1.1                          A bill for an act 
  1.2             relating to health; modifying standards for ambulance 
  1.3             services; modifying provisions for first responders; 
  1.4             providing for certification of emergency medical 
  1.5             technicians; providing for certification of medical 
  1.6             response units; providing for emergency medical 
  1.7             technician instructor certification; requiring 
  1.8             approval of training programs; setting fees; providing 
  1.9             for reports of misconduct; providing criminal and 
  1.10            civil penalties; amending Minnesota Statutes 1998, 
  1.11            sections 13.99, subdivision 38a, and by adding a 
  1.12            subdivision; 144E.001, by adding subdivisions; 
  1.13            144E.10, subdivision 1; 144E.11, by adding a 
  1.14            subdivision; 144E.16, subdivision 4; 144E.18; 144E.27, 
  1.15            by adding subdivisions; and 145A.02, subdivision 10; 
  1.16            proposing coding for new law in Minnesota Statutes, 
  1.17            chapter 144E; repealing Minnesota Statutes 1998, 
  1.18            sections 144E.16, subdivisions 1, 2, 3, and 6; 
  1.19            144E.17; 144E.25; and 144E.30, subdivisions 1, 2, and 
  1.20            6; Minnesota Rules, parts 4690.0100, subparts 4, 13, 
  1.21            15, 19, 20, 21, 22, 23, 24, 26, 27, and 29; 4690.0300; 
  1.22            4690.0400; 4690.0500; 4690.0600; 4690.0700; 4690.0800, 
  1.23            subparts 1 and 2; 4690.0900; 4690.1000; 4690.1100; 
  1.24            4690.1200; 4690.1300; 4690.1600; 4690.1700; 4690.2100; 
  1.25            4690.2200, subparts 1, 3, 4, and 5; 4690.2300; 
  1.26            4690.2400, subparts 1, 2, and 3; 4690.2500; 4690.2900; 
  1.27            4690.3000; 4690.3700; 4690.3900; 4690.4000; 4690.4100; 
  1.28            4690.4200; 4690.4300; 4690.4400; 4690.4500; 4690.4600; 
  1.29            4690.4700; 4690.4800; 4690.4900; 4690.5000; 4690.5100; 
  1.30            4690.5200; 4690.5300; 4690.5400; 4690.5500; 4690.5700; 
  1.31            4690.5800; 4690.5900; 4690.6000; 4690.6100; 4690.6200; 
  1.32            4690.6300; 4690.6400; 4690.6500; 4690.6600; 4690.6700; 
  1.33            4690.6800; 4690.7000; 4690.7100; 4690.7200; 4690.7300; 
  1.34            4690.7400; 4690.7500; 4690.7600; 4690.7700; 4690.7800; 
  1.35            4690.8300, subparts 1, 2, 3, 4, and 5; and 4735.5000. 
  1.36  BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.37     Section 1.  Minnesota Statutes 1998, section 13.99, 
  1.38  subdivision 38a, is amended to read: 
  1.39     Subd. 38a.  [AMBULANCE SERVICE DATA.] Data required to be 
  1.40  reported by ambulance services under section 144E.17, 
  2.1   subdivision 1, 144E.123 are classified under that section. 
  2.2      Sec. 2.  Minnesota Statutes 1998, section 13.99, is amended 
  2.3   by adding a subdivision to read: 
  2.4      Subd. 39b.  [EMT, EMT-I, EMT-P, OR FIRST RESPONDER 
  2.5   MISCONDUCT.] Reports of emergency medical technician, emergency 
  2.6   medical technician-intermediate, emergency medical 
  2.7   technician-paramedic, or first responder misconduct are 
  2.8   classified under section 144E.305, subdivision 3. 
  2.9      Sec. 3.  Minnesota Statutes 1998, section 144E.001, is 
  2.10  amended by adding a subdivision to read: 
  2.11     Subd. 1a.  [ADVANCED AIRWAY MANAGEMENT.] "Advanced airway 
  2.12  management" means insertion of an endotracheal tube or creation 
  2.13  of a surgical airway.  
  2.14     Sec. 4.  Minnesota Statutes 1998, section 144E.001, is 
  2.15  amended by adding a subdivision to read: 
  2.16     Subd. 1b.  [ADVANCED LIFE SUPPORT.] "Advanced life support" 
  2.17  means rendering basic life support and rendering intravenous 
  2.18  therapy, drug therapy, intubation, and defibrillation as 
  2.19  outlined in the United States Department of Transportation 
  2.20  emergency medical technician-paramedic curriculum or its 
  2.21  equivalent, as approved by the board. 
  2.22     Sec. 5.  Minnesota Statutes 1998, section 144E.001, is 
  2.23  amended by adding a subdivision to read: 
  2.24     Subd. 3a.  [AMBULANCE SERVICE PERSONNEL.] "Ambulance 
  2.25  service personnel" means individuals who are authorized by a 
  2.26  licensed ambulance service to provide emergency care for the 
  2.27  ambulance service and are: 
  2.28     (1) EMTs, EMT-Is, or EMT-Ps; 
  2.29     (2) Minnesota registered nurses who are EMTs, are currently 
  2.30  practicing nursing, and have passed a paramedic practical skills 
  2.31  test, as approved by the board and administered by a training 
  2.32  program approved by the board; or 
  2.33     (3) Minnesota registered physician assistants who are EMTs, 
  2.34  are currently practicing as physician assistants, and have 
  2.35  passed a paramedic practical skills test, as approved by the 
  2.36  board and administered by a training program approved by the 
  3.1   board. 
  3.2      Sec. 6.  Minnesota Statutes 1998, section 144E.001, is 
  3.3   amended by adding a subdivision to read: 
  3.4      Subd. 4a.  [BASIC AIRWAY MANAGEMENT.] "Basic airway 
  3.5   management" means:  
  3.6      (1) resuscitation by mouth-to-mouth, mouth-to-mask, bag 
  3.7   valve mask, or oxygen powered ventilators; 
  3.8      (2) insertion of an oropharyngeal, nasal pharyngeal, 
  3.9   pharyngeal tracheo lumen esophageal obturator, or esophageal 
  3.10  gastric tube airway; or 
  3.11     (3) establishment of an esophageal tracheal airway. 
  3.12     Sec. 7.  Minnesota Statutes 1998, section 144E.001, is 
  3.13  amended by adding a subdivision to read: 
  3.14     Subd. 4b.  [BASIC LIFE SUPPORT.] "Basic life support" means 
  3.15  rendering basic-level emergency care, including, but not limited 
  3.16  to, basic airway management, cardiopulmonary resuscitation, 
  3.17  controlling shock and bleeding, and splinting fractures, as 
  3.18  outlined in the United States Department of Transportation 
  3.19  emergency medical technician-basic curriculum or its equivalent, 
  3.20  as approved by the board. 
  3.21     Sec. 8.  Minnesota Statutes 1998, section 144E.001, is 
  3.22  amended by adding a subdivision to read: 
  3.23     Subd. 5a.  [CLINICAL TRAINING SITE.] "Clinical training 
  3.24  site" means a licensed health care facility. 
  3.25     Sec. 9.  Minnesota Statutes 1998, section 144E.001, is 
  3.26  amended by adding a subdivision to read: 
  3.27     Subd. 5b.  [DEFIBRILLATOR.] "Defibrillator" means an 
  3.28  automatic, semiautomatic, or manual device that delivers an 
  3.29  electric shock at a preset voltage to the myocardium through the 
  3.30  chest wall and that is used to restore the normal cardiac rhythm 
  3.31  and rate when the heart has stopped beating or is fibrillating. 
  3.32     Sec. 10.  Minnesota Statutes 1998, section 144E.001, is 
  3.33  amended by adding a subdivision to read: 
  3.34     Subd. 5c.  [EMERGENCY MEDICAL TECHNICIAN OR EMT.] 
  3.35  "Emergency medical technician" or "EMT" means a person who has 
  3.36  successfully completed the United States Department of 
  4.1   Transportation emergency medical technician-basic course or its 
  4.2   equivalent, as approved by the board, and has been issued valid 
  4.3   certification by the board. 
  4.4      Sec. 11.  Minnesota Statutes 1998, section 144E.001, is 
  4.5   amended by adding a subdivision to read: 
  4.6      Subd. 5d.  [EMERGENCY MEDICAL TECHNICIAN-INTERMEDIATE OR 
  4.7   EMT-I.] "Emergency medical technician-intermediate" or "EMT-I" 
  4.8   means a person who has successfully completed the United States 
  4.9   Department of Transportation emergency medical 
  4.10  technician-intermediate course or its equivalent, as approved by 
  4.11  the board, and has been issued valid certification by the board. 
  4.12     Sec. 12.  Minnesota Statutes 1998, section 144E.001, is 
  4.13  amended by adding a subdivision to read: 
  4.14     Subd. 5e.  [EMERGENCY MEDICAL TECHNICIAN-PARAMEDIC OR 
  4.15  EMT-P.] "Emergency medical technician-paramedic" or "EMT-P" 
  4.16  means a person who has successfully completed the United States 
  4.17  Department of Transportation emergency medical technician 
  4.18  course-paramedic or its equivalent, as approved by the board, 
  4.19  and has been issued valid certification by the board. 
  4.20     Sec. 13.  Minnesota Statutes 1998, section 144E.001, is 
  4.21  amended by adding a subdivision to read: 
  4.22     Subd. 5f.  [EMERGENCY MEDICAL TECHNICIAN INSTRUCTOR.] 
  4.23  "Emergency medical technician instructor" means a person who has 
  4.24  been certified by the board to teach an EMT, EMT-I, or EMT-P 
  4.25  course. 
  4.26     Sec. 14.  Minnesota Statutes 1998, section 144E.001, is 
  4.27  amended by adding a subdivision to read: 
  4.28     Subd. 8a.  [MEDICAL CONTROL.] "Medical control" means 
  4.29  direction by a physician or a physician's designee of 
  4.30  out-of-hospital emergency medical care. 
  4.31     Sec. 15.  Minnesota Statutes 1998, section 144E.001, is 
  4.32  amended by adding a subdivision to read: 
  4.33     Subd. 8b.  [MEDICAL RESPONSE UNIT.] "Medical response unit" 
  4.34  means an organized group of persons that has been certified by 
  4.35  the board to provide medical care at the scene of an injury, 
  4.36  illness, or pregnancy in an out-of-hospital setting.  A medical 
  5.1   response unit does not transport patients. 
  5.2      Sec. 16.  Minnesota Statutes 1998, section 144E.001, is 
  5.3   amended by adding a subdivision to read: 
  5.4      Subd. 9a.  [PART-TIME ADVANCED LIFE SUPPORT.] "Part-time 
  5.5   advanced life support" means rendering basic life support and 
  5.6   advanced life support for less than 24 hours of every day. 
  5.7      Sec. 17.  Minnesota Statutes 1998, section 144E.001, is 
  5.8   amended by adding a subdivision to read: 
  5.9      Subd. 9b.  [PHYSICIAN.] "Physician" means a person licensed 
  5.10  to practice medicine under chapter 147. 
  5.11     Sec. 18.  Minnesota Statutes 1998, section 144E.001, is 
  5.12  amended by adding a subdivision to read: 
  5.13     Subd. 9c.  [PHYSICIAN ASSISTANT.] "Physician assistant" 
  5.14  means a person registered to practice as a physician assistant 
  5.15  under chapter 147A. 
  5.16     Sec. 19.  Minnesota Statutes 1998, section 144E.001, is 
  5.17  amended by adding a subdivision to read: 
  5.18     Subd. 9d.  [PREHOSPITAL CARE DATA.] "Prehospital care data" 
  5.19  means information collected by ambulance service personnel about 
  5.20  the circumstances related to an emergency response and patient 
  5.21  care activities provided by the ambulance service personnel in a 
  5.22  prehospital setting. 
  5.23     Sec. 20.  Minnesota Statutes 1998, section 144E.001, is 
  5.24  amended by adding a subdivision to read: 
  5.25     Subd. 11.  [PROGRAM MEDICAL DIRECTOR.] "Program medical 
  5.26  director" means a physician who is responsible for ensuring an 
  5.27  accurate and thorough presentation of the medical content of an 
  5.28  emergency care training program; certifying that each student 
  5.29  has successfully completed the training course; and in 
  5.30  conjunction with the program coordinator, planning the clinical 
  5.31  training. 
  5.32     Sec. 21.  Minnesota Statutes 1998, section 144E.001, is 
  5.33  amended by adding a subdivision to read: 
  5.34     Subd. 12.  [REGISTERED NURSE.] "Registered nurse" means a 
  5.35  person licensed to practice professional nursing under chapter 
  5.36  148. 
  6.1      Sec. 22.  Minnesota Statutes 1998, section 144E.001, is 
  6.2   amended by adding a subdivision to read: 
  6.3      Subd. 13.  [STANDING ORDER.] "Standing order" means a type 
  6.4   of medical protocol that provides specific, written orders for 
  6.5   actions, techniques, or drug administration when communication 
  6.6   has not been established for direct medical control. 
  6.7      Sec. 23.  Minnesota Statutes 1998, section 144E.001, is 
  6.8   amended by adding a subdivision to read: 
  6.9      Subd. 14.  [TRAINING PROGRAM COORDINATOR.] "Training 
  6.10  program coordinator" means an individual who serves as the 
  6.11  administrator of an emergency care training program and who is 
  6.12  responsible for planning, conducting, and evaluating the 
  6.13  program; selecting students and certified instructors; 
  6.14  documenting and maintaining records; developing a curriculum; 
  6.15  and assisting in the coordination of examination sessions and 
  6.16  clinical training. 
  6.17     Sec. 24.  Minnesota Statutes 1998, section 144E.10, 
  6.18  subdivision 1, is amended to read: 
  6.19     Subdivision 1.  [LICENSE REQUIRED.] No natural person, 
  6.20  partnership, association, corporation, or unit of government may 
  6.21  operate an ambulance service within this state unless it 
  6.22  possesses a valid license to do so issued by the board.  The 
  6.23  license shall specify the base of operations, the primary 
  6.24  service area, and the type or types of ambulance service for 
  6.25  which the licensee is licensed.  The licensee shall obtain a new 
  6.26  license if it wishes to expand its primary service area, or to 
  6.27  provide a new type or types of service.  The cost of licenses 
  6.28  shall be in an amount prescribed by the board pursuant to 
  6.29  section 144E.05.  Licenses shall expire and be renewed in 
  6.30  accordance with rules adopted by the board. 
  6.31     Sec. 25.  [144E.101] [AMBULANCE SERVICE REQUIREMENTS.] 
  6.32     Subdivision 1.  [PERSONNEL.] (a) No publicly or privately 
  6.33  owned ambulance service shall be operated in the state unless 
  6.34  its ambulance service personnel are certified, appropriate to 
  6.35  the type of ambulance service being provided, according to 
  6.36  section 144E.28 or meet the staffing criteria specific to the 
  7.1   type of ambulance service. 
  7.2      (b) An ambulance service shall have a medical director as 
  7.3   provided under section 144E.265. 
  7.4      Subd. 2.  [PATIENT CARE.] When a patient is being 
  7.5   transported, at least one of the ambulance service personnel 
  7.6   must be in the patient compartment.  If advanced life support 
  7.7   procedures are required, an EMT-P, a registered nurse qualified 
  7.8   under section 144E.001, subdivision 3a, clause (2), or a 
  7.9   physician assistant qualified under section 144E.001, 
  7.10  subdivision 3a, clause (3), shall be in the patient compartment. 
  7.11     Subd. 3.  [CONTINUAL SERVICE.] An ambulance service shall 
  7.12  offer service 24 hours per day every day of the year, unless 
  7.13  otherwise authorized under subdivisions 8 and 9. 
  7.14     Subd. 4.  [DENIAL OF SERVICE PROHIBITED.] An ambulance 
  7.15  service shall not deny prehospital care to a person needing 
  7.16  emergency ambulance service because of inability to pay or 
  7.17  because of the source of payment for services if the need 
  7.18  develops within the licensee's primary service area or when 
  7.19  responding to a mutual aid call.  Transport for the patient may 
  7.20  be limited to the closest appropriate emergency medical facility.
  7.21     Subd. 5.  [TYPES OF SERVICE.] The board shall regulate the 
  7.22  following types of ambulance service: 
  7.23     (1) basic life support; 
  7.24     (2) advanced life support; 
  7.25     (3) part-time advanced life support; and 
  7.26     (4) specialized life support. 
  7.27     Subd. 6.  [BASIC LIFE SUPPORT.] (a) A basic life support 
  7.28  ambulance shall be staffed by at least two EMTs who provide a 
  7.29  level of care so as to ensure that: 
  7.30     (1) life-threatening situations and potentially serious 
  7.31  injuries are recognized; 
  7.32     (2) patients are protected from additional hazards; 
  7.33     (3) basic treatment to reduce the seriousness of emergency 
  7.34  situations is administered; and 
  7.35     (4) patients are transported to an appropriate medical 
  7.36  facility for treatment. 
  8.1      (b) A basic life support service shall provide basic airway 
  8.2   management.  
  8.3      (c) By January 1, 2000, a basic life support service shall 
  8.4   provide automatic defibrillation, as provided in section 
  8.5   144E.103, subdivision 1, paragraph (b).  
  8.6      (d) A basic life support service licensee's medical 
  8.7   director may authorize the ambulance service personnel to carry 
  8.8   and to use medical antishock trousers and to perform intravenous 
  8.9   infusion if the ambulance service personnel have been properly 
  8.10  trained. 
  8.11     Subd. 7.  [ADVANCED LIFE SUPPORT.] (a) An advanced life 
  8.12  support ambulance shall be staffed by at least: 
  8.13     (1) one EMT and one EMT-P; 
  8.14     (2) one EMT and one registered nurse who is an EMT, is 
  8.15  currently practicing nursing, and has passed a paramedic 
  8.16  practical skills test approved by the board and administered by 
  8.17  a training program; or 
  8.18     (3) one EMT and one physician assistant who is an EMT, is 
  8.19  currently practicing as a physician assistant, and has passed a 
  8.20  paramedic practical skills test approved by the board and 
  8.21  administered by a training program. 
  8.22     (b) An advanced life support service shall provide basic 
  8.23  life support, as specified under subdivision 6, paragraph (a), 
  8.24  advanced airway management, manual defibrillation, and 
  8.25  administration of intravenous fluids and pharmaceuticals. 
  8.26     (c) In addition to providing advanced life support, an 
  8.27  advanced life support service may staff additional ambulances to 
  8.28  provide basic life support according to subdivision 6.  When 
  8.29  routinely staffed and equipped as a basic life support service 
  8.30  according to subdivision 6 and section 144E.103, subdivision 1, 
  8.31  the vehicle shall not be marked as advanced life support.  
  8.32     (d) An ambulance service providing advanced life support 
  8.33  shall have a written agreement with its medical director to 
  8.34  ensure medical control for patient care 24 hours a day, seven 
  8.35  days a week.  The terms of the agreement shall include a written 
  8.36  policy on the administration of medical control for the 
  9.1   service.  The policy shall address the following issues:  
  9.2      (i) two-way communication for physician direction of 
  9.3   ambulance service personnel; 
  9.4      (ii) patient triage, treatment, and transport; 
  9.5      (iii) use of standing orders; and 
  9.6      (iv) the means by which medical control will be provided 24 
  9.7   hours a day. 
  9.8      The agreement shall be signed by the licensee's medical 
  9.9   director and the licensee or the licensee's designee and 
  9.10  maintained in the files of the licensee. 
  9.11     (e) When an ambulance service provides advanced life 
  9.12  support, the authority of an EMT-P, Minnesota registered 
  9.13  nurse-EMT, or Minnesota registered physician assistant-EMT to 
  9.14  determine the delivery of patient care prevails over the 
  9.15  authority of an EMT. 
  9.16     Subd. 8.  [PART-TIME ADVANCED LIFE SUPPORT.] (a) A 
  9.17  part-time advanced life support service shall meet the staffing 
  9.18  requirements under subdivision 7, paragraph (a); provide service 
  9.19  as required under subdivision 7, paragraph (b), for less than 24 
  9.20  hours every day; and meet the equipment requirements specified 
  9.21  in section 144E.103.  
  9.22     (b) A part-time advanced life support service shall have a 
  9.23  written agreement with its medical director to ensure medical 
  9.24  control for patient care during the time the service offers 
  9.25  advanced life support.  The terms of the agreement shall include 
  9.26  a written policy on the administration of medical control for 
  9.27  the service and address the issues specified in subdivision 7, 
  9.28  paragraph (d). 
  9.29     Subd. 9.  [SPECIALIZED LIFE SUPPORT.] A specialized life 
  9.30  support service shall provide basic or advanced life support as 
  9.31  designated by the board, and shall be restricted by the board to:
  9.32     (1) operation less than 24 hours of every day; 
  9.33     (2) designated segments of the population; 
  9.34     (3) certain types of medical conditions; or 
  9.35     (4) air ambulance service that includes fixed-wing and 
  9.36  rotor-wing. 
 10.1      Subd. 10.  [DRIVER.] A driver of an ambulance must possess 
 10.2   a current driver's license issued by any state and must have 
 10.3   attended an emergency vehicle driving course approved by the 
 10.4   licensee.  The emergency vehicle driving course must include 
 10.5   actual driving experience. 
 10.6      Subd. 11.  [PERSONNEL ROSTER AND FILES.] (a) An ambulance 
 10.7   service shall maintain: 
 10.8      (1) at least two ambulance service personnel on a written 
 10.9   on-call schedule; 
 10.10     (2) a current roster of its ambulance service personnel, 
 10.11  including the name, address, and qualifications of its ambulance 
 10.12  service personnel; and 
 10.13     (3) files documenting personnel qualifications. 
 10.14     (b) A licensee shall maintain in its files the name and 
 10.15  address of its medical director and a written statement signed 
 10.16  by the medical director indicating acceptance of the 
 10.17  responsibilities specified in section 144E.265, subdivision 2. 
 10.18     Subd. 12.  [MUTUAL AID AGREEMENT.] A licensee shall have a 
 10.19  written agreement with at least one neighboring licensed 
 10.20  ambulance service for coverage during times when the licensee's 
 10.21  ambulances are not available for service in its primary service 
 10.22  area.  The agreement must specify the duties and 
 10.23  responsibilities of the agreeing parties.  A copy of each mutual 
 10.24  aid agreement shall be maintained in the files of the licensee. 
 10.25     Subd. 13.  [SERVICE OUTSIDE PRIMARY SERVICE AREA.] A 
 10.26  licensee may provide its services outside of its primary service 
 10.27  area only if requested by a transferring physician or ambulance 
 10.28  service licensed to provide service in the primary service area 
 10.29  when it can reasonably be expected that: 
 10.30     (1) the response is required by the immediate medical need 
 10.31  of an individual; and 
 10.32     (2) the ambulance service licensed to provide service in 
 10.33  the primary service area is unavailable for appropriate response.
 10.34     Sec. 26.  [144E.103] [EQUIPMENT.] 
 10.35     Subdivision 1.  [GENERAL REQUIREMENTS.] (a) Every ambulance 
 10.36  in service for patient care shall carry, at a minimum:  
 11.1      (1) oxygen; 
 11.2      (2) airway maintenance equipment in various sizes to 
 11.3   accommodate all age groups; 
 11.4      (3) splinting equipment in various sizes to accommodate all 
 11.5   age groups; 
 11.6      (4) dressings, bandages, and bandaging equipment; 
 11.7      (5) an emergency obstetric kit; 
 11.8      (6) equipment to determine vital signs in various sizes to 
 11.9   accommodate all age groups; 
 11.10     (7) a stretcher; 
 11.11     (8) a defibrillator; and 
 11.12     (9) a fire extinguisher. 
 11.13     (b) A basic life support service has until January 1, 2000, 
 11.14  to equip each ambulance in service for patient care with a 
 11.15  defibrillator. 
 11.16     Subd. 2.  [ADVANCED LIFE SUPPORT REQUIREMENTS.] In addition 
 11.17  to the requirements in subdivision 1, an ambulance used in 
 11.18  providing advanced life support must carry drugs and drug 
 11.19  administration equipment and supplies as approved by the 
 11.20  licensee's medical director. 
 11.21     Subd. 3.  [STORAGE.] All equipment carried in an ambulance 
 11.22  must be securely stored. 
 11.23     Subd. 4.  [SAFETY RESTRAINTS.] An ambulance must be 
 11.24  equipped with safety straps for the stretcher and seat belts in 
 11.25  the patient compartment for the patient and ambulance personnel. 
 11.26     Sec. 27.  Minnesota Statutes 1998, section 144E.11, is 
 11.27  amended by adding a subdivision to read: 
 11.28     Subd. 9.  [RENEWAL REQUIREMENTS.] An ambulance service 
 11.29  license expires two years from the date of licensure.  An 
 11.30  ambulance service must apply to the board for license renewal at 
 11.31  least one month prior to the expiration date of the license and 
 11.32  must submit:  
 11.33     (1) an application prescribed by the board specifying any 
 11.34  changes from the information provided for prior licensure and 
 11.35  any other information requested by the board to clarify 
 11.36  incomplete or ambiguous information presented in the 
 12.1   application; and 
 12.2      (2) the appropriate fee as required under section 144E.29.  
 12.3      Sec. 28.  [144E.121] [AIR AMBULANCE SERVICE REQUIREMENTS.] 
 12.4      Subdivision 1.  [AVIATION COMPLIANCE.] An air ambulance 
 12.5   service must comply with the regulations of the Federal Aviation 
 12.6   Administration and the rules of the Minnesota department of 
 12.7   transportation, aeronautics division. 
 12.8      Subd. 2.  [PERSONNEL.] (a) With the exception of pilots, 
 12.9   each of the air ambulance emergency medical personnel must: 
 12.10     (1) possess current certification, appropriate to the type 
 12.11  of ambulance service being provided, according to section 
 12.12  144E.28, be a registered nurse, or be a physician assistant; and 
 12.13     (2) be trained to use the equipment on the air ambulance.  
 12.14     (b) Emergency medical personnel for an air ambulance 
 12.15  service must receive training approved by the licensee's medical 
 12.16  director that includes instruction in the physiological changes 
 12.17  due to decreased atmospheric pressure, acceleration, vibration, 
 12.18  and changes in altitude; medical conditions requiring special 
 12.19  precautions; and contraindications to air transport. 
 12.20     (c) A licensee's medical director must sign and file a 
 12.21  statement with the licensee that each of its emergency medical 
 12.22  personnel has successfully completed the training under 
 12.23  paragraph (b). 
 12.24     (d) A licensee shall retain documentation of compliance 
 12.25  with this subdivision in its files. 
 12.26     Subd. 3.  [EQUIPMENT.] An air ambulance must carry 
 12.27  equipment appropriate to the level of service being provided.  
 12.28  Equipment that is not permanently stored on or in an air 
 12.29  ambulance must be kept separate from the air ambulance in a 
 12.30  modular prepackaged form.  
 12.31     Sec. 29.  [144E.123] [PREHOSPITAL CARE DATA.] 
 12.32     Subdivision 1.  [COLLECTION AND MAINTENANCE.] A licensee 
 12.33  shall collect and provide prehospital care data to the board in 
 12.34  a manner prescribed by the board.  At a minimum, the data must 
 12.35  include items identified by the board that are part of the 
 12.36  National Uniform Emergency Medical Services Data Set.  A 
 13.1   licensee shall maintain prehospital care data for every response.
 13.2      Subd. 2.  [COPY TO RECEIVING HOSPITAL.] If a patient is 
 13.3   transported to a hospital, a copy of the ambulance report 
 13.4   delineating prehospital medical care given shall be provided to 
 13.5   the receiving hospital. 
 13.6      Subd. 3.  [REVIEW.] Prehospital care data may be reviewed 
 13.7   by the board or its designees.  The data shall be classified as 
 13.8   private data on individuals under chapter 13, the Minnesota 
 13.9   Government Data Practices Act. 
 13.10     Subd. 4.  [PENALTY.] Failure to report all information 
 13.11  required by the board under this section shall constitute 
 13.12  grounds for license revocation. 
 13.13     Sec. 30.  [144E.125] [OPERATIONAL PROCEDURES.] 
 13.14     A licensee shall establish and implement written procedures 
 13.15  for responding to ambulance service complaints, maintaining 
 13.16  ambulances and equipment, procuring and storing drugs, and 
 13.17  controlling infection.  The licensee shall maintain the 
 13.18  procedures in its files. 
 13.19     Sec. 31.  [144E.127] [INTERHOSPITAL TRANSFER.] 
 13.20     When transporting a patient from one licensed hospital to 
 13.21  another, a licensee may substitute for one of the required 
 13.22  ambulance service personnel, a physician, a registered nurse, or 
 13.23  physician's assistant who has been trained to use the equipment 
 13.24  in the ambulance and is knowledgeable of the licensee's 
 13.25  ambulance service protocols. 
 13.26     Sec. 32.  Minnesota Statutes 1998, section 144E.16, 
 13.27  subdivision 4, is amended to read: 
 13.28     Subd. 4.  [TYPES OF SERVICES TO BE REGULATED.] (a) The 
 13.29  board may adopt rules needed to regulate ambulance services in 
 13.30  the following areas: 
 13.31     (1) applications for licensure; 
 13.32     (2) personnel qualifications and staffing standards; 
 13.33     (3) quality of life support treatment; 
 13.34     (4) restricted treatments and procedures; 
 13.35     (5) equipment standards; 
 13.36     (6) ambulance standards; 
 14.1      (7) communication standards, equipment performance and 
 14.2   maintenance, and radio frequency assignments; 
 14.3      (8) advertising; 
 14.4      (9) scheduled ambulance services; 
 14.5      (10) ambulance services in time of disaster; 
 14.6      (11) basic, intermediate, advanced, and refresher emergency 
 14.7   care course programs; 
 14.8      (12) continuing education requirements; 
 14.9      (13) trip reports; 
 14.10     (14) license fees, vehicle fees, and expiration dates; and 
 14.11     (15) waivers and variances. 
 14.12     (b) These rules shall apply to the following types of 
 14.13  ambulance service: 
 14.14     (1) basic ambulance service that provides a level of care 
 14.15  to ensure that life-threatening situations and potentially 
 14.16  serious injuries can be recognized, patients will be protected 
 14.17  from additional hazards, basic treatment to reduce the 
 14.18  seriousness of emergency situations will be administered, and 
 14.19  patients will be transported to an appropriate medical facility 
 14.20  for treatment; 
 14.21     (2) intermediate ambulance service that provides (i) basic 
 14.22  ambulance service, and (ii) intravenous infusions or 
 14.23  defibrillation or both; 
 14.24     (3) advanced ambulance service that provides (i) basic 
 14.25  ambulance service, and (ii) advanced airway management, 
 14.26  defibrillation, and administration of intravenous fluids and 
 14.27  pharmaceuticals.  Vehicles of advanced ambulance service 
 14.28  licensees not equipped or staffed at the advanced ambulance 
 14.29  service level shall not be identified to the public as capable 
 14.30  of providing advanced ambulance service; 
 14.31     (4) specialized ambulance service that provides basic, 
 14.32  intermediate, or advanced service as designated by the board, 
 14.33  and is restricted by the board to (i) less than 24 hours of 
 14.34  every day, (ii) designated segments of the population, or (iii) 
 14.35  certain types of medical conditions; and 
 14.36     (5) air ambulance service, that includes fixed-wing and 
 15.1   helicopter, and is specialized ambulance service. 
 15.2      Until rules are promulgated, the current provisions of 
 15.3   Minnesota Rules shall govern these services. 
 15.4      Sec. 33.  Minnesota Statutes 1998, section 144E.18, is 
 15.5   amended to read: 
 15.6      144E.18 [INSPECTIONS.] 
 15.7      The board may inspect ambulance services as frequently as 
 15.8   deemed necessary to determine whether an ambulance service is in 
 15.9   compliance with sections 144E.001 to 144E.33 and rules adopted 
 15.10  under those sections.  These inspections shall be for the 
 15.11  purpose of determining whether the ambulance and equipment is 
 15.12  clean and in proper working order and whether the operator is in 
 15.13  compliance with sections 144E.001 to 144E.16 and any rules that 
 15.14  the board adopts related to sections 144E.001 to 144E.16.  The 
 15.15  board may review at any time documentation required to be on 
 15.16  file with a licensee. 
 15.17     Sec. 34.  [144E.19] [DISCIPLINARY ACTION.] 
 15.18     Subdivision 1.  [SUSPENSION; REVOCATION; NONRENEWAL.] The 
 15.19  board may suspend, revoke, refuse to renew, or place conditions 
 15.20  on the license of a licensee upon finding that the licensee has 
 15.21  violated a provision of this chapter or rules adopted under this 
 15.22  chapter or has ceased to provide the service for which the 
 15.23  licensee is licensed. 
 15.24     Subd. 2.  [NOTICE; CONTESTED CASE.] (a) Before taking 
 15.25  action under subdivision 1, the board shall give notice to a 
 15.26  licensee of the right to a contested case hearing under chapter 
 15.27  14.  If a licensee requests a contested case hearing within 30 
 15.28  days after receiving notice, the board shall initiate a 
 15.29  contested case hearing according to chapter 14. 
 15.30     (b) The administrative law judge shall issue a report and 
 15.31  recommendation within 30 days after closing the contested case 
 15.32  hearing record.  The board shall issue a final order within 30 
 15.33  days after receipt of the administrative law judge's report. 
 15.34     Subd. 3.  [TEMPORARY SUSPENSION.] (a) In addition to any 
 15.35  other remedy provided by law, the board may temporarily suspend 
 15.36  the license of a licensee after conducting a preliminary inquiry 
 16.1   to determine whether the board believes that the licensee has 
 16.2   violated a statute or rule that the board is empowered to 
 16.3   enforce and determining that the continued provision of service 
 16.4   by the licensee would create an imminent risk to public health 
 16.5   or harm to others. 
 16.6      (b) A temporary suspension order prohibiting a licensee 
 16.7   from providing ambulance service shall give notice of the right 
 16.8   to a preliminary hearing according to paragraph (d) and shall 
 16.9   state the reasons for the entry of the temporary suspension 
 16.10  order. 
 16.11     (c) Service of a temporary suspension order is effective 
 16.12  when the order is served on the licensee personally or by 
 16.13  certified mail, which is complete upon receipt, refusal, or 
 16.14  return for nondelivery to the most recent address provided to 
 16.15  the board for the licensee. 
 16.16     (d) At the time the board issues a temporary suspension 
 16.17  order, the board shall schedule a hearing, to be held before a 
 16.18  group of its members designated by the board, that shall begin 
 16.19  within 60 days after issuance of the temporary suspension order 
 16.20  or within 15 working days of the date of the board's receipt of 
 16.21  a request for a hearing from a licensee, whichever is sooner.  
 16.22  The hearing shall be on the sole issue of whether there is a 
 16.23  reasonable basis to continue, modify, or lift the temporary 
 16.24  suspension.  A hearing under this paragraph is not subject to 
 16.25  chapter 14.  
 16.26     (e) Evidence presented by the board or licensee may be in 
 16.27  the form of an affidavit.  The licensee or the licensee's 
 16.28  designee may appear for oral argument. 
 16.29     (f) Within five working days of the hearing, the board 
 16.30  shall issue its order and, if the suspension is continued, 
 16.31  notify the licensee of the right to a contested case hearing 
 16.32  under chapter 14.  
 16.33     (g) If a licensee requests a contested case hearing within 
 16.34  30 days after receiving notice under paragraph (f), the board 
 16.35  shall initiate a contested case hearing according to chapter 14. 
 16.36  The administrative law judge shall issue a report and 
 17.1   recommendation within 30 days after the closing of the contested 
 17.2   case hearing record.  The board shall issue a final order within 
 17.3   30 days after receipt of the administrative law judge's report. 
 17.4      Sec. 35.  [144E.26] [MEDICAL RESPONSE UNIT CERTIFICATION.] 
 17.5      Subdivision 1.  [CERTIFICATION VOLUNTARY.] A medical 
 17.6   response unit that is routinely dispatched to the scene of 
 17.7   medical emergencies to provide care at a level consistent with 
 17.8   the scope of the United States Department of Transportation 
 17.9   first responder or emergency medical technician curriculum may 
 17.10  be certified by the board. 
 17.11     Subd. 2.  [QUALIFICATIONS.] To be certified by the board, a 
 17.12  medical response unit shall: 
 17.13     (1) submit an application form prescribed by the board; 
 17.14     (2) submit a letter from the appropriate municipality, 
 17.15  township, or county governing body recognizing the medical 
 17.16  response unit as the unit in its geographical area designated to 
 17.17  respond to a medical emergency; 
 17.18     (3) be dispatched by a public safety answering point, as 
 17.19  defined under section 403.02, subdivision 5, or an ambulance 
 17.20  service; 
 17.21     (4) have a medical director, as provided under section 
 17.22  144E.265; 
 17.23     (5) be staffed by at least one first responder or one EMT 
 17.24  as appropriate to the level of care given; and 
 17.25     (6) submit the appropriate fee as required under section 
 17.26  144E.29. 
 17.27     Subd. 3.  [RENEWAL REQUIREMENTS.] A medical response unit's 
 17.28  certification expires two years from the date of certification.  
 17.29  A medical response unit may apply to the board for renewal prior 
 17.30  to the expiration date of its certification and must:  
 17.31     (1) submit an application prescribed by the board 
 17.32  specifying any changes from the information provided for prior 
 17.33  approval and any other information requested by the board to 
 17.34  clarify incomplete or ambiguous information presented in the 
 17.35  application; 
 17.36     (2) comply with subdivision 2, clauses (2) to (6); and 
 18.1      (3) submit the appropriate fee as required under section 
 18.2   144E.29. 
 18.3      Sec. 36.  [144E.265] [MEDICAL DIRECTOR.] 
 18.4      Subdivision 1.  [REQUIREMENTS.] A medical director shall: 
 18.5      (1) be currently licensed as a physician in this state; 
 18.6      (2) have experience in, and knowledge of, emergency care of 
 18.7   acutely ill or traumatized patients; and 
 18.8      (3) be familiar with the design and operation of local, 
 18.9   regional, and state emergency medical service systems. 
 18.10     Subd. 2.  [RESPONSIBILITIES.] Responsibilities of the 
 18.11  medical director shall include, but are not limited to: 
 18.12     (1) approving standards for training and orientation of 
 18.13  personnel that impact patient care; 
 18.14     (2) approving standards for purchasing equipment and 
 18.15  supplies that impact patient care; 
 18.16     (3) establishing standing orders for prehospital care; 
 18.17     (4) approving triage, treatment, and transportation 
 18.18  protocols; 
 18.19     (5) participating in the development and operation of 
 18.20  continuous quality improvement programs including, but not 
 18.21  limited to, case review and resolution of patient complaints; 
 18.22     (6) establishing procedures for the administration of 
 18.23  drugs; and 
 18.24     (7) maintaining the quality of care according to the 
 18.25  standards and procedures established under clauses (1) to (6). 
 18.26     Subd. 3.  [ANNUAL ASSESSMENT; AMBULANCE SERVICE.] Annually, 
 18.27  the medical director or the medical director's designee shall 
 18.28  assess the practical skills of each person on the ambulance 
 18.29  service roster and sign a statement verifying the proficiency of 
 18.30  each person.  The statements shall be maintained in the 
 18.31  licensee's files.  
 18.32     Sec. 37.  Minnesota Statutes 1998, section 144E.27, is 
 18.33  amended by adding a subdivision to read: 
 18.34     Subd. 5.  [DENIAL, SUSPENSION, REVOCATION.] (a) The board 
 18.35  may deny, suspend, revoke, place conditions on, or refuse to 
 18.36  renew the registration of an individual who the board determines:
 19.1      (1) violates sections 144E.001 to 144E.33 or the rules 
 19.2   adopted under those sections; 
 19.3      (2) misrepresents or falsifies information on an 
 19.4   application form for registration; 
 19.5      (3) is convicted or pleads guilty or nolo contendere to any 
 19.6   felony or gross misdemeanor or any misdemeanor relating to 
 19.7   sexual misconduct or the illegal use of drugs or alcohol; 
 19.8      (4) is actually or potentially unable to provide emergency 
 19.9   medical services with reasonable skill and safety to patients by 
 19.10  reason of illness, use of alcohol, drugs, chemicals, or any 
 19.11  other material, or as a result of any mental or physical 
 19.12  condition; 
 19.13     (5) engages in unethical conduct, including, but not 
 19.14  limited to, conduct likely to deceive, defraud, or harm the 
 19.15  public, or demonstrating a willful or careless disregard for the 
 19.16  health, welfare, or safety of the public; or 
 19.17     (6) maltreats or abandons a patient. 
 19.18     (b) Before taking action under paragraph (a), the board 
 19.19  shall give notice to an individual of the right to a contested 
 19.20  case hearing under chapter 14.  If an individual requests a 
 19.21  contested case hearing within 30 days after receiving notice, 
 19.22  the board shall initiate a contested case hearing according to 
 19.23  chapter 14. 
 19.24     (c) The administrative law judge shall issue a report and 
 19.25  recommendation within 30 days after closing the contested case 
 19.26  hearing record.  The board shall issue a final order within 30 
 19.27  days after receipt of the administrative law judge's report. 
 19.28     (d) After six months from the board's decision to deny, 
 19.29  revoke, place conditions on, or refuse renewal of an 
 19.30  individual's registration for disciplinary action, the 
 19.31  individual shall have the opportunity to apply to the board for 
 19.32  reinstatement. 
 19.33     Sec. 38.  Minnesota Statutes 1998, section 144E.27, is 
 19.34  amended by adding a subdivision to read: 
 19.35     Subd. 6.  [TEMPORARY SUSPENSION.] (a) In addition to any 
 19.36  other remedy provided by law, the board may temporarily suspend 
 20.1   the registration of an individual after conducting a preliminary 
 20.2   inquiry to determine whether the board believes that the 
 20.3   individual has violated a statute or rule that the board is 
 20.4   empowered to enforce and determining that the continued 
 20.5   provision of service by the individual would create an imminent 
 20.6   risk to public health or harm to others.  
 20.7      (b) A temporary suspension order prohibiting an individual 
 20.8   from providing emergency medical care shall give notice of the 
 20.9   right to a preliminary hearing according to paragraph (d) and 
 20.10  shall state the reasons for the entry of the temporary 
 20.11  suspension order. 
 20.12     (c) Service of a temporary suspension order is effective 
 20.13  when the order is served on the individual personally or by 
 20.14  certified mail, which is complete upon receipt, refusal, or 
 20.15  return for nondelivery to the most recent address provided to 
 20.16  the board for the individual. 
 20.17     (d) At the time the board issues a temporary suspension 
 20.18  order, the board shall schedule a hearing, to be held before a 
 20.19  group of its members designated by the board, that shall begin 
 20.20  within 60 days after issuance of the temporary suspension order 
 20.21  or within 15 working days of the date of the board's receipt of 
 20.22  a request for a hearing from the individual, whichever is 
 20.23  sooner.  The hearing shall be on the sole issue of whether there 
 20.24  is a reasonable basis to continue, modify, or lift the temporary 
 20.25  suspension.  A hearing under this paragraph is not subject to 
 20.26  chapter 14. 
 20.27     (e) Evidence presented by the board or the individual may 
 20.28  be in the form of an affidavit.  The individual or the 
 20.29  individual's designee may appear for oral argument. 
 20.30     (f) Within five working days of the hearing, the board 
 20.31  shall issue its order and, if the suspension is continued, 
 20.32  notify the individual of the right to a contested case hearing 
 20.33  under chapter 14. 
 20.34     (g) If an individual requests a contested case hearing 
 20.35  within 30 days after receiving notice under paragraph (f), the 
 20.36  board shall initiate a contested case hearing according to 
 21.1   chapter 14.  The administrative law judge shall issue a report 
 21.2   and recommendation within 30 days after the closing of the 
 21.3   contested case hearing record.  The board shall issue a final 
 21.4   order within 30 days after receipt of the administrative law 
 21.5   judge's report.  
 21.6      Sec. 39.  [144E.28] [CERTIFICATION OF EMT, EMT-I, AND 
 21.7   EMT-P.] 
 21.8      Subdivision 1.  [REQUIREMENTS.] To be eligible for 
 21.9   certification by the board as an EMT, EMT-I, or EMT-P, an 
 21.10  individual shall: 
 21.11     (1) successfully complete the United States Department of 
 21.12  Transportation course, or its equivalent as approved by the 
 21.13  board, specific to the EMT, EMT-I, or EMT-P classification; 
 21.14     (2) pass the written and practical examinations approved by 
 21.15  the board and administered by the board or its designee, 
 21.16  specific to the EMT, EMT-I, or EMT-P classification; and 
 21.17     (3) submit the appropriate fee as required under section 
 21.18  144E.29. 
 21.19     Subd. 2.  [EXPIRATION DATES.] Certification expiration 
 21.20  dates are as follows: 
 21.21     (1) for initial certification granted between January 1 and 
 21.22  June 30 of an even-numbered year, the expiration date is March 
 21.23  31 of the next even-numbered year; 
 21.24     (2) for initial certification granted between July 1 and 
 21.25  December 31 of an even-numbered year, the expiration date is 
 21.26  March 31 of the second odd-numbered year; 
 21.27     (3) for initial certification granted between January 1 and 
 21.28  June 30 of an odd-numbered year, the expiration date is March 31 
 21.29  of the next odd-numbered year; and 
 21.30     (4) for initial certification granted between July 1 and 
 21.31  December 31 of an odd-numbered year, the expiration date is 
 21.32  March 31 of the second even-numbered year. 
 21.33     Subd. 3.  [RECIPROCITY.] The board may certify an 
 21.34  individual who possesses a current National Registry of 
 21.35  Emergency Medical Technicians registration from another 
 21.36  jurisdiction and submits the appropriate fee as required under 
 22.1   section 144E.29.  The board certification classification shall 
 22.2   be the same as the National Registry's classification.  
 22.3   Certification shall be for the duration of the applicant's 
 22.4   registration period in another jurisdiction, not to exceed two 
 22.5   years. 
 22.6      Subd. 4.  [DENIAL, SUSPENSION, REVOCATION.] (a) The board 
 22.7   may deny, suspend, revoke, place conditions on, or refuse to 
 22.8   renew the certification of an individual who the board 
 22.9   determines: 
 22.10     (1) violates sections 144E.001 to 144E.33 or the rules 
 22.11  adopted under those sections; 
 22.12     (2) misrepresents or falsifies information on an 
 22.13  application form for certification; 
 22.14     (3) is convicted or pleads guilty or nolo contendere to any 
 22.15  felony or gross misdemeanor or any misdemeanor relating to 
 22.16  sexual misconduct or the illegal use of drugs or alcohol; 
 22.17     (4) is actually or potentially unable to provide emergency 
 22.18  medical services with reasonable skill and safety to patients by 
 22.19  reason of illness, use of alcohol, drugs, chemicals, or any 
 22.20  other material, or as a result of any mental or physical 
 22.21  condition; 
 22.22     (5) engages in unethical conduct, including, but not 
 22.23  limited to, conduct likely to deceive, defraud, or harm the 
 22.24  public or demonstrating a willful or careless disregard for the 
 22.25  health, welfare, or safety of the public; or 
 22.26     (6) maltreats or abandons a patient. 
 22.27     (b) Before taking action under paragraph (a), the board 
 22.28  shall give notice to an individual of the right to a contested 
 22.29  case hearing under chapter 14.  If an individual requests a 
 22.30  contested case hearing within 30 days after receiving notice, 
 22.31  the board shall initiate a contested case hearing according to 
 22.32  chapter 14 and no disciplinary action shall be taken at that 
 22.33  time. 
 22.34     (c) The administrative law judge shall issue a report and 
 22.35  recommendation within 30 days after closing the contested case 
 22.36  hearing record.  The board shall issue a final order within 30 
 23.1   days after receipt of the administrative law judge's report. 
 23.2      (d) After six months from the board's decision to deny, 
 23.3   revoke, place conditions on, or refuse renewal of an 
 23.4   individual's certification for disciplinary action, the 
 23.5   individual shall have the opportunity to apply to the board for 
 23.6   reinstatement. 
 23.7      Subd. 5.  [TEMPORARY SUSPENSION.] (a) In addition to any 
 23.8   other remedy provided by law, the board may temporarily suspend 
 23.9   the certification of an individual after conducting a 
 23.10  preliminary inquiry to determine whether the board believes that 
 23.11  the individual has violated a statute or rule that the board is 
 23.12  empowered to enforce and determining that the continued 
 23.13  provision of service by the individual would create an imminent 
 23.14  risk to public health or harm to others.  
 23.15     (b) A temporary suspension order prohibiting an individual 
 23.16  from providing emergency medical care shall give notice of the 
 23.17  right to a preliminary hearing according to paragraph (d) and 
 23.18  shall state the reasons for the entry of the temporary 
 23.19  suspension order. 
 23.20     (c) Service of a temporary suspension order is effective 
 23.21  when the order is served on the individual personally or by 
 23.22  certified mail, which is complete upon receipt, refusal, or 
 23.23  return for nondelivery to the most recent address provided to 
 23.24  the board for the individual. 
 23.25     (d) At the time the board issues a temporary suspension 
 23.26  order, the board shall schedule a hearing, to be held before a 
 23.27  group of its members designated by the board, that shall begin 
 23.28  within 60 days after issuance of the temporary suspension order 
 23.29  or within 15 working days of the date of the board's receipt of 
 23.30  a request for a hearing from the individual, whichever is 
 23.31  sooner.  The hearing shall be on the sole issue of whether there 
 23.32  is a reasonable basis to continue, modify, or lift the temporary 
 23.33  suspension.  A hearing under this paragraph is not subject to 
 23.34  chapter 14. 
 23.35     (e) Evidence presented by the board or the individual may 
 23.36  be in the form of an affidavit.  The individual or individual's 
 24.1   designee may appear for oral argument. 
 24.2      (f) Within five working days of the hearing, the board 
 24.3   shall issue its order and, if the suspension is continued, 
 24.4   notify the individual of the right to a contested case hearing 
 24.5   under chapter 14. 
 24.6      (g) If an individual requests a contested case hearing 
 24.7   within 30 days of receiving notice under paragraph (f), the 
 24.8   board shall initiate a contested case hearing according to 
 24.9   chapter 14.  The administrative law judge shall issue a report 
 24.10  and recommendation within 30 days after the closing of the 
 24.11  contested case hearing record.  The board shall issue a final 
 24.12  order within 30 days after receipt of the administrative law 
 24.13  judge's report.  
 24.14     Subd. 6.  [RENEWAL.] (a) Before the expiration date of 
 24.15  certification, an applicant for renewal of certification as an 
 24.16  EMT shall:  
 24.17     (1) successfully complete a course in cardiopulmonary 
 24.18  resuscitation that is approved by the board or the licensee's 
 24.19  medical director; 
 24.20     (2) take the United States Department of Transportation EMT 
 24.21  refresher course and successfully pass the practical skills test 
 24.22  portion of the course, or successfully complete 48 hours of 
 24.23  continuing education in EMT programs that are consistent with 
 24.24  the United States Department of Transportation National Standard 
 24.25  Curriculum or its equivalent as approved by the board or as 
 24.26  approved by the licensee's medical director and pass a practical 
 24.27  skills test approved by the board and administered by a training 
 24.28  program approved by the board.  Twenty-four of the 48 hours must 
 24.29  include at least four hours of instruction in each of the 
 24.30  following six categories: 
 24.31     (i) airway management and resuscitation procedures; 
 24.32     (ii) circulation, bleeding control, and shock; 
 24.33     (iii) human anatomy and physiology, patient assessment, and 
 24.34  medical emergencies; 
 24.35     (iv) injuries involving musculoskeletal, nervous, 
 24.36  digestive, and genito-urinary systems; 
 25.1      (v) environmental emergencies and rescue techniques; and 
 25.2      (vi) emergency childbirth and other special situations; and 
 25.3      (3) submit the appropriate fee as required under section 
 25.4   144E.29.  
 25.5      (b) Before the expiration date of certification, an 
 25.6   applicant for renewal of certification as an EMT-I or EMT-P 
 25.7   shall:  
 25.8      (1) for an EMT-I, successfully complete a course in 
 25.9   cardiopulmonary resuscitation that is approved by the board or 
 25.10  the licensee's medical director and for an EMT-P, successfully 
 25.11  complete a course in advanced cardiac life support that is 
 25.12  approved by the board or the licensee's medical director; 
 25.13     (2) successfully complete 48 hours of continuing education 
 25.14  in emergency medical training programs, appropriate to the level 
 25.15  of the applicant's EMT-I or EMT-P certification, that are 
 25.16  consistent with the United States Department of Transportation 
 25.17  National Standard Curriculum or its equivalent as approved by 
 25.18  the board or as approved by the licensee's medical director.  An 
 25.19  applicant may take the United States Department of 
 25.20  Transportation Emergency Medical Technician refresher course or 
 25.21  its equivalent without the written or practical test as approved 
 25.22  by the board, and as appropriate to the applicant's level of 
 25.23  certification, as part of the 48 hours of continuing education.  
 25.24  Each hour of the refresher course counts toward the 48-hour 
 25.25  continuing education requirement; and 
 25.26     (3) submit the appropriate fee required under section 
 25.27  144E.29.  
 25.28     (c) Continuing education credit may be given for the 
 25.29  following programs that comply with the requirements of 
 25.30  paragraph (d): 
 25.31     (1) emergency medical training courses; 
 25.32     (2) conventions; 
 25.33     (3) workshops and seminars; 
 25.34     (4) lectures; 
 25.35     (5) correspondence work; and 
 25.36     (6) self-study. 
 26.1      (d) No program shall be given credit that involves 
 26.2   television viewing in the home, correspondence work, or 
 26.3   self-study unless approved by the Continuing Education 
 26.4   Coordinating Board for Emergency Medical Services or the board. 
 26.5      (e) Certification shall be renewed every two years. 
 26.6      (f) If the applicant does not meet the renewal requirements 
 26.7   under this subdivision, the applicant's certification expires. 
 26.8      Subd. 7.  [REINSTATEMENT.] (a) Within four years of a 
 26.9   certification expiration date, a person whose certification has 
 26.10  expired under subdivision 6, paragraph (f), may have the 
 26.11  certification reinstated upon submission of evidence to the 
 26.12  board of training equivalent to the continuing education 
 26.13  requirements of subdivision 6 and upon payment of the 
 26.14  certification fee. 
 26.15     (b) If more than four years have passed since a certificate 
 26.16  expiration date, an applicant must complete the initial 
 26.17  certification process required under subdivision 1. 
 26.18     Sec. 40.  [144E.283] [EMT INSTRUCTOR CERTIFICATION.] 
 26.19     Subdivision 1.  [QUALIFICATIONS.] The board shall grant 
 26.20  certification as an emergency medical technician instructor to 
 26.21  an applicant who files a completed application and furnishes 
 26.22  evidence satisfactory to the board that the applicant:  
 26.23     (1) possesses valid certification, registration, or 
 26.24  licensure as an EMT, EMT-I, EMT-P, physician, physician's 
 26.25  assistant, or registered nurse; 
 26.26     (2) has two years of active emergency medical practical 
 26.27  experience; 
 26.28     (3) is recommended by a medical director of a licensed 
 26.29  hospital, ambulance service, or training program approved by the 
 26.30  board; 
 26.31     (4) successfully completes the United States Department of 
 26.32  Transportation Emergency Medical Services Instructor Training 
 26.33  Program or its equivalent as approved by the board; and 
 26.34     (5) submits the appropriate fee as required under section 
 26.35  144E.29. 
 26.36     Subd. 2.  [EXPIRATION.] Certification expires two years 
 27.1   from the date of the initial certification and must be renewed 
 27.2   every two years. 
 27.3      Subd. 3.  [RENEWAL.] (a) An applicant shall submit an 
 27.4   application to the board for renewal at least three months prior 
 27.5   to the expiration date of the certification and must furnish 
 27.6   evidence satisfactory to the board that the applicant: 
 27.7      (1) complies with the requirements of subdivision 1; 
 27.8      (2) has at least 40 hours of experience as an instructor in 
 27.9   an emergency medical technician course approved by the board 
 27.10  under section 144E.285; and 
 27.11     (3) has attended at least eight hours of continuing 
 27.12  education encompassing the course topics of the United States 
 27.13  Department of Transportation national standard curriculum for an 
 27.14  Emergency Medical Services Instructor Training Program or its 
 27.15  equivalent as approved by the board. 
 27.16     (b) An emergency medical technician instructor whose 
 27.17  certification expires for nonrenewal must obtain a new 
 27.18  certification by applying to the board and meeting the 
 27.19  requirements of subdivision 1. 
 27.20     Sec. 41.  [144E.285] [TRAINING PROGRAMS.] 
 27.21     Subdivision 1.  [APPROVAL REQUIRED.] (a) All training 
 27.22  programs for an EMT, EMT-I, or EMT-P must be approved by the 
 27.23  board. 
 27.24     (b) To be approved by the board, a training program must: 
 27.25     (1) submit an application prescribed by the board that 
 27.26  includes: 
 27.27     (i) type and length of course to be offered; 
 27.28     (ii) names, addresses, and qualifications of the program 
 27.29  medical director, program training coordinator, and certified 
 27.30  instructors; 
 27.31     (iii) names and addresses of clinical sites, including a 
 27.32  contact person and telephone number; 
 27.33     (iv) admission criteria for students; and 
 27.34     (v) materials and equipment to be used; 
 27.35     (2) for each course, implement the most current version of 
 27.36  the United States Department of Transportation curriculum or its 
 28.1   equivalent as determined by the board applicable to EMT, EMT-I, 
 28.2   or EMT-P training; 
 28.3      (3) have a program medical director and a program 
 28.4   coordinator; 
 28.5      (4) utilize instructors certified under section 144E.283 
 28.6   for teaching at least 50 percent of the course content.  The 
 28.7   remaining 50 percent of the course may be taught by guest 
 28.8   lecturers approved by the training program coordinator or 
 28.9   medical director; 
 28.10     (5) have at least one instructor for every ten students at 
 28.11  the practical skill stations; 
 28.12     (6) maintain a written agreement with a licensed hospital 
 28.13  or licensed ambulance service designating a clinical training 
 28.14  site; 
 28.15     (7) retain documentation of program approval by the board, 
 28.16  course outline, and student information; 
 28.17     (8) notify the board of the starting date of a course prior 
 28.18  to the beginning of a course; and 
 28.19     (9) submit the appropriate fee as required under section 
 28.20  144E.29.  
 28.21     Subd. 2.  [EMT-P REQUIREMENTS.] (a) In addition to the 
 28.22  requirements under subdivision 1, paragraph (b), a training 
 28.23  program applying for approval to teach EMT-P curriculum must be 
 28.24  administered by an educational institution accredited by the 
 28.25  Commission of Accreditation of Allied Health Education Programs 
 28.26  (CAAHEP). 
 28.27     (b) An EMT-P training program that is administered by an 
 28.28  educational institution not accredited by CAAHEP, but that is in 
 28.29  the process of completing the accreditation process, may be 
 28.30  granted provisional approval by the board upon verification of 
 28.31  submission of its self-study report and the appropriate review 
 28.32  fee to CAAHEP. 
 28.33     (c) An educational institution that discontinues its 
 28.34  participation in the accreditation process must notify the board 
 28.35  immediately and provisional approval shall be withdrawn. 
 28.36     Subd. 3.  [EXPIRATION.] Training program approval shall 
 29.1   expire two years from the date of approval. 
 29.2      Subd. 4.  [REAPPROVAL.] A training program shall apply to 
 29.3   the board for reapproval at least three months prior to the 
 29.4   expiration date of its approval and must: 
 29.5      (1) submit an application prescribed by the board 
 29.6   specifying any changes from the information provided for prior 
 29.7   approval and any other information requested by the board to 
 29.8   clarify incomplete or ambiguous information presented in the 
 29.9   application; and 
 29.10     (2) comply with the requirements under subdivision 1, 
 29.11  paragraph (b), clauses (2) to (8). 
 29.12     Subd. 5.  [DISCIPLINARY ACTION.] (a) The board may deny, 
 29.13  suspend, revoke, place conditions on, or refuse to renew 
 29.14  approval of a training program that the board determines: 
 29.15     (1) violated subdivisions 1 to 4 or rules adopted under 
 29.16  sections 144E.001 to 144E.33; or 
 29.17     (2) misrepresented or falsified information on an 
 29.18  application form provided by the board. 
 29.19     (b) Before taking action under paragraph (a), the board 
 29.20  shall give notice to a training program of the right to a 
 29.21  contested case hearing under chapter 14.  If a training program 
 29.22  requests a contested case hearing within 30 days after receiving 
 29.23  notice, the board shall initiate a contested case hearing 
 29.24  according to chapter 14. 
 29.25     (c) The administrative law judge shall issue a report and 
 29.26  recommendation within 30 days after closing the contested case 
 29.27  hearing record.  The board shall issue a final order within 30 
 29.28  days after receipt of the administrative law judge's report. 
 29.29     (d) After six months from the board's decision to deny, 
 29.30  revoke, place conditions on, or refuse approval of a training 
 29.31  program for disciplinary action, the training program shall have 
 29.32  the opportunity to apply to the board for reapproval.  
 29.33     Subd. 6.  [TEMPORARY SUSPENSION.] (a) In addition to any 
 29.34  other remedy provided by law, the board may temporarily suspend 
 29.35  approval of the training program after conducting a preliminary 
 29.36  inquiry to determine whether the board believes that the 
 30.1   training program has violated a statute or rule that the board 
 30.2   is empowered to enforce and determining that the continued 
 30.3   provision of service by the training program would create an 
 30.4   imminent risk to public health or harm to others. 
 30.5      (b) A temporary suspension order prohibiting the training 
 30.6   program from providing emergency medical care training shall 
 30.7   give notice of the right to a preliminary hearing according to 
 30.8   paragraph (d) and shall state the reasons for the entry of the 
 30.9   temporary suspension order. 
 30.10     (c) Service of a temporary suspension order is effective 
 30.11  when the order is served on the training program personally or 
 30.12  by certified mail, which is complete upon receipt, refusal, or 
 30.13  return for nondelivery to the most recent address provided to 
 30.14  the board for the training program. 
 30.15     (d) At the time the board issues a temporary suspension 
 30.16  order, the board shall schedule a hearing, to be held before a 
 30.17  group of its members designated by the board, that shall begin 
 30.18  within 60 days after issuance of the temporary suspension order 
 30.19  or within 15 working days of the date of the board's receipt of 
 30.20  a request for a hearing from the training program, whichever is 
 30.21  sooner.  The hearing shall be on the sole issue of whether there 
 30.22  is a reasonable basis to continue, modify, or lift the temporary 
 30.23  suspension.  A hearing under this paragraph is not subject to 
 30.24  chapter 14. 
 30.25     (e) Evidence presented by the board or the individual may 
 30.26  be in the form of an affidavit.  The training program or counsel 
 30.27  of record may appear for oral argument. 
 30.28     (f) Within five working days of the hearing, the board 
 30.29  shall issue its order and, if the suspension is continued, 
 30.30  notify the training program of the right to a contested case 
 30.31  hearing under chapter 14. 
 30.32     (g) If a training program requests a contested case hearing 
 30.33  within 30 days of receiving notice under paragraph (f), the 
 30.34  board shall initiate a contested case hearing according to 
 30.35  chapter 14.  The administrative law judge shall issue a report 
 30.36  and recommendation within 30 days after the closing of the 
 31.1   contested case hearing record.  The board shall issue a final 
 31.2   order within 30 days after receipt of the administrative law 
 31.3   judge's report. 
 31.4      Subd. 7.  [AUDIT.] The board may audit training programs 
 31.5   approved by the board.  The audit may include, but is not 
 31.6   limited to, investigation of complaints, course inspection, 
 31.7   classroom observation, review of instructor qualifications, and 
 31.8   student interviews. 
 31.9      Sec. 42.  [144E.286] [EXAMINER QUALIFICATIONS FOR EMERGENCY 
 31.10  MEDICAL TECHNICIAN TESTING.] 
 31.11     Subdivision 1.  [EMT TESTING.] An examiner testing basic 
 31.12  level EMT practical skills must: 
 31.13     (1) be certified as an EMT, EMT-I, or EMT-P; 
 31.14     (2) have two years or 4,000 hours' experience in emergency 
 31.15  medical care; 
 31.16     (3) be certified in basic cardiac life support; and 
 31.17     (4) be approved by the board. 
 31.18     Subd. 2.  [EMT-I OR EMT-P TESTING.] (a) An examiner testing 
 31.19  EMT-I or EMT-P level practical skills must be approved by the 
 31.20  board and: 
 31.21     (1) be a physician or registered nurse; or 
 31.22     (2) be a certified EMT-P, have two years or 4,000 hours' 
 31.23  experience in emergency medical care and be certified in basic 
 31.24  cardiac life support. 
 31.25     (b) A physician must be available to answer questions 
 31.26  relating to the evaluation of skill performance at the practical 
 31.27  examination. 
 31.28     Sec. 43.  [144E.29] [FEES.] 
 31.29     (a) The board shall charge the following fees: 
 31.30     (1) initial application for and renewal of an ambulance 
 31.31  service license, $150; 
 31.32     (2) each ambulance operated by a licensee, $96.  The 
 31.33  licensee shall pay an additional $96 fee for the full licensing 
 31.34  period or $4 per month for any fraction of the period for each 
 31.35  ambulance added to the ambulance service during the licensing 
 31.36  period; 
 32.1      (3) initial application for and renewal of certification as 
 32.2   an EMT, EMT-I, or EMT-P, $10; 
 32.3      (4) initial application for and renewal of certification as 
 32.4   a medical response unit, $20; 
 32.5      (5) initial application for and renewal of certification as 
 32.6   an EMT instructor, $10; 
 32.7      (6) initial application for and renewal of approval for a 
 32.8   training program, $100; and 
 32.9      (7) duplicate of an original license, certification, or 
 32.10  approval, $25.  
 32.11     (b) With the exception of paragraph (a), clause (7), all 
 32.12  fees are for a two-year period.  All fees are nonrefundable.  
 32.13     (c) Fees collected by the board shall be deposited as 
 32.14  nondedicated receipts in the trunk highway fund. 
 32.15     Sec. 44.  [144E.305] [REPORTING MISCONDUCT.] 
 32.16     Subdivision 1.  [VOLUNTARY REPORTING.] A person who has 
 32.17  knowledge of any conduct constituting grounds for discipline 
 32.18  under section 144E.27, subdivision 5, or 144E.28, subdivision 4, 
 32.19  may report the alleged violation to the board. 
 32.20     Subd. 2.  [MANDATORY REPORTING.] (a) A licensee or medical 
 32.21  response unit shall report to the board conduct by a first 
 32.22  responder, EMT, EMT-I, or EMT-P that it reasonably believes 
 32.23  constitutes grounds for disciplinary action under section 
 32.24  144E.27, subdivision 5, or 144E.28, subdivision 4.  
 32.25     (b) A licensee or medical response unit shall report to the 
 32.26  board any disciplinary action it takes to limit the scope of 
 32.27  practice of a first responder, EMT, EMT-I, or EMT-P including, 
 32.28  but not limited to, dismissal from employment.  A licensee or 
 32.29  medical response unit shall report the resignation of a first 
 32.30  responder, EMT, EMT-I, or EMT-P before the conclusion of any 
 32.31  disciplinary proceeding or before commencement of formal charges 
 32.32  but after the first responder, EMT, EMT-I, or EMT-P has 
 32.33  knowledge that formal charges are contemplated or in 
 32.34  preparation.  Reporting under this paragraph is required only if 
 32.35  the action pertains to grounds for disciplinary action under 
 32.36  section 144E.27, subdivision 5, or 144E.28, subdivision 4.  
 33.1      (c) An individual registered or certified by the board 
 33.2   under section 144E.27 or 144E.28 shall report to the board 
 33.3   personal knowledge of conduct by a first responder, EMT, EMT-I, 
 33.4   or EMT-P the individual reasonably believes constitutes grounds 
 33.5   for disciplinary action under section 144E.27, subdivision 5, or 
 33.6   144E.28, subdivision 4. 
 33.7      Subd. 3.  [IMMUNITY.] (a) An individual, licensee, medical 
 33.8   response unit, health care facility, business, or organization 
 33.9   is immune from civil liability or criminal prosecution for 
 33.10  submitting in good faith a report to the board under subdivision 
 33.11  1 or 2 or for otherwise reporting in good faith to the board 
 33.12  violations or alleged violations of sections 144E.001 to 144E.33.
 33.13  Reports are classified as confidential data on individuals or 
 33.14  protected nonpublic data under section 13.02 while an 
 33.15  investigation is active.  All communications or information 
 33.16  received by or disclosed to the board relating to disciplinary 
 33.17  matters of any person or entity subject to the board's 
 33.18  regulatory jurisdiction are confidential and privileged and any 
 33.19  disciplinary hearing shall be closed to the public. 
 33.20     (b) Members of the board, persons employed by the board, 
 33.21  persons engaged in the investigation of violations and in the 
 33.22  preparation and management of charges of violations of sections 
 33.23  144E.001 to 144E.33 on behalf of the board, and persons 
 33.24  participating in the investigation regarding charges of 
 33.25  violations are immune from civil liability and criminal 
 33.26  prosecution for any actions, transactions, or publications, made 
 33.27  in good faith, in the execution of, or relating to, their duties 
 33.28  under sections 144E.001 to 144E.33. 
 33.29     (c) For purposes of this section, a member of the board is 
 33.30  considered a state employee under section 3.736, subdivision 9.  
 33.31     Sec. 45.  [144E.31] [CORRECTION ORDER AND FINES.] 
 33.32     Subdivision 1.  [CORRECTION ORDER.] (a) If the board finds 
 33.33  that a licensee or training program has failed to comply with an 
 33.34  applicable law or rule and the violation does not imminently 
 33.35  endanger the public health or safety, the board may issue a 
 33.36  correction order to the licensee or training program. 
 34.1      (b) The correction order shall state: 
 34.2      (1) the conditions that constitute a violation of the law 
 34.3   or rule; 
 34.4      (2) the specific law or rule violated; and 
 34.5      (3) the time allowed to correct the violation. 
 34.6      Subd. 2.  [RECONSIDERATION.] (a) If the licensee or 
 34.7   training program believes that the contents of the board's 
 34.8   correction order are in error, the licensee or training program 
 34.9   may ask the board to reconsider the parts of the correction 
 34.10  order that are alleged to be in error. 
 34.11     (b) The request for reconsideration must: 
 34.12     (1) be in writing; 
 34.13     (2) be delivered by certified mail; 
 34.14     (3) specify the parts of the correction order that are 
 34.15  alleged to be in error; 
 34.16     (4) explain why they are in error; and 
 34.17     (5) include documentation to support the allegation of 
 34.18  error. 
 34.19     (c) A request for reconsideration does not stay any 
 34.20  provision or requirement of the correction order.  The board's 
 34.21  disposition of a request for reconsideration is final and not 
 34.22  subject to appeal under chapter 14. 
 34.23     Subd. 3.  [FINE.] (a) The board may order a fine 
 34.24  concurrently with the issuance of a correction order, or after 
 34.25  the licensee or training program has not corrected the violation 
 34.26  within the time specified in the correction order. 
 34.27     (b) A licensee or training program that is ordered to pay a 
 34.28  fine shall be notified of the order by certified mail.  The 
 34.29  notice shall be mailed to the address shown on the application 
 34.30  or the last known address of the licensee or training program.  
 34.31  The notice shall state the reasons the fine was ordered and 
 34.32  shall inform the licensee or training program of the right to a 
 34.33  contested case hearing under chapter 14.  
 34.34     (c) A licensee or training program may appeal the order to 
 34.35  pay a fine by notifying the board by certified mail within 15 
 34.36  calendar days after receiving the order.  A timely appeal shall 
 35.1   stay payment of the fine until the board issues a final order. 
 35.2      (d) A licensee or training program shall pay the fine 
 35.3   assessed on or before the payment date specified in the board's 
 35.4   order.  If a licensee or training program fails to fully comply 
 35.5   with the order, the board shall suspend the license or cancel 
 35.6   approval until there is full compliance with the order. 
 35.7      (e) Fines shall be assessed as follows: 
 35.8      (1) $150 for violation of section 144E.123; 
 35.9      (2) $400 for violation of sections 144E.06, 144E.07, 
 35.10  144E.101, 144E.103, 144E.121, 144E.125, 144E.265, 144E.285, and 
 35.11  144E.305; 
 35.12     (3) $750 for violation of rules adopted under section 
 35.13  144E.16, subdivision 4, clause (8); and 
 35.14     (4) $50 for violation of all other sections under this 
 35.15  chapter or rules adopted under this chapter that are not 
 35.16  specifically enumerated in clauses (1) to (3). 
 35.17     (f) Fines collected by the board shall be deposited as 
 35.18  nondedicated receipts in the trunk highway fund. 
 35.19     Subd. 4.  [ADDITIONAL PENALTIES.] This section does not 
 35.20  prohibit the board from suspending, revoking, placing conditions 
 35.21  on, or refusing to renew a licensee's license or a training 
 35.22  program's approval in addition to ordering a fine. 
 35.23     Sec. 46.  [144E.33] [PENALTY.] 
 35.24     A person who violates a provision of sections 144E.001 to 
 35.25  144E.33 is guilty of a misdemeanor.  
 35.26     Sec. 47.  Minnesota Statutes 1998, section 145A.02, 
 35.27  subdivision 10, is amended to read: 
 35.28     Subd. 10.  [EMERGENCY MEDICAL CARE.] "Emergency medical 
 35.29  care" means activities intended to protect the health of persons 
 35.30  suffering a medical emergency and to ensure rapid and effective 
 35.31  emergency medical treatment.  These activities include the 
 35.32  coordination or provision of training, cooperation with public 
 35.33  safety agencies, communications, life-support transportation as 
 35.34  defined under section 144E.16 sections 144E.06 to 144E.19, 
 35.35  public information and involvement, and system management. 
 35.36     Sec. 48.  [REVISOR'S INSTRUCTION.] 
 36.1      In each section of Minnesota Statutes referred to in column 
 36.2   A, the revisor of statutes shall delete the reference in column 
 36.3   B and insert the reference in column C. 
 36.4        Column A             Column B      Column C 
 36.5        144E.10, subd. 2     144E.16       144E.101 to 144E.127
 36.6        144E.12              144E.16       144E.121 to 144E.127 
 36.7        144E.13              144E.16       144E.101 to 144E.127 
 36.8        144E.14              144E.16       144E.101 to 144E.127 
 36.9        144E.35, subd. 1     144E.16       144E.285 
 36.10       144E.41              144E.16       144E.265 or 144E.28 
 36.11       353.64, subd. 10     144E.16       144E.28
 36.12       147A.09, subd. 2     144E.16,      144E.127 
 36.13                             subd. 2,
 36.14                             para. (c)
 36.15     Sec. 49.  [REPEALER.] 
 36.16     Minnesota Statutes 1998, sections 144E.16, subdivisions 1, 
 36.17  2, 3, and 6; 144E.17; 144E.25; and 144E.30, subdivisions 1, 2, 
 36.18  and 6, are repealed.  Minnesota Rules, parts 4690.0100, subparts 
 36.19  4, 13, 15, 19, 20, 21, 22, 23, 24, 26, 27, and 29; 4690.0300; 
 36.20  4690.0400; 4690.0500; 4690.0600; 4690.0700; 4690.0800, subparts 
 36.21  1 and 2; 4690.0900; 4690.1000; 4690.1100; 4690.1200; 4690.1300; 
 36.22  4690.1600; 4690.1700; 4690.2100; 4690.2200, subparts 1, 3, 4, 
 36.23  and 5; 4690.2300; 4690.2400, subparts 1, 2, and 3; 4690.2500; 
 36.24  4690.2900; 4690.3000; 4690.3700; 4690.3900; 4690.4000; 
 36.25  4690.4100; 4690.4200; 4690.4300; 4690.4400; 4690.4500; 
 36.26  4690.4600; 4690.4700; 4690.4800; 4690.4900; 4690.5000; 
 36.27  4690.5100; 4690.5200; 4690.5300; 4690.5400; 4690.5500; 
 36.28  4690.5700; 4690.5800; 4690.5900; 4690.6000; 4690.6100; 
 36.29  4690.6200; 4690.6300; 4690.6400; 4690.6500; 4690.6600; 
 36.30  4690.6700; 4690.6800; 4690.7000; 4690.7100; 4690.7200; 
 36.31  4690.7300; 4690.7400; 4690.7500; 4690.7600; 4690.7700; 
 36.32  4690.7800; 4690.8300, subparts 1, 2, 3, 4, and 5; and 4735.5000, 
 36.33  are repealed.