1 | 1 | | 1.1 A bill for an act |
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2 | 2 | | 1.2 relating to health; requiring the commissioner of health to study issues related to |
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3 | 3 | | 1.3 the development of a statewide registry for provider orders for life-sustaining |
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4 | 4 | | 1.4 treatment; requiring a report. |
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5 | 5 | | 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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6 | 6 | | 1.6 Section 1. STUDY OF THE DEVELOPMENT OF A STATEWIDE REGISTRY |
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7 | 7 | | 1.7FOR PROVIDER ORDERS FOR LIFE-SUSTAINING TREATMENT. |
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8 | 8 | | 1.8 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have |
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9 | 9 | | 1.9the meanings given. |
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10 | 10 | | 1.10 (b) "Commissioner" means the commissioner of health. |
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11 | 11 | | 1.11 (c) "Life-sustaining treatment" means any medical procedure, pharmaceutical drug, |
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12 | 12 | | 1.12medical device, or medical intervention that maintains life by sustaining, restoring, or |
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13 | 13 | | 1.13supplanting a vital function. Life-sustaining treatment does not include routine care necessary |
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14 | 14 | | 1.14to sustain patient cleanliness and comfort. |
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15 | 15 | | 1.15 (d) "POLST" means a provider order for life-sustaining treatment, signed by a physician, |
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16 | 16 | | 1.16advanced practice registered nurse, or physician assistant, to ensure that the medical treatment |
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17 | 17 | | 1.17preferences of a patient with an advanced serious illness who is nearing the end of the their |
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18 | 18 | | 1.18life are honored. |
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19 | 19 | | 1.19 (e) "POLST form" means a portable medical form used to communicate a physician's |
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20 | 20 | | 1.20order to help ensure that a patient's medical treatment preferences are conveyed to emergency |
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21 | 21 | | 1.21medical service personnel and other health care providers. |
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22 | 22 | | 1Section 1. |
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23 | 23 | | REVISOR SGS/BM 23-0195701/10/23 |
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24 | 24 | | State of Minnesota |
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25 | 25 | | This Document can be made available |
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26 | 26 | | in alternative formats upon request |
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27 | 27 | | HOUSE OF REPRESENTATIVES |
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28 | 28 | | H. F. No. 474 |
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29 | 29 | | NINETY-THIRD SESSION |
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30 | 30 | | Authored by Huot01/17/2023 |
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31 | 31 | | The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1 Subd. 2.Establishment.(a) The commissioner, in consultation with the advisory |
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32 | 32 | | 2.2committee established in paragraph (c), shall develop recommendations for a statewide |
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33 | 33 | | 2.3registry of POLST forms to ensure that a patient's medical treatment preferences are followed |
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34 | 34 | | 2.4by all health care providers. The registry must allow for the submission of completed POLST |
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35 | 35 | | 2.5forms and for the forms to be accessed by health care providers and emergency medical |
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36 | 36 | | 2.6service personnel in a timely manner for the provision of care or services. |
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37 | 37 | | 2.7 (b) The commissioner shall develop recommendations on the following: |
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38 | 38 | | 2.8 (1) electronic capture, storage, and security of information in the registry; |
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39 | 39 | | 2.9 (2) procedures to protect the accuracy and confidentiality of information submitted to |
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40 | 40 | | 2.10the registry; |
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41 | 41 | | 2.11 (3) limits as to who can access the registry; |
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42 | 42 | | 2.12 (4) where the registry should be housed; |
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43 | 43 | | 2.13 (5) ongoing funding models for the registry; and |
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44 | 44 | | 2.14 (6) any other action needed to ensure that patients' rights are protected and that their |
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45 | 45 | | 2.15health care decisions are followed. |
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46 | 46 | | 2.16 (c) The commissioner shall create an advisory committee with members representing |
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47 | 47 | | 2.17physicians, physician assistants, advanced practice registered nurses, nursing homes, |
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48 | 48 | | 2.18emergency medical system providers, hospice and palliative care providers, the disability |
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49 | 49 | | 2.19community, attorneys, medical ethicists, and the religious community. |
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50 | 50 | | 2.20 Subd. 3.Report.The commissioner shall submit recommendations on establishing a |
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51 | 51 | | 2.21statewide registry of POLST forms to the chairs and ranking minority members of the |
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52 | 52 | | 2.22legislative committees with jurisdiction over health and human services policy and finance |
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53 | 53 | | 2.23by February 1, 2024, and implement the registry no later than December 1, 2024. |
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54 | 54 | | 2Section 1. |
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55 | 55 | | REVISOR SGS/BM 23-0195701/10/23 |
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