1.1 	A bill for an act
1.2 	relating to health professions; requiring licensure of naturopathic doctors; modifying 
1.3 	professional conduct; amending Minnesota Statutes 2022, sections 147.012; 
1.4 	147E.01, subdivisions 2, 7; 147E.05; 147E.06; 147E.10; 147E.15; 147E.20; 
1.5 	147E.25, subdivisions 1, 2, 4, 5, 7, 8; 147E.30; 147E.35; 147E.40, subdivisions 
1.6 	1, 2, 3.
1.7 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.8 	Section 1. Minnesota Statutes 2022, section 147.012, is amended to read:
1.9 	147.012 OVERSIGHT OF ALLIED HEALTH PROFESSIONS.
1.10 	The board has responsibility for the oversight of the following allied health professions: 
1.11 	physician assistants under chapter 147A, acupuncture practitioners under chapter 147B, 
1.12 	respiratory care practitioners under chapter 147C, traditional midwives under chapter 147D, 
1.13 	registered licensed naturopathic doctors under chapter 147E, genetic counselors under 
1.14 	chapter 147F, and athletic trainers under sections 148.7801 to 148.7815.

1.15 	EFFECTIVE DATE. This section is effective July 1, 2024.

1.16 	Sec. 2. Minnesota Statutes 2022, section 147E.01, subdivision 2, is amended to read:
1.17 		Subd. 2.Advisory council. "Advisory council" means the Registered Naturopathic 
1.18 	Doctor Advisory Council established under section 147E.35.

1.19 	EFFECTIVE DATE. This section is effective July 1, 2024.

2.1 	Sec. 3. Minnesota Statutes 2022, section 147E.01, subdivision 7, is amended to read:
2.2 		Subd. 7.Registered Naturopathic doctor. "Registered Naturopathic doctor" means an 
2.3 	individual registered licensed under this chapter.

2.4 	EFFECTIVE DATE. This section is effective July 1, 2024.

2.5 	Sec. 4. Minnesota Statutes 2022, section 147E.05, is amended to read:
2.6 	147E.05 SCOPE OF PRACTICE.
2.7 		Subdivision 1.Practice parameters. (a) The practice of naturopathic medicine includes, 
2.8 	but is not limited to, the following services:
2.9 	(1) ordering, administering, prescribing, or dispensing for preventive and therapeutic 
2.10 	purposes: food, extracts of food, nutraceuticals, vitamins, minerals, amino acids, enzymes, 
2.11 	botanicals and their extracts, botanical medicines, herbal remedies, homeopathic medicines, 
2.12 	dietary supplements and nonprescription drugs as defined by the Federal Food, Drug, and 
2.13 	Cosmetic Act, glandulars, protomorphogens, lifestyle counseling, hypnotherapy, biofeedback, 
2.14 	dietary therapy, electrotherapy, galvanic therapy, oxygen, therapeutic devices, barrier devices 
2.15 	for contraception, and minor office procedures, including obtaining specimens to assess 
2.16 	and treat disease;
2.17 	(2) performing or ordering physical examinations and physiological function tests;
2.18 	(3) ordering clinical laboratory tests and performing waived tests as defined by the 
2.19 	United States Food and Drug Administration Clinical Laboratory Improvement Amendments 
2.20 	of 1988 (CLIA);
2.21 	(4) referring a patient for diagnostic imaging including x-ray, CT scan, MRI, ultrasound, 
2.22 	mammogram, and bone densitometry to an appropriately licensed health care professional 
2.23 	to conduct the test and interpret the results;
2.24 	(5) prescribing nonprescription medications and therapeutic devices or ordering 
2.25 	noninvasive diagnostic procedures commonly used by physicians in general practice; and
2.26 	(6) prescribing or performing naturopathic physical medicine.
2.27 	(b) A registered naturopathic doctor may admit patients to a hospital if the naturopathic 
2.28 	doctor meets the hospital's governing body requirements regarding credentialing and 
2.29 	privileging process.
2.30 		Subd. 2.Prohibitions on practice. (a) The practice of naturopathic medicine does not 
2.31 	include:
3.1 	(1) administering therapeutic ionizing radiation or radioactive substances;
3.2 	(2) administering general or spinal anesthesia;
3.3 	(3) prescribing, dispensing, or administering legend drugs or controlled substances 
3.4 	including chemotherapeutic substances; or
3.5 	(4) performing or inducing abortions.
3.6 	(b) A naturopathic doctor registered under this chapter shall not perform surgical 
3.7 	procedures using a laser device or perform surgical procedures beyond superficial tissue.
3.8 	(c) A naturopathic doctor shall not practice or claim to practice as a medical doctor, 
3.9 	surgeon, osteopathic physician, dentist, podiatrist, optometrist, psychologist, advanced 
3.10 	practice professional nurse, physician assistant, chiropractor, physical therapist, acupuncturist, 
3.11 	dietician, nutritionist, or any other health care professional, unless the naturopathic physician
3.12 	doctor also holds the appropriate license or registration for the health care practice profession.

3.13 	EFFECTIVE DATE. This section is effective July 1, 2024.

3.14 	Sec. 5. Minnesota Statutes 2022, section 147E.06, is amended to read:
3.15 	147E.06 PROFESSIONAL CONDUCT.
3.16 		Subdivision 1.Informed consent. (a) The naturopathic doctor shall present treatment 
3.17 	facts and options to the patient or to the individual responsible for the patient's care and 
3.18 	make treatment recommendations according to the practice standards of naturopathic 
3.19 	medicine.
3.20 	(b) The registered naturopathic doctor shall obtain a signed informed consent from the 
3.21 	patient or the individual responsible for the patient's care prior to initiating treatment and 
3.22 	after advising the patient of the naturopathic doctor's qualifications including education and 
3.23 	registration information; and outlining of the scope of practice of registered naturopathic 
3.24 	doctors in Minnesota. This information must be supplied to the patient in writing before or 
3.25 	at the time of the initial visit. The registrant shall present treatment facts and options 
3.26 	accurately to the patient or to the individual responsible for the patient's care and make 
3.27 	treatment recommendations according to standards of good naturopathic medical practice.
3.28 	(b)(c) Upon request, the registered naturopathic doctor must shall provide a copy of the 
3.29 	informed consent form to the board.
3.30 		Subd. 2.Patient records. (a) A registered naturopathic doctor shall maintain a record 
3.31 	for seven years for each patient treated, including:
4.1 	(1) a copy of the signed informed consent;
4.2 	(2) evidence of a patient interview concerning the patient's medical history and current 
4.3 	physical condition;
4.4 	(3) evidence of an examination and assessment;
4.5 	(4) record of the treatment provided to the patient; and
4.6 	(5) evidence of evaluation and instructions given to the patient, including acknowledgment 
4.7 	by the patient in writing that, if deemed necessary by the registered naturopathic doctor, 
4.8 	the patient has been advised to consult with another health care provider.
4.9 	(b) A registered naturopathic doctor shall maintain the records of minor patients for 
4.10 	seven years or until the minor's 19th birthday, whichever is longer.
4.11 		Subd. 3.Data practices. All records maintained on a naturopathic patient by a registered
4.12 	naturopathic doctor are subject to sections 144.291 to 144.298.
4.13 	Subd. 4. State and municipal public health regulations. A registered naturopathic 
4.14 	doctor shall comply with all applicable state and municipal requirements regarding public 
4.15 	health.

4.16 	EFFECTIVE DATE. This section is effective July 1, 2024.

4.17 	Sec. 6. Minnesota Statutes 2022, section 147E.10, is amended to read:
4.18 	147E.10 UNAUTHORIZED PRACTICE; PROTECTED TITLES; 
4.19 	RESTRICTIONS.
4.20 		Subdivision 1.Designation. (a) No individual may shall use the title "registered 
4.21 	naturopathic doctor," "naturopathic doctor," "doctor of naturopathic medicine," "doctor of 
4.22 	naturopathy," or use, in connection with the individual's name, the letters "R.N.D." "N.D.,"
4.23 	or "N.M.D.," or any other titles, words, letters, abbreviations, nicknames, or insignia 
4.24 	indicating or implying that the individual is a registeredlicensed naturopathic doctor unless 
4.25 	the individual has been registered is licensed as a registered naturopathic doctor according 
4.26 	to this chapter.
4.27 	(b) No individual shall use the title "naturopathic physician" unless the individual is 
4.28 	licensed as a naturopathic doctor according to this chapter and is licensed to practice medicine 
4.29 	according to chapter 147.
5.1 	After July 1, 2009,(c) Individuals who are registered licensed under this chapter and 
5.2 	who represent themselves as practicing naturopathic medicine by use of a term in paragraph 
5.3 	(a) shall conspicuously display the registration license in the place of practice.
5.4 		Subd. 1a.Unlicensed practice prohibited. Effective July 1, 2025, no individual shall 
5.5 	engage in the practice of naturopathic medicine as defined under section 147E.05, subdivision 
5.6 	1, unless the individual is licensed as a naturopathic doctor according to this chapter.
5.7 		Subd. 2.Other health care practitioners. Nothing in this chapter may be construed to 
5.8 	prohibit or to restrict:
5.9 	(1) the practice of a profession by individuals who are licensed, certified, or registered 
5.10 	under other laws of this state and are performing services within their authorized scope of 
5.11 	practice;
5.12 	(2) the provision of the complementary and alternative healing methods and treatments, 
5.13 	including naturopathy, as described in chapter 146A, except that an individual shall not 
5.14 	represent themselves as a naturopathic doctor, naturopathic medical doctor, or a provider 
5.15 	of naturopathic medicine unless the individual is licensed according to this chapter;
5.16 	(3) the practice of naturopathic medicine by an individual licensed, registered, or certified 
5.17 	in another state and employed by the government of the United States while the individual 
5.18 	is engaged in the performance of duties prescribed by the laws and regulations of the United 
5.19 	States;
5.20 	(4) the practice by a naturopathic doctor duly licensed, registered, or certified in another 
5.21 	state, territory, or the District of Columbia when incidentally called into this state for 
5.22 	consultation with a Minnesota licensed physician or Minnesota registeredlicensed 
5.23 	naturopathic doctor; or
5.24 	(5) individuals not registered licensed by this chapter from the use of individual modalities 
5.25 	which comprise the practice of naturopathic medicine.
5.26 		Subd. 3.Penalty. A person violating subdivision 1 this section is guilty of a misdemeanor
5.27 	and may be subject to sanctions or actions according to section 214.11.

5.28 	EFFECTIVE DATE. This section is effective July 1, 2024.

5.29 	Sec. 7. Minnesota Statutes 2022, section 147E.15, is amended to read:
5.30 	147E.15 REGISTRATION LICENSURE REQUIREMENTS.
5.31 		Subdivision 1.General requirements for registration licensure. To be eligible for 
5.32 	registration licensure as a naturopathic doctor, an applicant must:
6.1 	(1) submit a completed application on forms provided by the board along with all fees 
6.2 	required under section 147E.40 that includes:
6.3 	(i) the applicant's name, Social Security number, home address and telephone number, 
6.4 	and business address and telephone number;
6.5 	(ii) the name and location of the naturopathic medical program the applicant completed;
6.6 	(iii) a list of degrees received from other educational institutions;
6.7 	(iv) a description of the applicant's professional training;
6.8 	(v) a list of registrations, certifications, and licenses held in other jurisdictions;
6.9 	(vi) a description of any other jurisdiction's refusal to credential the applicant;
6.10 	(vii) a description of all professional disciplinary actions initiated against the applicant 
6.11 	in any jurisdiction; and
6.12 	(viii) any history of drug or alcohol abuse, and any misdemeanor or felony conviction;
6.13 	(2) submit a copy of a diploma from an approved naturopathic medical education 
6.14 	program;
6.15 	(3) have successfully passed the Naturopathic Physicians Licensing Examination, a 
6.16 	competency-based national naturopathic licensing examination administered by the North 
6.17 	American Board of Naturopathic Examiners or successor agency as recognized by the board; 
6.18 	passing scores are determined by the Naturopathic Physicians Licensing Examination;
6.19 	(4) submit additional information as requested by the board, including providing any 
6.20 	additional information necessary to ensure that the applicant is able to practice with 
6.21 	reasonable skill and safety to the public;
6.22 	(5) sign a statement that the information in the application is true and correct to the best 
6.23 	of the applicant's knowledge and belief; and
6.24 	(6) sign a waiver authorizing the board to obtain access to the applicant's records in this 
6.25 	or any other state in which the applicant has completed an approved naturopathic medical 
6.26 	program or engaged in the practice of naturopathic medicine.
6.27 		Subd. 2.Registration Licensure by endorsement; reciprocity. (a) To be eligible for 
6.28 	registration licensure by endorsement or reciprocity, the applicant must hold a current 
6.29 	naturopathic license, registration, or certification in another state, Canadian province, the 
6.30 	District of Columbia, or territory of the United States, whose standards for licensure, 
6.31 	registration, or certification are at least equivalent to those of Minnesota, and must:
7.1 	(1) submit the application materials and fees as required by subdivision 1, clauses (1), 
7.2 	(2), and (4) to (6);
7.3 	(2) have successfully passed either:
7.4 	(i) the Naturopathic Physicians Licensing Examination; or
7.5 	(ii) if prior to 1986, the state or provincial naturopathic board licensing examination 
7.6 	required by that regulating state or province;
7.7 	(3) provide a verified copy from the appropriate government body of a current license, 
7.8 	registration, or certification for the practice of naturopathic medicine in another jurisdiction 
7.9 	that has initial licensing, registration, or certification requirements equivalent to or higher 
7.10 	than the requirements in subdivision 1; and
7.11 	(4) provide letters of verification from the appropriate government body in each 
7.12 	jurisdiction in which the applicant holds a license, registration, or certification. Each letter 
7.13 	must state the applicant's name, date of birth, license, registration, or certification number, 
7.14 	date of issuance, a statement regarding disciplinary actions, if any, taken against the applicant, 
7.15 	and the terms under which the license, registration, or certification was issued.
7.16 	(b) An applicant applying for license, registration, or certification by endorsement must 
7.17 	be licensed, registered, or certified in another state or Canadian province prior to January 
7.18 	1, 2005, and have completed a 60-hour course and examination in pharmacotherapeutics.
7.19 		Subd. 3.Temporary registration permit. The board may issue a temporary registration
7.20 	permit to practice as a registered licensed naturopathic doctor to an applicant who is licensed, 
7.21 	registered, or certified in another state or Canadian province and is eligible for registration
7.22 	licensure under this section, if the application for registration licensure is complete, all 
7.23 	applicable requirements in this section have been met, and a nonrefundable fee has been 
7.24 	paid. The temporary registration permit remains valid only until the meeting of the board 
7.25 	at which time a decision is made on the registered naturopathic doctor's application for 
7.26 	registration licensure.
7.27 		Subd. 4.Registration License expiration. Registrations Licenses issued under this 
7.28 	chapter expire annually.
7.29 		Subd. 5.Renewal. (a) To be eligible for registration license renewal a registrant licensee
7.30 	must:
7.31 	(1) annually, or as determined by the board, complete a renewal application on a form 
7.32 	provided by the board;
8.1 	(2) submit the renewal fee;
8.2 	(3) provide evidence of a total of 25 hours of continuing education approved by the 
8.3 	board as described in section 147E.25; and
8.4 	(4) submit any additional information requested by the board to clarify information 
8.5 	presented in the renewal application. The information must be submitted within 30 days 
8.6 	after the board's request, or the renewal request is nullified.
8.7 	(b) A registrant licensee must maintain a correct mailing address with the board for 
8.8 	receiving board communications, notices, and registration license renewal documents. 
8.9 	Placing the registration license renewal application in first-class United States mail, addressed 
8.10 	to the registrant licensee at the registrant's licensee's last known address with postage prepaid, 
8.11 	constitutes valid service. Failure to receive the renewal documents does not relieve a 
8.12 	registrant licensee of the obligation to comply with this section.
8.13 	(c) The name of a registrant licensee who does not return a complete registration license
8.14 	renewal application, annual registration license fee, or late application fee, as applicable, 
8.15 	within the time period required by this section shall be removed from the list of individuals 
8.16 	authorized to practice during the current renewal period. If the registrant's registration
8.17 	licensee's license is reinstated, the registrant's licensee's name shall be placed on the list of 
8.18 	individuals authorized to practice.
8.19 		Subd. 6.Change of address. A registrant licensee who changes addresses must inform 
8.20 	the board within 30 days, in writing, of the change of address. All notices or other 
8.21 	correspondence mailed to or served on a registrant licensee by the board are considered as 
8.22 	having been received by the registrant licensee.
8.23 		Subd. 7.Registration License renewal notice. At least 45 days before the registration
8.24 	license renewal date, the board shall send out a renewal notice to the last known address of 
8.25 	the registrant licensee on file. The notice must include a renewal application and a notice 
8.26 	of fees required for renewal or instructions for online renewal. It must also inform the 
8.27 	registrant licensee that registration the license will expire without further action by the board 
8.28 	if an application for registration license renewal is not received before the deadline for 
8.29 	renewal. The registrant's licensee's failure to receive this notice does not relieve the registrant
8.30 	licensee of the obligation to meet the deadline and other requirements for registration license
8.31 	renewal. Failure to receive this notice is not grounds for challenging expiration of registration
8.32 	licensure status.
8.33 		Subd. 8.Renewal deadline. The renewal application and fee must be postmarked on or 
8.34 	before December 31 of the year of renewal the deadline established by the board. If the 
9.1 	postmark is illegible, the application is considered timely if received by the third working 
9.2 	day after the deadline.
9.3 		Subd. 9.Inactive status and return to active status. (a) A registrant licensee may be 
9.4 	placed in inactive status upon application to the board by the registrant licensee and upon 
9.5 	payment of an inactive status fee.
9.6 	(b) Registrants Licensees seeking restoration to active from inactive status must pay the 
9.7 	current renewal fees and all unpaid back inactive fees. They must meet the criteria for 
9.8 	renewal specified in subdivision 5, including continuing education hours.
9.9 	(c) Registrants Licensees whose inactive status period has been five years or longer must 
9.10 	additionally have a period of no less than eight weeks of advisory council-approved 
9.11 	supervision by another registered licensed naturopathic doctor.
9.12 		Subd. 10.Registration Licensure following lapse of registration licensure status for 
9.13 	two years or less. For any individual whose registration licensure status has lapsed for two 
9.14 	years or less, to regain registration status a license, the individual must:
9.15 	(1) apply for registration license renewal according to subdivision 5;
9.16 	(2) document compliance with the continuing education requirements of section 147E.25
9.17 	since the registrant's licensee's initial registration licensure or last renewal; and
9.18 	(3) submit the fees required under section 147E.40 for the period not registered licensed, 
9.19 	including the fee for late renewal.
9.20 		Subd. 10a.Registration following lapse of registered status; transition. (a) A registrant 
9.21 	whose registration has lapsed under subdivision 10 before January 1, 2020, and who seeks 
9.22 	to regain registered status after January 1, 2020, shall be treated as a first-time registrant 
9.23 	only for purposes of establishing a registration renewal schedule, and shall not be subject 
9.24 	to the registration cycle conversion provisions in section 147E.45.
9.25 	(b) This subdivision expires July 1, 2022.
9.26 		Subd. 11.Cancellation due to nonrenewal. The board shall not renew, reissue, reinstate, 
9.27 	or restore a registration license that has lapsed and has not been renewed within two annual 
9.28 	registration renewal cycles starting January 2009. A registrant licensee whose registration
9.29 	license is canceled for nonrenewal must obtain a new registration license by applying for 
9.30 	registration licensure and fulfilling all requirements then in existence for initial registration
9.31 	licensure as a registered naturopathic doctor.
10.1 		Subd. 12.Cancellation of registration licensure in good standing. (a) A registrant
10.2 	licensee holding an active registration license as a registered naturopathic doctor in the state 
10.3 	may, upon approval of the board, be granted registration license cancellation if the board 
10.4 	is not investigating the person as a result of a complaint or information received or if the 
10.5 	board has not begun disciplinary proceedings against the registrant licensee. Such action 
10.6 	by the board must be reported as a cancellation of registration licensure in good standing.
10.7 	(b) A registrant licensee who receives board approval for registration licensure
10.8 	cancellation is not entitled to a refund of any registration fees paid for the registration
10.9 	licensure year in which cancellation of the registration occurred.
10.10 	(c) To obtain registration licensure after cancellation, a registrant licensee must obtain 
10.11 	a new registration license by applying for registration submitting an application and fulfilling 
10.12 	the requirements then in existence for obtaining initial registration licensure as a registered
10.13 	naturopathic doctor.
10.14 		Subd. 13.Emeritus status of registration. A registrant licensee may change the status 
10.15 	of the registration license to "emeritus" by filing the appropriate forms and paying the 
10.16 	onetime fee of $50 to the board. This status allows the registrant licensee to retain the title 
10.17 	of registered naturopathic doctor but restricts the registrant licensee from actively seeing 
10.18 	patients.

10.19 	EFFECTIVE DATE. This section is effective July 1, 2024.

10.20 	Sec. 8. Minnesota Statutes 2022, section 147E.20, is amended to read:
10.21 	147E.20 BOARD ACTION ON APPLICATIONS FOR REGISTRATION
10.22 	LICENSURE.
10.23 	(a) The board shall act on each application for registration licensure according to 
10.24 	paragraphs (b) to (d).
10.25 	(b) The board shall determine if the applicant meets the requirements for registration
10.26 	licensure under section 147E.15. The board or advisory council may investigate information 
10.27 	provided by an applicant to determine whether the information is accurate and complete.
10.28 	(c) The board shall notify each applicant in writing of action taken on the application, 
10.29 	the grounds for denying registration licensure if registration licensure is denied, and the 
10.30 	applicant's right to review under paragraph (d).
10.31 	(d) Applicants denied registration licensure may make a written request to the board, 
10.32 	within 30 days of the board's notice, to appear before the advisory council or the board and 
11.1 	for the advisory council to review the board's decision to deny the applicant's registration
11.2 	licensure. After reviewing the denial, the advisory council shall make a recommendation 
11.3 	to the board as to whether the denial shall be affirmed. Each applicant is allowed only one 
11.4 	request for review each yearly registration licensure period.

11.5 	EFFECTIVE DATE. This section is effective July 1, 2024.

11.6 	Sec. 9. Minnesota Statutes 2022, section 147E.25, subdivision 1, is amended to read:
11.7 		Subdivision 1.Number of required contact hours. (a) A registrant licensee applying 
11.8 	for registration license renewal must complete a minimum of 25 contact hours of 
11.9 	board-approved continuing education in the year preceding registration license renewal, 
11.10 	with the exception of the registrant's licensee's first incomplete year, and attest to completion 
11.11 	of continuing education requirements by reporting to the board.
11.12 	(b) Of the 25 contact hours of continuing education requirement in paragraph (a), at 
11.13 	least five hours of continuing education must be in pharmacotherapeutics.

11.14 	EFFECTIVE DATE. This section is effective July 1, 2024.

11.15 	Sec. 10. Minnesota Statutes 2022, section 147E.25, subdivision 2, is amended to read:
11.16 		Subd. 2.Approved programs. The board shall approve continuing education programs 
11.17 	that have been approved for continuing education credit by the American Association of 
11.18 	Naturopathic Physicians or any of its constituent state associations, the North American 
11.19 	Naturopathic Continuing Education Accreditation Council (NANCEAC), the American 
11.20 	Chiropractic Association or any of its constituent state associations, the American Osteopathic 
11.21 	Association Bureau of Professional Education, the American Pharmacists Association or 
11.22 	any of its constituent state associations, or an organization approved by the Accreditation 
11.23 	Council for Continuing Medical Education, or an organization listed in Minnesota Rules, 
11.24 	part 5605.0300 or 5605.0700.

11.25 	EFFECTIVE DATE. This section is effective July 1, 2024.

11.26 	Sec. 11. Minnesota Statutes 2022, section 147E.25, subdivision 4, is amended to read:
11.27 		Subd. 4.Accumulation of contact hours. A registrant licensee may not apply contact 
11.28 	hours acquired in one one-year reporting period to a future continuing education reporting 
11.29 	period.

11.30 	EFFECTIVE DATE. This section is effective July 1, 2024.

12.1 	Sec. 12. Minnesota Statutes 2022, section 147E.25, subdivision 5, is amended to read:
12.2 		Subd. 5.Verification of continuing education credits. The board shall periodically 
12.3 	select a random sample of registrants licensees and require those registrants licensees to 
12.4 	supply the board with evidence of having completed the continuing education to which they 
12.5 	attested. Documentation may come directly from the registrants licensees from state or 
12.6 	national organizations that maintain continuing education records.

12.7 	EFFECTIVE DATE. This section is effective July 1, 2024.

12.8 	Sec. 13. Minnesota Statutes 2022, section 147E.25, subdivision 7, is amended to read:
12.9 		Subd. 7.Restriction on continuing education topics. (a) A registrant licensee may 
12.10 	apply no more than five hours of practice management to a one-year reporting period.
12.11 	(b) A registrant licensee may apply no more than 15 hours to any single subject area.

12.12 	EFFECTIVE DATE. This section is effective July 1, 2024.

12.13 	Sec. 14. Minnesota Statutes 2022, section 147E.25, subdivision 8, is amended to read:
12.14 		Subd. 8.Continuing education exemptions. The board may exempt any person holding 
12.15 	a registration license under this chapter from the requirements of subdivision 1 upon 
12.16 	application showing evidence satisfactory to the board of inability to comply with the 
12.17 	requirements because of physical or mental condition or because of other unusual or 
12.18 	extenuating circumstances. However, no person may be exempted from the requirements 
12.19 	of subdivision 1 more than once in any five-year period.

12.20 	EFFECTIVE DATE. This section is effective July 1, 2024.

12.21 	Sec. 15. Minnesota Statutes 2022, section 147E.30, is amended to read:
12.22 	147E.30 DISCIPLINE; REPORTING.
12.23 	For purposes of this chapter, registered naturopathic doctors and applicants are subject 
12.24 	to sections 147.091 to 147.162, including the reporting obligations included in section 
12.25 	147.111.

12.26 	EFFECTIVE DATE. This section is effective July 1, 2024.

13.1 	Sec. 16. Minnesota Statutes 2022, section 147E.35, is amended to read:
13.2 	147E.35 REGISTERED NATUROPATHIC DOCTOR ADVISORY COUNCIL.
13.3 		Subdivision 1.Membership. The board shall appoint a seven-member Registered
13.4 	Naturopathic Doctor Advisory Council consisting of one public member as defined in section 
13.5 	214.02, five registered naturopathic doctors who are residents of the state, and one licensed 
13.6 	physician or osteopathic physician with experience working with naturopathic doctors and 
13.7 	expertise in natural medicine.
13.8 		Subd. 1a.Transition to licensed members. The five naturopathic doctors appointed to 
13.9 	and serving on the advisory council must apply for and be issued a license under this chapter 
13.10 	by January 1, 2026, to remain a member of the advisory council. If any of the five members 
13.11 	required to be licensed is not licensed by January 1, 2026, the board shall appoint a licensed 
13.12 	naturopathic doctor to replace the member.
13.13 		Subd. 2.Organization. The advisory council shall be organized and administered under 
13.14 	section 15.059. Section 15.059, subdivision 2, does not apply to this section. Members shall 
13.15 	serve two-year terms, and shall serve until their successors have been appointed. The council 
13.16 	shall select a chair from its membership.
13.17 		Subd. 3.Duties. The advisory council shall:
13.18 	(1) advise the board regarding standards for registered licensed naturopathic doctors;
13.19 	(2) provide for distribution of information regarding registered licensed naturopathic 
13.20 	doctors standards;
13.21 	(3) advise the board on enforcement of sections 147.091 to 147.162;
13.22 	(4) review applications and recommend granting or denying registration licensure or 
13.23 	registration license renewal;
13.24 	(5) advise the board on issues related to receiving and investigating complaints, 
13.25 	conducting hearings, and imposing disciplinary action in relation to complaints against 
13.26 	registered naturopathic doctors;
13.27 	(6) advise the board regarding approval of continuing education programs using the 
13.28 	criteria in section 147E.25, subdivision 3; and
13.29 	(7) perform other duties authorized for advisory councils by chapter 214, as directed by 
13.30 	the board.

13.31 	EFFECTIVE DATE. This section is effective July 1, 2024.

14.1 	Sec. 17. Minnesota Statutes 2022, section 147E.40, subdivision 1, is amended to read:
14.2 		Subdivision 1.Fees. (a) Fees are as follows:
14.3 	(1) registration license application fee, $200;
14.4 	(2) renewal fee, $150;
14.5 	(3) late fee, $75;
14.6 	(4) inactive status fee, $50;
14.7 	(5) temporary permit fee, $25;
14.8 	(6) naturopathic doctor certification fee, $25;
14.9 	(7) naturopathic doctor duplicate license fee, $20;
14.10 	(8) naturopathic doctor emeritus registration license fee, $50;
14.11 	(9) naturopathic doctor certification fee, $25;
14.12 	(10) duplicate license or registration fee, $20;
14.13 	(11) (9) certification letter fee, $25;
14.14 	(12) (10) verification fee, $25;
14.15 	(13) (11) education or training program approval fee, $100; and
14.16 	(14) (12) report creation and generation fee, $60 per hour billed in quarter-hour 
14.17 	increments with a quarter-hour minimum.
14.18 	(b) The revenue generated from the fees must be deposited in an account in the state 
14.19 	government special revenue fund.

14.20 	EFFECTIVE DATE. This section is effective July 1, 2024.

14.21 	Sec. 18. Minnesota Statutes 2022, section 147E.40, subdivision 2, is amended to read:
14.22 		Subd. 2.Proration of fees. The board may prorate the initial annual registration license
14.23 	fee. All registrants licensees are required to pay the full fee upon registration license renewal.

14.24 	EFFECTIVE DATE. This section is effective July 1, 2024.

14.25 	Sec. 19. Minnesota Statutes 2022, section 147E.40, subdivision 3, is amended to read:
14.26 		Subd. 3.Penalty fee for late renewals. An application for registration license renewal 
14.27 	submitted after the deadline must be accompanied by a late fee in addition to the required 
14.28 	fees.

15.1 	EFFECTIVE DATE. This section is effective July 1, 2024.

15.2 	Sec. 20. CONVERSION FROM REGISTRATION TO LICENSURE.
 15.3 	Beginning July 1, 2024, upon the next registration renewal, the Board of Medical Practice 
15.4 	shall convert a valid naturopathic doctor registration to a license to practice naturopathic 
15.5 	medicine under Minnesota Statutes, chapter 147E. Beginning July 1, 2024, and until 
15.6 	registration renewal and conversion to a license, a valid registration issued under Minnesota 
15.7 	Statutes, chapter 147E, shall be considered the equivalent to a license to practice naturopathic 
15.8 	medicine.

15.9 	EFFECTIVE DATE. This section is effective July 1, 2024.