<div class="xtend">
         <div class="xtend_ce"><a id="pl.1.1"></a><var>1.1</var>A bill for an act<br />
            		
         </div><a id="pl.1.2"></a><var>1.2</var>relating to health; modifying provisions for the statewide trauma system;<br />
         		<a id="pl.1.3"></a><var>1.3</var>amending Minnesota Statutes 2008, sections 13.3806, subdivision 13; 144.603; <br />
         		<a id="pl.1.4"></a><var>1.4</var>144.605, subdivisions 2, 3, by adding a subdivision; 144.608, subdivision 1; <br />
         		<a id="pl.1.5"></a><var>1.5</var>proposing coding for new law in Minnesota Statutes, chapter 144; repealing <br />
         		<a id="pl.1.6"></a><var>1.6</var>Minnesota Statutes 2008, section 144.607.<br />
         		<a id="pl.1.7"></a><var>1.7</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br />
         		<br />
         		<a id="bill.0.1.0"></a><a id="pl.1.8"></a><var>1.8</var>&nbsp;&nbsp;&nbsp;&nbsp;Section 1. Minnesota Statutes 2008, section 13.3806, subdivision 13, is amended to <br />
         		<a id="pl.1.9"></a><var>1.9</var>read:<br />
         		<a id="pl.1.10"></a><var>1.10</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 13. <b>Traumatic injury.</b> Data on individuals with a brain or spinal injury or <br />
         		<a id="pl.1.11"></a><var>1.11</var>who sustain major trauma that are collected by the commissioner of health are classified <br />
         		<a id="pl.1.12"></a><var>1.12</var>under section sections 144.6071 and 
         <statute_ref>144.665</statute_ref>. <br />
         		<br />
         		<a id="bill.0.2.0"></a><a id="pl.1.13"></a><var>1.13</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 2. Minnesota Statutes 2008, section 144.603, is amended to read:<br />
         		<a id="pl.1.14"></a><var>1.14</var><b>144.603 STATEWIDE TRAUMA SYSTEM CRITERIA.</b><br />
         		<a id="pl.1.15"></a><var>1.15</var>&nbsp;&nbsp;&nbsp;&nbsp;Subdivision 1. <b>Criteria established.</b> The commissioner shall adopt criteria to <br />
         		<a id="pl.1.16"></a><var>1.16</var>ensure that severely injured people are promptly transported and treated at trauma <br />
         		<a id="pl.1.17"></a><var>1.17</var>hospitals appropriate to the severity of injury. Minimum criteria shall address emergency <br />
         		<a id="pl.1.18"></a><var>1.18</var>medical service trauma triage and transportation guidelines as approved under section <br />
         		
         <statute_ref><a id="pl.1.19"></a><var>1.19</var>144E.101, subdivision 14
         </statute_ref>, designation of hospitals as trauma hospitals, interhospital <br />
         		<a id="pl.1.20"></a><var>1.20</var>transfers, a trauma registry, and a trauma system governance structure.<br />
         		<a id="pl.1.21"></a><var>1.21</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 2. <b>Basis; verification.</b> The commissioner shall base the establishment, <br />
         		<a id="pl.1.22"></a><var>1.22</var>implementation, and modifications to the criteria under subdivision 1 on the <br />
         		<a id="pl.1.23"></a><var>1.23</var>department-published Minnesota comprehensive statewide trauma system plan. The <br />
         		<a id="pl.1.24"></a><var>1.24</var>commissioner shall seek the advice of the Trauma Advisory Council in implementing <br />
         		<a id="pl.2.1"></a><var>2.1</var>and updating the criteria, using accepted and prevailing trauma transport, treatment, <br />
         		<a id="pl.2.2"></a><var>2.2</var>and referral standards of the American College of Surgeons, the American College of <br />
         		<a id="pl.2.3"></a><var>2.3</var>Emergency Physicians, the Minnesota Emergency Medical Services Regulatory Board, <br />
         		<a id="pl.2.4"></a><var>2.4</var>the national Trauma Resources Network Center Association of America, and other widely <br />
         		<a id="pl.2.5"></a><var>2.5</var>recognized trauma experts. The commissioner shall adapt and modify the standards as <br />
         		<a id="pl.2.6"></a><var>2.6</var>appropriate to accommodate Minnesota's unique geography and the state's hospital and <br />
         		<a id="pl.2.7"></a><var>2.7</var>health professional distribution and shall verify that the criteria are met by each hospital <br />
         		<a id="pl.2.8"></a><var>2.8</var>voluntarily participating in the statewide trauma system.<br />
         		<a id="pl.2.9"></a><var>2.9</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 3. <b>Rule exemption and report to legislature.</b> In developing and adopting <br />
         		<a id="pl.2.10"></a><var>2.10</var>the criteria under this section, the commissioner of health is exempt from chapter 14, <br />
         		<a id="pl.2.11"></a><var>2.11</var>including section 
         <statute_ref>14.386</statute_ref>. By September 1, 2009, the commissioner must report to the <br />
         		<a id="pl.2.12"></a><var>2.12</var>legislature on implementation of the voluntary trauma system, including recommendations <br />
         		<a id="pl.2.13"></a><var>2.13</var>on the need for including the trauma system criteria in rule.<br />
         		<br />
         		<a id="bill.0.3.0"></a><a id="pl.2.14"></a><var>2.14</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 3. Minnesota Statutes 2008, section 144.605, subdivision 2, is amended to read:<br />
         		<a id="pl.2.15"></a><var>2.15</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 2. <b>Designation; reverification.</b> The commissioner shall designate four six <br />
         		<a id="pl.2.16"></a><var>2.16</var>levels of trauma hospitals. A hospital that voluntarily meets the criteria for a particular <br />
         		<a id="pl.2.17"></a><var>2.17</var>level of trauma hospital shall apply to the commissioner for designation and, upon the <br />
         		<a id="pl.2.18"></a><var>2.18</var>commissioner's verifying the hospital meets the criteria, be designated a trauma hospital <br />
         		<a id="pl.2.19"></a><var>2.19</var>at the appropriate level for a three-year period. Prior to the expiration of the three-year <br />
         		<a id="pl.2.20"></a><var>2.20</var>designation, a hospital seeking to remain part of the voluntary system must apply for <br />
         		<a id="pl.2.21"></a><var>2.21</var>and successfully complete a reverification process, be awaiting the site visit for the <br />
         		<a id="pl.2.22"></a><var>2.22</var>reverification, or be awaiting the results of the site visit. The commissioner may extend a <br />
         		<a id="pl.2.23"></a><var>2.23</var>hospital's existing designation for up to 18 months on a provisional basis if the hospital has <br />
         		<a id="pl.2.24"></a><var>2.24</var>applied for reverification in a timely manner but has not yet completed the reverification <br />
         		<a id="pl.2.25"></a><var>2.25</var>process within the expiration of the three-year designation and the extension is in the <br />
         		<a id="pl.2.26"></a><var>2.26</var>best interest of trauma system patient safety. To be granted a provisional extension, the <br />
         		<a id="pl.2.27"></a><var>2.27</var>hospital must be:<br />
         		<a id="pl.2.28"></a><var>2.28</var>(1) scheduled and awaiting the site visit for reverification;<br />
         		<a id="pl.2.29"></a><var>2.29</var>(2) awaiting the results of the site visit; or<br />
         		<a id="pl.2.30"></a><var>2.30</var>(3) responding to and correcting identified deficiencies identified in the site visit.<br />
         		<br />
         		<a id="bill.0.4.0"></a><a id="pl.2.31"></a><var>2.31</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 4. Minnesota Statutes 2008, section 144.605, subdivision 3, is amended to read:<br />
         		<a id="pl.2.32"></a><var>2.32</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 3. <b>ACS verification.</b> The commissioner shall grant the appropriate level I, II, <br />
         		<a id="pl.2.33"></a><var>2.33</var>or III trauma hospital or level I or II pediatric trauma hospital designation to a hospital that <br />
         		<a id="pl.2.34"></a><var>2.34</var>successfully completes and passes the American College of Surgeons (ACS) verification <br />
         		<a id="pl.3.1"></a><var>3.1</var>standards at the hospital's cost, submits verification documentation to the Trauma Advisory <br />
         		<a id="pl.3.2"></a><var>3.2</var>Council, and formally notifies the Trauma Advisory Council of ACS verification.<br />
         		<br />
         		<a id="bill.0.5.0"></a><a id="pl.3.3"></a><var>3.3</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 5. Minnesota Statutes 2008, section 144.605, is amended by adding a subdivision <br />
         		<a id="pl.3.4"></a><var>3.4</var>to read:<br />
         		<a id="pl.3.5"></a><var>3.5</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 9. <b>Designation process protection.</b> Data on patients in information and <br />
         		<a id="pl.3.6"></a><var>3.6</var>reports related to the designation and redesignation of trauma hospitals pursuant to <br />
         		<a id="pl.3.7"></a><var>3.7</var>subdivisions 3 to 5 are private data on individuals, as defined in section 13.02, subdivision <br />
         		<a id="pl.3.8"></a><var>3.8</var>12. <br />
         		<br />
         		<a id="bill.0.6.0"></a><a id="pl.3.9"></a><var>3.9</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 6. <b>[144.6071] TRAUMA REGISTRY.</b><br />
         		<a id="pl.3.10"></a><var>3.10</var>&nbsp;&nbsp;&nbsp;&nbsp;Subdivision 1. <b>Registry.</b> The commissioner of health shall establish and maintain <br />
         		<a id="pl.3.11"></a><var>3.11</var>a central registry of persons who sustain major trauma as defined in section 144.602, <br />
         		<a id="pl.3.12"></a><var>3.12</var>subdivision 3. The registry shall collect information to facilitate the development of <br />
         		<a id="pl.3.13"></a><var>3.13</var>clinical and system quality improvement, injury prevention, treatment, and rehabilitation <br />
         		<a id="pl.3.14"></a><var>3.14</var>programs.<br />
         		<a id="pl.3.15"></a><var>3.15</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 2. <b>Registry participation required.</b> A trauma hospital must participate in <br />
         		<a id="pl.3.16"></a><var>3.16</var>the statewide trauma registry. The consent of the injured person is not required.<br />
         		<a id="pl.3.17"></a><var>3.17</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 3. <b>Registry information.</b> (a) Trauma hospitals must electronically submit <br />
         		<a id="pl.3.18"></a><var>3.18</var>the following information to the registry:<br />
         		<a id="pl.3.19"></a><var>3.19</var>(1) demographic information of the injured person;<br />
         		<a id="pl.3.20"></a><var>3.20</var>(2) information about the date, location, and cause of the injury;<br />
         		<a id="pl.3.21"></a><var>3.21</var>(3) information about the condition of the injured person;<br />
         		<a id="pl.3.22"></a><var>3.22</var>(4) information about the treatment, comorbidities, and diagnosis of the injured <br />
         		<a id="pl.3.23"></a><var>3.23</var>person;<br />
         		<a id="pl.3.24"></a><var>3.24</var>(5) information about the outcome and disposition of the injured person; and<br />
         		<a id="pl.3.25"></a><var>3.25</var>(6) other information required by the commissioner.<br />
         		<a id="pl.3.26"></a><var>3.26</var>(b) Notwithstanding paragraph (a) or any other law to the contrary, the commissioner <br />
         		<a id="pl.3.27"></a><var>3.27</var>and the trauma hospital are prohibited from collecting data on individuals regarding <br />
         		<a id="pl.3.28"></a><var>3.28</var>lawful firearm ownership in the state or data related to an individual's right to carry a <br />
         		<a id="pl.3.29"></a><var>3.29</var>weapon under section 624.714.<br />
         		<a id="pl.3.30"></a><var>3.30</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 4. <b>Rules.</b> The commissioner may adopt rules to collect other information <br />
         		<a id="pl.3.31"></a><var>3.31</var>required to facilitate the development of clinical and system quality improvement, injury <br />
         		<a id="pl.3.32"></a><var>3.32</var>prevention, treatment, and rehabilitation programs. The commissioner may adopt rules at <br />
         		<a id="pl.3.33"></a><var>3.33</var>any time to implement this section and is not subject to the requirements of section 14.125.<br />
         		<a id="pl.4.1"></a><var>4.1</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 5. <b>Reporting without liability.</b> Any person or facility furnishing information <br />
         		<a id="pl.4.2"></a><var>4.2</var>required in this section shall not be subject to any action for damages or other relief, <br />
         		<a id="pl.4.3"></a><var>4.3</var>provided that the person or facility is acting in good faith.<br />
         		<a id="pl.4.4"></a><var>4.4</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 6. <b>Data classification.</b> Data on individuals collected by the commissioner <br />
         		<a id="pl.4.5"></a><var>4.5</var>of health under this section are private data on individuals, as defined in section 13.02, <br />
         		<a id="pl.4.6"></a><var>4.6</var>subdivision 12. Data not on individuals are nonpublic data as defined in section 13.02, <br />
         		<a id="pl.4.7"></a><var>4.7</var>subdivision 9. The commissioner shall provide summary registry data to public and <br />
         		<a id="pl.4.8"></a><var>4.8</var>private entities to conduct studies using data collected by the registry. The commissioner <br />
         		<a id="pl.4.9"></a><var>4.9</var>may charge a fee under section 13.03, subdivision 3, for all out-of-pocket expenses <br />
         		<a id="pl.4.10"></a><var>4.10</var>associated with the provision of data or data analysis.<br />
         		<a id="pl.4.11"></a><var>4.11</var>&nbsp;&nbsp;&nbsp;&nbsp;Subd. 7. <b>Report requirements.</b> The commissioner shall use the registry to annually <br />
         		<a id="pl.4.12"></a><var>4.12</var>publish a report that includes comparative demographic and risk-adjusted epidemiological <br />
         		<a id="pl.4.13"></a><var>4.13</var>data on designated trauma hospitals. Any analyses or reports that identify providers <br />
         		<a id="pl.4.14"></a><var>4.14</var>may only be published after the provider has been provided the opportunity by the <br />
         		<a id="pl.4.15"></a><var>4.15</var>commissioner to review the underlying data and submit comments. The provider shall <br />
         		<a id="pl.4.16"></a><var>4.16</var>have 21 days to review the data for accuracy.<br />
         		<br />
         		<a id="bill.0.7.0"></a><a id="pl.4.17"></a><var>4.17</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 7. Minnesota Statutes 2008, section 144.608, subdivision 1, is amended to read:<br />
         		<a id="pl.4.18"></a><var>4.18</var>&nbsp;&nbsp;&nbsp;&nbsp;Subdivision 1. <b>Trauma Advisory Council established.</b> (a) A Trauma Advisory <br />
         		<a id="pl.4.19"></a><var>4.19</var>Council is established to advise, consult with, and make recommendations to the <br />
         		<a id="pl.4.20"></a><var>4.20</var>commissioner on the development, maintenance, and improvement of a statewide trauma <br />
         		<a id="pl.4.21"></a><var>4.21</var>system.<br />
         		<a id="pl.4.22"></a><var>4.22</var>(b) The council shall consist of the following members:<br />
         		<a id="pl.4.23"></a><var>4.23</var>(1) a trauma surgeon certified by the American College of Surgeons Board of <br />
         		<a id="pl.4.24"></a><var>4.24</var>Surgery or the American Osteopathic Board of Surgery who practices in a level I or <br />
         		<a id="pl.4.25"></a><var>4.25</var>II trauma hospital;<br />
         		<a id="pl.4.26"></a><var>4.26</var>(2) a general surgeon certified by the American College of Surgeons Board <br />
         		<a id="pl.4.27"></a><var>4.27</var>of Surgery or the American Osteopathic Board of Surgery whose practice includes <br />
         		<a id="pl.4.28"></a><var>4.28</var>trauma and who practices in a designated rural area as defined under section 
         <statute_ref>144.1501, <br />
            		<a id="pl.4.29"></a><var>4.29</var>subdivision 1
         </statute_ref>, paragraph (b);<br />
         		<a id="pl.4.30"></a><var>4.30</var>(3) a neurosurgeon certified by the American Board of Neurological Surgery who <br />
         		<a id="pl.4.31"></a><var>4.31</var>practices in a level I or II trauma hospital;<br />
         		<a id="pl.4.32"></a><var>4.32</var>(4) a trauma program nurse manager or coordinator practicing in a level I or II <br />
         		<a id="pl.4.33"></a><var>4.33</var>trauma hospital;<br />
         		<a id="pl.5.1"></a><var>5.1</var>(5) an emergency physician certified by the American College Board of Emergency <br />
         		<a id="pl.5.2"></a><var>5.2</var>Physicians Medicine or the American Osteopathic Board of Emergency Medicine whose <br />
         		<a id="pl.5.3"></a><var>5.3</var>practice includes emergency room care in a level I, II, III, or IV trauma hospital;<br />
         		<a id="pl.5.4"></a><var>5.4</var>(6) an emergency room nurse manager a trauma program manager or coordinator <br />
         		<a id="pl.5.5"></a><var>5.5</var>who practices in a level III or IV trauma hospital;<br />
         		<a id="pl.5.6"></a><var>5.6</var>(7) a family practice physician certified by the American Board of Family Medicine <br />
         		<a id="pl.5.7"></a><var>5.7</var>or the American Osteopathic Board of Family Practice whose practice includes emergency <br />
         		<a id="pl.5.8"></a><var>5.8</var>room department care in a level III or IV trauma hospital located in a designated rural area <br />
         		<a id="pl.5.9"></a><var>5.9</var>as defined under section 
         <statute_ref>144.1501, subdivision 1</statute_ref>, paragraph (b);<br />
         		<a id="pl.5.10"></a><var>5.10</var>(8) a nurse practitioner, as defined under section 
         <statute_ref>144.1501, subdivision 1</statute_ref>, paragraph <br />
         		<a id="pl.5.11"></a><var>5.11</var>(h), or a physician assistant, as defined under section 
         <statute_ref>144.1501, subdivision 1</statute_ref>, paragraph <br />
         		<a id="pl.5.12"></a><var>5.12</var>(j), whose practice includes emergency room care in a level IV trauma hospital located in <br />
         		<a id="pl.5.13"></a><var>5.13</var>a designated rural area as defined under section 
         <statute_ref>144.1501, subdivision 1</statute_ref>, paragraph (b);<br />
         		<a id="pl.5.14"></a><var>5.14</var>(9) a pediatrician certified by the American Academy Board of Pediatrics or the <br />
         		<a id="pl.5.15"></a><var>5.15</var>American Osteopathic Board of Pediatrics whose practice includes emergency room <br />
         		<a id="pl.5.16"></a><var>5.16</var>department care in a level I, II, III, or IV trauma hospital;<br />
         		<a id="pl.5.17"></a><var>5.17</var>(10) an orthopedic surgeon certified by the American Board of Orthopaedic Surgery <br />
         		<a id="pl.5.18"></a><var>5.18</var>or the American Osteopathic Board of Orthopedic Surgery whose practice includes trauma <br />
         		<a id="pl.5.19"></a><var>5.19</var>and who practices in a level I, II, or III trauma hospital;<br />
         		<a id="pl.5.20"></a><var>5.20</var>(11) the state emergency medical services medical director appointed by the <br />
         		<a id="pl.5.21"></a><var>5.21</var>Emergency Medical Services Regulatory Board;<br />
         		<a id="pl.5.22"></a><var>5.22</var>(12) a hospital administrator of a level III or IV trauma hospital located in a <br />
         		<a id="pl.5.23"></a><var>5.23</var>designated rural area as defined under section 
         <statute_ref>144.1501, subdivision 1</statute_ref>, paragraph (b);<br />
         		<a id="pl.5.24"></a><var>5.24</var>(13) a rehabilitation specialist whose practice includes rehabilitation of patients <br />
         		<a id="pl.5.25"></a><var>5.25</var>with major trauma injuries or traumatic brain injuries and spinal cord injuries as defined <br />
         		<a id="pl.5.26"></a><var>5.26</var>under section 
         <statute_ref>144.661</statute_ref>;<br />
         		<a id="pl.5.27"></a><var>5.27</var>(14) an attendant or ambulance director who is an EMT, EMT-I, or EMT-P within <br />
         		<a id="pl.5.28"></a><var>5.28</var>the meaning of section 
         <statute_ref>144E.001</statute_ref> and who actively practices with a licensed ambulance <br />
         		<a id="pl.5.29"></a><var>5.29</var>service in a primary service area located in a designated rural area as defined under section <br />
         		
         <statute_ref><a id="pl.5.30"></a><var>5.30</var>144.1501, subdivision 1
         </statute_ref>, paragraph (b); and<br />
         		<a id="pl.5.31"></a><var>5.31</var>(15) the commissioner of public safety or the commissioner's designee.<br />
         		<a id="pl.5.32"></a><var>5.32</var>(c) Council members whose appointment is dependent on practice in a level III or IV <br />
         		<a id="pl.5.33"></a><var>5.33</var>trauma hospital may be appointed to an initial term based upon their statements that the <br />
         		<a id="pl.5.34"></a><var>5.34</var>hospital intends to become a level III or IV facility by July 1, 2009.<br />
         		<br />
         		<a id="bill.0.8.0"></a><a id="pl.5.35"></a><var>5.35</var>&nbsp;&nbsp;&nbsp;&nbsp;Sec. 8. <b> REPEALER.</b><br />
         		<a id="pl.6.1"></a><var>6.1</var>Minnesota Statutes 2008, section 144.607, is repealed.<br />
         		
      </div>