<div class="xtend"><a id="pl.1.1"></a><var>1.1</var>CONFERENCE COMMITTEE REPORT ON H. F. No. 1036<br />
         		
         <div class="xtend_ce"><a id="pl.1.2"></a><var>1.2</var>A bill for an act<br />
            		
         </div><a id="pl.1.3"></a><var>1.3</var>relating to health care; modifying provisions related to physician assistants;<br />
         		<a id="pl.1.4"></a><var>1.4</var>amending Minnesota Statutes 2014, sections 147A.01, subdivisions 17a, 23; <br />
         		<a id="pl.1.5"></a><var>1.5</var>147A.20, subdivisions 1, 2; repealing Minnesota Statutes 2014, section 147A.01, <br />
         		<a id="pl.1.6"></a><var>1.6</var>subdivision 5.<br />
         		<a id="pl.1.7"></a><var>1.7</var>May 5, 2016<br />
         		<a id="pl.1.8"></a><var>1.8</var>The Honorable Kurt L. Daudt<br />
         		<a id="pl.1.9"></a><var>1.9</var>Speaker of the House of Representatives<br />
         		<a id="pl.1.10"></a><var>1.10</var>The Honorable Sandra L. Pappas<br />
         		<a id="pl.1.11"></a><var>1.11</var>President of the Senate<br />
         		<a id="pl.1.12"></a><var>1.12</var>We, the undersigned conferees for H. F. No. 1036 report that we have agreed upon <br />
         		<a id="pl.1.13"></a><var>1.13</var>the items in dispute and recommend as follows:<br />
         		<a id="pl.1.14"></a><var>1.14</var>That the Senate recede from its amendments and that H. F. No. 1036 be further <br />
         		<a id="pl.1.15"></a><var>1.15</var>amended as follows:<br />
         		<a id="pl.1.16"></a><var>1.16</var>Delete everything after the enacting clause and insert:<br />
         		<br />
         		<a id="bill.0.1.0"></a><a id="pl.1.17"></a><var>1.17</var>&#160;&#160;&#160;&#160;"Section 1. Minnesota Statutes 2014, section 147A.01, subdivision 17a, is amended to <br />
         		<a id="pl.1.18"></a><var>1.18</var>read:<br />
         		<a id="pl.1.19"></a><var>1.19</var>&#160;&#160;&#160;&#160;Subd. 17a. <b>Physician-physician assistant delegation agreement.</b><br />
         		 <a id="pl.1.20"></a><var>1.20</var>"Physician-physician assistant delegation agreement" means the document prepared and <br />
         		<a id="pl.1.21"></a><var>1.21</var>signed by the physician and physician assistant affirming the supervisory relationship and <br />
         		<a id="pl.1.22"></a><var>1.22</var>defining the physician assistant scope of practice. Alternate supervising physicians must be <br />
         		<a id="pl.1.23"></a><var>1.23</var>identified on the delegation agreement or a supplemental listing with signed attestation that <br />
         		<a id="pl.1.24"></a><var>1.24</var>each shall accept full medical responsibility for the performance, practice, and activities of <br />
         		<a id="pl.1.25"></a><var>1.25</var>the physician assistant while under the supervision of the alternate supervising physician. <br />
         		<a id="pl.1.26"></a><var>1.26</var>The physician-physician assistant delegation agreement outlines the role of the physician <br />
         		<a id="pl.1.27"></a><var>1.27</var>assistant in the practice, describes the means of supervision, and specifies the categories of <br />
         		<a id="pl.1.28"></a><var>1.28</var>drugs, controlled substances, and medical devices that the supervising physician delegates <br />
         		<a id="pl.1.29"></a><var>1.29</var>to the physician assistant to prescribe. The physician-physician assistant delegation <br />
         		<a id="pl.2.1"></a><var>2.1</var>agreement must comply with the requirements of section 
         <statute_ref>147A.20</statute_ref>, be kept on file at the <br />
         		<a id="pl.2.2"></a><var>2.2</var>address of record, and be made available to the board or its representative upon request.<br />
         		<br />
         		<a id="bill.0.2.0"></a><a id="pl.2.3"></a><var>2.3</var>&#160;&#160;&#160;&#160;Sec. 2. Minnesota Statutes 2014, section 147A.01, subdivision 23, is amended to read:<br />
         		<a id="pl.2.4"></a><var>2.4</var>&#160;&#160;&#160;&#160;Subd. 23. <b>Supervising physician.</b> "Supervising physician" means a Minnesota <br />
         		<a id="pl.2.5"></a><var>2.5</var>licensed physician who accepts full medical responsibility for the performance, practice, <br />
         		<a id="pl.2.6"></a><var>2.6</var>and activities of a physician assistant under an agreement as described in section 
         <statute_ref>147A.20</statute_ref>. <br />
         		<a id="pl.2.7"></a><var>2.7</var>The supervising physician who completes and signs the delegation agreement may be <br />
         		<a id="pl.2.8"></a><var>2.8</var>referred to as the primary supervising physician. A supervising physician shall not <br />
         		<a id="pl.2.9"></a><var>2.9</var>supervise more than five full-time equivalent physician assistants simultaneously. With <br />
         		<a id="pl.2.10"></a><var>2.10</var>the approval of the board, or in a disaster or emergency situation pursuant to section <br />
         		<a id="pl.2.11"></a><var>2.11</var><statute_ref>147A.23</statute_ref>, a supervising physician may supervise more than five full-time equivalent <br />
         		<a id="pl.2.12"></a><var>2.12</var>physician assistants simultaneously.<br />
         		<br />
         		<a id="bill.0.3.0"></a><a id="pl.2.13"></a><var>2.13</var>&#160;&#160;&#160;&#160;Sec. 3. Minnesota Statutes 2014, section 147A.20, subdivision 1, is amended to read:<br />
         		<a id="pl.2.14"></a><var>2.14</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Physician-physician assistant delegation agreement.</b> (a) A <br />
         		<a id="pl.2.15"></a><var>2.15</var>physician assistant and supervising physician must sign a physician-physician assistant <br />
         		<a id="pl.2.16"></a><var>2.16</var>delegation agreement which specifies scope of practice and manner of supervision as <br />
         		<a id="pl.2.17"></a><var>2.17</var>required by the board. The agreement must contain:<br />
         		<a id="pl.2.18"></a><var>2.18</var>(1) a description of the practice setting;<br />
         		<a id="pl.2.19"></a><var>2.19</var>(2) a listing of categories of delegated duties;<br />
         		<a id="pl.2.20"></a><var>2.20</var>(3) a description of supervision type; and<br />
         		<a id="pl.2.21"></a><var>2.21</var>(4) a description of the process and schedule for review of prescribing, dispensing, <br />
         		<a id="pl.2.22"></a><var>2.22</var>and administering legend and controlled drugs and medical devices by the physician <br />
         		<a id="pl.2.23"></a><var>2.23</var>assistant authorized to prescribe.<br />
         		<a id="pl.2.24"></a><var>2.24</var>(b) The agreement must be maintained by the supervising physician and physician <br />
         		<a id="pl.2.25"></a><var>2.25</var>assistant and made available to the board upon request. If there is a delegation of <br />
         		<a id="pl.2.26"></a><var>2.26</var>prescribing, administering, and dispensing of legend drugs, controlled substances, and <br />
         		<a id="pl.2.27"></a><var>2.27</var>medical devices, the agreement shall include a description of the prescriptive authority <br />
         		<a id="pl.2.28"></a><var>2.28</var>delegated to the physician assistant. Physician assistants shall have a separate agreement <br />
         		<a id="pl.2.29"></a><var>2.29</var>for each place of employment. Agreements must be reviewed and updated on an <br />
         		<a id="pl.2.30"></a><var>2.30</var>annual basis. The supervising physician and physician assistant must maintain the <br />
         		<a id="pl.2.31"></a><var>2.31</var>physician-physician assistant delegation agreement at the address of record.<br />
         		<a id="pl.2.32"></a><var>2.32</var>(c) Physician assistants must provide written notification to the board within 30 <br />
         		<a id="pl.2.33"></a><var>2.33</var>days of the following:<br />
         		<a id="pl.2.34"></a><var>2.34</var>(1) name change;<br />
         		<a id="pl.3.1"></a><var>3.1</var>(2) address of record change; and<br />
         		<a id="pl.3.2"></a><var>3.2</var>(3) telephone number of record change.<br />
         		<a id="pl.3.3"></a><var>3.3</var>(d) Any alternate supervising physicians must be identified in the physician-physician <br />
         		<a id="pl.3.4"></a><var>3.4</var>assistant delegation agreement, or a supplemental listing, and must sign the agreement <br />
         		<a id="pl.3.5"></a><var>3.5</var>attesting that they shall provide the physician assistant with supervision in compliance <br />
         		<a id="pl.3.6"></a><var>3.6</var>with this chapter, the delegation agreement, and board rules.<br />
         		<br />
         		<a id="bill.0.4.0"></a><a id="pl.3.7"></a><var>3.7</var>&#160;&#160;&#160;&#160;Sec. 4. Minnesota Statutes 2014, section 147A.20, subdivision 2, is amended to read:<br />
         		<a id="pl.3.8"></a><var>3.8</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Notification of intent to</b><b> Practice</b><b> location notification</b><b>.</b> A licensed <br />
         		<a id="pl.3.9"></a><var>3.9</var>physician assistant shall submit a notification of intent to practice location notification <br />
         		<a id="pl.3.10"></a><var>3.10</var>to the board prior to beginning within 30 business days of starting practice, changing <br />
         		<a id="pl.3.11"></a><var>3.11</var>practice location, or changing supervising physician. The notification shall include the <br />
         		<a id="pl.3.12"></a><var>3.12</var>name, business address, and telephone number of the supervising physician and the <br />
         		<a id="pl.3.13"></a><var>3.13</var>physician assistant. Individuals who practice without submitting a notification of intent to <br />
         		<a id="pl.3.14"></a><var>3.14</var>practice location notification shall be subject to disciplinary action under section 
         <statute_ref>147A.13</statute_ref> <br />
         		<a id="pl.3.15"></a><var>3.15</var>for practicing without a license, unless the care is provided in response to a disaster or <br />
         		<a id="pl.3.16"></a><var>3.16</var>emergency situation pursuant to section 
         <statute_ref>147A.23</statute_ref>.<br />
         		<br />
         		<a id="bill.0.5.0"></a><a id="pl.3.17"></a><var>3.17</var>&#160;&#160;&#160;&#160;Sec. 5. Minnesota Statutes 2014, section 147D.05, subdivision 1, is amended to read:<br />
         		<a id="pl.3.18"></a><var>3.18</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Practice standards.</b> (a) A licensed traditional midwife shall provide <br />
         		<a id="pl.3.19"></a><var>3.19</var>an initial and ongoing screening to ensure that each client receives safe and appropriate <br />
         		<a id="pl.3.20"></a><var>3.20</var>care. A licensed traditional midwife shall only accept and provide care to those women <br />
         		<a id="pl.3.21"></a><var>3.21</var>who are expected to have a normal pregnancy, labor, and delivery. As part of the initial <br />
         		<a id="pl.3.22"></a><var>3.22</var>screening to determine whether any contraindications are present, the licensed traditional <br />
         		<a id="pl.3.23"></a><var>3.23</var>midwife must take a detailed health history that includes the woman's social, medical, <br />
         		<a id="pl.3.24"></a><var>3.24</var>surgical, menstrual, gynecological, contraceptive, obstetrical, family, nutritional, and <br />
         		<a id="pl.3.25"></a><var>3.25</var>drug/chemical use histories. If a licensed traditional midwife determines at any time <br />
         		<a id="pl.3.26"></a><var>3.26</var>during the course of the pregnancy that a woman's condition may preclude attendance by a <br />
         		<a id="pl.3.27"></a><var>3.27</var>traditional midwife, the licensed traditional midwife must refer the client to a licensed <br />
         		<a id="pl.3.28"></a><var>3.28</var>health care provider. As part of the initial and ongoing screening, a licensed traditional <br />
         		<a id="pl.3.29"></a><var>3.29</var>midwife must provide or recommend that the client receive the following services, if <br />
         		<a id="pl.3.30"></a><var>3.30</var>indicated, from an appropriate health care provider:<br />
         		<a id="pl.3.31"></a><var>3.31</var>(1) initial laboratory pregnancy screening, including blood group and type, antibody <br />
         		<a id="pl.3.32"></a><var>3.32</var>screen, Indirect Coombs, rubella titer, CBC with differential and syphilis serology;<br />
         		<a id="pl.3.33"></a><var>3.33</var>(2) gonorrhea and chlamydia cultures;<br />
         		<a id="pl.3.34"></a><var>3.34</var>(3) screening for sickle cell;<br />
         		<a id="pl.4.1"></a><var>4.1</var>(4) screening for hepatitis B and human immunodeficiency virus (HIV);<br />
         		<a id="pl.4.2"></a><var>4.2</var>(5) maternal serum alpha-fetoprotein test and ultrasound;<br />
         		<a id="pl.4.3"></a><var>4.3</var>(6) Rh antibody and glucose screening at 28 weeks gestation;<br />
         		<a id="pl.4.4"></a><var>4.4</var>(7) mandated newborn screening;<br />
         		<a id="pl.4.5"></a><var>4.5</var>(8) Rh screening of the infant for maternal RhoGAM treatment; and<br />
         		<a id="pl.4.6"></a><var>4.6</var>(9) screening for premature labor.<br />
         		<a id="pl.4.7"></a><var>4.7</var>(b) A client must make arrangements to have the results of any of the tests described <br />
         		<a id="pl.4.8"></a><var>4.8</var>in paragraph (a) sent to the licensed traditional midwife providing services to the client. <br />
         		<a id="pl.4.9"></a><var>4.9</var>The licensed traditional midwife must include these results in the client's record.<br />
         		<br />
         		<a id="bill.0.6.0"></a><a id="pl.4.10"></a><var>4.10</var>&#160;&#160;&#160;&#160;Sec. 6. Minnesota Statutes 2014, section 147D.09, is amended to read:<br />
         		<a id="pl.4.11"></a><var>4.11</var><b>147D.09 LIMITATIONS OF PRACTICE.</b><br />
         		<a id="pl.4.12"></a><var>4.12</var>(a) A licensed traditional midwife shall not prescribe, dispense, or administer <br />
         		<a id="pl.4.13"></a><var>4.13</var>prescription drugs, except as permitted under paragraph (b).<br />
         		<a id="pl.4.14"></a><var>4.14</var>(b) A licensed traditional midwife may administer vitamin K either orally or through <br />
         		<a id="pl.4.15"></a><var>4.15</var>intramuscular injection, maternal RhoGAM treatment, postpartum antihemorrhagic drugs <br />
         		<a id="pl.4.16"></a><var>4.16</var>under emergency situations, local anesthetic, oxygen, and a prophylactic eye agent to <br />
         		<a id="pl.4.17"></a><var>4.17</var>the newborn infant.<br />
         		<a id="pl.4.18"></a><var>4.18</var>(c) A licensed traditional midwife shall not perform any operative or surgical <br />
         		<a id="pl.4.19"></a><var>4.19</var>procedures except for suture repair of first- or second-degree perineal lacerations.<br />
         		<br />
         		<a id="bill.0.7.0"></a><a id="pl.4.20"></a><var>4.20</var>&#160;&#160;&#160;&#160;Sec. 7. Minnesota Statutes 2015 Supplement, section 147D.13, subdivision 2, is <br />
         		<a id="pl.4.21"></a><var>4.21</var>amended to read:<br />
         		<a id="pl.4.22"></a><var>4.22</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Practice report.</b> (a) A licensed traditional midwife must compile a <br />
         		<a id="pl.4.23"></a><var>4.23</var>summary report on each client. The report must include the following:<br />
         		<a id="pl.4.24"></a><var>4.24</var>(1) vital records;<br />
         		<a id="pl.4.25"></a><var>4.25</var>(2) scope of care administered;<br />
         		<a id="pl.4.26"></a><var>4.26</var>(3) whether the medical consultation plan was implemented; and<br />
         		<a id="pl.4.27"></a><var>4.27</var>(4) any physician or other health care provider referrals made.<br />
         		<a id="pl.4.28"></a><var>4.28</var>(b) The board or advisory council may review these reports at any time upon request.<br />
         		<br />
         		<a id="bill.0.8.0"></a><a id="pl.4.29"></a><var>4.29</var>&#160;&#160;&#160;&#160;Sec. 8. Minnesota Statutes 2014, section 147D.25, subdivision 1, is amended to read:<br />
         		<a id="pl.4.30"></a><var>4.30</var>&#160;&#160;&#160;&#160;Subdivision 1. <b>Membership.</b> The board shall appoint a five-member Advisory <br />
         		<a id="pl.4.31"></a><var>4.31</var>Council on Licensed Traditional Midwifery. One member shall be a licensed physician <br />
         		<a id="pl.4.32"></a><var>4.32</var>who has been or is currently consulting with licensed traditional midwives, appointed from <br />
         		<a id="pl.4.33"></a><var>4.33</var>a list of names submitted to the board by the Minnesota Medical Association. One member <br />
         		<a id="pl.5.1"></a><var>5.1</var>shall be a licensed physician who has been or is currently consulting or collaborating with <br />
         		<a id="pl.5.2"></a><var>5.2</var>licensed traditional midwives appointed from a list of names submitted to the board by the <br />
         		<a id="pl.5.3"></a><var>5.3</var>Minnesota Council of Certified Professional Midwives or its successors. Three members <br />
         		<a id="pl.5.4"></a><var>5.4</var>shall be licensed traditional midwives appointed from a list of names submitted to the <br />
         		<a id="pl.5.5"></a><var>5.5</var>board by Midwifery Now and the Minnesota Council of Certified Professional Midwives <br />
         		<a id="pl.5.6"></a><var>5.6</var>or their successors. One member shall be a home birth parent of a child born under the <br />
         		<a id="pl.5.7"></a><var>5.7</var>care of a licensed traditional midwife appointed from a list of names submitted to the <br />
         		<a id="pl.5.8"></a><var>5.8</var>board by Minnesota Families for Midwifery, or its successor.<br />
         		<br />
         		<a id="bill.0.9.0"></a><a id="pl.5.9"></a><var>5.9</var>&#160;&#160;&#160;&#160;Sec. 9. Minnesota Statutes 2014, section 148.271, is amended to read:<br />
         		<a id="pl.5.10"></a><var>5.10</var><b>148.271 EXEMPTIONS.</b><br />
         		<a id="pl.5.11"></a><var>5.11</var>The provisions of sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref> shall not prohibit:<br />
         		<a id="pl.5.12"></a><var>5.12</var>(1) The furnishing of nursing assistance in an emergency.<br />
         		<a id="pl.5.13"></a><var>5.13</var>(2) The practice of advanced practice, professional, or practical nursing by any <br />
         		<a id="pl.5.14"></a><var>5.14</var>legally qualified advanced practice, registered, or licensed practical nurse of another state <br />
         		<a id="pl.5.15"></a><var>5.15</var>who is employed by the United States government or any bureau, division, or agency <br />
         		<a id="pl.5.16"></a><var>5.16</var>thereof while in the discharge of official duties.<br />
         		<a id="pl.5.17"></a><var>5.17</var>(3) The practice of any profession or occupation licensed by the state, other than <br />
         		<a id="pl.5.18"></a><var>5.18</var>advanced practice, professional, or practical nursing, by any person duly licensed to <br />
         		<a id="pl.5.19"></a><var>5.19</var>practice the profession or occupation, or the performance by a person of any acts properly <br />
         		<a id="pl.5.20"></a><var>5.20</var>coming within the scope of the profession, occupation, or license.<br />
         		<a id="pl.5.21"></a><var>5.21</var>(4) The provision of a nursing or nursing-related service by an unlicensed assistive <br />
         		<a id="pl.5.22"></a><var>5.22</var>person who has been delegated or assigned the specific function and is supervised by a <br />
         		<a id="pl.5.23"></a><var>5.23</var>registered nurse or monitored by a licensed practical nurse.<br />
         		<a id="pl.5.24"></a><var>5.24</var>(5) The care of the sick with or without compensation when done in a nursing home <br />
         		<a id="pl.5.25"></a><var>5.25</var>covered by the provisions of section 
         <statute_ref>144A.09, subdivision 1</statute_ref>.<br />
         		<a id="pl.5.26"></a><var>5.26</var>(6) Professional nursing practice or advanced practice registered nursing practice by <br />
         		<a id="pl.5.27"></a><var>5.27</var>a registered nurse or practical nursing practice by a licensed practical nurse licensed in <br />
         		<a id="pl.5.28"></a><var>5.28</var>another state or territory who is in Minnesota as a student enrolled in a formal, structured <br />
         		<a id="pl.5.29"></a><var>5.29</var>course of study, such as a course leading to a higher degree, certification in a nursing <br />
         		<a id="pl.5.30"></a><var>5.30</var>specialty, or to enhance skills in a clinical field, while the student is practicing in the course.<br />
         		<a id="pl.5.31"></a><var>5.31</var>(7) Professional or practical nursing practice by a student practicing under the <br />
         		<a id="pl.5.32"></a><var>5.32</var>supervision of an instructor while the student is enrolled in a nursing program approved by <br />
         		<a id="pl.5.33"></a><var>5.33</var>the board under section 
         <statute_ref>148.251</statute_ref>.<br />
         		<a id="pl.5.34"></a><var>5.34</var>(8) Advanced practice registered nursing as defined in section 
         <statute_ref>148.171, subdivisions <br />
            		<a id="pl.5.35"></a><var>5.35</var>5, 10, 11, 13, and 21
         </statute_ref>, by a registered nurse who is licensed and currently registered in <br />
         		<a id="pl.6.1"></a><var>6.1</var>Minnesota or another United States jurisdiction and who is enrolled as a student in a <br />
         		<a id="pl.6.2"></a><var>6.2</var>formal graduate education program leading to eligibility for certification and licensure <br />
         		<a id="pl.6.3"></a><var>6.3</var>as an advanced practice registered nurse.<br />
         		<a id="pl.6.4"></a><var>6.4</var>(9) Professional nursing practice or advanced practice registered nursing practice by <br />
         		<a id="pl.6.5"></a><var>6.5</var>a registered nurse or advanced practice registered nurse licensed in another state, territory, <br />
         		<a id="pl.6.6"></a><var>6.6</var>or jurisdiction who is in Minnesota temporarily:<br />
         		<a id="pl.6.7"></a><var>6.7</var>(i) providing continuing or in-service education;<br />
         		<a id="pl.6.8"></a><var>6.8</var>(ii) serving as a guest lecturer;<br />
         		<a id="pl.6.9"></a><var>6.9</var>(iii) presenting at a conference; or<br />
         		<a id="pl.6.10"></a><var>6.10</var>(iv) teaching didactic content via distance education to a student located in <br />
         		<a id="pl.6.11"></a><var>6.11</var>Minnesota who is enrolled in a formal, structured course of study, such as a course leading <br />
         		<a id="pl.6.12"></a><var>6.12</var>to a higher degree or certification in a nursing specialty.<br />
         		<br />
         		<a id="bill.0.10.0"></a><a id="pl.6.13"></a><var>6.13</var>&#160;&#160;&#160;&#160;Sec. 10. Minnesota Statutes 2014, section 214.077, is amended to read:<br />
         		<a id="pl.6.14"></a><var>6.14</var><b>214.077 TEMPORARY LICENSE SUSPENSION; IMMINENT RISK OF </b><br />
         		<a id="pl.6.15"></a><var>6.15</var><b>SERIOUS </b><b>HARM.</b><br />
         		<a id="pl.6.16"></a><var>6.16</var>(a) Notwithstanding any provision of a health-related professional practice act, <br />
         		<a id="pl.6.17"></a><var>6.17</var>when a health-related licensing board receives a complaint regarding a regulated person <br />
         		<a id="pl.6.18"></a><var>6.18</var>and has probable cause to believe that the regulated person has violated a statute or rule <br />
         		<a id="pl.6.19"></a><var>6.19</var>that the health-related licensing board is empowered to enforce, and continued practice <br />
         		<a id="pl.6.20"></a><var>6.20</var>by the regulated person presents an imminent risk of serious harm, the health-related <br />
         		<a id="pl.6.21"></a><var>6.21</var>licensing board shall issue an order temporarily suspend suspending the regulated person's <br />
         		<a id="pl.6.22"></a><var>6.22</var>professional license authority to practice. The temporary suspension order shall take <br />
         		<a id="pl.6.23"></a><var>6.23</var>effect upon written notice to the regulated person and shall specify the reason for the <br />
         		<a id="pl.6.24"></a><var>6.24</var>suspension., including the statute or rule alleged to have been violated. The temporary <br />
         		<a id="pl.6.25"></a><var>6.25</var>suspension order shall take effect upon personal service on the regulated person or the <br />
         		<a id="pl.6.26"></a><var>6.26</var>regulated person's attorney, or upon the third calendar day after the order is served by first <br />
         		<a id="pl.6.27"></a><var>6.27</var>class mail to the most recent address provided to the health-related licensing board for the <br />
         		<a id="pl.6.28"></a><var>6.28</var>regulated person or the regulated person's attorney.<br />
         		<a id="pl.6.29"></a><var>6.29</var>(b) The temporary suspension shall remain in effect until the appropriate <br />
         		<a id="pl.6.30"></a><var>6.30</var>health-related licensing board or the commissioner completes an investigation, holds a <br />
         		<a id="pl.6.31"></a><var>6.31</var>contested case hearing pursuant to the Administrative Procedure Act, and issues a final <br />
         		<a id="pl.6.32"></a><var>6.32</var>order in the matter after a hearing as provided for in this section.<br />
         		<a id="pl.6.33"></a><var>6.33</var>(c) At the time it issues the temporary suspension notice order, the appropriate <br />
         		<a id="pl.6.34"></a><var>6.34</var>health-related licensing board shall schedule a disciplinary contested case hearing, on the <br />
         		<a id="pl.6.35"></a><var>6.35</var>merits of whether discipline is warranted, to be held before the licensing board or pursuant <br />
         		<a id="pl.7.1"></a><var>7.1</var>to the Administrative Procedure Act. The regulated person shall be provided with at least <br />
         		<a id="pl.7.2"></a><var>7.2</var>ten days' notice of any contested case hearing held pursuant to this section. The contested <br />
         		<a id="pl.7.3"></a><var>7.3</var>case hearing shall be scheduled to begin no later than 30 days after issuance the effective <br />
         		<a id="pl.7.4"></a><var>7.4</var>service of the temporary suspension order.<br />
         		<a id="pl.7.5"></a><var>7.5</var>(d) The administrative law judge presiding over the contested case hearing shall <br />
         		<a id="pl.7.6"></a><var>7.6</var>issue a report and recommendation to the health-related licensing board no later than 30 <br />
         		<a id="pl.7.7"></a><var>7.7</var>days after the final day of the contested case hearing. The health-related licensing board <br />
         		<a id="pl.7.8"></a><var>7.8</var>shall issue a final order pursuant to sections 14.61 and 14.62 within 30 days of receipt <br />
         		<a id="pl.7.9"></a><var>7.9</var>of the administrative law judge's report and recommendations. Except as provided in <br />
         		<a id="pl.7.10"></a><var>7.10</var>paragraph (e), if the health-related licensing board has not issued a final order pursuant to <br />
         		<a id="pl.7.11"></a><var>7.11</var>sections 14.61 and 14.62 within 30 days of receipt of the administrative law judge's report <br />
         		<a id="pl.7.12"></a><var>7.12</var>and recommendations, the temporary suspension shall be lifted.<br />
         		<a id="pl.7.13"></a><var>7.13</var>(d) (e) If the board has not completed its investigation and issued a final order within <br />
         		<a id="pl.7.14"></a><var>7.14</var>30 days, the temporary suspension shall be lifted, unless the regulated person requests a <br />
         		<a id="pl.7.15"></a><var>7.15</var>delay in the disciplinary proceedings for any reason, upon which the temporary suspension <br />
         		<a id="pl.7.16"></a><var>7.16</var>shall remain in place until the completion of the investigation. the regulated person <br />
         		<a id="pl.7.17"></a><var>7.17</var>requests a delay in the contested case proceedings provided for in paragraphs (c) and (d) <br />
         		<a id="pl.7.18"></a><var>7.18</var>for any reason, the temporary suspension shall remain in effect until the health-related <br />
         		<a id="pl.7.19"></a><var>7.19</var>licensing board issues a final order pursuant to sections 14.61 and 14.62.<br />
         		<a id="pl.7.20"></a><var>7.20</var>(f) This section shall not apply to the Office of Unlicensed Complementary and <br />
         		<a id="pl.7.21"></a><var>7.21</var>Alternative Health Practice established under section 146A.02. The commissioner of <br />
         		<a id="pl.7.22"></a><var>7.22</var>health shall conduct temporary suspensions for complementary and alternative health care <br />
         		<a id="pl.7.23"></a><var>7.23</var>practitioners in accordance with section 146A.09.<br />
         		<br />
         		<a id="bill.0.11.0"></a><a id="pl.7.24"></a><var>7.24</var>&#160;&#160;&#160;&#160;Sec. 11. Minnesota Statutes 2014, section 214.10, subdivision 2, is amended to read:<br />
         		<a id="pl.7.25"></a><var>7.25</var>&#160;&#160;&#160;&#160;Subd. 2. <b>Investigation and hearing.</b> The designee of the attorney general providing <br />
         		<a id="pl.7.26"></a><var>7.26</var>legal services to a board shall evaluate the communications forwarded by the board or its <br />
         		<a id="pl.7.27"></a><var>7.27</var>members or staff. If the communication alleges a violation of statute or rule which the <br />
         		<a id="pl.7.28"></a><var>7.28</var>board is to enforce, the designee is empowered to investigate the facts alleged in the <br />
         		<a id="pl.7.29"></a><var>7.29</var>communication. In the process of evaluation and investigation, the designee shall consult <br />
         		<a id="pl.7.30"></a><var>7.30</var>with or seek the assistance of the executive director, executive secretary, or, if the board <br />
         		<a id="pl.7.31"></a><var>7.31</var>determines, a member of the board who has been appointed by the board to assist the <br />
         		<a id="pl.7.32"></a><var>7.32</var>designee. The designee may also consult with or seek the assistance of any other qualified <br />
         		<a id="pl.7.33"></a><var>7.33</var>persons who are not members of the board who the designee believes will materially aid <br />
         		<a id="pl.7.34"></a><var>7.34</var>in the process of evaluation or investigation. The executive director, executive secretary, <br />
         		<a id="pl.7.35"></a><var>7.35</var>or the consulted board member may attempt to correct improper activities and redress <br />
         		<a id="pl.8.1"></a><var>8.1</var>grievances through education, conference, conciliation and persuasion, and in these <br />
         		<a id="pl.8.2"></a><var>8.2</var>attempts may be assisted by the designee of the attorney general. If the attempts at <br />
         		<a id="pl.8.3"></a><var>8.3</var>correction or redress do not produce satisfactory results in the opinion of the executive <br />
         		<a id="pl.8.4"></a><var>8.4</var>director, executive secretary, or the consulted board member, or if after investigation the <br />
         		<a id="pl.8.5"></a><var>8.5</var>designee providing legal services to the board, the executive director, executive secretary, <br />
         		<a id="pl.8.6"></a><var>8.6</var>or the consulted board member believes that the communication and the investigation <br />
         		<a id="pl.8.7"></a><var>8.7</var>suggest illegal or unauthorized activities warranting board action, the person having the <br />
         		<a id="pl.8.8"></a><var>8.8</var>belief shall inform the executive director or executive secretary of the board who shall <br />
         		<a id="pl.8.9"></a><var>8.9</var>schedule a disciplinary contested case hearing in accordance with chapter 14. Before <br />
         		<a id="pl.8.10"></a><var>8.10</var>directing the holding of a disciplinary contested case hearing, the executive director, <br />
         		<a id="pl.8.11"></a><var>8.11</var>executive secretary, or the designee of the attorney general shall have considered the <br />
         		<a id="pl.8.12"></a><var>8.12</var>recommendations of the consulted board member. Before scheduling a disciplinary <br />
         		<a id="pl.8.13"></a><var>8.13</var>contested case hearing, the executive director or executive secretary must have received <br />
         		<a id="pl.8.14"></a><var>8.14</var>a verified written complaint from the complaining party. A board member who was <br />
         		<a id="pl.8.15"></a><var>8.15</var>consulted during the course of an investigation may participate at the hearing but may not <br />
         		<a id="pl.8.16"></a><var>8.16</var>vote on any matter pertaining to the case. The executive director or executive secretary <br />
         		<a id="pl.8.17"></a><var>8.17</var>of the board shall promptly inform the complaining party of the final disposition of the <br />
         		<a id="pl.8.18"></a><var>8.18</var>complaint. Nothing in this section shall preclude the board from scheduling, on its own <br />
         		<a id="pl.8.19"></a><var>8.19</var>motion, a disciplinary contested case hearing based upon the findings or report of the <br />
         		<a id="pl.8.20"></a><var>8.20</var>board's executive director or executive secretary, a board member or the designee of the <br />
         		<a id="pl.8.21"></a><var>8.21</var>attorney general assigned to the board. Nothing in this section shall preclude a member of <br />
         		<a id="pl.8.22"></a><var>8.22</var>the board, executive director, or executive secretary from initiating a complaint.<br />
         		<br />
         		<a id="bill.0.12.0"></a><a id="pl.8.23"></a><var>8.23</var>&#160;&#160;&#160;&#160;Sec. 12. Minnesota Statutes 2014, section 214.10, subdivision 2a, is amended to read:<br />
         		<a id="pl.8.24"></a><var>8.24</var>&#160;&#160;&#160;&#160;Subd. 2a. <b>Proceedings.</b> A board shall initiate proceedings to suspend or revoke <br />
         		<a id="pl.8.25"></a><var>8.25</var>a license or shall refuse to renew a license of a person licensed by the board who is <br />
         		<a id="pl.8.26"></a><var>8.26</var>convicted in a court of competent jurisdiction of violating section 
         <statute_ref>609.224, subdivision 2 <br />
            		<a id="pl.8.27"></a><var>8.27</var>609.2231, subdivision 8
         </statute_ref>, paragraph (c), 
         <statute_ref>609.23</statute_ref>, 
         <statute_ref>609.231</statute_ref>, 
         <statute_ref>609.2325</statute_ref>, 
         <statute_ref>609.233</statute_ref>, 
         <statute_ref>609.2335</statute_ref>, <br />
         		
         <statute_ref><a id="pl.8.28"></a><var>8.28</var>609.234
         </statute_ref>, 
         <statute_ref>609.465</statute_ref>, 
         <statute_ref>609.466</statute_ref>, 
         <statute_ref>609.52</statute_ref>, or 
         <statute_ref>609.72, subdivision 3</statute_ref>.<br />
         		<br />
         		<a id="bill.0.13.0"></a><a id="pl.8.29"></a><var>8.29</var>&#160;&#160;&#160;&#160;Sec. 13. Minnesota Statutes 2014, section 214.10, is amended by adding a subdivision <br />
         		<a id="pl.8.30"></a><var>8.30</var>to read:<br />
         		<a id="pl.8.31"></a><var>8.31</var>&#160;&#160;&#160;&#160;Subd. 14. <b>Complementary and alternative health care practitioners.</b> This section <br />
         		<a id="pl.8.32"></a><var>8.32</var>shall not apply to complementary and alternative health care practitioners practicing under <br />
         		<a id="pl.8.33"></a><var>8.33</var>chapter 146A. Complaints and disciplinary actions against complementary and alternative <br />
         		<a id="pl.8.34"></a><var>8.34</var>health care practitioners shall be conducted in accordance with chapter 146A.<br />
         		<br />
         		<a id="bill.0.14.0"></a><a id="pl.9.1"></a><var>9.1</var>&#160;&#160;&#160;&#160;Sec. 14. Minnesota Statutes 2014, section 214.32, subdivision 6, is amended to read:<br />
         		<a id="pl.9.2"></a><var>9.2</var>&#160;&#160;&#160;&#160;Subd. 6. <b>Duties of a participating board.</b> Upon receiving a report from the <br />
         		<a id="pl.9.3"></a><var>9.3</var>program manager in accordance with section 
         <statute_ref>214.33, subdivision 3</statute_ref>, that a regulated <br />
         		<a id="pl.9.4"></a><var>9.4</var>person has been discharged from the program due to noncompliance based on allegations <br />
         		<a id="pl.9.5"></a><var>9.5</var>that the regulated person has engaged in conduct that might cause risk to the public, <br />
         		<a id="pl.9.6"></a><var>9.6</var>when and if the participating health-related licensing board has probable cause to believe <br />
         		<a id="pl.9.7"></a><var>9.7</var>continued practice by the regulated person presents an imminent risk of serious harm, the <br />
         		<a id="pl.9.8"></a><var>9.8</var>health-related licensing board shall temporarily suspend the regulated person's professional <br />
         		<a id="pl.9.9"></a><var>9.9</var>license until the completion of a disciplinary investigation. The board must complete the <br />
         		<a id="pl.9.10"></a><var>9.10</var>disciplinary investigation within 30 days of receipt of the report from the program. If the <br />
         		<a id="pl.9.11"></a><var>9.11</var>investigation is not completed by the board within 30 days, the temporary suspension shall <br />
         		<a id="pl.9.12"></a><var>9.12</var>be lifted, unless the regulated person requests a delay in the disciplinary proceedings <br />
         		<a id="pl.9.13"></a><var>9.13</var>for any reason, upon which the temporary suspension shall remain in place until the <br />
         		<a id="pl.9.14"></a><var>9.14</var>completion of the investigation proceed pursuant to the requirements in section 214.077.<br />
         		<br />
         		<a id="bill.0.15.0"></a><a id="pl.9.15"></a><var>9.15</var>&#160;&#160;&#160;&#160;Sec. 15. <b>REVISOR'S INSTRUCTION.</b><br />
         		<a id="pl.9.16"></a><var>9.16</var>(a) The revisor of statutes shall change the term "physician's assistant" to "physician <br />
         		<a id="pl.9.17"></a><var>9.17</var>assistant" wherever that term is found in Minnesota Statutes and Minnesota Rules.<br />
         		<a id="pl.9.18"></a><var>9.18</var>(b) The revisor of statutes shall change the term "physician ancillary" to "physician <br />
         		<a id="pl.9.19"></a><var>9.19</var>assistant" wherever that term is found in Minnesota Statutes and Minnesota Rules.<br />
         		<br />
         		<a id="bill.0.16.0"></a><a id="pl.9.20"></a><var>9.20</var>&#160;&#160;&#160;&#160;Sec. 16. <b> REPEALER.</b><br />
         		<a id="pl.9.21"></a><var>9.21</var>Minnesota Statutes 2014, sections 147A.01, subdivision 5; and 147D.17, subdivision <br />
         		<a id="pl.9.22"></a><var>9.22</var>4, are repealed.<br />
         		"<a id="pl.9.23"></a><var>9.23</var>Delete the title and insert:<br />
         		
         <div class="xtend_ce"><a id="pl.9.24"></a><var>9.24</var>"A bill for an act<br />
            		
         </div><a id="pl.9.25"></a><var>9.25</var>relating to health care; modifying provisions related to physician assistants, <br />
         		<a id="pl.9.26"></a><var>9.26</var>midwives, and nurses; modifying provisions related to license suspension and <br />
         		<a id="pl.9.27"></a><var>9.27</var>contested case hearings;amending Minnesota Statutes 2014, sections 147A.01, <br />
         		<a id="pl.9.28"></a><var>9.28</var>subdivisions 17a, 23; 147A.20, subdivisions 1, 2; 147D.05, subdivision 1; <br />
         		<a id="pl.9.29"></a><var>9.29</var>147D.09; 147D.25, subdivision 1; 148.271; 214.077; 214.10, subdivisions 2, <br />
         		<a id="pl.9.30"></a><var>9.30</var>2a, by adding a subdivision; 214.32, subdivision 6; Minnesota Statutes 2015 <br />
         		<a id="pl.9.31"></a><var>9.31</var>Supplement, section 147D.13, subdivision 2; repealing Minnesota Statutes 2014, <br />
         		<a id="pl.9.32"></a><var>9.32</var>sections 147A.01, subdivision 5; 147D.17, subdivision 4."<br />
         		
         <table>
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            <tr>
               <td></td>
               <td colspan="3">We request the adoption of this report and repassage of the bill.</td>
            </tr>
            <tr>
               <td></td>
               <td>House Conferees:<span width="2em"></span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td></td>
               <td><span>
                     							.....
                     						</span></td>
               <td></td>
               <td><span>
                     							.....
                     						</span></td>
            </tr>
            <tr>
               <td></td>
               <td>Dave Baker</td>
               <td></td>
               <td>Tara Mack</td>
            </tr>
            <tr>
               <td></td>
               <td><span>
                     							.....
                     						</span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td></td>
               <td>Debra Hilstrom</td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td></td>
               <td>Senate Conferees:<span width="2em"></span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td></td>
               <td><span>
                     							.....
                     						</span></td>
               <td></td>
               <td><span>
                     							.....
                     						</span></td>
            </tr>
            <tr>
               <td></td>
               <td>Chris A. Eaton</td>
               <td></td>
               <td>Mary Kiffmeyer</td>
            </tr>
            <tr>
               <td></td>
               <td><span>
                     							.....
                     						</span></td>
               <td></td>
               <td></td>
            </tr>
            <tr>
               <td></td>
               <td>Melissa H. Wiklund</td>
               <td></td>
               <td></td>
            </tr>
         </table>
      </div>