when modifications to the treatment plan using electrical stimulation are
20.27needed and propose the modification plan;
20.28(4) safely and appropriately administer electrical stimulation under supervision
20.29of a course instructor or clinical trainer;
20.30(5) document the parameters of treatment, case example (patient) response, and
20.31recommendations for progression of treatment for electrical stimulation; and
20.32(6) demonstrate the ability to work competently with electrical stimulation as
20.33determined by a course instructor or clinical trainer.
20.34    Subd. 5. Requirements for use of ultrasound. (a) An occupational therapist
20.35 therapy practitioner may use an ultrasound device if the occupational therapist therapy
21.1practitioner has received theoretical training and clinical application training in the use of
21.2ultrasound and been granted approval as provided in subdivision 7.
21.3(b) The theoretical training in the use of ultrasound must:
21.4(1) explain the rationale and clinical indications for the use of ultrasound, including
21.5anticipated physiological responses of the treated area;
21.6(2) describe the biophysical thermal and nonthermal effects of ultrasound on normal
21.7and abnormal tissue;
21.8(3) explain the physical principles of ultrasound, including wavelength, frequency,
21.9attenuation, velocity, and intensity;
21.10(4) explain the mechanism and generation of ultrasound and energy transmission
21.11through physical matter; and
21.12(5) explain the precautions and contraindications regarding use of ultrasound devices.
21.13(c) The clinical application training in the use of ultrasound must include activities
21.14requiring the practitioner to:
21.15(1) formulate and justify a plan for the use of ultrasound for treatment appropriate to
21.16its use and stimulate the treatment;
21.17(2) evaluate biophysical effects of ultrasound;
21.18(3) identify when modifications to the treatment plan for use of ultrasound are
21.19needed and propose the modification plan;
21.20(4) safely and appropriately administer ultrasound under supervision of a course
21.21instructor or clinical trainer;
21.22(5) document parameters of treatment, patient response, and recommendations for
21.23progression of treatment for ultrasound; and
21.24(6) demonstrate the ability to work competently with ultrasound as determined
21.25by a course instructor or clinical trainer.
21.26    Subd. 6. Occupational therapy assistant use of physical agent modalities. An
21.27occupational therapy practitioner licensed as an occupational therapy assistant may set
21.28up and implement treatment using physical agent modalities if the licensed occupational
21.29therapy assistant meets the requirements of this section, has applied for and received
21.30written approval from the commissioner to use physical agent modalities as provided in
21.31subdivision 7, has demonstrated service competency for the particular modality used, and
21.32works under the direct supervision of an occupational therapy practitioner licensed as an
21.33occupational therapist who has been granted approval as provided in subdivision 7. An
21.34occupational therapy practitioner licensed as an occupational therapy assistant who uses
21.35superficial physical agent modalities must meet the requirements of subdivision 3. An
21.36occupational therapy practitioner licensed as an occupational therapy assistant who uses
22.1electrotherapy must meet the requirements of subdivision 4. An occupational therapy
22.2practitioner licensed as an occupational therapy assistant who uses ultrasound must meet
22.3the requirements of subdivision 5. An occupational therapy practitioner licensed as an
22.4occupational therapist may not delegate evaluation, reevaluation, treatment planning, and
22.5treatment goals for physical agent modalities to an occupational therapy practitioner
22.6licensed as an occupational therapy assistant.
22.7    Subd. 7. Approval. (a) The advisory council shall appoint a committee to review
22.8documentation under subdivisions 2 to 6 to determine if established educational and
22.9clinical requirements are met. If, after review of course documentation, the committee
22.10verifies that a specific course meets the theoretical and clinical requirements in
22.11subdivisions 2 to 6, the commissioner may approve practitioner applications that include
22.12the required course documentation evidencing completion of the same course.
22.13(b) Occupational therapists therapy practitioners shall be advised of the status of
22.14their request for approval within 30 days. Occupational therapists therapy practitioners
22.15 must provide any additional information requested by the committee that is necessary to
22.16make a determination regarding approval or denial.
22.17(c) A determination regarding a request for approval of training under this
22.18subdivision shall be made in writing to the occupational therapist therapy practitioner. If
22.19denied, the reason for denial shall be provided.
22.20(d) A licensee An occupational therapy practitioner who was approved by the
22.21commissioner as a level two provider prior to July 1, 1999, shall remain on the roster
22.22maintained by the commissioner in accordance with subdivision 1, paragraph (c).
22.23(e) To remain on the roster maintained by the commissioner, a licensee an
22.24occupational therapy practitioner who was approved by the commissioner as a level one
22.25provider prior to July 1, 1999, must submit to the commissioner documentation of training
22.26and experience gained using physical agent modalities since the licensee's occupational
22.27therapy practitioner's approval as a level one provider. The committee appointed under
22.28paragraph (a) shall review the documentation and make a recommendation to the
22.29commissioner regarding approval.
22.30(f) An occupational therapist therapy practitioner who received training in the
22.31use of physical agent modalities prior to July 1, 1999, but who has not been placed on
22.32the roster of approved providers may submit to the commissioner documentation of
22.33training and experience gained using physical agent modalities. The committee appointed
22.34under paragraph (a) shall review documentation and make a recommendation to the
22.35commissioner regarding approval.

23.1    Sec. 30. Minnesota Statutes 2012, section 151.37, subdivision 2, is amended to read:
23.2    Subd. 2. Prescribing and filing. (a) A licensed practitioner in the course of
23.3professional practice only, may prescribe, administer, and dispense a legend drug, and may
23.4cause the same to be administered by a nurse, a physician assistant, or medical student or
23.5resident under the practitioner's direction and supervision, and may cause a person who
23.6is an appropriately certified, registered, or licensed health care professional to prescribe,
23.7dispense, and administer the same within the expressed legal scope of the person's practice
23.8as defined in Minnesota Statutes. A licensed practitioner may prescribe a legend drug,
23.9without reference to a specific patient, by directing a nurse, pursuant to section 148.235,
23.10subdivisions 8 and 9
, physician assistant, medical student or resident, or pharmacist
23.11according to section 151.01, subdivision 27, to adhere to a particular practice guideline or
23.12protocol when treating patients whose condition falls within such guideline or protocol,
23.13and when such guideline or protocol specifies the circumstances under which the legend
23.14drug is to be prescribed and administered. An individual who verbally, electronically, or
23.15otherwise transmits a written, oral, or electronic order, as an agent of a prescriber, shall
23.16not be deemed to have prescribed the legend drug. This paragraph applies to a physician
23.17assistant only if the physician assistant meets the requirements of section 147A.18.
23.18(b) The commissioner of health, if a licensed practitioner, or a person designated
23.19by the commissioner who is a licensed practitioner, may prescribe a legend drug to an
23.20individual or by protocol for mass dispensing purposes where the commissioner finds that
23.21the conditions triggering section 144.4197 or 144.4198, subdivision 2, paragraph (b), exist.
23.22The commissioner, if a licensed practitioner, or a designated licensed practitioner, may
23.23prescribe, dispense, or administer a legend drug or other substance listed in subdivision 10
23.24to control tuberculosis and other communicable diseases. The commissioner may modify
23.25state drug labeling requirements, and medical screening criteria and documentation, where
23.26time is critical and limited labeling and screening are most likely to ensure legend drugs
23.27reach the maximum number of persons in a timely fashion so as to reduce morbidity
23.28and mortality.
23.29    (c) A licensed practitioner that dispenses for profit a legend drug that is to be
23.30administered orally, is ordinarily dispensed by a pharmacist, and is not a vaccine, must
23.31file with the practitioner's licensing board a statement indicating that the practitioner
23.32dispenses legend drugs for profit, the general circumstances under which the practitioner
23.33dispenses for profit, and the types of legend drugs generally dispensed. It is unlawful to
23.34dispense legend drugs for profit after July 31, 1990, unless the statement has been filed
23.35with the appropriate licensing board. For purposes of this paragraph, "profit" means (1)
23.36any amount received by the practitioner in excess of the acquisition cost of a legend drug
24.1for legend drugs that are purchased in prepackaged form, or (2) any amount received
24.2by the practitioner in excess of the acquisition cost of a legend drug plus the cost of
24.3making the drug available if the legend drug requires compounding, packaging, or other
24.4treatment. The statement filed under this paragraph is public data under section 13.03.
24.5This paragraph does not apply to a licensed doctor of veterinary medicine or a registered
24.6pharmacist. Any person other than a licensed practitioner with the authority to prescribe,
24.7dispense, and administer a legend drug under paragraph (a) shall not dispense for profit.
24.8To dispense for profit does not include dispensing by a community health clinic when the
24.9profit from dispensing is used to meet operating expenses.
24.10    (d) A prescription or drug order for the following drugs is not valid, unless it can be
24.11established that the prescription or order was based on a documented patient evaluation,
24.12including an examination, adequate to establish a diagnosis and identify underlying
24.13conditions and contraindications to treatment:
24.14    (1) controlled substance drugs listed in section 152.02, subdivisions 3 to 5;
24.15    (2) drugs defined by the Board of Pharmacy as controlled substances under section
24.16152.02, subdivisions 7 , 8, and 12;
24.17    (3) muscle relaxants;
24.18    (4) centrally acting analgesics with opioid activity;
24.19    (5) drugs containing butalbital; or
24.20    (6) phoshodiesterase type 5 inhibitors when used to treat erectile dysfunction.
24.21    (e) For the purposes of paragraph (d), the requirement for an examination shall be
24.22met if an in-person examination has been completed in any of the following circumstances:
24.23    (1) the prescribing practitioner examines the patient at the time the prescription
24.24or drug order is issued;
24.25    (2) the prescribing practitioner has performed a prior examination of the patient;
24.26    (3) another prescribing practitioner practicing within the same group or clinic as the
24.27prescribing practitioner has examined the patient;
24.28    (4) a consulting practitioner to whom the prescribing practitioner has referred the
24.29patient has examined the patient; or
24.30    (5) the referring practitioner has performed an examination in the case of a
24.31consultant practitioner issuing a prescription or drug order when providing services by
24.32means of telemedicine.
24.33    (f) Nothing in paragraph (d) or (e) prohibits a licensed practitioner from prescribing
24.34a drug through the use of a guideline or protocol pursuant to paragraph (a).
24.35    (g) Nothing in this chapter prohibits a licensed practitioner from issuing a
24.36prescription or dispensing a legend drug in accordance with the Expedited Partner Therapy
25.1in the Management of Sexually Transmitted Diseases guidance document issued by the
25.2United States Centers for Disease Control.
25.3    (h) Nothing in paragraph (d) or (e) limits prescription, administration, or dispensing
25.4of legend drugs through a public health clinic or other distribution mechanism approved
25.5by the commissioner of health or a board of health in order to prevent, mitigate, or treat
25.6a pandemic illness, infectious disease outbreak, or intentional or accidental release of a
25.7biological, chemical, or radiological agent.
25.8    (i) No pharmacist employed by, under contract to, or working for a pharmacy
25.9licensed under section 151.19, subdivision 1, may dispense a legend drug based on a
25.10prescription that the pharmacist knows, or would reasonably be expected to know, is not
25.11valid under paragraph (d).
25.12    (j) No pharmacist employed by, under contract to, or working for a pharmacy
25.13licensed under section 151.19, subdivision 2, may dispense a legend drug to a resident
25.14of this state based on a prescription that the pharmacist knows, or would reasonably be
25.15expected to know, is not valid under paragraph (d).
25.16(k) Nothing in this chapter prohibits the commissioner of health, if a licensed
25.17practitioner, or, if not a licensed practitioner, a designee of the commissioner who is
25.18a licensed practitioner, from prescribing legend drugs for field-delivered therapy in the
25.19treatment of a communicable disease according to the Centers For Disease Control and
25.20Prevention Partner Services Guidelines.

25.21    Sec. 31. [513.61] RADON DISCLOSURE REQUIREMENTS.
25.22A seller of residential real property must comply with the radon disclosure
25.23requirements under section 144.496.

25.24    Sec. 32. REPEALER.
25.25(a) Minnesota Statutes 2012, sections 144.1487; 144.1488; 144.1489; 144.1490; and
25.26144.1491, are repealed.
25.27(b) Minnesota Statutes 2012, sections 146B.03, subdivision 10; 325F.814; and
25.28609.2246, are repealed.
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