Key: (1) language to be deleted (2) new language
CHAPTER 613-H.F.No. 1316 An act relating to occupations and professions; establishing a board of nutrition and dietetics practice; requiring nutritionists and dietitians to be licensed; establishing licensing requirements and exemptions; authorizing rulemaking; providing penalties; appropriating money; amending Minnesota Statutes 1992, sections 214.01, subdivision 2; and 214.04, subdivision 3; proposing coding for new law in Minnesota Statutes, chapter 148. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: Section 1. [PURPOSE.] The practice of dietetics and nutrition services in the state of Minnesota affects public health, safety, and welfare and is subject to regulation and control in the public interest. The practice of dietetic and nutrition services plays an important part in the attainment and maintenance of health and it is in the public's best interest that persons who represent themselves as providers of services in these areas need specific requirements and qualifications. The facts shall be liberally construed to best carry out these objectives and purposes. Sec. 2. [148.621] [DEFINITIONS.] Subdivision 1. [APPLICABILITY.] The definitions in this section apply to sections 2 to 14. Subd. 2. [ACCREDITED COLLEGE OR UNIVERSITY.] "Accredited college or university" means a college or university accredited by the regional accrediting agencies recognized by the council on post-secondary accreditation, and the United States Department of Education at the time the degree was conferred. Subd. 3. [ASSOCIATION.] "Association" means the American Dietetic Association. Subd. 4. [BOARD.] "Board" means the board of dietetics and nutrition practice. Subd. 5. [COMMISSION.] "Commission" means the Commission on Dietetic Registration that is a member of the National Commission on Health Certifying Agencies, which national commission establishes national standards of competence for individuals participating in the health care delivery system. Subd. 6. [COMMISSIONER.] "Commissioner" means the commissioner of health. Subd. 7. [DIETITIAN.] "Dietitian" means an individual who engages in dietetics or nutrition practice and uses the title dietitian. Subd. 8. [NUTRITIONIST.] "Nutritionist" means an individual who engages in dietetics or nutrition practice and uses the title nutritionist. Subd. 9. [DIETETICS OR NUTRITION PRACTICE.] "Dietetics or nutrition practice" means the integration and application of scientific principles of food, nutrition, biochemistry, physiology, food management, and behavioral and social sciences to achieve and maintain human health through the provision of nutrition care services. Subd. 10. [NUTRITION CARE SERVICES.] "Nutrition care services" means: (1) assessment of the nutritional needs of individuals or groups; (2) establishment of priorities, goals, and objectives to meet nutritional needs; (3) provision of nutrition counseling for both normal and therapeutic needs; (4) development, implementation, and management of nutrition care services; or (5) evaluation, adjustment, and maintenance of appropriate standards of quality in nutrition care. Subd. 11. [NUTRITIONAL ASSESSMENT.] "Nutritional assessment" means the evaluation of the nutritional needs of individuals or groups based on appropriate biochemical, anthropometric, physical, and dietary data to determine nutrient needs and recommend appropriate nutritional intake. Subd. 12. [NUTRITION COUNSELING.] "Nutrition counseling" means advising and assisting individuals or groups on appropriate nutritional intake by integrating information from the nutritional assessment with information on food and other sources of nutrients and meal preparation consistent with cultural background and socioeconomic status. Subd. 13. [PERSON.] "Person" means an individual, corporation, partnership, or other legal entity. Sec. 3. [148.622] [BOARD OF DIETETICS AND NUTRITION PRACTICE.] Subdivision 1. [CREATION.] The board of dietetics and nutrition practice consists of seven members appointed by the governor. Subd. 2. [MEMBERSHIP.] Members of the board must have been residents of the state of Minnesota for two years immediately preceding appointment and must represent various geographic areas of the state and various employment settings, as required by this section. Two members must be dietitians registered with the commission with at least three years of dietetics practice in Minnesota. Two members must be nutritionists with at least three years of nutrition practice in Minnesota. The professional members first appointed need not be licensed under this chapter for appointment to their first terms on the board, but must possess the qualifications necessary for licensure under this chapter. Three other members must be public members as defined under section 214.02. Two of the public members must be consumers of nutrition care services or caregivers of those utilizing such services. Subd. 3. [MEMBERSHIP TERMS; OFFICERS; QUORUM; EXPENSES.] (a) Members must be appointed for staggered terms of four years, with terms beginning August 1 of each even-numbered year. The terms of the initial board members shall be determined by lot as follows: three members shall be appointed for terms that expire August 1, 1999; two members must be appointed for terms that expire August 1, 1997; and two members must be appointed for terms that expire August 1, 1995. Members of the board serve until the expiration of the term to which they have been appointed or until their successors have qualified. A person may not be appointed to serve more than two consecutive terms. (b) The board shall organize annually and select a chair and vice-chair. (c) Four members of the board, including two professional members and two public members, constitute a quorum to do business. (d) The board shall hold at least two regular meetings each year. Additional meetings may be held at the call of the chair or at the written request of any three members of the board. At least 14 days' written advance notice of the board meeting is required. (e) Board members receive compensation for their services in accordance with section 15.0575. Sec. 4. [148.623] [DUTIES OF THE BOARD.] The board shall: (1) adopt rules necessary to administer and enforce sections 2 to 14; (2) administer, coordinate, and enforce sections 2 to 14; (3) evaluate the qualifications of applicants; (4) issue subpoenas, examine witnesses, and administer oaths; (5) conduct hearings and keep records and minutes necessary to the orderly administration of sections 2 to 14; (6) investigate persons engaging in practices that violate sections 2 to 14; and (7) adopt rules under chapter 14 prescribing a code of ethics for licensees. Sec. 5. [148.624] [LICENSURE; RENEWAL.] Subdivision 1. [DIETETICS.] The board shall issue a license as a dietitian to a person who files a completed application, pays all required fees, and certifies and furnishes evidence satisfactory to the board that the applicant: (1) meets the following qualifications: (i) has received a baccalaureate or postgraduate degree from a United States regionally accredited college or university with a major in dietetics, human nutrition, nutrition education, food and nutrition, or food services management; (ii) has completed a documented supervised preprofessional practice experience component in dietetic practice of not less than 900 hours under the supervision of a registered dietitian, a state licensed nutrition professional, or an individual with a doctoral degree conferred by a United States regionally accredited college or university with a major course of study in human nutrition, nutrition education, food and nutrition, dietetics, or food systems management. Supervised practice experience must be completed in the United States or its territories. Supervisors who obtain their doctoral degree outside the United States and its territories must have their degrees approved by the board as equivalent to the doctoral degree conferred by a United States regionally accredited college or university; and (iii) has successfully completed the registration examination for dietitians administered by the commission; or (2) has a valid current registration with the commission which gives the applicant the right to use the term "registered dietitian" or "R.D." Subd. 2. [NUTRITION.] The board shall issue a license as a nutritionist to a person who files a completed application, pays all required fees, and certifies and furnishes evidence satisfactory to the board that the applicant: (1) meets the following qualifications: (i) has received a master's or doctoral degree from an accredited or approved college or university with a major in human nutrition, public health nutrition, clinical nutrition, nutrition education, community nutrition, or food and nutrition; and (ii) has completed a documented supervised preprofessional practice experience component in dietetic practice of not less than 900 hours under the supervision of a registered dietitian, a state licensed nutrition professional, or an individual with a doctoral degree conferred by a United States regionally accredited college or university with a major course of study in human nutrition, nutrition education, food and nutrition, dietetics, or food systems management. Supervised practice experience must be completed in the United States or its territories. Supervisors who obtain their doctoral degree outside the United States and its territories must have their degrees validated as equivalent to the doctoral degree conferred by a United States regionally accredited college or university; or (2) has qualified as a diplomate of the American Board of Nutrition, Springfield, Virginia. Subd. 3. [PETITION.] (a) The board may issue a license as a nutritionist to a person who submits to the board a petition for individual review, provided the person has received a master's or doctoral degree from an accredited college or university with a major course of study that includes an emphasis in human nutrition and has completed a supervised preprofessional experience component in nutrition practice of not less than 900 hours under the supervision of a registered dietitian, a state licensed health care practitioner, or an individual with a doctoral degree conferred by a United States regionally accredited college or university with a major course of study in human nutrition, nutrition education, food and nutrition, dietetics, or food system management. Supervised practice experience must be completed in the United States or its territories. Supervisors who obtain their degree outside the United States and its territories must have their degrees approved by the board as equivalent to a comparable degree conferred by a United States regionally accredited college or university. (b) The board may issue a license as a dietitian or nutritionist to an applicant who has completed a course of study at a foreign college or university, if the applicant: (1) submits a petition for individual review; (2) successfully completes a course of study approved by the board as equivalent to a baccalaureate or master's degree conferred by a United States regionally accredited college or university; and (3) meets the applicable experiential requirements set by the board. Subd. 4. [RENEWAL.] Licensees shall renew licenses at the time and in the manner established by the rules of the board. Sec. 6. [148.625] [APPLICATION.] A person desiring a license under sections 2 to 14 shall apply to the board on a form and in the manner the board prescribes. The application must be accompanied by an application fee in an amount determined by the board. Sec. 7. [148.626] [CONTINUING EDUCATION REQUIRED.] Within three years of the effective date of sections 2 to 14, renewal of a license is contingent on the applicant meeting uniform continuing education requirements established by the board. Notice of initial or amended continuing education requirements must be sent to all persons licensed under sections 2 to 14 at least 12 months before a person's license renewal is dependent on satisfaction of those requirements. Continuing education requirements must be sent to new applicants with the forms on which they are to apply for licensure. Sec. 8. [148.627] [TRANSITION PERIOD.] Subdivision 1. [DIETITIANS.] For one year after the effective date of rules adopted by the board under section 4, the board shall issue a license as a dietitian to an applicant who is a qualified dietitian as defined by the division of health resources of the department of health and has practiced nutrition or dietetics in good standing for the equivalent of one year full time during the last five years. Subd. 2. [NUTRITIONISTS.] For one year after the effective date of rules adopted by the board under section 4, the board shall issue a license as a nutritionist to an applicant who has received a qualifying master's or doctoral degree and has practiced nutrition or dietetics in good standing for the equivalent of one year during the last five years. Subd. 3. [CLINICAL NUTRITIONISTS.] For one year after the effective date of rules adopted by the board under section 4, the board shall issue a license as a nutritionist to an applicant who is a certified clinical nutritionist, certified by the International and American Association of Clinical Nutritionists who meets the standards for certification and recertification established by the Clinical Nutrition Certification Board and works in cooperation with a medical doctor. Subd. 4. [NUTRITION SPECIALISTS.] For one year after the effective date of rules adopted by the board under section 4, the board shall issue a license as a nutritionist to an applicant who is a certified nutrition specialist, certified by the Board for Nutrition Specialists. Subd. 5. [NOTICE.] Within 30 days of the effective date of the rules adopted by the board under section 4, the board shall: (1) notify dietitians and nutritionists of the existence of the rules by issuing notifications in dietitian and nutritionist trade publications; (2) notify all Minnesota educational institutions which grant degrees in majors which prepare individuals for dietetics or nutrition practice of the existence of the rules; and (3) provide copies of the rules upon request to interested individuals. Sec. 9. [148.628] [RECIPROCITY.] The board may issue a license to an applicant who is licensed as a dietitian or nutritionist in another state or the District of Columbia, provided that in the judgment of the board the standards for licensure in that state are not less stringent than the requirements set forth in sections 2 to 14. Sec. 10. [148.629] [DENIAL, SUSPENSION, OR REVOCATION.] Subdivision 1. [GROUNDS.] The board may refuse to renew or grant a license to, or may suspend, revoke, or restrict the license of an individual whom the board, after a hearing under the contested case provisions of chapter 14, determines: (1) is incompetent to engage in dietetic or nutrition practice, or is found to be engaged in dietetic or nutrition practice in a manner harmful or dangerous to a client or to the public; (2) has violated the rules of the board or the statutes the board is empowered to enforce; (3) has obtained or attempted to obtain a license or license renewal by bribery or fraudulent representation; (4) has knowingly made a false statement on a form required by the board for licensing or license renewal; or (5) has sold any dietary supplement product if the sale of that product resulted in financial benefit to the individual. Subd. 2. [RESTORING LICENSE.] For reasons it finds sufficient, the board may grant a license previously refused, restore a license that has been revoked, or reduce a period of suspension or restriction of a license. Subd. 3. [REVIEW.] Suspension, revocation, or restriction of a license must be reviewed by the board at the request of the licensee against whom the disciplinary action was taken. Sec. 11. [148.630] [LICENSE REQUIRED.] (a) No person may engage in dietetics or nutrition practice unless the person is licensed as a dietitian or nutritionist by the board. No person may use the title "dietitian," "licensed dietitian," "nutritionist," "licensed nutritionist," or any occupational title using the word "dietitian" or "nutritionist" unless so licensed by the board, nor shall any person hold out as a dietitian or nutritionist unless so licensed. (b) Notwithstanding any other provision of sections 2 to 14, a dietitian registered by the commission shall have the right to use the title "registered dietitian" and the designation "R.D." Notwithstanding any other provision of sections 2 to 14, a dietetic technician registered by the commission on dietetic registration shall have the right to use the title "dietetic technician registered" and the designation "D.T.R." Sec. 12. [148.631] [PENALTY.] A person who violates sections 2 to 14 is guilty of a misdemeanor. If a person other than a licensed dietitian or nutritionist engages in an act or practice constituting an offense under sections 2 to 14, a district court on application of the board may issue an injunction or other appropriate order restraining the act or practice. Sec. 13. [148.632] [EXEMPTIONS; VOLUNTARY LICENSING.] Subdivision 1. [PERSONS EXCEPTED FROM THE LICENSING REQUIREMENT.] Nothing in sections 2 to 14 prevents or restricts the activities of: (1) any person pursuing a degree in dietetics or nutrition at an accredited college or university who is practicing under the supervision of a licensed dietitian or licensed nutritionist and in accordance with accepted scientific knowledge and standards of practice, provided that the person is designated by a title which clearly indicates the person's status as a student or trainee; (2) any person in the process of fulfilling the professional experience requirements in dietetics or nutrition necessary for licensure who is practicing under the supervision of a licensed dietitian or licensed nutritionist and in accordance with accepted scientific knowledge and standards of practice, provided that the person is designated by a title which clearly indicates the person's status as a trainee; (3) any person licensed to practice medicine, nursing, optometry, psychology, pharmacy, dentistry, or chiropractic, when nutrition practice is incidental to the practice of the person's profession and the person does not hold out as a dietitian or nutritionist unless so licensed; (4) any person, including a registered dietetic technician, dietetic technician, or other paraprofessional working in a program supervised by a licensed dietitian or nutritionist, if the person's activities are within the scope of the person's education and training and in accordance with accepted scientific knowledge and standards of practice in nutrition or dietetics and the person does not hold out as a dietitian or nutritionist unless so licensed; (5) any person who provides weight control services, provided the nutrition program has been reviewed by, consultation is available from, and no program change can be initiated without prior approval by an individual licensed under sections 2 to 14, a dietitian licensed in another state that has licensure requirements considered by the board to be at least as stringent as the requirements for licensure under sections 2 to 14, or a registered dietitian, and provided that the person does not hold out as a dietitian or nutritionist unless so licensed; (6) any home economist with a baccalaureate or graduate degree from an accredited college or university, if the person's activities are within the scope of the person's education and training and in accordance with accepted scientific knowledge and standards of practice and the person does not hold out as a dietitian or nutritionist; (7) any person employed by a federal, state, county, or municipal agency, elementary or secondary school, regionally accredited institution of higher education, or nonprofit agency, if the person's activities are within the scope of the person's employment and the person does not hold out as a dietitian or nutritionist unless so licensed; (8) any person who furnishes nutrition information on food, food materials, or dietary supplements or engages in the explanation to customers about foods or food products in connection with the marketing and distribution of those products provided that the person does not hold out as a dietitian or nutritionist unless so licensed; (9) any person who is recognized in the community as a provider of nutritional advice, including a curandero or medicine man or woman, and who advises people according to or based on traditional practices provided the person does not hold out as a dietitian or nutritionist unless so licensed; (10) any animal nutritionist who does not meet the requirements of sections 2 to 14, provided that the person's activities are limited to the nutritional care of animals. Animal nutritionists may continue to use the title nutritionist so long as they provide nutrition services only to animals; (11) any person who provides nutrition services without remuneration to family members; or (12) any person involved in dietary or nutritional counseling pursuant to a research study supervised by a Minnesota institution of higher learning or state agency which has been approved by an institutional review board to ensure the informed consent and safety of study participants. Subd. 2. [VOLUNTARY LICENSING.] The licensing of persons employed by facilities licensed under chapters 144 and 144A is voluntary. Nothing in sections 2 to 14 prevents or restricts the activities of persons employed by these institutions. Sec. 14. [148.633] [DISPOSITION OF FUNDS.] Money received by the board under sections 2 to 14 must be credited to the health occupations licensing account within the special revenue fund. Sec. 15. Minnesota Statutes 1992, section 214.01, subdivision 2, is amended to read: Subd. 2. [HEALTH-RELATED LICENSING BOARD.] "Health-related licensing board" means the board of examiners of nursing home administrators established pursuant to section 144A.19, the board of medical practice created pursuant to section 147.01, the board of nursing created pursuant to section 148.181, the board of chiropractic examiners established pursuant to section 148.02, the board of optometry established pursuant to section 148.52, the board of psychology established pursuant to section 148.90, the social work licensing board pursuant to section 148B.19, the board of marriage and family therapy pursuant to section 148B.30, the mental health practitioner advisory council established pursuant to section 148B.62, the board of dietetics and nutrition practice established under section 148.622, the board of dentistry established pursuant to section 150A.02, the board of pharmacy established pursuant to section 151.02, the board of podiatric medicine established pursuant to section 153.02, and the board of veterinary medicine, established pursuant to section 156.01. Sec. 16. Minnesota Statutes 1992, section 214.04, subdivision 3, is amended to read: Subd. 3. [OFFICERS; STAFF.] The executive director of each health-related board and the executive secretary of each non-health-related board shall be the chief administrative officer for the board but shall not be a member of the board. The executive director or executive secretary shall maintain the records of the board, account for all fees received by it, supervise and direct employees servicing the board, and perform other services as directed by the board. The executive directors, executive secretaries, and other employees of the following boards shall be hired by the board, and the executive directors or executive secretaries shall be in the unclassified civil service, except as provided in this subdivision: (1) dentistry; (2) medical practice; (3) nursing; (4) pharmacy; (5) accountancy; (6) architecture, engineering, land surveying, landscape architecture, and interior design; (7) barber examiners; (8) cosmetology; (9) electricity; (10) teaching; (11) peace officer standards and training; (12) social work;and(13) marriage and family therapy; and (14) dietetics and nutrition practice. The executive directors or executive secretaries serving the boards are hired by those boards and are in the unclassified civil service, except for part-time executive directors or executive secretaries, who are not required to be in the unclassified service. Boards not requiring full-time executive directors or executive secretaries may employ them on a part-time basis. To the extent practicable, the sharing of part-time executive directors or executive secretaries by boards being serviced by the same department is encouraged. Persons providing services to those boards not listed in this subdivision, except executive directors or executive secretaries of the boards and employees of the attorney general, are classified civil service employees of the department servicing the board. To the extent practicable, the commissioner shall ensure that staff services are shared by the boards being serviced by the department. If necessary, a board may hire part-time, temporary employees to administer and grade examinations. Sec. 17. [APPROPRIATION.] $185,000 is appropriated from the special revenue fund to the dietetics and nutrition practice board for the purposes of sections 2 to 14, to be available until June 30, 1995. Sec. 18. [EFFECTIVE DATE.] Sections 3 and 4 and 15 to 17 are effective July 1, 1994. The remaining sections are effective 30 days after the effective date of rules adopted by the board of dietetics and nutrition practice under section 4. Presented to the governor May 5, 1994 Signed by the governor May 9, 1994, 4:40 p.m.
Official Publication of the State of Minnesota
Revisor of Statutes