Key: (1) language to be deleted (2) new language
CHAPTER 87-S.F.No. 333 An act relating to health; extending dates of certain advisory councils; modifying certain nursing requirements; modifying provisions relating to the practice of speech-language pathology or audiology; amending Minnesota Statutes 2002, sections 147B.05, subdivision 2; 147C.35, subdivision 2; 147D.25, subdivision 2; 148.212; 148.235, by adding a subdivision; 148.281, subdivision 1; 148.511; 148.512, subdivisions 2, 4, 6, 7, 8, 12, 13, 14, 15, 16, 17, 18, 20; 148.513; 148.514; 148.515, subdivisions 2, 4; 148.516; 148.5161; 148.517; 148.518; 148.519; 148.5191; 148.5193, subdivisions 1, 4, 6, 6a, 7, 8; 148.5194, subdivisions 1, 2, 3, 3a; 148.5195, subdivisions 2, 3, 4, 5, 6; 148.5196; 153A.14, subdivisions 2a, 2i; 153A.17; 153A.20, subdivision 1; 214.32, subdivision 1; repealing Minnesota Statutes 2002, sections 148.512, subdivision 11; 148.515, subdivisions 3, 5. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: Section 1. Minnesota Statutes 2002, section 147B.05, subdivision 2, is amended to read: Subd. 2. [ADMINISTRATION; COMPENSATION; REMOVAL; QUORUM.] The advisory council is governed by section 15.059, except that the council does not expire until June 30,20032007. Sec. 2. Minnesota Statutes 2002, section 147C.35, subdivision 2, is amended to read: Subd. 2. [ORGANIZATION.] The advisory council shall be organized and administered under section 15.059. The council expires June 30,20032007. Sec. 3. Minnesota Statutes 2002, section 147D.25, subdivision 2, is amended to read: Subd. 2. [ORGANIZATION.] The advisory council shall be organized and administered under section 15.059. The council expires June 30,20032007. Sec. 4. Minnesota Statutes 2002, section 148.212, is amended to read: 148.212 [TEMPORARY PERMIT.] Subdivision 1. [ISSUANCE.] Upon receipt of the applicable licensure or reregistration fee and permit fee, and in accordance with rules of the board, the board may issue a nonrenewable temporary permit to practice professional or practical nursing to an applicant for licensure or reregistration who is not the subject of a pending investigation or disciplinary action, nor disqualified for any other reason, under the following circumstances: (a) The applicant for licensure by examination under section 148.211, subdivision 1, has graduated from an approved nursing program within the 60 days preceding board receipt of an affidavit of graduation or transcript and has been authorized by the board to write the licensure examination for the first time in the United States. The permit holder must practice professional or practical nursing under the direct supervision of a registered nurse. The permit is valid from the date of issue until the date the board takes action on the application or for 60 days whichever occurs first. (b) The applicant for licensure by endorsement under section 148.211, subdivision 2, is currently licensed to practice professional or practical nursing in another state, territory, or Canadian province. The permit is valid from submission of a proper request until the date of board action on the application. (c) The applicant for licensure by endorsement under section 148.211, subdivision 2, or for reregistration under section 148.231, subdivision 5, is currently registered in a formal, structured refresher course or its equivalent for nurses that includes clinical practice. (d) The applicant for licensure by examination under section 148.211, subdivision 1, has been issued a Commission on Graduates of Foreign Nursing Schools certificate, has completed all requirements for licensure except the examination, and has been authorized by the board to write the licensure examination for the first time in the United States. The permit holder must practice professional nursing under the direct supervision of a registered nurse. The permit is valid from the date of issue until the date the board takes action on the application or for 60 days, whichever occurs first. Subd. 2. [REVOCATION.] The board may revoke a temporary permit that has been issued to an applicant for licensure under section 148.211, subdivisions 1 and 2, if the applicant is the subject of an investigation or disciplinary action, or is disqualified for any other reason. Subd. 3. [RELEASE OF INFORMATION.] Notwithstanding section 13.41, subdivision 2, the board may release information regarding action taken by the board pursuant to subdivisions 1 and 2. Sec. 5. Minnesota Statutes 2002, section 148.235, is amended by adding a subdivision to read: Subd. 10. [ADMINISTRATION OF MEDICATIONS BY UNLICENSED PERSONNEL IN NURSING FACILITIES.] Notwithstanding the provisions of Minnesota Rules, part 4658.1360, subpart 2, a graduate of a foreign nursing school who has successfully completed an approved competency evaluation under the provisions of section 144A.61 is eligible to administer medications in a nursing facility upon completion of a medication training program for unlicensed personnel offered through a postsecondary educational institution, which meets the requirements specified in Minnesota Rules, part 4658.1360, subpart 2, item B. Sec. 6. Minnesota Statutes 2002, section 148.281, subdivision 1, is amended to read: Subdivision 1. [VIOLATIONS DESCRIBED.] It shall be unlawful for any person, corporation, firm, or association, to: (1) sell or fraudulently obtain or furnish any nursing diploma, license or record, or aid or abet therein; (2) practice professional or practical nursing, practice as a public health nurse, or practice as a certified clinical nurse specialist, certified nurse-midwife, certified nurse practitioner, or certified registered nurse anesthetist under cover of any diploma, permit, license, registration certificate, advanced practice credential, or record illegally or fraudulently obtained or signed or issued unlawfully or under fraudulent representation; (3) practice professional or practical nursing unless the person has been issued a temporary permit under the provisions of section 148.212 or is duly licensed and currently registered to do so under the provisions of sections 148.171 to 148.285; (4) use the professional title nurse unless duly licensed to practice professional or practical nursing under the provisions of sections 148.171 to 148.285, except as authorized by the board by rule; (5) use any abbreviation or other designation tending to imply licensure as a registered nurse or licensed practical nurse unless duly licensed and currently registered so to practice professional or practical nursing under the provisions of sections 148.171 to 148.285 except as authorized by the board by rule;(5)(6) use any title, abbreviation, or other designation tending to imply certification as a certified registered nurse as defined in section 148.171, subdivision 22, unless duly certified by a national nurse certification organization;(6)(7) use any abbreviation or other designation tending to imply registration as a public health nurse unless duly registered by the board;(7)(8) practice professional, advanced practice registered, or practical nursing in a manner prohibited by the board in any limitation of a license or registration issued under the provisions of sections 148.171 to 148.285;(8)(9) practice professional, advanced practice registered, or practical nursing during the time a license or current registration issued under the provisions of sections 148.171 to 148.285 shall be suspended or revoked;(9)(10) conduct a nursing program for the education of persons to become registered nurses or licensed practical nurses unless the program has been approved by the board;(10)(11) knowingly employ persons in the practice of professional or practical nursing who have not been issued a current permit, license, or registration certificate to practice as a nurse in this state; and(11)(12) knowingly employ a person in advanced practice registered nursing unless the person meets the standards and practices of sections 148.171 to 148.285. Sec. 7. Minnesota Statutes 2002, section 148.511, is amended to read: 148.511 [SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTSSCOPE.] Sections 148.511 to 148.5196 applyonlyto persons who are applicants forregistrationlicensure,who are registered,who use protected titles,orwho represent that they areregisteredlicensed, or who engage in the practice of speech-language pathology or audiology. Sections 148.511 to 148.5196 do not apply to school personnel licensed by the board of teaching,provided that school personnel practicing within the scope oftheir licensed occupation preface titles protected under section148.513 with the words "school" or "educational."and practicing within the scope of their school license under Minnesota Rules, part 8710.6000. Sec. 8. Minnesota Statutes 2002, section 148.512, subdivision 2, is amended to read: Subd. 2. [ACCREDITED EDUCATIONAL INSTITUTION.] "Accredited educational institution" means a university,or college, orother post-secondary educational institutionthat offers speech-language pathology or audiologytraininggraduate degrees and that is accredited by theAmerican Speech-Language-HearingAssociation or the National Council for Accreditation of TeacherEducationCouncil on Academic Accreditation in Audiology and Speech Language Pathology, a body recognized by the United States Department of Education, or an equivalent as determined by the commissioner. Sec. 9. Minnesota Statutes 2002, section 148.512, subdivision 4, is amended to read: Subd. 4. [APPLICANT.] "Applicant" means a person who applies to the commissioner forregistrationlicensure orregistrationlicensure renewal. Sec. 10. Minnesota Statutes 2002, section 148.512, subdivision 6, is amended to read: Subd. 6. [AUDIOLOGIST.] "Audiologist" means a natural person who engages in the practice of audiology, meets the qualifications required by sections 148.511 to 148.5196, andregisters as an audiologist withis licensed by the commissioner. Audiologist also means a natural person using any descriptive word with the title audiologist. Sec. 11. Minnesota Statutes 2002, section 148.512, subdivision 7, is amended to read: Subd. 7. [COMMISSIONER.] "Commissioner" means the commissioner ofthe department ofhealth or a designee. Sec. 12. Minnesota Statutes 2002, section 148.512, subdivision 8, is amended to read: Subd. 8. [CONTACT HOUR.] "Contact hour" means an instructional session of5060 consecutive minutes, excluding coffee breaks, registration, meals without a speaker, and social activities. Sec. 13. Minnesota Statutes 2002, section 148.512, subdivision 12, is amended to read: Subd. 12. [PRACTICE OF AUDIOLOGY.] The "practice of audiology" means: (1)screening,identification, assessment, and interpretation, diagnosis, rehabilitation, and prevention of hearing disorders; (2) conservation of the auditory system function; development and implementation of hearing conservation programs; (3) measurement, assessment, and interpretation of auditory and vestibular function; (4) selecting, fitting, and dispensing of assistive listening devices, alerting and amplification devices, and systems for personal and public use, including hearing aids and devices, and providing training in their use; (5) aural habilitation and rehabilitation and related counseling for hearing impaired individuals and their families; (6) screening of speech, language, voice, or fluency for the purposes of audiologic evaluation or identification of possible communication disorders; or (7) teaching of, consultation or research about, or supervision of the functions in clauses (1) to (6). The practice of audiology does not include the practice of medicine and surgery, or osteopathic medicine and surgery, or medical diagnosis that is commonly performed by a physician. Sec. 14. Minnesota Statutes 2002, section 148.512, subdivision 13, is amended to read: Subd. 13. [PRACTICE OF SPEECH-LANGUAGE PATHOLOGY.] The "practice of speech-language pathology" means: (1)screening,identification, assessment and interpretation, diagnosis, habilitation, rehabilitation, treatment and prevention of disorders of speech, articulation, fluency, voice, and language; (2)screening,identification, assessment, and interpretation, diagnosis, habilitation, and rehabilitation of disorders of oral-pharyngeal function and related disorders; (3)screening,identification, assessment, and interpretation, diagnosis, habilitation, and rehabilitation of communication disorders associated with cognition; (4) assessing, selecting, and developing augmentative and alternative communication systems and providing training in their use; (5) aural habilitation and rehabilitation and related counseling for hearing impaired individuals and their families; (6) enhancing speech-language proficiency and communication effectiveness; (7) audiometric screening for the purposes of speech-language evaluation or for the identification of possible hearing disorders; or (8) teaching of, consultation or research about, or supervision of the functions in clauses (1) to (7). The practice of speech-language pathology does not include the practice of medicine and surgery, or osteopathic medicine and surgery, or medical diagnosis that is commonly performed by a physician. Sec. 15. Minnesota Statutes 2002, section 148.512, subdivision 14, is amended to read: Subd. 14. [REGISTERLICENSE ORREGISTEREDLICENSED.]"Register""License" or"registered""licensed" means the act or status of anaturalperson who meets the requirements of sections 148.511 to 148.5196and who isauthorized by the commissioner to use the titles in section148.513. Sec. 16. Minnesota Statutes 2002, section 148.512, subdivision 15, is amended to read: Subd. 15. [REGISTRANTLICENSEE.]"Registrant""Licensee" meansa personan individual who meets the requirements of sections 148.511 to 148.5196and is authorized by thecommissioner to use the titles in section 148.513. Sec. 17. Minnesota Statutes 2002, section 148.512, subdivision 16, is amended to read: Subd. 16. [REGISTRATIONLICENSURE.]"Registration""Licensure" is the system of regulation defined in section 214.001, subdivision 3, paragraph (c), and is the process specified in sections 148.511 to 148.5196. Sec. 18. Minnesota Statutes 2002, section 148.512, subdivision 17, is amended to read: Subd. 17. [SPEECH-LANGUAGE PATHOLOGIST.] "Speech-language pathologist" means a person who practices speech-language pathology, meets the qualifications under sections 148.511 to 148.5196, andregisters withis licensed by the commissioner. Speech-language pathologist also means a natural person using, as an occupational title, a term identified in section 148.513. Sec. 19. Minnesota Statutes 2002, section 148.512, subdivision 18, is amended to read: Subd. 18. [SUPERVISEE.] "Supervisee" meansan individuala person who, under the direction or evaluation of a supervisor, is: (1) engaging in the supervised practice of speech-language pathology or audiology; (2) performing a function of supervised clinical training as a student of speech-language pathology or audiology; or (3) performing a function of supervised postgraduate or doctoral clinical experience in speech-language pathology or audiology. Sec. 20. Minnesota Statutes 2002, section 148.512, subdivision 20, is amended to read: Subd. 20. [SUPERVISOR.] "Supervisor" means a person who has the authority to direct or evaluate a supervisee and whois: (1) is aregisteredlicensed speech-language pathologist or audiologist; or (2) when the commissioner determines that supervision by aregisteredlicensed speech-language pathologist or audiologist as required in clause (1) is unobtainable, and in other situations considered appropriate by the commissioner, is a person practicing speech-language pathology or audiology who holds a current certificate of clinical competence from the American Speech-Language-Hearing Association or board certification in audiology by the American Board of Audiology. Sec. 21. Minnesota Statutes 2002, section 148.513, is amended to read: 148.513 [LICENSURE; PROTECTED TITLES AND RESTRICTIONS ON USE; EXEMPTIONS.](a) A person shall not use a title relating tospeech-language pathology or audiology, except as provided inparagraphs (b) and (c).Subdivision 1. [UNLICENSED PRACTICE PROHIBITED.] A person must not engage in the practice of speech-language pathology or audiology unless the person is licensed as a speech-language pathologist or an audiologist under sections 148.511 to 148.5196.(b)Subd. 2. [PROTECTED TITLES AND RESTRICTIONS ON USE.] Use of the following terms or initials which represent the following terms, alone or in combination with any word or words, by any person to form an occupational title is prohibited unless that person isregisteredlicensed under sections 148.511 to 148.5196: (1) speech-language; (2) speech-language pathologist, S, SP, or SLP; (3) speech pathologist; (4) language pathologist; (5) audiologist, A, or AUD; (6) speech therapist;or(7) speech clinician; (8) speech correctionist; (9) language therapist; (10) voice therapist; (11) voice pathologist; (12) logopedist; (13) communicologist; (14) aphasiologist; (15) phoniatrist; (16) audiometrist; (17) audioprosthologist; (18) hearing therapist; (19) hearing clinician; or (20) hearing aid audiologist.(c)Use of the term "Minnesotaregisteredlicensed" in conjunction with the titles protected under this section by any person is prohibited unless that person isregisteredlicensed under sections 148.511 to 148.5196. Subd. 3. [EXEMPTION.] (a) Nothing in sections 148.511 to 148.5196 prohibits the practice of any profession or occupation licensed, certified, or registered by the state by any person duly licensed, certified, or registered to practice the profession or occupation or to perform any act that falls within the scope of practice of the profession or occupation. (b) Subdivision 1 does not apply to a student participating in supervised field work or supervised course work that is necessary to meet the requirements of section 148.515, subdivision 2 or 3, if the person is designated by a title which clearly indicates the person's status as a student trainee. (c) Subdivisions 1 and 2 do not apply to a person visiting and then leaving the state and using titles restricted under this section while in the state, if the titles are used no more than 30 days in a calendar year as part of a professional activity that is limited in scope and duration and is in association with an audiologist or speech-language pathologist licensed under sections 148.511 to 148.5196. Sec. 22. Minnesota Statutes 2002, section 148.514, is amended to read: 148.514 [GENERALREGISTRATIONLICENSURE REQUIREMENTS; PROCEDURES AND QUALIFICATIONS.] Subdivision 1. [GENERALREGISTRATIONLICENSURE PROCEDURES.] An applicant forregistrationlicensure must: (1) submit an application as required under section 148.519, subdivision 1; and (2) submit all fees required under section 148.5194. Subd. 2. [GENERALREGISTRATIONLICENSURE QUALIFICATIONS.] An applicant forregistrationlicensure must possess the qualifications required in one of the following clauses: (1) a person who applies forregistrationlicensure and does not meet the requirements in clause (2) or (3), must meet the requirements in section 148.515; (2) a person who applies forregistrationlicensure and who has a current certificate of clinical competence issued by the American Speech-Language-Hearing Association, or board certification by the American Board of Audiology, must meet the requirements of section 148.516; or (3) a person who applies forregistrationlicensure by reciprocity must meet the requirements under section 148.517. Sec. 23. Minnesota Statutes 2002, section 148.515, subdivision 2, is amended to read: Subd. 2. [MASTER'S OR DOCTORAL DEGREE REQUIRED.] (a) An applicant must possess a master's or doctoral degree that meets the requirements ofparagraphsparagraph (b)to (h). If completing a doctoral program in which a master's degree has not been conferred, an applicant must submit a transcript showing completion of course work equivalent to, or exceeding, a master's degree that meets the requirement of paragraph (b). (b) All of the applicant's graduate coursework and clinical practicum required in the professional area for whichregistrationlicensure is sought must have been initiated and completed at an institution whose program was accredited by the educational standards board of theAmericanSpeech-Language-Hearing AssociationCouncil on Academic Accreditation in Audiology and Speech-Language Pathology, a body recognized by the United States Department of Education, or an equivalent as determined by the commissioner, in the area for whichregistrationlicensure is sought.(c) The master's degree training must include a minimum of112.5 quarter credits or 75 semester credits or their equivalentof academic coursework that includes basic science courseworkand professional coursework.(d) Applicants for registration in either speech-languagepathology or audiology must complete 40.5 quarter credits of the112.5 quarter credits or 27 of the 75 semester credits or theirequivalent in basic science coursework, distributed as follows:(1) nine quarter credits or six semester credits or theirequivalent must be in biological or physical sciences andmathematics;(2) nine quarter credits or six semester credits or theirequivalent must be in behavioral or social sciences, includingnormal aspects of human behavior and communication; and(3) 22.5 quarter credits or 15 semester credits or theirequivalent must be in basic human communication processes andmust include coursework in each of the following three areas ofspeech, language, and hearing:(i) the anatomic and physiologic bases;(ii) the physical and psychophysical bases; and(iii) the linguistic and psycholinguistic aspects.(e) All applicants for registration must complete 54quarter credits of the 112.5 quarter credits or 36 semestercredits of the 75 semester credits or their equivalent inprofessional coursework. The coursework must include thenature, prevention, evaluation, and treatment of speech,language, and hearing disorders. The coursework must encompasscourses in speech, language, and hearing that concern disordersprimarily affecting children as well as disorders primarilyaffecting adults. A minimum of 45 of the 54 quarter credits or30 of the 36 semester credits or their equivalent must becourses for which graduate credit was received. A minimum of31.5 of the 45 quarter credits or 21 of the 30 semester creditsmust be in the professional area for which registration issought.(f) Applicants seeking registration as speech-languagepathologists must complete the following professional coursework:(1) 45 quarter credits of the 54 quarter credits of theprofessional coursework or 30 semester credits of the 36semester credits of the professional coursework or theirequivalent must be in courses pertaining to speech-languagepathology and nine quarter credits of the 54 quarter credits orsix semester credits of the 36 semester credits or theirequivalent in courses in the area of audiology; and(2) the 45 quarter credits or 30 semester credits or theirequivalent pertaining to speech-language pathology must includeat least nine quarter credits or six semester credits or theirequivalent in speech disorders and nine quarter credits or sixsemester credits or their equivalent in language disorders. Thenine quarter credits or six semester credits or their equivalentin the area of audiology must include at least 4.5 quartercredits or three semester credits or their equivalent in hearingdisorders and hearing evaluation and 4.5 quarter credits orthree semester credits or their equivalent in habilitative andrehabilitative procedures.(g) Applicants seeking registration as an audiologist mustcomplete professional coursework as follows:(1) 45 quarter credits of the 54 quarter credits or 30semester credits of the 36 semester credits or their equivalentof coursework must be in audiology. At least nine quartercredits of the 45 quarter credits or six semester credits of the30 semester credits in audiology must be in hearing disordersand hearing evaluation and at least nine quarter credits or sixsemester credits or their equivalent must be in habilitative orrehabilitative procedures with individuals who have hearingimpairment; and(2) nine quarter credits of the 54 quarter credits or sixsemester credits of the 36 semester credits or their equivalentin the area of speech-language pathology. At least 4.5 quartercredits of the nine quarter credits or three semester credits ofthe six semester credits must be in speech disorders and atleast 4.5 quarter credits of the nine quarter credits or threesemester credits of the six semester credits must be in languagedisorders. This coursework in speech-language pathology mustconcern the nature, prevention, evaluation, and treatment ofspeech and language disorders not associated with hearingimpairment.(h) Of the professional coursework required in paragraphs(f) and (g), no more than nine quarter credits or six semestercredits or their equivalent associated with clinical trainingmay be counted toward the minimum of 54 quarter credits or 36semester credits or their equivalent of professional coursework.However, those hours may not be used to satisfy the minimum ofnine quarter credits or six semester credit hours in hearingdisorders or evaluation, nine quarter credits or six semestercredits in habilitative or rehabilitative procedures, or ninequarter credits or six semester credits in speech-languagepathology.Sec. 24. Minnesota Statutes 2002, section 148.515, subdivision 4, is amended to read: Subd. 4. [SUPERVISEDPOSTGRADUATEGRADUATE OR DOCTORAL CLINICAL EXPERIENCE REQUIRED.](a)An applicant must completenoless than nine months or its equivalent of full-time supervisedpostgraduate clinical experience according to paragraphs (b) to(h)the graduate or doctoral clinical experience required by the American Speech-Language-Hearing Association, the American Board of Audiology, or an equivalent, as determined by the commissioner, and must achieve a qualifying examination score on the National Examination in Speech-Language Pathology or Audiology.(b) Supervision in the postgraduate clinical experienceincludes both on-site observation and other monitoringactivities. On-site observation must involve the supervisor,the supervisee, and the client receiving speech-languagepathology or audiology services. On-site observation mustinclude direct observation by the supervisor of treatment givenby the supervisee. Other monitoring activities may be executedby correspondence and include, but are not limited to,conferences with the supervisee, evaluation of written reports,and evaluations by professional colleagues. Other monitoringactivities do not include the client receiving speech-languagepathology or audiology services but must involve direct orindirect evaluative contact by the supervisor of the supervisee.(c) The applicant must, as part of the postgraduateclinical experience, be supervised by an individual who meetsthe definition of section 148.512, subdivision 20, and:(1) when registration as a speech-language pathologist issought, is a registered speech-language pathologist or hold acurrent certificate of clinical competence in speech-languagepathology from the American Speech-Language-Hearing Association;and(2) when registration as an audiologist is sought, is aregistered audiologist or hold a current certificate of clinicalcompetence in audiology from the AmericanSpeech-Language-Hearing Association.(d) The applicant may not begin the postgraduate clinicalexperience until the applicant has completed the academiccoursework and clinical training in subdivisions 2 and 3.(e) To be considered full time, at least 30 hours per weekmust be spent over a nine-month period in clinical work.Equivalent time periods may include part-time professionalemployment as follows:(1) 12 months of at least 25 hours per week;(2) 15 months of at least 20 hours per week; or(3) 18 months of at least 15 hours per week.(f) The applicant's postgraduate clinical experience mustinclude direct clinical experience with patients, consultations,report writing, record keeping, or other duties relevant toclinical work. A minimum of 80 percent of the clinicalexperience must be in direct contact with persons who havecommunication handicaps. If the applicant uses part-timeemployment to fulfill the postgraduate clinical experiencerequirement, all of the minimum required hours of the part-timework week requirement must be spent in direct professionalexperience.(g) The applicant must complete the postgraduate clinicalexperience within a maximum of 36 consecutive months and must besupervised in no less than 36 activities, including 18 one-houron-site observations. A maximum of six hours can be accrued inone day. A minimum of six one-hour on-site observations must beaccrued during each one-third of the experience.(h) The applicant must complete 18 other monitoredactivities and complete at least one monitored activity eachmonth of the postgraduate clinical experience. Alternatives toon-site observation and monitoring activities include activitiessupervised by correspondence, evaluation of written reports, andevaluations by professional colleagues.Sec. 25. Minnesota Statutes 2002, section 148.516, is amended to read: 148.516 [REGISTRATIONLICENSURE BY EQUIVALENCY.] An applicant who applies forregistrationlicensure by equivalency must show evidence of possessing a current certificate of clinical competence issued by the American Speech-Language-Hearing Association or board certification by the American Board of Audiology and must meet the requirements of section 148.514. Sec. 26. Minnesota Statutes 2002, section 148.5161, is amended to read: 148.5161 [TEMPORARY REGISTRATIONCLINICAL FELLOWSHIP LICENSURE OR DOCTORAL EXTERNSHIP LICENSURE.] Subdivision 1. [APPLICATION.] The commissioner shall issuetemporary registrationclinical fellowship licensure or doctoral externship licensure as a speech-language pathologist or audiologist to an applicant who has applied forregistrationlicensure under section 148.515, who is not the subject of a disciplinary action or past disciplinary action, and who has not violated a provision of section 148.5195, subdivision 3. Subd. 2. [PROCEDURES.] To be eligible fortemporaryregistrationclinical fellowship licensure or doctoral externship licensure, an applicant must submit an application form provided by the commissioner, the fees required by section 148.5194, and evidence of successful completion of the requirements in section 148.515,subdivisionssubdivision 2and3. Subd. 3. [SUPERVISION REQUIRED.] (a) Atemporaryregistrantclinical fellowship licensee or doctoral externship licensee must practice under the supervision of an individual who meets the requirements of section 148.512, subdivision 20. Supervision must conform to the requirements in paragraphs (b) to(g)(e). (b) Supervision must include both on-site observation and other monitoring activities. On-site observation must involve the supervisor, thesuperviseeclinical fellowship licensee or doctoral externship licensee, and the client receiving speech-language pathology or audiology services and must include direct observation by the supervisor of treatment given by thesuperviseeclinical fellowship licensee or doctoral externship licensee. Other monitoring activities must involve direct or indirect evaluative contact by the supervisor of thesuperviseeclinical fellowship licensee or doctoral externship licensee, may be executed by correspondence, and may include, but are not limited to, conferences with thesuperviseeclinical fellowship licensee or doctoral externship licensee, evaluation of written reports, and evaluations by professional colleagues. Other monitoring activities do not include the client receiving speech-language pathology or audiology services. (c) Thetemporary registrantclinical fellowship licensee or doctoral externship licensee must be supervised by an individual who meets the definition of section 148.512, subdivision 20, and: (1) when thetemporary registrantclinical fellowship licensee or doctoral externship licensee is a speech-language pathologist, is aregisteredlicensed speech-language pathologist, or holds a current certificate of clinical competence in speech-language pathology from the American Speech-Language-Hearing Association;andor (2) when thetemporary registrantclinical fellowship licensee or doctoral externship licensee is an audiologist, is aregisteredlicensed audiologist, or holds a current certificate of clinical competence in audiology from the American Speech-Language-Hearing Association or board certification in audiology by the American Board of Audiology. (d)Temporary registrationClinical fellowship licensure or doctoral externship licensure shall not be granted until the applicant has completed the academic coursework and clinical training in section 148.515,subdivisionssubdivision 2and 3. (e)The temporary registrant must be supervised in no lessthan 36 activities, including 18 one-hour on-site observations.A maximum of six hours may be accrued in one day. A minimum ofsix one-hour on-site observations must be accrued during eachone-third of the experience.(f) The temporary registrant must complete 18 othermonitored activities and complete at least one monitoredactivity each month.(g)Thetemporary registrantclinical fellowship licensee or doctoral externship licensee must provide verification of supervision on the application form provided by the commissioner. Subd. 4. [DOCTORAL EXTERNSHIP LICENSURE.] Doctoral candidates in audiology completing their final externship as part of their training program are eligible to receive a provisional license in audiology and are not required to complete the postgraduate clinical fellowship year. Subd. 5. [EXPIRATION OFTEMPORARY REGISTRATIONCLINICAL FELLOWSHIP OR DOCTORAL EXTERNSHIP LICENSURE.] Atemporaryregistrationclinical fellowship license or doctoral externship license issued to a person pursuant to subdivision 2 expires 18 months after issuance or on the date the commissioner grants or deniesregistrationlicensure, whichever occurs first. Upon application, atemporary registrationclinical fellowship license or doctoral externship license shall be renewed once to persons who have not met the supervised postgraduate clinical experience requirement under section 148.515, subdivision 4, within the initialtemporary registrationclinical fellowship license or doctoral externship license period and meet the requirements of subdivision 1. Subd.56. [TITLE USED.] Atemporary registrantlicensee with a clinical fellowship or doctoral externship shall be identified by one of the protected titles and a designation indicating clinical fellowship status. Sec. 27. Minnesota Statutes 2002, section 148.517, is amended to read: 148.517 [REGISTRATIONLICENSURE BY RECIPROCITY.] Subdivision 1. [APPLICABILITY.] An applicant who applies forregistrationlicensure as a speech-language pathologist or audiologist by reciprocity must meet the requirements of subdivisions 2 and 3. Subd. 2. [CURRENT CREDENTIALS REQUIRED.] An applicant applying forregistrationlicensure by reciprocity must provide evidence to the commissioner that the applicant holds a current and unrestricted credential for the practice of speech-language pathology or audiology in another jurisdiction that has requirements equivalent to or higher than those in effect for determining whether an applicant in this state is qualified to beregisteredlicensed as a speech-language pathologist or audiologist. An applicant who provides sufficient evidence need not meet the requirements of section 148.515, provided that the applicant otherwise meets all other requirements of section 148.514. Subd. 3. [VERIFICATION OF CREDENTIALS REQUIRED.] An applicant forregistrationlicensure by reciprocity under subdivision 2, must have maintained the appropriategovernmentbodyand unrestricted credentials in each jurisdictionin whichthe applicant holds a credential submit lettersduring the last five years as demonstrated by submitting letters of verification to the commissioner. Each letter must state the applicant's name, date of birth, credential number, date of issuance, a statement regarding disciplinary actions, if any, taken against the applicant, and the terms under which the credential was issued. Subd. 4. [TEMPORARYREGISTRATIONLICENSURE.] (a) The commissioner shall issue temporaryregistrationlicensure as a speech-language pathologist, an audiologist, or both, to an applicant who has applied forregistrationlicensure underthissection 148.515, 148.516, 148.517, or 148.518, subdivisions 1 and 2, and who: (1) submits a signed and dated affidavit stating that the applicant is not the subject of a disciplinary action or past disciplinary action in this or another jurisdiction and is not disqualified on the basis of section 148.5195, subdivision 3; and (2) either: (i) provides a copy of a current credential as a speech-language pathologist, an audiologist, or both, held in the District of Columbia or a state or territory of the United States; or (ii) provides a copy of a current certificate of clinical competence issued by the American Speech-Language-Hearing Association orits equivalentboard certification in audiology by the American Board of Audiology. (b) A temporaryregistrationlicense issued to a person under this subdivision expires 90 days after it is issued or on the date the commissioner grants or deniesregistrationlicensure, whichever occurs first. (c) Upon application, a temporaryregistrationlicense shall be renewed once to a person who is able to demonstrate good cause for failure to meet the requirements forregistrationlicensure within the initial temporaryregistrationlicensure period and who is not the subject of a disciplinary action or disqualified on the basis of section 148.5195, subdivision 3. Sec. 28. Minnesota Statutes 2002, section 148.518, is amended to read: 148.518 [REGISTRATIONLICENSURE FOLLOWING LAPSE OFREGISTEREDLICENSURE STATUS.]Subdivision 1. [LAPSE OF THREE YEARS OR LESS.]For an applicant whoseregisteredlicensure status has lapsedfor threeyears or less, the applicant must: (1) apply forregistrationlicensure renewal according to section 148.5191 and document compliance with the continuing education requirements of section 148.5193 since the applicant'sregistrationlicense lapsed;or(2) fulfill the requirements of section 148.517.; orSubd. 2. [LAPSE OF MORE THAN THREE YEARS.] For anapplicant whose registered status has lapsed for more than threeyears, the applicant must:(1) apply for registration renewal according to section148.5191 and obtain a qualifying score on the examinationdescribed in section 148.515, subdivision 5, within one year ofthe application date for registration renewal;(2) apply for renewal according to section 148.5191,provide evidence to the commissioner that the applicant holds acurrent and unrestricted credential for the practice ofspeech-language pathology from the Minnesota board of teachingor for the practice of speech-language pathology or audiology inanother jurisdiction and provide evidence that the applicant'scredential from the Minnesota board of teaching or anotherjurisdiction has been held in good standing during the period oflapse;(3) apply for renewal according to section 148.5191andsubmit documentation of having completed a combination ofspeech-language pathology or audiology courses or aspeech-language pathology or audiology refresher program thatcontains both a theoretical and clinical component preapprovedor approved by the commissioner. Only courses completed withinone year preceding the date of the application or one year afterthe date of the application will qualify for approval; or(4) apply for renewal according to section 148.5191 andsubmit proof of successful completion and verified documentationof 160 hours of supervised practice approved by thecommissioner. To participate in a supervised practice, theapplicant shall first apply and obtain temporary registrationaccording to section 148.5161, provide evidence to the commissioner that the applicant holds a current and unrestricted credential for the practice of speech-language pathology from the Minnesota board of teaching or for the practice of speech-language pathology or audiology in another jurisdiction that has requirements equivalent to or higher than those in effect for Minnesota, and provide evidence of compliance with Minnesota board of teaching or that jurisdiction's continuing education requirements. Sec. 29. Minnesota Statutes 2002, section 148.519, is amended to read: 148.519 [REGISTRATIONLICENSURE PROCEDURES.] Subdivision 1. [APPLICATIONS FORREGISTRATIONLICENSURE.] (a) An applicant forregistrationlicensure must: (1) submit a completed application forregistrationlicensure on forms provided by the commissioner. The application must include the applicant's name, certification number under chapter 153A, if applicable, business address and telephone number, or home address and telephone number if the applicant practices speech-language pathology or audiology out of the home, and a description of the applicant's education, training, and experience, including previous work history for the five years immediately preceding the date of application. The commissioner may ask the applicant to provide additional information necessary to clarify information submitted in the application; and (2) submit documentation of the certificate of clinical competence issued by the American Speech-Language-Hearing Association, board certification by the American Board of Audiology, or satisfy the following requirements:(2)(i) submit a transcript showing the completion of a master's or doctoral degree or its equivalent meeting the requirements of section 148.515, subdivision 2;(3)(ii) submit documentation of the required hours of supervised clinical trainingmeeting the requirements of section148.515, subdivision 3;(4)(iii) submit documentation of the postgraduate clinical or doctoral clinical experience meeting the requirements of section 148.515, subdivision 4; and(5)(iv) submit documentation of receiving a qualifying score on an examination meeting the requirements of section 148.515, subdivision 5;. (b) In addition, an applicant must:(6)(1) sign a statement that the information in the application is true and correct to the best of the applicant's knowledge and belief;(7)(2) submit with the application all fees required by section 148.5194; and(8)(3) sign a waiver authorizing the commissioner to obtain access to the applicant's records in this or any other state in which the applicant has engaged in the practice of speech-language pathology or audiology. Subd. 2. [ACTION ON APPLICATIONS FORREGISTRATIONLICENSURE.] (a) The commissioner shall act on an application forregistrationlicensure according to paragraphs (b) to (d). (b) The commissioner shall determine if the applicant meets the requirements forregistrationlicensure. The commissioner or advisory council may investigate information provided by an applicant to determine whether the information is accurate and complete. (c) The commissioner shall notify an applicant, via certified mail, of action taken on the application and of the grounds for denyingregistrationlicensure ifregistrationlicensure is denied. (d) An applicant deniedregistrationlicensure may make a written request to the commissioner, within 30 days of the date of notification to the applicant,to appear before the advisorycouncil and for the advisory council to review thecommissioner's decision to deny the applicant's registration.After reviewing the denial, the advisory council shall make arecommendation to the commissioner as to whether the denialshould be affirmed. An applicant is allowed no more than onerequest for a review of denial of registration in any oneregistration renewal periodfor reconsideration of the denial. Individuals requesting reconsideration may submit information that the applicant wants considered in the reconsideration. After reconsideration of the commissioner's determination to deny licensure, the commissioner shall determine whether the original determination should be affirmed or modified. An applicant may make only one request in any one biennial license period for reconsideration of the commissioner's determination to deny licensure. Subd. 3. [CHANGE OF ADDRESS.] A licensee who changes addresses must inform the commissioner, in writing, of the change of address within 30 days. All notices or other correspondence mailed to or served on a licensee by the commissioner at the licensee's address on file with the commissioner shall be considered as having been received by the licensee. Sec. 30. Minnesota Statutes 2002, section 148.5191, is amended to read: 148.5191 [REGISTRATIONLICENSURE RENEWAL.] Subdivision 1. [RENEWAL REQUIREMENTS.] To renewregistrationlicensure, an applicant must: (1) biennially complete a renewal application on a form provided by the commissioner and submit the biennial renewal fee; (2) meet the continuing education requirements of section 148.5193 and submit evidence of attending continuing education courses, as required in section 148.5193, subdivision 6; and (3) submit additional information if requested by the commissioner to clarify information presented in the renewal application. The information must be submitted within 30 days after the commissioner's request. Subd. 2. [LATE FEE.] An application submitted after the renewal deadline date must be accompanied by a late fee as provided in section 148.5194, subdivision 4. Subd. 3. [REGISTRATIONLICENSURE RENEWAL NOTICE.]RegistrationLicensure renewal is on a biennial basis. At least 60 days before theregistrationlicensure expiration date, the commissioner shall send out a renewal notice to theregistrant'slicensee's last known address. The notice shall include a renewal application and notice of fees required for renewal. If theregistrantlicensee does not receive the renewal notice, theregistrantlicensee is still required to meet the deadline for renewal to qualify for continuousregisteredlicensure status. Subd. 4. [RENEWAL DEADLINE.] Eachregistration certificatelicense, including a temporaryregistration certificatelicense provided under section 148.5161, must state an expiration date. An application forregistrationlicensure renewal must be received by the department of health or postmarked at least 30 days before the expiration date. If the postmark is illegible, the application shall be considered timely if received at least 21 days before the expiration date. When the commissioner establishes the renewal schedule for an applicant,registrantlicensee, or temporaryregistrantlicensee, if the period before the expiration date is less than two years, the fee shall be prorated. Sec. 31. Minnesota Statutes 2002, section 148.5193, subdivision 1, is amended to read: Subdivision 1. [NUMBER OF CONTACT HOURS REQUIRED.] (a) An applicant forregistrationlicensure renewal must meet the requirements for continuing educationaccording tostipulated by the American Speech-Language-Hearing Association or the American Board of Audiology, or satisfy the requirements described in paragraphs (b) to (e). (b) An applicant forregistrationlicensure renewal as either a speech-language pathologist or an audiologist must provide evidence to the commissioner of a minimum of 30 contact hours of continuing education offered by a continuing education sponsor within the two years immediately precedingregistrationlicensure renewal. A minimum of 20 contact hours of continuing education must be directly related to theregistrant'slicensee's area ofregistrationlicensure. Ten contact hours of continuing education may be in areas generally related to theregistrant'slicensee's area ofregistrationlicensure. (c) An applicant forregistrationlicensure renewal as both a speech-language pathologist and an audiologist must attest to and document completion of a minimum of 36 contact hours of continuing education offered by a continuing education sponsor within the two years immediately precedingregistrationlicensure renewal. A minimum of 15 contact hours must be received in the area of speech-language pathology and a minimum of 15 contact hours must be received in the area of audiology. Six contact hours of continuing education may be in areas generally related to theregistrant'slicensee's areas ofregistrationlicensure. (d) If theregistrantlicensee is licensed by the board of teaching: (1) activities that are approved in the categories of Minnesota Rules, part 8700.1000, subpart 3, items A and B, and that relate to speech-language pathology, shall be considered: (i) offered by a sponsor of continuing education; and (ii) directly related to speech-language pathology; (2) activities that are approved in the categories of Minnesota Rules, part 8700.1000, subpart 3, shall be considered: (i) offered by a sponsor of continuing education; and (ii) generally related to speech-language pathology; and (3) one clock hour as defined in Minnesota Rules, part 8700.1000, subpart 1, is equivalent to1.21.0 contact hours of continuing education. (e) Contact hours cannot be accumulated in advance and transferred to a future continuing education period. Sec. 32. Minnesota Statutes 2002, section 148.5193, subdivision 4, is amended to read: Subd. 4. [EARNING CONTINUING EDUCATION CONTACT HOURS THROUGH CONTACT HOUR EQUIVALENTS.] (a) Aregistrantlicensee who teaches continuing education courses or presents or publishes for educational purposes may obtain contact hour equivalents according to paragraphs (b) to (d). (b) The sponsor of the course must meet the requirements of subdivision 2. (c) Aregistrantlicensee may not obtain more than six contact hours in any two-year continuing education period by teaching continuing education courses. (d) Aregistrantlicensee may obtain two contact hours for each hour spent teaching a course. Contact hours may be claimed only once for teaching the same course in any two-year continuing education period. Sec. 33. Minnesota Statutes 2002, section 148.5193, subdivision 6, is amended to read: Subd. 6. [RECORDS OF ATTENDANCE.] (a) Aregistrantlicensee must maintain for four years records of attending the continuing education contact hours required forregistrationlicensure renewal. (b) An applicant forregistrationlicensure renewal must submit documentation demonstrating compliance with continuing education requirements of the American Speech-Language-Hearing Association on the American Board of Audiology or an equivalent, or the following information on a form provided by the commissioner: the sponsoring organization, the dates of the course, the course name, the number of contact hours completed, and the name and signature of theregistrantlicensee. The form must be submitted with the renewal application under section 148.5191, subdivision 1. Sec. 34. Minnesota Statutes 2002, section 148.5193, subdivision 6a, is amended to read: Subd. 6a. [VERIFICATION OF ATTENDANCE.] An applicant forregistrationlicensure renewal must submit verification of attendance as follows: (1) a certificate of attendance from the sponsor with the continuing education course name, course date, andregistrant'slicensee's name. If a certificate is not available, the commissioner may accept other evidence of attendance such as a confirmation or statement of registration for regional or national annual conferences or conventions of professional associations, a copy of the continuing education courses indicating those attended, and an affidavit of attendance; (2) a copy of a record of attendance from the sponsor of the continuing education course; (3) a signature of the presenter or a designee at the continuing education activity on the continuing education report form; (4) a summary or outline of the educational content of an audio or video educational activity if a designee is not available to sign the continuing education report form; (5) for self-study programs, a certificate of completion or other documentation indicating that the individual has demonstrated knowledge and has successfully completed the program;andor (6) for attendance at a university, college, or vocational course, an official transcript. Sec. 35. Minnesota Statutes 2002, section 148.5193, subdivision 7, is amended to read: Subd. 7. [VERIFICATION OF CONTINUING EDUCATION REPORTS.] The commissioner may request aregistrantlicensee or continuing education sponsor to verify the continuing education to which theregistrantlicensee attested. Documentation may come directly from theregistrantlicensee, the continuing education sponsor, or from a national accrediting or certifying organization which maintains the records. Sec. 36. Minnesota Statutes 2002, section 148.5193, subdivision 8, is amended to read: Subd. 8. [WAIVER OF CONTINUING EDUCATION REQUIREMENTS.] The commissioner may grant a waiver of the requirements of this section in cases where the requirements would impose an undue burden on theregistrantlicensee. Aregistrantlicensee must request in writing a waiver of the requirements of this section. The request for a waiver must cite this section, the reasons for requesting the waiver, the period of time theregistrantlicensee wishes to have the continuing education requirement waived, and the alternative measures that will be taken if a waiver is granted. The commissioner shall set forth, in writing, the reasons for granting or denying the waiver. Waivers granted by the commissioner shall specify in writing the time limitation and required alternative measures to be taken by theregistrantlicensee. Sec. 37. Minnesota Statutes 2002, section 148.5194, subdivision 1, is amended to read: Subdivision 1. [FEE PRORATION.] The commissioner shall prorate theregistrationlicensure fee for clinical fellowship, doctoral externship, temporary, and first timeregistrantslicensees according to the number of months that have elapsed between the dateregistrationthe license is issued and the dateregistrationthe license must be renewed under section 148.5191, subdivision 4. Sec. 38. Minnesota Statutes 2002, section 148.5194, subdivision 2, is amended to read: Subd. 2. [BIENNIALREGISTRATIONLICENSURE FEE.] The fee for initialregistrationlicensure and biennialregistrationlicensure, temporaryregistrationlicensure, or renewal is $200. Sec. 39. Minnesota Statutes 2002, section 148.5194, subdivision 3, is amended to read: Subd. 3. [BIENNIALREGISTRATIONLICENSURE FEE FOR DUALREGISTRATIONLICENSURE AS A SPEECH-LANGUAGE PATHOLOGIST AND AUDIOLOGIST.] The fee for initialregistrationlicensure and biennialregistrationlicensure, clinical fellowship, doctoral externship, temporaryregistrationlicense, or renewal is $200. Sec. 40. Minnesota Statutes 2002, section 148.5194, subdivision 3a, is amended to read: Subd. 3a. [SURCHARGE FEE.] Notwithstanding section 16A.1285, subdivision 2, for a period of four years following July 1, 1999, an applicant forregistrationlicensure orregistrationlicensure renewal must pay a surcharge fee of $25 in addition to any other fees due uponregistrationlicensure orregistrationlicensure renewal. This subdivision expires June 30, 2003. Sec. 41. Minnesota Statutes 2002, section 148.5195, subdivision 2, is amended to read: Subd. 2. [RIGHTS OF APPLICANTS ANDREGISTRANTSLICENSEES.] The rights of an applicant deniedregistrationlicensure are stated in section 148.519, subdivision 2, paragraph (d). Aregistrantlicensee shall not be subjected to disciplinary action under this section without first having an opportunity for a contested case hearing under chapter 14. Sec. 42. Minnesota Statutes 2002, section 148.5195, subdivision 3, is amended to read: Subd. 3. [GROUNDS FOR DISCIPLINARY ACTION BY COMMISSIONER.] The commissioner may take any of the disciplinary actions listed in subdivision 4 on proof that the individual has: (1) intentionally submitted false or misleading information to the commissioner or the advisory council; (2) failed, within 30 days, to provide information in response to a written request, via certified mail, by the commissioner or advisory council; (3) performed services of a speech-language pathologist or audiologist in an incompetent or negligent manner; (4) violated sections 148.511 to 148.5196; (5) failed to perform services with reasonable judgment, skill, or safety due to the use of alcohol or drugs, or other physical or mental impairment; (6) violated any state or federal law, rule, or regulation, and the violation is a felony or misdemeanor, an essential element of which is dishonesty, or which relates directly or indirectly to the practice of speech-language pathology or audiology. Conviction for violating any state or federal law which relates to speech-language pathology or audiology is necessarily considered to constitute a violation, except as provided in chapter 364; (7) aided or abetted another person in violating any provision of sections 148.511 to 148.5196; (8) been or is being disciplined by another jurisdiction, if any of the grounds for the discipline is the same or substantially equivalent to those under sections 148.511 to 148.5196; (9) not cooperated with the commissioner or advisory council in an investigation conducted according to subdivision 1; (10) advertised in a manner that is false or misleading; (11) engaged in conduct likely to deceive, defraud, or harm the public; or demonstrated a willful or careless disregard for the health, welfare, or safety of a client; (12) failed to disclose to the consumer any fee splitting or any promise to pay a portion of a fee to any other professional other than a fee for services rendered by the other professional to the client; (13) engaged in abusive or fraudulent billing practices, including violations of federal Medicare and Medicaid laws, Food and Drug Administration regulations, or state medical assistance laws; (14) obtained money, property, or services from a consumer through the use of undue influence, high pressure sales tactics, harassment, duress, deception, or fraud; (15) performed services for a client who had no possibility of benefiting from the services; (16) failed to refer a client for medical evaluation or to other health care professionals when appropriate or when a client indicated symptoms associated with diseases that could be medically or surgically treated; (17) if the individual is a dispenser of hearing instruments as defined by section 153A.13, subdivision 5, had the certification required by chapter 153A, denied, suspended, or revoked according to chapter 153A; or (18) used the term doctor of audiology, doctor of speech-language pathology, AuD, or SLPD without having obtained the degree from an institution accredited by the North Central Association of Colleges and Secondary Schoolsor the AmericanSpeech-Language-Hearing Association, the Council on Academic Accreditation in Audiology and Speech-Language Pathology, the United States Department of Education, or an equivalent. Sec. 43. Minnesota Statutes 2002, section 148.5195, subdivision 4, is amended to read: Subd. 4. [DISCIPLINARY ACTIONS.] If the commissioner finds that an individual should be disciplined according to subdivision 3, the commissioner may take any one or more of the following actions: (1) refuse to grant or renewregistrationlicensure; (2) suspendregistrationlicensure for a period not exceeding one year; (3) revokeregistrationlicensure; or (4) take any reasonable lesser action against an individual upon proof that the individual has violated sections 148.511 to 148.5196; or (5) impose, for each violation, a civil penalty not exceeding $10,000 that deprives the licensee of any economic advantage gained by the violation and that reimburses the department of health for costs of the investigation and proceedings resulting in disciplinary action, including the amount paid for services of the administrative hearings, the amount paid for services of the office of the attorney general, attorney fees, court reporters, witnesses, reproduction of records, advisory council members' per diem compensation, department staff time, and expenses incurred by advisory council members and department staff. Sec. 44. Minnesota Statutes 2002, section 148.5195, subdivision 5, is amended to read: Subd. 5. [CONSEQUENCES OF DISCIPLINARY ACTIONS.] Upon the suspension or revocation ofregistrationlicensure, the speech-language pathologist or audiologist shall cease to practice speech-language pathology or audiology, to use titles protected under sections 148.511 to 148.5196, andshall ceaseto represent to the public that the speech-language pathologist or audiologist isregisteredlicensed by the commissioner. Sec. 45. Minnesota Statutes 2002, section 148.5195, subdivision 6, is amended to read: Subd. 6. [REINSTATEMENT REQUIREMENTS AFTER DISCIPLINARY ACTION.] A speech-language pathologist or audiologist who has hadregistrationlicensure suspended may petition on forms provided by the commissioner for reinstatement following the period of suspension specified by the commissioner. The requirements of section 148.5191 for renewingregistrationlicensure must be met beforeregistrationlicensure may be reinstated. Sec. 46. Minnesota Statutes 2002, section 148.5196, is amended to read: 148.5196 [SPEECH-LANGUAGE PATHOLOGIST AND AUDIOLOGIST ADVISORY COUNCIL.] Subdivision 1. [MEMBERSHIP.] The commissioner shall appointseveneight persons to a speech-language pathologist and audiologist advisory council. Theseveneight persons must include: (1) two public members, as defined in section 214.02. The public members shall be either persons receiving services of a speech-language pathologist or audiologist, or family members of or caregivers to such persons; (2) two speech-language pathologistsregisteredlicensed under sections 148.511 to 148.5196, one of whom is currently and has been, for the five years immediately preceding the appointment, engaged in the practice of speech-language pathology in Minnesota and each of whom is employed in a different employment setting including, but not limited to, private practice, hospitals, rehabilitation settings, educational settings, and government agencies; (3) one speech-language pathologistregisteredlicensed under sections 148.511 to 148.5196, who is currently and has been, for the five years immediately preceding the appointment, employed by a Minnesota public school district or a Minnesota public school district consortium that is authorized by Minnesota Statutes and who is licensed incommunicationdisordersspeech-language pathology by the Minnesota board of teaching;and(4) two audiologistsregisteredlicensed under sections 148.511 to 148.5196, one of whom is currently and has been, for the five years immediately preceding the appointment, engaged in the practice of audiology in Minnesota and each of whom is employed in a different employment setting including, but not limited to, private practice, hospitals, rehabilitation settings, educational settings, industry, and government agencies; and (5) one physician licensed under chapter 147 and certified by the American Board of Otolaryngology, Head and Neck Surgery. Subd. 2. [ORGANIZATION.] The advisory council shall be organized and administered under section 15.059. Subd. 3. [DUTIES.] The advisory council shall: (1) advise the commissioner regarding speech-language pathologist and audiologistregistrationlicensure standards; (2) advise the commissioner on enforcement of sections 148.511 to 148.5196; (3) provide for distribution of information regarding speech-language pathologist and audiologistregistrationlicensure standards; (4) review applications and make recommendations to the commissioner on granting or denyingregistrationlicensure orregistrationlicensure renewal; (5) review reports of investigations relating to individuals and make recommendations to the commissioner as to whetherregistrationlicensure should be denied or disciplinary action taken against the individual; (6) advise the commissioner regarding approval of continuing education activities provided by sponsors using the criteria in section 148.5193, subdivision 2; and (7) perform other duties authorized for advisory councils under chapter 214, or as directed by the commissioner. Sec. 47. Minnesota Statutes 2002, section 153A.14, subdivision 2a, is amended to read: Subd. 2a. [EXEMPTION FROM WRITTEN EXAMINATION REQUIREMENT.] Persons completing the audiology registration requirements of section 148.515 after January 1, 1996, are exempt from the written examination requirements of subdivision 2h, paragraph (a), clause (1). Minnesotaregistration orAmerican Speech-Language-Hearing Association certificationlicensure, a current certification of clinical competence issued by the American Speech-Language-Hearing Association, board certification in audiology by the American Board of Audiology, or an equivalent, as an audiologist is not required but may be submitted as evidence qualifying for exemption from the written examination if the requirements are completed after January 1, 1996. Persons qualifying for written examination exemption must fulfill the other credentialing requirements under subdivisions 1 and 2 before a certificate may be issued by the commissioner. Sec. 48. Minnesota Statutes 2002, section 153A.14, subdivision 2i, is amended to read: Subd. 2i. [CONTINUING EDUCATION REQUIREMENT.] On forms provided by the commissioner, each certified dispenser must submit with the application for renewal of certification evidence of completion of ten course hours of continuing education earned within the 12-month period of July 1 to June 30 immediately preceding renewal. Continuing education courses must be directly related to hearing instrument dispensing and approved by the International Hearing Society or qualify for continuing education approved for Minnesotaregisteredlicensed audiologists. Evidence of completion of the ten course hours of continuing education must be submitted with renewal applications by October 1 of each year. This requirement does not apply to dispensers certified for less than one year. The first report of evidence of completion of the continuing education credits shall be due October 1, 1997. Sec. 49. Minnesota Statutes 2002, section 153A.17, is amended to read: 153A.17 [EXPENSES; FEES.] The expenses for administering the certification requirements including the complaint handling system for hearing aid dispensers in sections 153A.14 and 153A.15 and the consumer information center under section 153A.18 must be paid from initial application and examination fees, renewal fees, penalties, and fines. All fees are nonrefundable. The certificate application fee is $165 for audiologistsregisteredlicensed under section 148.511 and $490 for all others, the examination fee is $200 for the written portion and $200 for the practical portion each time one or the other is taken, and the trainee application fee is $100. Notwithstanding the policy set forth in section 16A.1285, subdivision 2, a surcharge of $165 for audiologistsregisteredlicensed under section 148.511 and $330 for all others shall be paid at the time of application or renewal until June 30, 2003, to recover the commissioner's accumulated direct expenditures for administering the requirements of this chapter. The penalty fee for late submission of a renewal application is $200. All fees, penalties, and fines received must be deposited in the state government special revenue fund. The commissioner may prorate the certification fee for new applicants based on the number of quarters remaining in the annual certification period. Sec. 50. Minnesota Statutes 2002, section 153A.20, subdivision 1, is amended to read: Subdivision 1. [MEMBERSHIP.] The commissioner shall appoint nine persons to a hearing instrument dispenser advisory council. (a) The nine persons must include: (1) three public members, as defined in section 214.02. At least one of the public members shall be a hearing instrument user and one of the public members shall be either a hearing instrument user or an advocate of one; and (2) three hearing instrument dispensers certified under sections 153A.14 to 153A.20, each of whom is currently, and has been for the five years immediately preceding their appointment, engaged in hearing instrument dispensing in Minnesota and who represent the occupation of hearing instrument dispensing and who are not audiologists; and (3) three audiologists who are certified hearing instrument dispensers or areregisteredlicensed as audiologists under chapter 148. (b) The factors the commissioner may consider when appointing advisory council members include, but are not limited to, professional affiliation, geographical location, and type of practice. (c) No two members of the advisory council shall be employees of, or have binding contracts requiring sales exclusively for, the same hearing instrument manufacturer or the same employer. Sec. 51. Minnesota Statutes 2002, section 214.32, subdivision 1, is amended to read: Subdivision 1. [MANAGEMENT.] (a) A health professionals services program committee is established, consisting of one person appointed by each participating board, with each participating board having one vote. The committee shall designate one board to provide administrative management of the program, set the program budget and the pro rata share of program expenses to be borne by each participating board, provide guidance on the general operation of the program, including hiring of program personnel, and ensure that the program's direction is in accord with its authority. If the participating boards change which board is designated to provide administrative management of the program, any appropriation remaining for the program shall transfer to the newly designated board on the effective date of the change. The participating boards must inform the appropriate legislative committees and the commissioner of finance of any change in the administrative management of the program, and the amount of any appropriation transferred under this provision. (b) The designated board, upon recommendation of the health professional services program committee, shall hire the program manager and employees and pay expenses of the program from funds appropriated for that purpose. The designated board may apply for grants to pay program expenses and may enter into contracts on behalf of the program to carry out the purposes of the program. The participating boards shall enter into written agreements with the designated board. (c) An advisory committee is established to advise the program committee consisting of: (1) one member appointed by each of the following: the Minnesota Academy of Physician Assistants, the Minnesota Dental Association, the Minnesota Chiropractic Association, the Minnesota Licensed Practical Nurse Association, the Minnesota Medical Association, the Minnesota Nurses Association, and the Minnesota Podiatric Medicine Association; (2) one member appointed by each of the professional associations of the other professions regulated by a participating board not specified in clause (1); and (3) two public members, as defined by section 214.02. Members of the advisory committee shall be appointed for two years and members may be reappointed. The advisory committee expires June 30,20032007. Sec. 52. [REVISOR INSTRUCTION.] The revisor shall renumber Minnesota Statutes, section 148.517, subdivision 4, as Minnesota Statutes, section 148.5175. Sec. 53. [REPEALER.] Minnesota Statutes 2002, sections 148.512, subdivision 11; and 148.515, subdivisions 3 and 5, are repealed. Sec. 54. [EFFECTIVE DATE.] Sections 1 to 3 and 51 are effective July 1, 2003. Presented to the governor May 20, 2003 Signed by the governor May 23, 2003, 3:15 p.m.
Official Publication of the State of Minnesota
Revisor of Statutes